A1 Journal article (refereed)
Nurses and the disabled child’s perspective in the anaesthesia procedure preparation process using a picture schedule (2024)
Kaitsalmi, J., Vehkakoski, T., Karlsson, L., & Salanterä, S. (2024). Nurses and the disabled child’s perspective in the anaesthesia procedure preparation process using a picture schedule. International Journal of Qualitative Studies on Health and Well-Being, 19(1), Article 2356927. https://doi.org/10.1080/17482631.2024.2356927
JYU authors or editors
Publication details
All authors or editors: Kaitsalmi, Johanna; Vehkakoski, Tanja; Karlsson, Liisa; Salanterä, Sanna
Journal or series: International Journal of Qualitative Studies on Health and Well-Being
ISSN: 1748-2623
eISSN: 1748-2631
Publication year: 2024
Publication date: 27/05/2024
Volume: 19
Issue number: 1
Article number: 2356927
Publisher: Taylor & Francis
Publication country: United Kingdom
Publication language: English
DOI: https://doi.org/10.1080/17482631.2024.2356927
Publication open access: Openly available
Publication channel open access: Open Access channel
Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/95571
Abstract
This study’s purpose was to investigate how nurses, using a picture schedule, enable or hinder the realization of disabled children’s agency in the preparation for an MRI procedure carried out under general anaesthesia.
Methods
A qualitative observation study was used to explore the interaction of nurses and children. The data consisted of video recordings of 25 preparation situations of 3 (3–8 years old) children (with challenges in communication and/or cognitive skills) with 4 nurses. Verbal and nonverbal communication was analysed with interventionist applied conversation analysis.
Results
What was most crucial was how the picture schedule was used during the interaction. Reciprocal information sharing, responding to the child’s initiatives by negotiating and allowing the child to take physical action with the picture schedule enabled the realization of the child’s agency.
Conclusions
The preparation process should aim to help the child prepare in his/her own way. The preparation tools should encourage reciprocal interaction in informing and in responding to the children’s initiatives. The preparation practices should include enough time for the child’s initiatives and physical participation. The results can be used in assessing preparation tools and how they are used from the perspective of the child’s agency.
Keywords: augmentative and alternative communication; pictorial communication; disabled people; children (age groups); human agency; becoming prepared; medical procedures; anaesthesia; magnetic resonance imaging; nursing staff; patient care relationship; observation
Free keywords: agency; alternative and augmentative communication; applied conversation analysis; disabled children; nonverbal communication; nurse– patient relationship; participation; preparing children
Contributing organizations
Ministry reporting: Yes
VIRTA submission year: 2024
Preliminary JUFO rating: 1
