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Cirik VA, Aksoy B, Gül U. The image of nursing in the eyes of Generation Alpha and their parents in Türkiye: A multicenter cross-sectional survey. J Pediatr Nurs 2024; 78:124-132. [PMID: 38917614 DOI: 10.1016/j.pedn.2024.06.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/07/2024] [Revised: 06/15/2024] [Accepted: 06/15/2024] [Indexed: 06/27/2024]
Abstract
BACKGROUND AND PURPOSE Parents' views of nursing may play a key role in what kind of image their children hold of it. This study had three objectives. First, it investigated the image of nursing in the eyes of Generation Alpha and their parents. Second, it addressed whether their views affected each other. Third, it investigated factors that might affect their views. METHODS This multicenter study adopted a descriptive correlational and cross-sectional design. The sample consisted of 1742 children and their parents (n = 3484). Data were collected using a demographic characteristics questionnaire and the Nursing Image Scale (NIS). The data were analyzed using Pearson correlation and stepwise regression analysis. RESULTS Children, mothers, and fathers had a total NIS score of 48.76 (7.57), 42.37 (8.04), and 43.22 (8.99), respectively. Mothers' and fathers' NIS scores were positively associated with children's NIS scores (R2 = 0.286; 0.365, p < .01). Children's and their parents' negative experiences with nurses were negatively associated with their NIS scores (R2 = 0.358; 0.191; 0.155, p < .01). Children described nurses as "coolies," "maids," "machines," "devils," or "white ghosts." Their metaphors were negatively associated with their NIS scores. Almost half the participants stated that nursing was portrayed negatively in the media. CONCLUSION Children have a more positive view of nursing, but their views are also affected by their parents' thoughts. PRACTICE IMPLICATIONS Nurses should be professionally autonomous, promote their professional identity through the media, and interact with their colleagues to have a professional image in the eyes of children and their parents.
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Affiliation(s)
- Vildan Apaydin Cirik
- Karamanoğlu Mehmetbey University, Faculty of Health Sciences, Department of Midwifery, Child Health and Diseases Nursing, Karaman, Turkey
| | - Bahar Aksoy
- Akdeniz University, Kumluca Faculty of Health Sciences, Department of Child Health and Diseases Nursing, Antalya, Turkey.
| | - Uğur Gül
- Akdeniz University, Faculty of Nursing, Department of Child Health and Diseases Nursing, Antalya, Turkey
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Davies C, Waters D, Fraser J. Factors that support children and young people to express their views and to have them heard in healthcare: An inductive qualitative content analysis. J Child Health Care 2024:13674935241258515. [PMID: 38832575 DOI: 10.1177/13674935241258515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/05/2024]
Abstract
Despite development of healthcare charters supporting Article 12 of The United Nations Convention on the Rights of the Child, children and young people remain largely silenced in discussions about their healthcare. This article is based on the premise that children and young people should be able to exercise their right to express their views and be heard in all matters that affect their lives. This study examined children's and young people's experiences of expressing their views and having them heard in an Australian healthcare context. Using child-centred inquiry and 'draw, write, and tell' methods, data were collected from 20 children and young people. Five factors that supported children and young people to express their views and have their views heard were identified: time, relationships with health professionals, communication, teamwork, and family support. By paying attention to these factors, clinicians and others in health settings can better facilitate child-centred practices and support children and young people to express their views and have those views heard.
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Affiliation(s)
- Clare Davies
- Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
| | - Donna Waters
- Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
| | - Jennifer Fraser
- Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
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Kokabisaghi F, Moghri J, Jamali J, Akhondzadeh MN, Mojtabaeian M. Evaluating children's rights in the hospital setting of Afghanistan. J Pediatr Nurs 2024; 76:106-113. [PMID: 38368732 DOI: 10.1016/j.pedn.2024.02.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Revised: 02/13/2024] [Accepted: 02/13/2024] [Indexed: 02/20/2024]
Abstract
PURPOSE Children's rights must be realized in all children-related settings, such as hospitals. This study aimed to assess children's rights in hospital settings in Afghanistan in 2021. DESIGN AND METHODS A cross-sectional survey using the World Health Organization questionnaire was conducted. It was distributed among the randomly selected healthcare providers in the studied hospital. One hundred forty-two hospital managers, physicians, and nurses participated in the study. Descriptive and analytical statistics were used to analyze the results in SPSS. RESULTS In this study, 54.2% of participants were men, 59.9% had a bachelor's degree, and most were 20-30 years old (56.7%). The total score of the hospital in fulfilling children's rights was 1.71 ± 0.46. Among different children's rights, "equality and non-discrimination" received the highest score (2.01 ± 0.59), and the lowest was for "play and learning" (1.1 ± 0.46). There was a meaningful relationship between education level, years of work experience, and the scores given to children's rights. Various dimensions of the rights had significant relationships (p < 0.05). CONCLUSION The hospital has taken action to fulfill children's rights. The main gaps include the lack of adolescent-friendly health services, opportunities to play and learn, and child protection. Hospital managers, staff, and the public should be educated on children's rights. Moreover, protocols for improving children's rights and a monitoring system are needed. PRACTICAL IMPLICATIONS Children's rights should receive special attention in hospitals. Educating children, parents, service providers, health policymakers, and society about children's rights is essential. They should know their responsibilities regarding children.
