Child-Caregiver-Pediatrician Communication: an Observational Study at Different Levels of Care

Detalhes bibliográficos
Autor(a) principal: Cristo, Lilian Meire de Oliveira de
Data de Publicação: 2016
Outros Autores: Araujo, Tereza Cristina Cavalcanti Ferreira de
Tipo de documento: Artigo
Idioma: por
Título da fonte: Psicologia (Universidade Presbiteriana Mackenzie. Online)
Texto Completo: http://editorarevistas.mackenzie.br/index.php/ptp/article/view/5044
Resumo: Communication in pediatric settings presents many challenges, because of the presence of a triad (patient-caregiver-pediatrician) which requires specific skills in each step of an encounter. This study aimed to analyze and compare the communication in triads between the primary (health center) and tertiary (hospital) care levels. Twelve triads were observed, with the behaviors registered in specific protocols and recordings (audio and video). Two subsystems of interactional analysis were developed. In the first subsystem (purpose of communication content), the behavior of encouraging participation, encouraging interaction and communicating information was more observed in the health center. In the second subsystem (communication resources), facilitating and disruptive behaviors were also more recurrent in the primary care setting. Therefore, we conclude that in the health care center, consultations focused on patients, prevailed with greater incentive towards participation. In the hospital, the appointments focused mainly on the caregiver or the doctor.
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spelling Child-Caregiver-Pediatrician Communication: an Observational Study at Different Levels of CareComunicación Niño-Acompañante-Pediatra: Estudio Observacional en Diferentes Niveles de AsistenciaComunicação Criança-Acompanhante-Pediatra: Estudo Observacional em Diferentes Níveis de AssistênciaCommunication in pediatric settings presents many challenges, because of the presence of a triad (patient-caregiver-pediatrician) which requires specific skills in each step of an encounter. This study aimed to analyze and compare the communication in triads between the primary (health center) and tertiary (hospital) care levels. Twelve triads were observed, with the behaviors registered in specific protocols and recordings (audio and video). Two subsystems of interactional analysis were developed. In the first subsystem (purpose of communication content), the behavior of encouraging participation, encouraging interaction and communicating information was more observed in the health center. In the second subsystem (communication resources), facilitating and disruptive behaviors were also more recurrent in the primary care setting. Therefore, we conclude that in the health care center, consultations focused on patients, prevailed with greater incentive towards participation. In the hospital, the appointments focused mainly on the caregiver or the doctor.La comunicación en el contexto pediátrico presenta muchos desafíos, porque la presencia de una tríada (paciente-acompañante-pediatra) requiere habilidades específicas en cada paso de la consulta. Este estudio tuvo con objetivo analizar y comparar las comunicaciones de tríadas entre los niveles de atención primaria (centro de salud) y terciaria (hospital). Doce tríadas fueron observadas, siendo los comportamientos registrados en protocolos específicos y grabaciones (audio y vídeo). Dos subsistemas de análisis interacciónale fueron desarrollados. Se encontró que, en el primer subsistema (propósito de los contenidos comunicacionales), los comportamientos de incentivo a la participación y comunicar informaciones fueron más observados en el centro de salud. En el segundo subsistema (recursos de la comunicación), los comportamientos facilitadores y perturbadores también fueron más emitidos en la asistencia primaria. Se concluyó que en el centro de salud ha prevalecido una consulta centrada en el paciente, con mayor incentivo a su participación y que en el hospital, la consulta se centró principalmente en el acompañante o en el médico.A comunicação em contextos pediátricos apresenta muitos desafios, pois a presença de uma tríade (paciente-acompanhante-pediatra) exige competências específicas em cada etapa da consulta. Essa pesquisa visou analisar e comparar as comunicações de tríades entre os níveis de assistência primária (centro de saúde) e terciária (hospital). Doze tríades foram observadas, sendo os comportamentos registrados em protocolos específicos e gravações (áudio e vídeo). Desenvolveram-se dois subsistemas de análise interacional. Constatou-se que, no primeiro subsistema (finalidade dos conteúdos comunicacionais), os comportamentos de incentivo à participação, incentivo à interação e comunicar informações foram mais observados no centro de saúde. No segundo subsistema (recursos da comunicação), os comportamentos facilitadores e perturbadores também foram mais emitidos na assistência primária. Conclui-se que, no centro de saúde, prevaleceu uma consulta centrada no paciente, com maior incentivo à sua