Nurse and parent partnership during children’s vaccinations: a conversation analysis

Abstract

Communication skills and rapport are core to nursing work. What happens at the micro-level of turn-taking, where prosody and the actions achieved in talk, is of key importance. Our study suggests 'small talk' is of major importance - a practical professional skill in which nurses not only align with parents but simultaneously cue both mother and child about how the immunization should be conducted.

Ethnomethodological studies of nurse-patient and nurse-relative interactions: A scoping review

“…These studies particularly dealt with nurse-patient interactions. They included analyses of data taken from patient admissions (Jones, 2007) and discharge (Riva et al, 2014), check-ups (Edwall et al, 2009), child immunizations (Plumridge et al, 2009), and chronic obstructive pulmonary disease consultations (Chatwin et al, 2014). Despite the wide range of situations examined, the results reported in these studies highlight the importance and benefits of patient participation in nurse-patient interactions (Adams, 2001a) and the implications of the frequent lack thereof (Chatwin, 2008;Jones, 2007).…”

“…Interactions between nurses and patients are often bureaucratic, at odds with recommendations for increased patient participation (Jones, 2007). But the structure of the consultation can increase patient participation and understanding of their conditions (Chatwin et al, 2014;Edwall et al, 2009), and that of their relatives (Plumridge et al, 2009). Embracing a reciprocal interaction style leads to increased participation of patients in consultations (e.g.…”

“…Not only the setting where nurse-beneficiary interactions occur shapes interaction styles and power relations, the identity and roles of the interacting partners are also crucial. Relatives can present themselves in a way that minimizes knowledge asymmetry in interaction (Butler et al, 2009;May et al, 2001;Plumridge et al, 2009). Although patients' relatives acknowledge nurses' medical expertise they often deny nurses any other general knowledge about their relatives (Plumridge et al, 2008).…”

Experiences of families in the immunization of Brazilian children under two years old

“…International studies show the relevance of nursing practice for the success of child immunization (4)(5)(6)(7) .…”

“…Immunization of babies and children depends upon initiative from their adult caregivers, many of whom may be highly anxious about the safety of immunizations, or anxious about subjecting their children to painful procedures (7) . Nurses need to build good relationships and practical partnerships with parents/caregivers.…”