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Affiliation(s)
- Fatemeh Kokabisaghi
- Department of Management Sciences and Health Economics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran; Social Determinants of Health Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran.
| | - Javad Moghri
- Department of Management Sciences and Health Economics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran; Social Determinants of Health Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Jamshid Jamali
- Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
| | | | - Morteza Mojtabaeian
- Department of Management Sciences and Health Economics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
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Quaye AA, Foster M, Whitehead L, Hallström IK. Parents' experiences of their child's best interests during a hospital stay in Australia. J Child Health Care 2024:13674935241243101. [PMID: 38569118 DOI: 10.1177/13674935241243101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/05/2024]
Abstract
Determining the child's best interests in a hospital setting will ideally involve the combined views of children, parents, and healthcare professionals. However, few studies have explored parents' experiences of their child's best interests when they engage with the healthcare system. Therefore, this study aimed to explore parents' experiences of their child's best interests during hospitalisation. A descriptive qualitative inductive design using face-to-face parent-child combined interviews, analysed by latent content analysis, was used. Sixteen parents recruited from a tertiary hospital in Western Australia were interviewed. Collaboration, development of trustworthy relationships, and effective communication were essential in shaping parents' experiences of their child's best interests during hospitalisation.
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Affiliation(s)
- Angela Afua Quaye
- Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden
| | - Mandie Foster
- School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand
- School of Nursing and Midwifery, Edith Cowan University, Perth, WA, Australia
| | - Lisa Whitehead
- School of Nursing and Midwifery, Edith Cowan University, Perth, WA, Australia
- Centre for Postgraduate Nursing Studies, University of Otago, Christchurch, New Zealand
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Davies C, Waters D, Fraser J. Children's and young people's experiences of expressing their views and having them heard in health care: A deductive qualitative content analysis. J Clin Nurs 2024; 33:1506-1519. [PMID: 38041392 DOI: 10.1111/jocn.16952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Revised: 11/10/2023] [Accepted: 11/21/2023] [Indexed: 12/03/2023]
Abstract
AIM To gain an understanding of children's experiences of expressing their views and having them heard in Australian healthcare settings. DESIGN Child-centred qualitative research. A deductive qualitative content analysis was undertaken. METHODS Data were collected from 20 Australian children and young people between the ages of 7 and 18 years old using the 'draw, write and tell' method. RESULTS Children's experiences of 'space' and 'voice', and therefore the opportunity to express their views in health care were, in the main, positive. At the same time, their experiences of 'audience' and 'influence', the situations in which those views are given due weight, were overwhelmingly described as negative. CONCLUSION Australian paediatric health services appear to have responded to calls to provide children with the opportunity to express their views and thus are delivering on the elements of 'space' and 'voice', whereas the realisation of 'audience' and 'influence' has some way to go. Due weight is not always given to children's views. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE The Lundy model can be used to facilitate a better understanding of the concept of voice, and the responsibility of health organisations in implementing the rights of children and young people, as articulated in Article 12. IMPACT Children and young people have a right to express their views and have them heard in health care, but their experiences in Australian health care are unknown. While children's experiences of expressing their views in health care were mostly positive, their views are not always taken seriously or given due weight. This research impacts child health professionals in Australia and internationally. REPORTING METHOD The study is reported using the Standards for Reporting Qualitative Research (SRQR). PATIENT OR PUBLIC CONTRIBUTION Members of the Youth Advisory Council of two tertiary children's hospitals were consulted and invited to become members of the research team.
