1.1 Background
As can be seen , the survival of children requires cooperation among individuals in different levels of the social structure , ancestry , community health system tires to change practice - those practices related to child health . in order to have an impact , then practice - the practice needs to be done properly and with the times . This is because , every child is born with a potential advantages and disadvantages . He is a personal being independent with distinctive colors of their own potential .
Therefore , in the process of communicating with children should pay attention to the principles , strategies and barriers in communication . From the description above, the writer made ​​a paper entitled " Communication in children " .
1.2 Problem Formulation
1.2.1 What is the child's communication ?
1.2.2 Are the principles of communication in children ?
1.2.3 What strategies or techniques in communicating with children ?
1.2.4 What are the barriers that occur when communicating with children ?
1.3 Objectives
1.3.1 Knowing the notion of communication in children .
1.3.2 Knowing the principles of communication with children .
1.3.3 Knowing the communication strategy on children .
1.3.4 Obtaining information about the barriers that occur when communicating with children .


2.1 Definitions
Communication is a contact or a relationship or delivery of news or news acceptance by two or more persons who allow messages or news is biased accepted or understood . ( Dictionary publisher Gita Press Media . Memories of TIM PRIMA PENA ) . Communication is the therapeutic nurse - client interpersonal relationships ( children ) is a process of mutual learning in order to improve the client's emotional experience . ( Stuart G. W. 1998) . In general, health communication is a systematic effort to positively influence the health practices of the population . The main target was to make health communication health -related practices and in turn health status . Effective health communication is a combination of art and science .
Health communication approach derived from disciplines include social marketing , anthropology , behavioral analysis , advertising , communication, education , social sciences and others . This complementarity , mutual exchange of general principles and techniques with each other so that each provide a unique contribution to the health communication methodologies .
2.2 Principles of communication in children
In communication in children requires special consideration so that nurses can develop good working relationships with the children and with the family . Many nurses received information from the parents , because the contact between parents and between the familiar general , the information given by parents can be assumed and relied upon by both .
Nurses provide periodic attention to infants and children when they are playing to make them participate . Older children can be actively involved in the communication . Children are generally responsive to non-verbal messages , sudden movements or threatening to make them afraid . Nurse entered the room with a big smile and a certain tangane movement will hinder the formation of relationships . Nurses must remain graceful and calm , children first act in interpersonal relationships . Tone of voice calm , friendly and confident is the best .
Children do not like to be stared at . When communicating , nurses must make eye contact . Young children often feel unable to do anything about it , especially in situations that include interaction with personal health care ( W haley and Wong , 1995)
When necessary explanations or instructions , using simple and direct language , to be honest , lying to children by saying that prosedut painful not painful just to make them angry . To minimize fear and anxiety nurse should always immediately tell them what will happen . Drawing and the bet is an effective way to communicate with children . This provides an opportunity for children to communicate non - verbally [ create images ] and verbal [ describe the image ] . Nurses can use these images as a basis for initiating communication .

2.3 strategy / communication techniques in children .
Techniques to communicate with young children varies greatly, depending on the age of the child .
1 . infants [ 0-1 years ] .
- babies generally only communicate nonverbally [ eg . Crying ] because the baby can not use words . infants respond to non - verbal behavior of care delivery . They will be quiet with close physical contact .- the baby will get the comfort of a soft sound though the words are not understood
yng - voice loud and rude will make baby scared .
- baby rather large [ 6 months ] because of separation anxiety , and therefore parents should supervise when carrying a baby in by foreigners .
2 . Toddler [ 1-3 years ] / Anaki pre - school children [ 3-5 years ] .
young to communicate verbally and non- verbally .
children are egocentric and just understand things related. Children can not distinguish between fantasy and reality .
children understand the literal anologi [ eg . Children should be allowed to explore the environment ] .
children should be allowed to explore the environment .
children understand sentences pemdek and simple, understandable words and concrete explanation .

3.anak school age [ 5-12 years ]
- the child reaches reasons and explanations for everything , but do not require approval .
children interested in the functional aspects of objects and events ( what will happen , why did this happen .
attention to the body 's integrity .
children should be allowed to manipulate the equipment ( eg ; holding hammer percussion )
children understand and demonstrate a simple explanation .
Children should be allowed to express their fear and astonishment .
Techniques and tools to improve communication .
1.papan communication with words - words , letters / drawings that show the basic necessities ( toilet , water )
2. pencil to show the expression of needs / thoughts .
3. family and friends in the delivery of mental care .
non verbal attitude like eye blinking / finger movements to respond .
words that children can understand , avoiding medical terminology


Thing to do is interview and history taking ( child's identity ) , physical examination ( visual channel usage , auditari , and tactile ) , observation of non- verbal behavior , repetition medical records , literature , and diagnostic tests . In this case , the nurse examines the child's ability to communicate , including observation sound , style , and vocabulary used . Physical constraints inability to find a name or word . Psychological illness or depression can affect the ability to communicate . In this case , the nurse isolate the cause of psychological problems with speech that may cause neurological

II.Diagnosa Nursing .
The success of nurses in identifying client communication issues will ensure an accurate formulation of nursing diagnoses . Factors associated with the diagnosis should be focused on the causes of failure of communication so that appropriate interventions can be selected . Supporting factors accurate . In this case to consider is the nurse should analyze in writing of the assessment findings , and discuss health care needs and priorities with the client and family ..
Nursing care plan written by the client to describe the method of determining the implementation.
Nurses should try to develop relationships that help terabiotik it is expected , will feel comfortable in doing interaction irrespective of any changes other than that that should be done is to discuss with other health professionals , health teaching , determination of therapeutic support , contact with other health sources , mencTt development plan clients in nursing and nursing notes .
Successful communication in the nurse's evaluation through observation of the interaction kx . Nurse evaluates nursing interventions based on the determination of the success of the previous kx to determine whether the strategy or intervention has been effective and whether changes kx generated due to the intervention . The things to note in evaluating namely : skills to provide verbal and non- verbal responses , written about the impact of the results expected , renewing a written plan , and a description of revisions to the child .

Health communication is a systematic effort to positively influence health practices . Health communication approach derived from a variety of disciplines that complement each other , exchange of general principles and techniques with each other so that each provide a unique contribution to the health communication methodologies . In the process of communicating with children so need to consider the principles , strategies / techniques , and obstacles - obstacles that might arise / exist in communication . Communication techniques with children vary greatly, depending on the age of the child . Distribution of life span can be divided into : 1 ) Baby , ( 0-1.
1 . with the writing of this author expects the reader to more effectively communicate with children having learned how the principles and strategies to communicate with children , and know the obstacles that will be encountered [ no time will communicate with children .
2 . in preparing / writing a paper ( papers ) should use the literature , although many will not rule may increase the difficulty of the preparation .


Graeff , AJudith , et al . , 1996. In health communication and behavior change . Yogyakarta :
Gadjah Mada University Press . Saifulloh . (no year ) . Educate children . Jombang : Lintas Media .


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