Lifelong Learning Programme

This project has been funded with support from the European Commission.
This web site reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein.

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Training of Lecturers

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This training package is addressed to lecturers and trainers in the field of paediatrics on how to assist paediatric undergraduate and resident students in developing and consolidating their soft skills for improving the quality of paediatric services.

Communication with Children

Table of Content

1.2. Communication with children
1.2.3. Stories
The principles of child-friendly education apply equally to child-friendly communication No one, especially a child, learns best from a didactic or preachy presentation of information, on the contrary, everyone learns best when content is presented in interesting ways and through good stories. These include, among other things, active learning where children’s needs and opinions are included. If communication is fun and inspiring, children will be more likely to adhere to its intended meaning.

Stories may be an effective tool to communicate with and influence patients because of their ability to engage the reader. Stories are used in therapeutic interventions as they establish rapport with the child, assess the level of their fear and anxiety, explain procedures and prepare for future procedures or treatment. E.g. The poster “Let’s Wash Hands” was developed for school-aged children during a capacity-building workshop on holistic child development in Indonesia. The group chose a girl to be the model for a photo-based poster; they broke down steps for a correct hand-washing sequence (wet, soap, scrub well, rinse); they used a catchy rhyme with each photo; and finished with the girl proudly holding out her clean hands. Supplementary activities included adapting the rhyme to a song to be sung at school or at home when washing hands. The poster integrated hygiene, early learning through rhyme and building self-confidence, especially of girls. It can be used as a model to teach a variety of skills to children as well as adults.

Children’s roles can be either of a listener or a teller of a story. When children listen, health care professionals devise a story similar to what the patient is going to experience during a procedure or investigation, in order to explain indirectly what they will experience, through the character’s eyes.

Children can also be supported to produce stories about other kids who have been in difficult situations (diagnosed with cancer or HIV, have a disability, been through a disaster, lost a loved one) but have survived and are thriving, in order to help them surpass the fear of disease and suffering.

In the case of mutual story-telling, the patient may be asked to continue what the pediatrician has started, then the pediatrician reiterates and continues a little and then again elicits the child’s response, and so on.

Starting from a real or fantastic case, the therapeutic story has the role of mediating pain and suffering, bringing the child closer to the reality where at any moment a resource or a support can appear to help him defeat his fear, uncertainty, powerlessness.

Entering in the story, the child looks for himself. The story cannot be explained, it does not give solutions or verdicts, but it can be understood by the one who understands it. The story can be a starting point in initiating a communication with the child when he does not feel comfortable to talk about his feelings. The child must create an interpersonal connective bridge between himself and the events from the story. The therapeutic metaphors can be created through different strategies: original stories, cartoons, themes, starting from popular or scientific-fantastic stories, visualization after his own imagination and the therapist’s one or from real life.

Example: The story - “How to handle better the pain?”
Online Tutorials specifically designed for the project
Online Resources

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This project has been funded with support from the European Commission. This web site reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein.