Communication techniques used by pediatricians during well-child program visits: A pilot study

Nunes, Cristina; Ayala, M.

doi:10.1016/j.pec.2009.06.015

Cited by 16 publications

(19 citation statements)

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“…In addition, initial and on-thejob training should place more emphasis on the communication techniques and social skills of pediatricians (Nelson, Wissow, & Cheng, 2003;Nunes & Ayala, 2010;Wissow et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

Pediatricians' ideas about child development and education

Nunes¹

2011

Psicol. Reflex. Crit.

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In Andalusia (Spain), pediatricians are the main formal counseling source about children's development and education. Unfortunately, there is a limited knowledge about their ideas, practices and skills to guide parents. In this study, through the content analysis of 26 pediatrician interviews, we describe their ideas and goals about anticipatory guidance. We also analyze their perceptions about parental practices and the educative messages given to parents. The results show that pediatrician agenda focus mainly on biomedical issues, such as nutrition, accident prevention and growth monitoring. Child development and education are not priorities and issues like psychomotor development and language are only approached to fill out medical records. Keywords: Pediatricians' Ideas; Parental Practices; Child Development; Child Education. ResumoNa Andaluzia (Espanha), os pediatras são a principal fonte técnica de aconselhamento sobre o desenvolvimento e a educação infantil. No entanto existe um conhecimento limitado sobre as suas ideias, práticas e habilidades para orientar os pais. Neste estudo, através da análise de conteúdo das entrevistas realizadas a vinte e seis pediatras, descrevem-se os objectivos da agenda pediátrica, as percepções sobre as práticas parentais e as mensagens educativas transmitidas aos pais. Os resultados mostram que a agenda pediátrica é centrada sobretudo nos temas biomédicos, como alimentação, prevenção de acidentes e crescimento. O desenvolvimento e a educação da criança não são prioridades e os temas relacionados com o desenvolvimento psicomotor e linguagem são abordados sobretudo para preencher a história clínica. Palavras-chave: Concepções; Pediatras; Práticas Parentais; Educação; Desenvolvimento Infantil.The task of parents is to create a safe, coherent and organized world according to norms, rules and values where their children can develop. In this regard, parents need information and orientation to help them make the best decisions and to feel confident about health, development and education-related actions. Parental educational practices do not occur in a void, and they are not automatic reactions to their children's behavior. Indeed, parents think, question, feel and decide (Monteiro & Castro, 1997;Nunes, 2008).An emphasis on the cognitive dimension of parental views in the 1980s stimulated research on parental ideas about the nature, development and education of children within the field of developmental psychology. Several studies have shown that parental ideas influence the relationships and educational practices towards their children, which can have significant consequences on children's psychological development (Goodnow & Collins, 1994;McGillicuddy-DeLisi, 1992;Palacios, Hidalgo, & Moreno, 2003;Siegel, 1992).According to Harkness, Super, Keefer, Raghavan and Kipp (1996), parental ideas are a product of the integration of parents' individual experiences and the cultural experiences of the family. Thus, the development of experience within the family and the community,...

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Section: Discussionmentioning

confidence: 99%

Pediatricians' ideas about child development and education

Nunes¹

2011

Psicol. Reflex. Crit.

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“…It is certainly a good thing that most recommendations are of the counselling as opposed to the prescription type. Accompanying the recommendations with explanations has several positive effects: it improves the understanding of their usefulness, results in increased compliance, raises the levels of satisfaction, and gives skills and confidence to women in their role as mothers 2,[20][21][22][23][24] .…”

Section: Discussionmentioning

confidence: 99%

“…Medical training is very focused on the biological aspects of the health-disease process, and as a result the approach to communication with patients and families is almost exclusively based on the personal characteristics of paediatricians. The widespread view of the doctor-patient relationship as a technical area that can be subject to being learned and taught is a recent development [21][22][23][24][25] .…”

Section: Discussionmentioning

confidence: 99%

“…Efficient communication is based on the use of techniques that help express parental doubts and concerns and promote understanding of and compliance with doctor recommendations. One technique that is very important is explaining the guidelines and the reasons behind them 21,22,24,27 . Explaining the rationale for recommendations helps mothers integrate them in a coherent account of the enormous set of factors that determine the health, development, and education of their child.…”