participação, e, no hospital, a consulta centrou-se preponderantemente no acompanhante ou no médico.Editora Mackenzie2016-01-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://editorarevistas.mackenzie.br/index.php/ptp/article/view/504410.15348/1980-6906/psicologia.v17n3p89-103The Journal Of Psychology: Theory and Practice ; Vol. 17 No. 3 (2015); 89-103Revista Psicología: Teoría y Práctica; Vol. 17 Núm. 3 (2015); 89-103Revista Psicologia: Teoria e Prática; v. 17 n. 3 (2015); 89-1031980-69061516-3687reponame:Psicologia (Universidade Presbiteriana Mackenzie. Online)instname:Universidade Presbiteriana Mackenzie (UPM)instacron:UPMporhttp://editorarevistas.mackenzie.br/index.php/ptp/article/view/5044/5531Copyright (c) 2016 Lilian Meire de Oliveira de Cristo, Tereza Cristina Cavalcanti Ferreira de Araujohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCristo, Lilian Meire de Oliveira deAraujo, Tereza Cristina Cavalcanti Ferreira de2023-07-11T17:00:11Zoai:ojs.editorarevistas.mackenzie.br:article/5044Revistahttp://editorarevistas.mackenzie.br/index.php/ptp/indexPRIhttp://editorarevistas.mackenzie.br/index.php/ptp/oairevistapsico@mackenzie.br1980-69061516-3687opendoar:2023-07-11T17:00:11Psicologia (Universidade Presbiteriana Mackenzie. Online) - Universidade Presbiteriana Mackenzie (UPM)false
dc.title.none.fl_str_mv Child-Caregiver-Pediatrician Communication: an Observational Study at Different Levels of Care
Comunicación Niño-Acompañante-Pediatra: Estudio Observacional en Diferentes Niveles de Asistencia
Comunicação Criança-Acompanhante-Pediatra: Estudo Observacional em Diferentes Níveis de Assistência
title Child-Caregiver-Pediatrician Communication: an Observational Study at Different Levels of Care
spellingShingle Child-Caregiver-Pediatrician Communication: an Observational Study at Different Levels of Care
Cristo, Lilian Meire de Oliveira de
title_short Child-Caregiver-Pediatrician Communication: an Observational Study at Different Levels of Care
title_full Child-Caregiver-Pediatrician Communication: an Observational Study at Different Levels of Care
title_fullStr Child-Caregiver-Pediatrician Communication: an Observational Study at Different Levels of Care
title_full_unstemmed Child-Caregiver-Pediatrician Communication: an Observational Study at Different Levels of Care
title_sort Child-Caregiver-Pediatrician Communication: an Observational Study at Different Levels of Care
author Cristo, Lilian Meire de Oliveira de
author_facet Cristo, Lilian Meire de Oliveira de
Araujo, Tereza Cristina Cavalcanti Ferreira de
author_role author
author2 Araujo, Tereza Cristina Cavalcanti Ferreira de
author2_role author
dc.contributor.author.fl_str_mv Cristo, Lilian Meire de Oliveira de
Araujo, Tereza Cristina Cavalcanti Ferreira de
description Communication in pediatric settings presents many challenges, because of the presence of a triad (patient-caregiver-pediatrician) which requires specific skills in each step of an encounter. This study aimed to analyze and compare the communication in triads between the primary (health center) and tertiary (hospital) care levels. Twelve triads were observed, with the behaviors registered in specific protocols and recordings (audio and video). Two subsystems of interactional analysis were developed. In the first subsystem (purpose of communication content), the behavior of encouraging participation, encouraging interaction and communicating information was more observed in the health center. In the second subsystem (communication resources), facilitating and disruptive behaviors were also more recurrent in the primary care setting. Therefore, we conclude that in the health care center, consultations focused on patients, prevailed with greater incentive towards participation. In the hospital, the appointments focused mainly on the caregiver or the doctor.
publishDate 2016
dc.date.none.fl_str_mv 2016-01-13
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://editorarevistas.mackenzie.br/index.php/ptp/article/view/5044
10.15348/1980-6906/psicologia.v17n3p89-103
url http://editorarevistas.mackenzie.br/index.php/ptp/article/view/5044
identifier_str_mv 10.15348/1980-6906/psicologia.v17n3p89-103
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv http://editorarevistas.mackenzie.br/index.php/ptp/article/view/5044/5531
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Editora Mackenzie
publisher.none.fl_str_mv Editora Mackenzie
dc.source.none.fl_str_mv The Journal Of Psychology: Theory and Practice ; Vol. 17 No. 3 (2015); 89-103
Revista Psicología: Teoría y Práctica; Vol. 17 Núm. 3 (2015); 89-103
Revista Psicologia: Teoria e Prática; v. 17 n. 3 (2015); 89-103
1980-6906
1516-3687
reponame:Psicologia (Universidade Presbiteriana Mackenzie. Online)
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reponame_str Psicologia (Universidade Presbiteriana Mackenzie. Online)
collection Psicologia (Universidade Presbiteriana Mackenzie. Online)
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repository.mail.fl_str_mv revistapsico@mackenzie.br
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