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Affiliation(s)
- Clare Davies
- Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
| | - Donna Waters
- Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
| | - Jennifer Fraser
- Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
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Koller D, Espin S, Indar A, Oulton A, LeGrow K. Children's participation rights and the role of pediatric healthcare teams: A critical review. J Pediatr Nurs 2024; 77:1-12. [PMID: 38461775 DOI: 10.1016/j.pedn.2024.02.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/01/2024] [Revised: 02/16/2024] [Accepted: 02/26/2024] [Indexed: 03/12/2024]
Abstract
AIM A critical review examined how childrens participation rights as represented in the United Nations Convention on the Rights of the Child inform the work of pediatric teams in healthcare settings. METHODS We systematically searched peer-reviewed literature on the enactment of child participation rights, within the context of pediatric teams. Articles were evaluated using the LEGEND (Let Evidence Guide Every New Decision) tool. Data extraction and analysis highlighted themes and disparities between articles, as well as gaps. A total of 25 studies were selected. RESULTS We reviewed studies from around the globe, with the majority of papers from the UK. Qualitative and mixed methods approaches were administered. The following observations were made: (1) limited language of children's rights exists in the literature, (2) lack of information regarding the composition of pediatric healthcare teams and how they work with children, (3) children's perspectives on what constitutes good interactions with healthcare providers are replicated, (4) minimal references to theory or philosophical underpinnings that can guide practice. CONCLUSION Explicit references to children's participation rights are lacking in the literature which may reflect the absence of rights language that could inform pediatric practice. Descriptive understandings of the tenets of pediatric interprofessional team composition and collaboration are necessary if we are to imagine the child as part of the team along with their family. Despite these shortcomings, the literature alludes to children's ability to discern desirable interactions with healthcare providers.
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Affiliation(s)
- Donna Koller
- School of Early Childhood Studies, Toronto Metropolitan University, Toronto, Canada.
| | - Sherry Espin
- Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, Canada
| | - Alyssa Indar
- Nova Scotia Health/Dalhousie University, Halifax, Canada
| | - Angie Oulton
- School of Early Childhood Studies, Toronto Metropolitan University, Toronto, Canada
| | - Karen LeGrow
- Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, Canada
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Mason JJ, Coleman L, Dawod M, Wathen K, Houston S, Waldron M, Hinds PS. Child and caregiver voices about inpatient care: What do they report as positive and as needing improvement? J Pediatr Nurs 2024; 75:213-220. [PMID: 38272712 DOI: 10.1016/j.pedn.2024.01.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 01/12/2024] [Accepted: 01/13/2024] [Indexed: 01/27/2024]
Abstract
PURPOSE In pediatric healthcare, patient satisfaction queries exclude children and solicit quantitative ratings from caregivers. We sought satisfaction perspectives from hospitalized children 7 to 17 years and their caregivers by qualitatively analyzing interview responses. DESIGN AND METHODS English and Spanish-speaking children and their parents on five inpatient units completed two open-ended questions about their satisfaction at hospital discharge (T1, face to face) and 7 to 10 days later (T2, telephone). The questions asked about what was good and what could be better at the hospital. Responses were analyzed using descriptive semantic content analysis and consensus coding methods. RESULTS Patients' mean age was 11.9 years (SD = 3.17); 51% were male. At T1, 362 patients offered 833 responses; 600 parents offered 1496 responses. At T2, 252 patients offered 552 responses; 488 parents offered 1290 responses. At T1 and T2, the most frequent patient response to what was good was 'Staff took good care of me' and for caregivers was 'Staff behaving professionally'. At T1, the most frequent patient response about what could be better was 'more activities for kids', and at T2, 'Nothing' and 'More food options and better food quality'; for caregivers at T1, 'Nothing' and 'Not liking the physical space', and at T2, 'Nothing', and 'More communication and professionalism from hospital staff'. CONCLUSIONS Pediatric patients and their caregivers are willing and able to offer perspectives about satisfaction with care, and suggestions for improvement before discharge. PRACTICE IMPLICATIONS Pediatric patients and their caregivers' perspectives about care yield actionable recommendations for hospital systems.
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Affiliation(s)
- Janice J Mason
- Department of Nursing Science, Professional Practice, and Quality, Children's National Hospital, Washington, D.C., USA; School of Medicine and Health Sciences, The George Washington University of America, The George Washington University, USA.
| | - Lael Coleman
- Child Health Advocacy Institute, Children's National Hospital, Washington, D.C., USA.
| | - Mark Dawod
- Department of Nursing Science, Professional Practice, and Quality, Children's National Hospital, Washington, D.C., USA.
| | - Kourtney Wathen
- Department of Nursing Science, Professional Practice, and Quality, Children's National Hospital, Washington, D.C., USA.
| | - Sasha Houston
- Revenue Cycle Operations & Analytics, Children's National Hospital, Washington, D.C., USA.
| | - Mia Waldron
- Department of Nursing Science, Professional Practice, and Quality, Children's National Hospital, Washington, D.C., USA; School of Medicine and Health Sciences, The George Washington University of America, The George Washington University, USA.
| | - Pamela S Hinds
- Department of Nursing Science, Professional Practice, and Quality, Children's National Hospital, Washington, D.C., USA; School of Medicine and Health Sciences, The George Washington University of America, The George Washington University, USA.
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8
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Foster M. Children in hospital over Christmas. J Pediatr Nurs 2024; 74:vii-viii. [PMID: 38307687 DOI: 10.1016/j.pedn.2023.12.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2024]
Affiliation(s)
- Mandie Foster
- Auckland University of Technology, School of Clinical Sciences, Auckland, New Zealand; Edith Cowan University, School of Nursing and Midwifery, Joondalup, Western Australia, Australia.
