Evidence map›Paper›PMID 28277052›Full record

ArticleScandinavian journal of primary health care2017

General practitioners' accounts of how to facilitate consultations with toddlers - an interview study.

Marie Golsäter, Lars-Olof Johansson, Maria Harder

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Marie Golsätera Futurum Academy for Health and Care Region Jönköping County , Jönköping , Sweden.
Lars-Olof Johanssona Futurum Academy for Health and Care Region Jönköping County , Jönköping , Sweden.
Maria Harderc School of Health Care and Social Welfare, Mälardalen University , Västerås , Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe general practitioners' (GPs') accounts of how to facilitate consultations with children aged 1-2 years.

designA qualitative study based on focus group interviews. SETTING AND SUBJECTS: Five focus group interviews were conducted with a total of 25 GPs at Swedish primary health care (PHC) centres. The GPs regularly invited toddlers to consultations.

resultThe GPs' accounts of how to facilitate consultations with toddlers revealed descriptions of making efforts to instil confidence in the situation to enable the consultation. Toddlers in need of health care always visit the GP with adults such as their parents, guardians or other relatives. Therefore, the GP directs efforts towards the adults and the child more or less simultaneously, as they both need to rely on the GP. The GPs describe how they instil confidence in the adults by establishing a mutual understanding that the consultation is necessary to secure the child's health. Regarding the child, the GP instils confidence by establishing a relationship in order to approach the child and accomplish bodily examinations.

conclusionThe result shows that GPs' encounters with children in consultations are two-sided. The GP needs to conduct bodily examinations to secure the child's health and development, but to do so he/she needs to establish purposeful relationships with the adults and the child by instilling confidence. This indicates that establishing relationships in the consultation is significant, and a way to achieve a child-centred consultation. KEY POINTS Research regarding GPs' encounters with toddlers in consultation is limited, even though toddlers frequently visit PHC. • GPs make efforts to instil confidence by establishing mutual understanding with parents and a relationship with the child. • Establishing purposeful relationships with both the child and parent is significant in enabling the consultation. • Establishing a relationship with the child overrides conducting the bodily examination, to promote the child's feeling of ease and allow a child-centred consultation.

Indexed as

Child HealthCommunicationFamily PracticeGeneral PractitionersPhysician-Patient RelationsAdultChild, PreschoolFemaleFocus GroupsHumansInfantMaleParentsPrimary Health CareQualitative ResearchReferral and ConsultationChildrenconsultationfocus groupgeneral practicegeneral practitionerqualitative studySweden

Identifiers

PMID28277052
PMCPMC5361417

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.