KMID : 0606120090150010053
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Korean Journal of Child Health Nursing 2009 Volume.15 No. 1 p.53 ~ p.60
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Analysis of Metacommunicative Episodes between Nurses and Children
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Shin Hyun-Sook
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Abstract
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Purpose: The purpose of this study was to analyze metacommunicative episodes comprised of nurses¡¯ metacommunicative behavior and children¡¯s responses occurring in the dyads of nurse-child within the context of an inpatient pediatric unit.
Methods: Twelve dyads of nurses and children were videotaped for four hours each day over a two-day period as they interacted with each other on the inpatient unit. The metacommunicative episodes were recorded from the videotapes. The metacommunicative behavior was categorized within Shin¡¯s metacommunicative behaviors.
Results: The total number of episodes between the nurses and children included in this study was 242. The most frequently used metacommunicative behavior was ¡¯reflection¡¯, followed by tagging, baby talk, approaching, mediating eye level, friendly demand, encouraging, description of acts, symbolization, turnabouts, touching, and mimic voice, respectively. The most common response to the nurses¡¯ metacommunicative behavior was agreeing, followed by tension release.
Conclusion: Young children responded positively to metacommunicative behavior by the nurses. Understanding metacommunicative behavior may help nurses approach their young patients more easily and with confidence.
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KEYWORD
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Communication, Nurse-patient interaction, Nurse-patient relationship, Child nursing, Child behaviour
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