On the journey - encounters with clown doctors and impacts for        children, families             and staff            ...
Ethics Approval Number H11658
The encounter – moments of fun, magic &transformation                  Child: I like the clowns because                  w...
The encounter - moments of fun, magic &transformation                         We had fun (with) Dr ..... (child)          ...
The encounter - moments of fun, magic &transformation  When you see your child smile that makes you smile as  well (parent...
The encounter – moments of fun, magic &transformation … you’re really just engaging in a   magical world… I mean, they’re ...
The encounter – the child is centre stage                              She thought I was famous!                          ...
The encounterChild: They got a little bit of paper.  Put some water in it. Tipped it  on me. ....Dad: It was an accident. ...
The encounter – transforming the hospitalenvironmentObservation of the clown doctorsineptly donning gown and gloves inthei...
The encounter – matching the play/sensitivity…people think you’ve got to have that sort of uproariouslaughter and response...
The encounter – matching the play/sensitivity…there was a teenage burns victim…in theory wedon’t address it but he was rea...
The encounter – matching the play/sensitivity                               Sometimes they’re                             ...
Beyond the encounter - anticipation...just laying back and watching TV…. But she heard them playing theguitars down the co...
Beyond the encounter - ongoing effects  ... it’s        easy to think it’s all about  when you’re there. But a lot of  it’...
Beyond the encounter - ongoing effectsThere lots of gorgeous photos of kids withthe clown doctors. And the smiley mouths o...
Beyond the encounter – ongoing effects K: How are you feeling now? Child : I’ve got the giggles K: You’ve got the giggles?...
Beyond the encounter....it can create a topic of conversation withparents, if theyre anxious or stressed and yourfinding i...
Beyond the encounterChild: I’m not saying anythingK: That’s alrightChild: that’s me in the middle.[looking at photograph]....
Beyond the encounter – staff modelling..I have also actually had them help me get    rapport with a kid. A kid Ive been   ...
Beyond the encounter – staff modellingI’ve seen one child that’s curled up and doesnt want anything to   do with anybody. ...
Beyond the encounter – clown doctors  it’s been really good for us, to just reflect a bit more  deeply... it makes one jus...
Thank You  to the children and families who participated in theresearch and the children who provided the drawings.     Cl...
Karen Ford & Leigh Tesch - One The Journey: Encounters with Clown Doctors and Impacts for Children's Families & Staff
Karen Ford & Leigh Tesch - One The Journey: Encounters with Clown Doctors and Impacts for Children's Families & Staff
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Karen Ford & Leigh Tesch - One The Journey: Encounters with Clown Doctors and Impacts for Children's Families & Staff

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A presentation given by Karen Ford & leigh Tesch at the CHA Conference 2012, The Journey, in 'The How To of Family & Patient Centred Care' stream.

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Karen Ford & Leigh Tesch - One The Journey: Encounters with Clown Doctors and Impacts for Children's Families & Staff

