PTQualitativeRevista brasileira de enfermagem2026

Communication strategies used in pediatric urology by specialist professionals.

Cristiane Feitosa Salviano, Gisele Martins

PMID 42561249

WHAT IT FOUND

Specialists who treat children with urinary and bowel symptoms described using simple words, analogies, pictures, dolls and games to talk directly with children.

Caregivers often led dialogue, but these tools were used to gather symptoms and explain guidance.

Key findings

01The reported strategies fell into verbal, nonverbal and play categories.

02When talking directly with children, professionals used simple language, diminutives, analogies and tools such as the Bristol Stool Scale and voiding diary.

03Play strategies included dolls and games used to demonstrate body systems and capture symptoms.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The study interviewed professionals only, not children or caregivers, so it describes reported strategies rather than observed communication or patient understanding. Participants were 14 professionals recruited by convenience and snowball sampling, so the sample may reflect a narrow group. Data collection was regional in Brasília and concentrated in three services, and nurses were trained in the same clinic, which may have made strategies similar. The paper is qualitative and reports no outcome measures, so it does not show that any strategy improves adherence, symptoms or clinical outcomes.

The easy way to misread this

Do not read these strategies as proven to improve understanding or adherence. The paper reports interviews with professionals, not patient outcomes or a tested intervention.

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