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Millenium - Journal of Education, Technologies, and Health
Print version ISSN 0873-3015On-line version ISSN 1647-662X
Abstract
NOBRE, Carolina et al. Care negotiation in a pediatric ward: discourses and practice. Mill [online]. 2024, n.23, e34545. Epub Apr 30, 2024. ISSN 0873-3015. https://doi.org/10.29352/mill0223.34545.
Introduction:
The negotiation process between parents, children, and nurses during hospitalization must be structured for a successful interaction. However, there is limited scientific evidence on parents' perspectives.
Objective:
Understand the negotiation process that takes place between nurses and parents in the Paediatric Ward.
Methods:
A qualitative descriptive study was conducted with 11 parents using semi-structured interviews. The data was analysed using content analysis techniques by Bardin (2016).
Results:
Five domains emerged from the discourse and perspectives of parents regarding care negotiation. The structuring conditions and knowledge of the child and family serve as foundations to support the negotiation process. During the negotiation itself, two roles converge: the parental role, involving the assumption and adaptation to the parental role, and the role of the nurses. Some behaviours promote negotiation, aimed at making the process more natural. However, some behaviours on the part of the nurses could hinder negotiation. Post-discharge support is acknowledged as an essential extra support once the child returns home.
Conclusion:
The findings provide clarification of the roles of the different participants in care negotiation, with potential contributions to the implementation of actions that improve the negotiating process in a more sustained and intentional manner.
Keywords : negotiation; parents; children; nurses.