Section: Introductionmentioning

confidence: 99%

“…A medical recommendation can be given as counselling or as prescription 21,27 . We define counselling as giving guidelines in a reasoned-out or detailed manner, and prescription as making the recommendation without explaining its purpose or the set of causal relationships into which it fits.…”

Section: Introductionmentioning

confidence: 99%

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¿Consejo o prescripción?: análisis de las recomendaciones pediátricas en las consultas del programa del niño sano

Nunes

Ayala²

2013

Rev Pediatr Aten Primaria

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Resumen ¿Consejo o prescripción? Análisis de las recomendaciones pediátricas en las consultas del programa de salud infantilIntroduction: reasoning the recommendations increases mothers' adherence and satisfaction in the healthy child program visits. A recommendation can be considered an advice or a prescription according to its reasoning. Aims: in this study we described and analyzed the use of advice and prescription in the recommendations made by pediatricians to mothers in the healthy child program visits. We analyzed the quantity and quality of recommendations, its content and its relation to the visits' duration, and the characteristics of the child and mother. Methods: we audio-taped 50 visits of five pediatricians and we classified, through content analysis, the recommendations in six categories: secondary prevention, primary prevention, health promotion, development, education and family relationships. Results: pediatricians made 4.37 recommendations per visit, 69% by their own initiative and 31% by mothers' request. Pediatricians make recommendations mainly about health promotion (32.87%), secondary prevention (17.13%) and primary prevention (10.19%). The amount of recommendations was positively associated with the visit's length (M=16.10 minutes) and negatively related with child's age. The pediatricians used much more advice (70%) than prescription (30%). The effect of the mothers' educational level wasn't observed. Conclusions: there was a great heterogeneity between pediatricians in all observed variables; this suggests that there exist different pediatric styles whose characteristics and effects deserve further investigation in future studies in order to help pediatricians to improve their professional practice.Introducción: razonar las recomendaciones aumenta la adhesión y satisfacción de las madres en las consultas del programa de salud infantil. Una recomendación puede ser considerada consejo o prescripción según sea razonada o no. Objetivos: en el presente estudio describimos y analizamos el uso del consejo y la prescripción en las recomendaciones transmitidas a las madres en el ámbito del programa de salud infantil. Analizamos la cantidad y calidad de las recomendaciones, su contenido y su relación con la duración de la consulta, y con las características del niño y de la madre. Material y métodos: grabamos 50 consultas de cinco pediatras y, a través del análisis de contenido, clasificamos las recomendaciones en seis categorías: prevención secundaria, prevención primaria, promoción de la salud, desarrollo, educación y relación familiar. Resultados: los pediatras realizan 4,37 recomendaciones por consulta, el 69% por iniciativa propia y el 31% a petición de las madres. Los pediatras hacen sobre todo recomendaciones acerca de la promoción de la salud (32,87%), la prevención secundaria (17,13%) y la primaria (10,19%). La cantidad de recomendaciones está positivamente asociada con la duración de la consulta (M=16,10 minutos) y negativamente asociada con la edad del niño. Los pediatras utilizaron m...

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Das pädiatrische Elterngespräch und Frühe Hilfen

Barth

2016

Bundesgesundheitsbl

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In the script of well-child visits, there are no slots that indicate to pediatricians and parents when, which, how and for what purpose psychosocial issues can be discussed and negotiated. For implementing such slots in well-child visits, three steps are necessary: a structured and regular assessment of psychosocial issues, a trained pediatrician in motivational interviewing and a social worker guiding the family in the network of early prevention.

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Communication techniques used by pediatricians during well-child program visits: A pilot study

Cited by 16 publications

References 37 publications

Pediatricians' ideas about child development and education

Pediatricians' ideas about child development and education

¿Consejo o prescripción?: análisis de las recomendaciones pediátricas en las consultas del programa del niño sano

Das pädiatrische Elterngespräch und Frühe Hilfen

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