Questions directed to children with diverse communicative competencies in paediatric healthcare consultations.
Patient Educ Couns
; 121: 108103, 2024 Apr.
Article
em En
| MEDLINE
| ID: mdl-38151429
ABSTRACT
OBJECTIVE:
This paper examines question-response sequences, in which clinicians asked questions to child patients who appear to interact using means other than the verbal mode of communication.METHODS:
Conversation Analysis methods were used to study questions in 46 paediatric palliative care consultations. These questions were directed towards children who observably used vocalisations and embodied modes of communication (e.g., gaze, gesture and facial expressions) but did not appear to use the verbal mode.RESULTS:
Most questions asked children either about their willingness and preferences for a proposed next activity, or their current feelings, experiences or intentions. Questions involved children by foregrounding their preferences and feelings. These questions occasioned contexts where the child's vocal or embodied conduct could be treated as a relevant response.CONCLUSION:
This paper demonstrates how questions are used to involve children in consultations about their own healthcare, and how their views come to be understood by clinicians and family members, even when children interact using means other than the verbal mode of communication. PRACTICE IMPLICATIONS Questions can be asked of both children who do and do not verbally communicate. When asking questions, clinicians should be mindful of the modes of communication an individual child uses to consider how the child might meaningfully respond.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Família
/
Comunicação
Limite:
Child
/
Humans
Idioma:
En
Revista:
Patient Educ Couns
Ano de publicação:
2024
Tipo de documento:
Article