Participation in communication and decisions with regards to nursing care: The role of children

Objective: The study was to examine the role of children in communication and decisions regarding their nursing care in a paediatric oncology ward in Malaysia. Methods: The principles of focused ethnography underpinned the study design. Fieldwork took place over six months in one 32-bedded paedia...

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Main Authors:	Lee, Siew Pien, Haycock-Stuart, Elaine, Tisdall, Kay
Format:	Article
Language:	English English
Published:	Elsevier 2019
Subjects:	RJ245 Pediatric Nursing
Online Access:	http://irep.iium.edu.my/74080/ http://irep.iium.edu.my/74080/ http://irep.iium.edu.my/74080/7/74080%20Participation%20in%20communication%20and%20decisions-in-press.pdf http://irep.iium.edu.my/74080/8/74080%20Participation%20in%20communication%20and%20decisions%20SCOPUS-in-press.pdf

id	iium-74080
recordtype	eprints
spelling	iium-740802019-09-12T08:14:21Z http://irep.iium.edu.my/74080/ Participation in communication and decisions with regards to nursing care: The role of children Lee, Siew Pien Haycock-Stuart, Elaine Tisdall, Kay RJ245 Pediatric Nursing Objective: The study was to examine the role of children in communication and decisions regarding their nursing care in a paediatric oncology ward in Malaysia. Methods: The principles of focused ethnography underpinned the study design. Fieldwork took place over six months in one 32-bedded paediatric oncology ward. Twenty-one children, ranging in ages from 7 to 12 years diagnosed with leukaemia, their parents and 19 nurses participated. Data collection consisted of participant observation and semi-structured interview. Results: Hospitalized children employed different roles of passive or active participants during the communication and decisions about their nursing care. Importantly, children are more likely to become active participants in the communication process when nurses interact directly with them, listening to them and giving them opportunities to ask questions in either the presence or absence of their parents. Equally, children are likely to bemore passive participants when nurses do not communicate directly with them, choosing instead to directly interact with the child’s parents. This study highlighted that the role of children as active and passive participants is not permanently engaged by individual children, rather their role ﬂuctuates throughout the hospi- talization journey. The ﬂuctuations of a child’s role are highly dependent on their preferences: how and when they want to be included in the communication and decisions process. Children’s roles in communication and decisions are also varied and dependent on their particular con- texts. A child’s participation in one situation does not consistently reﬂect their participation with their role in other situations. The ways in which the children participate were oscillated throughout their hospitalization. Elsevier 2019 Article PeerReviewed application/pdf en http://irep.iium.edu.my/74080/7/74080%20Participation%20in%20communication%20and%20decisions-in-press.pdf application/pdf en http://irep.iium.edu.my/74080/8/74080%20Participation%20in%20communication%20and%20decisions%20SCOPUS-in-press.pdf Lee, Siew Pien and Haycock-Stuart, Elaine and Tisdall, Kay (2019) Participation in communication and decisions with regards to nursing care: The role of children. Enfermeria Clinica. pp. 1-5. ISSN 1130-8621 (In Press) https://www.sciencedirect.com/science/article/pii/S1130862119302384
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	RJ245 Pediatric Nursing
spellingShingle	RJ245 Pediatric Nursing Lee, Siew Pien Haycock-Stuart, Elaine Tisdall, Kay Participation in communication and decisions with regards to nursing care: The role of children
description	Objective: The study was to examine the role of children in communication and decisions regarding their nursing care in a paediatric oncology ward in Malaysia. Methods: The principles of focused ethnography underpinned the study design. Fieldwork took place over six months in one 32-bedded paediatric oncology ward. Twenty-one children, ranging in ages from 7 to 12 years diagnosed with leukaemia, their parents and 19 nurses participated. Data collection consisted of participant observation and semi-structured interview. Results: Hospitalized children employed different roles of passive or active participants during the communication and decisions about their nursing care. Importantly, children are more likely to become active participants in the communication process when nurses interact directly with them, listening to them and giving them opportunities to ask questions in either the presence or absence of their parents. Equally, children are likely to bemore passive participants when nurses do not communicate directly with them, choosing instead to directly interact with the child’s parents. This study highlighted that the role of children as active and passive participants is not permanently engaged by individual children, rather their role ﬂuctuates throughout the hospi- talization journey. The ﬂuctuations of a child’s role are highly dependent on their preferences: how and when they want to be included in the communication and decisions process. Children’s roles in communication and decisions are also varied and dependent on their particular con- texts. A child’s participation in one situation does not consistently reﬂect their participation with their role in other situations. The ways in which the children participate were oscillated throughout their hospitalization.
format	Article
author	Lee, Siew Pien Haycock-Stuart, Elaine Tisdall, Kay
author_facet	Lee, Siew Pien Haycock-Stuart, Elaine Tisdall, Kay
author_sort	Lee, Siew Pien
title	Participation in communication and decisions with regards to nursing care: The role of children
title_short	Participation in communication and decisions with regards to nursing care: The role of children
title_full	Participation in communication and decisions with regards to nursing care: The role of children
title_fullStr	Participation in communication and decisions with regards to nursing care: The role of children
title_full_unstemmed	Participation in communication and decisions with regards to nursing care: The role of children
title_sort	participation in communication and decisions with regards to nursing care: the role of children
publisher	Elsevier
publishDate	2019
url	http://irep.iium.edu.my/74080/ http://irep.iium.edu.my/74080/ http://irep.iium.edu.my/74080/7/74080%20Participation%20in%20communication%20and%20decisions-in-press.pdf http://irep.iium.edu.my/74080/8/74080%20Participation%20in%20communication%20and%20decisions%20SCOPUS-in-press.pdf
first_indexed	2023-09-18T21:44:57Z
last_indexed	2023-09-18T21:44:57Z
_version_	1777413387806834688

Participation in communication and decisions with regards to nursing care: The role of children

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