Communication and health literacy in pediatric emergency: nursing team’s perspective

Soares, Adélia Karla Falcão; Linhares, Francisca Márcia Pereira; Barros, Mirelly da Silva; Silva-Rodrigues, Fernanda Machado; Pimenta, Erika Acioli Gomes; Carvalho, Queliane Gomes da Silva; Coriolano-Marinus, Maria Wanderleya Lavor

doi:10.1590/1980-220X-REEUSP-2024-0294en

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ORIGINAL ARTICLE • Rev. esc. enferm. USP 59 • 2025 • https://doi.org/10.1590/1980-220X-REEUSP-2024-0294en linkcopy

Communication and health literacy in pediatric emergency: nursing team’s perspective^*

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective: To analyze the nursing team’s knowledge and perspectives on an educational process focusing on communication and health literacy in the context of a pediatric emergency.

Method: A qualitative study, based on participatory health research and the health literacy theoretical framework. The educational process was conducted in a pediatric emergency room between October and November 2021, with the participation of ten nurses and 28 nursing technicians. Data were collected from operational groups’ interactions and productions during the educational process and analyzed through descriptive and analytical coding, with the support of Atlas.ti software version 8.0.

Results: Participants recognized barriers in communication with children and their families, expanding their repertoire of communication strategies, reinforcing the use of therapeutic toys, the teach-back technique and puppets.

Conclusion: Teaching-learning activities encouraged the nursing team’s active and reflective participation, expanding knowledge and health literacy skills.

DESCRIPTORS
Health Education; Health Communication; Health Literacy; Child, Hospitalized; Emergencies

Group sessions	Educational process
TOPIC 1 – Recovering nursing professionals’ inner child	Awareness-raising dynamics on the topic: drawings that marked childhood between the ages of 6 and 12. Who is this inner child? How has this inner child communicated with the children under my care in the emergency room? Dialogical exposure: knowing the physical, emotional and social aspects of the child. Images and assumptions from the book “The Whole-Brain Child” (Daniel Siegel and Tina Payne).
TOPIC 2 - Types of communication approaches with children/families in a hospital environment	Dialogical exposition: based on a literature review on the types of communication approaches with children/families in the context of hospitalization. Illustrate communication strategies with approaches already used in the service. Guest: Mirelly Barros (Master’s student in the Graduate Program in Child and Adolescent Health at the Universidade Federal de Pernambuco). Participation via the Google Meet^® platform with the topic “Storytelling as a communication strategy with children in the context of hospitalization”. Narration of the story “The Heart and the Bottle” (Oliver Jeffers).
TOPIC 3 - Communication and health literacy in professional practice	Present the concepts of communication and HL. ROLE PLAYING - Simulation built from David Kolb’s Experiential Learning Theory. Practical application (pair or trio): participants created two situations involving the nursing team, with the purpose of articulating the dimensions of HL and communication approaches. In these activities, empathic communication and HL promotion strategies were used.
TOPIC 4 - Perceptions about the communicative approaches implemented to promote health literacy in the workplace	Recovering teaching-learning activities in the workplace: practical application of one of the communication strategies and articulation with the HL concept (three to five-minute filming and self-reflection).
Participants’ assessment and self-assessment.	“Tree of Knowledge” dynamic: to explore participants’ impressions about the application of communicative approaches in promoting HL in pediatric emergency care.

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Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[T1FN1] Source: prepared by the author.

Communication and health literacy in pediatric emergency: nursing team’s perspective*

ABSTRACT

Communication and health literacy in pediatric emergency: nursing team’s perspective^*