Analysis of Metacommunicative Episodes between Nurses and Children

다국어 초록 (Multilingual Abstract)

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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