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Aim: Effective communication between nurses and children is crucial for delivering
quality healthcare. Despite its significance, there is limited knowledge about the
experiences of pediatric nurses in communicating with children. Therefore, this study
aims to conduct a meta-synthesis review to explore the unique experiences of pediatric
nurses in this aspect.
Method: We conducted a meta-synthesis review, following the outline proposed by
Sandelowski, Barrosso & Voils. Our search encompassed six electronic databases,
namely PubMed, Scopus, EBSCO (MEDLINE), Web of Science, SAGE, and Wiley. The
Primary keywords used were â??nurseâ?, â??childâ?, â??communicationâ?, and â??qualitativeâ?. We
included qualitative articles in English within the field of pediatric nursing without any
geographical or time constrains. Initially, 1980 records were identified which reduced
to 1339 references after removing duplicates. Subsequently, we assessed 112 full-text
articles for eligibility and 14 relevant studies were ultimately included in our review.
Quality appraisal was conducted using the Critical Appraisal Skill Program checklist
with no study being excluded based on quality criteria. Data were synthesized using the
qualitative thematic analysis method.
Results: The data analysis yielded three themes and seven subthemes. These themes
include: swinging between triadic and dyadic communication, applying a hybrid of
communication methods, and influential factor in communication.
Conclusions: This study highlights the significance of establishing a balanced approach
between dyadic communication (nurse and child) and triadic communication (nurseparent-
child) in pediatric care. Pediatric nurses emphasized the simultaneous use of
verbal and non-verbal methods to enhance effective communication. Additionally,
identifying the influential factors in communication can aid in developing and
improving nursesâ?? competency in communication skills within pediatric departments.
Implications: Understanding the communication process and the factors that influence
it can be instrumental in equipping pediatric nurses with enhanced communication
skills in their practice.
Keywords: Communication, Children, Nurse, Meta-synthesis, Qualitative research
Biography
Raheleh is an assistance professor of nursing working as a faculty member in Necmettin Erbakan University, Konya, Turkey. She graduated from Shiraz University of Medical Sciences, Iran in 2014. She has more than 7 years’ experience in nursing education and teaching. She wrote 7 books and published more than 25 articles in international journals
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