  1. 1. On the journey - encounters with clown doctors and impacts for children, families and staff Karen Ford Leigh Tesch Helen Courtney-Pratt
  2. 2. Ethics Approval Number H11658
  3. 3. The encounter – moments of fun, magic &transformation Child: I like the clowns because whenever they come they make me laugh because they’re funny K: How did you feel today… Before the clowns came? Child: Ahh, a little bit sore, and bored. And they came K: How did you feel when they came? Child: Happy
  4. 4. The encounter - moments of fun, magic &transformation We had fun (with) Dr ..... (child) cheer me up…made me happier than what I was (child) the visit ‘perked up’, ‘sparked up’ and ‘light up’ the children (parents and staff )
  5. 5. The encounter - moments of fun, magic &transformation When you see your child smile that makes you smile as well (parent) ...you can never be too old for them. We all laugh as much as the children (parent)
  6. 6. The encounter – moments of fun, magic &transformation … you’re really just engaging in a magical world… I mean, they’re in hospital, they want just something that’s going to take them away from their circumstances rather than in any way address it… (clown doctor) Well, last time they were here Dr ......, he danced with the curtain. He didn’t think it was a curtain...He thought it was a ballerina (child)
  7. 7. The encounter – the child is centre stage She thought I was famous! (child) He [the child] was so playing the top dog… making me subservient (clown doctor)
  8. 8. The encounterChild: They got a little bit of paper. Put some water in it. Tipped it on me. ....Dad: It was an accident. It was a bag, and it had drops of water .....K: Oh no. What did you think?Child: Good. .....It was funny Making mistakes is one of the essences of clowning… you create a problem, make a mistake, and quite often that’s the funny thing for the kid (clown doctor)
  9. 9. The encounter – transforming the hospitalenvironmentObservation of the clown doctorsineptly donning gown and gloves intheir interaction with a young child inprotective isolation
  10. 10. The encounter – matching the play/sensitivity…people think you’ve got to have that sort of uproariouslaughter and response, which is not necessarily what you’retrying to do (clown doctor)... to go in and just make a little connection. .. … just tenseconds of magic in the room… just this moment I want toshare, just a quiet thing, we can just watch them[thebubbles] fall down(clown doctor)
  11. 11. The encounter – matching the play/sensitivity…there was a teenage burns victim…in theory wedon’t address it but he was really happy and outthere, and we started singing “burning ring of fire”,and I was jumping out of the flames with the nurse.So, in a sense sometimes you address it full on(clown doctor)If she can hear…we can sing to her, wecan be naughty, we can be silly (clowndoctor)
  12. 12. The encounter – matching the play/sensitivity Sometimes they’re dangerous! (child) I really love those risks in the work. I think that the greatest joy and magic comes from the risks. And it is a matter of trusting each other to go with the offer and support the kids through that journey (clown doctor)
  13. 13. Beyond the encounter - anticipation...just laying back and watching TV…. But she heard them playing theguitars down the corridor and wasvery excited (parent)You see kids hanging out theirroom…anticipating (staff)
  14. 14. Beyond the encounter - ongoing effects ... it’s easy to think it’s all about when you’re there. But a lot of it’s about when you’ve left. If the atmosphere in the room has changed, it makes a big difference…it’s fantastic. And the families can start reacting differently and …the nursing staff. If she’s [a nurse] more relaxed then it flows through the whole place (clown doctor)
  15. 15. Beyond the encounter - ongoing effectsThere lots of gorgeous photos of kids withthe clown doctors. And the smiley mouths onthe stick.. So they can use that you knowwhen theyre feeling down. They’re great. ....They really treasure those, the kids , they pinthem up on the walls (nurse)
  16. 16. Beyond the encounter – ongoing effects K: How are you feeling now? Child : I’ve got the giggles K: You’ve got the giggles? Because why? Child: Because of the doctors, the clown doctors K: Are you thinking about what they did? Child: Yeah
  17. 17. Beyond the encounter....it can create a topic of conversation withparents, if theyre anxious or stressed and yourfinding it difficult to communicate with them ....so I think it can create some kind of talkingpoint where its not about the child, its notabout the illness. Its about something positive(staff)
  18. 18. Beyond the encounterChild: I’m not saying anythingK: That’s alrightChild: that’s me in the middle.[looking at photograph]...and they was joining up with meand ......And can I? [child runs outand back into room and does starjump]
  19. 19. Beyond the encounter – staff modelling..I have also actually had them help me get rapport with a kid. A kid Ive been struggling with all day......they brought me in with the joke and the rapport with that kid was actually better after that (nurse)it helped me...learn how to engage with children, because I’d never had anything to do with children (nurse)
  20. 20. Beyond the encounter – staff modellingI’ve seen one child that’s curled up and doesnt want anything to do with anybody. They’re able to engage the child and ... the child is smiling. ..... It’s just like... ‘Oh yes, I forgot about the child!’ .... They’ve reminded you that you can do it in a different way. Draw them out ... And its not so bad for them (staff)
  21. 21. Beyond the encounter – clown doctors it’s been really good for us, to just reflect a bit more deeply... it makes one just think about things a bit more, in a slightly different way (clown doctor)
  22. 22. Thank You to the children and families who participated in theresearch and the children who provided the drawings. Clown Doctors™ is the core program of The Humour Foundation Photographs of the Hobart clown doctors in Hospitals are by Matt Thompson.

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