Information exchange in paediatric care

Information exchange is an essential component for all involved in the paediatric care encounter. Despite this, most of the research about information exchange concerns adults and the significance of the child’s existence in the encounter have not been given sufficient attention. Therefore, the over...

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Main Author: Mårtenson Wikström, Eva
Format: Doctoral Thesis
Language:English
Published: Linköpings universitet, Omvårdnad 2009
Subjects:
Online Access:http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-18007
http://nbn-resolving.de/urn:isbn:978-91-7393-681-1
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spelling ndltd-UPSALLA1-oai-DiVA.org-liu-180072013-09-13T04:31:09ZInformation exchange in paediatric careengÄven barnet har rätt att få veta!Mårtenson Wikström, EvaLinköpings universitet, OmvårdnadLinköpings universitet, HälsouniversitetetLinköping : Linköping University Electronic Press2009Ethical demandGrounded theoryInformation exchangePaediatric careQualitative content analysisSimultaneous concept analysisMEDICINEMEDICINInformation exchange is an essential component for all involved in the paediatric care encounter. Despite this, most of the research about information exchange concerns adults and the significance of the child’s existence in the encounter have not been given sufficient attention. Therefore, the overall aims of this thesis were twofold. Firstly, the aim was to identify, describe and generate concepts in information exchange between minors, parents/guardians and health care professionals in paediatric care situations. Secondly, the intention was to formulate a theoretical construction, a theory, of the phenomenon of information exchange in paediatric care situations. This thesis is based on four studies. In studies I, II and III grounded theory was used according to Glaser and data have been analyzed using the constant comparative analysis method. Data have been collected through observations and medical records (I, II and III) and also with additional follow-up interviews (III). In study IV, at first a qualitative content analysis of Løgstrup’s ethical demand was conducted and, second, a simultaneous concept analysis of the findings from studies I, II and III and the findings from the qualitative content analysis was carried out. There were a total of 67 participants in the three observational studies: 28 minors (I), 24 parents/guardians (II) and 15 health care professionals (III), who exchanged information in different paediatric care encounters. The information exchange interaction process was resolved by the minors “balancing the circumstances” (I), the parents/guardians used “firm handling” (II) and the health care professionals were “sharing and contributing the responsibility” (III). The qualitative content analysis of Løgstrup’s ethical demand provided the mediation and the social norms. The simultaneous concept analysis finally gave the advanced outcome to intergrade, which means to merge gradually with another through a continuous series of intermediates. At the same time as we intergrade in paediatric care, we protect the totality of minors, recognize the dependency of the parents/guardians and the social interplay by the health care professionals, the information exchange is improved. This thesis emphasizes the importance of health care professionals’ communication skills and the need for education and practice in this topic, in order to improve the information exchange with minors and their parents/guardians from an ethical viewpoint. The theory intergrade explains how this could be applied and implemented. Doctoral thesis, comprehensive summaryinfo:eu-repo/semantics/doctoralThesistexthttp://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-18007urn:isbn:978-91-7393-681-1Linköping University Medical Dissertations, 0345-0082 ; 1106application/pdfinfo:eu-repo/semantics/openAccess
collection NDLTD
language English
format Doctoral Thesis
sources NDLTD
topic Ethical demand
Grounded theory
Information exchange
Paediatric care
Qualitative content analysis
Simultaneous concept analysis
MEDICINE
MEDICIN
spellingShingle Ethical demand
Grounded theory
Information exchange
Paediatric care
Qualitative content analysis
Simultaneous concept analysis
MEDICINE
MEDICIN
Mårtenson Wikström, Eva
Information exchange in paediatric care
description Information exchange is an essential component for all involved in the paediatric care encounter. Despite this, most of the research about information exchange concerns adults and the significance of the child’s existence in the encounter have not been given sufficient attention. Therefore, the overall aims of this thesis were twofold. Firstly, the aim was to identify, describe and generate concepts in information exchange between minors, parents/guardians and health care professionals in paediatric care situations. Secondly, the intention was to formulate a theoretical construction, a theory, of the phenomenon of information exchange in paediatric care situations. This thesis is based on four studies. In studies I, II and III grounded theory was used according to Glaser and data have been analyzed using the constant comparative analysis method. Data have been collected through observations and medical records (I, II and III) and also with additional follow-up interviews (III). In study IV, at first a qualitative content analysis of Løgstrup’s ethical demand was conducted and, second, a simultaneous concept analysis of the findings from studies I, II and III and the findings from the qualitative content analysis was carried out. There were a total of 67 participants in the three observational studies: 28 minors (I), 24 parents/guardians (II) and 15 health care professionals (III), who exchanged information in different paediatric care encounters. The information exchange interaction process was resolved by the minors “balancing the circumstances” (I), the parents/guardians used “firm handling” (II) and the health care professionals were “sharing and contributing the responsibility” (III). The qualitative content analysis of Løgstrup’s ethical demand provided the mediation and the social norms. The simultaneous concept analysis finally gave the advanced outcome to intergrade, which means to merge gradually with another through a continuous series of intermediates. At the same time as we intergrade in paediatric care, we protect the totality of minors, recognize the dependency of the parents/guardians and the social interplay by the health care professionals, the information exchange is improved. This thesis emphasizes the importance of health care professionals’ communication skills and the need for education and practice in this topic, in order to improve the information exchange with minors and their parents/guardians from an ethical viewpoint. The theory intergrade explains how this could be applied and implemented.
author Mårtenson Wikström, Eva
author_facet Mårtenson Wikström, Eva
author_sort Mårtenson Wikström, Eva
title Information exchange in paediatric care
title_short Information exchange in paediatric care
title_full Information exchange in paediatric care
title_fullStr Information exchange in paediatric care
title_full_unstemmed Information exchange in paediatric care
title_sort information exchange in paediatric care
publisher Linköpings universitet, Omvårdnad
publishDate 2009
url http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-18007
http://nbn-resolving.de/urn:isbn:978-91-7393-681-1
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