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Neves ET, Silva JHD, Urbanetto JDS, Buboltz FL, Kegler JJ, Ribeiro CF, Oliveira DCD, Lorenzini E. Quality of life in the voice of children who depend on health technologies: Mixed methods study. J Pediatr Nurs 2023; 73:e83-e92. [PMID: 37596116 DOI: 10.1016/j.pedn.2023.07.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Revised: 07/17/2023] [Accepted: 07/17/2023] [Indexed: 08/20/2023]
Abstract
OBJECTIVE To examine the quality of life of children who depend on health technologies as expressed in their own words. METHODS A parallel and convergent mixed methods design was employed with 30 aged five to 12 year old children who depend on health technologies. Data collection was done through a characterization form, Pediatric Quality of Life Inventory 4.0 questionnaire with the total sample in quantitative phase; semi-structured interviews with a subset of nine participants in qualitative phase. Quantitative and qualitative data were analyzed using descriptive statistics and deductive thematic content analyses, respectively. RESULTS Findings from PedsQL 4.0 showed that quality of life for children who depend on health technologies is average. However, data integration through mixed methods showed that this average goes beyond quantitative data through hearing the children's own voices. The results from data integration pointed out that children recognize their limitations and adapt to them; what most affects their quality of life is the emotional domain; children reported suffering prejudice due to their physical limitations; and that the school positively impacts their quality of life. CONCLUSIONS Data integration highlighted that children acknowledge their limitations and pain generated by these devices. Concerns about the future and the ability to do things that other children the same age can do was the most impactful aspect on their quality of life. IMPLICATIONS FOR PRACTICE Nursing care plans should consider that what affects most children who depend on health technologies' quality of life is anxiety for the future of being incapacitated or dependent.
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Affiliation(s)
- Eliane Tatsch Neves
- Nurse, Ph.D. in Nursing, Titular Professor of Federal University of Santa Maria, Nursing Department, 1000 Roraima Avenue, Building 26, Office Room 1306, Camobi, Santa Maria, RS 97105-900, Brazil.
| | - Júlia Heinz da Silva
- Nurse, Ph.D. in Nursing, Federal University of Santa Maria, Nursing Department, 1000 Roraima Avenue, Building 26, Office Room 1306, Santa Maria, RS 97105-900, Brazil.
| | - Janete de Souza Urbanetto
- Nurse, Ph.D. in Nursing, Assistant Professor of School of Health and Life Sciences, Pontifical Catholic University of Rio Grande do Sul, Ipiranga Avenue 6681 - Partenon, Porto Alegre, RS 90619-900, Brazil.
| | - Fernanda Luisa Buboltz
- Nurse, Ph.D. in Nursing, Federal University of Santa Maria, Nursing Department, 1000 Roraima Avenue, Building 26, Office Room 1306, Camobi, Santa Maria, RS 97105-900, Brazil.
| | - Jaquiele Jaciára Kegler
- Nurse, Ph.D. in Nursing, Federal University of Santa Maria, Nursing Department, 1000 Roraima Avenue, Building 26, Office Room 1306, Santa Maria, RS 97105-900, Brazil.
| | - Caroline Félix Ribeiro
- Nurse, Federal University of Santa Maria, Nursing Department, 1000 Roraima Avenue, Building 26, Office Room 1306, Santa Maria, RS 97105-900, Brazil.
| | - Diúlia Calegari de Oliveira
- Nurse, Federal University of Santa Maria, Nursing Department, 1000 Roraima Avenue, Building 26, Office Room 1306, Santa Maria, RS 97105-900, Brazil.
| | - Elisiane Lorenzini
- Nurse, Ph.D. in Nursing, Adjunct Professor of Federal University of Santa Catarina, Nursing Department, R. Eng. Agronômico Andrei Cristian Ferreira, s/n - Trindade, Florianópolis, SC 88040-900, Brazil.
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Affiliation(s)
- M Foster
- School of Clinical Sciences, Nursing, Auckland University of Technology, Auckland 0627, New Zealand; Edith Cowan University, School of Nursing and Midwifery, Joondalup, Perth, Western Australia 6027, Australia.
| | - J Blamires
- School of Clinical Sciences, Nursing, Auckland University of Technology, Auckland 0627, New Zealand
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Kim JS. Children's experiences of intravenous injection using the draw, write, and tell method: A mixed-methods study. J Pediatr Nurs 2023; 71:14-22. [PMID: 36958135 DOI: 10.1016/j.pedn.2023.03.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Revised: 03/09/2023] [Accepted: 03/09/2023] [Indexed: 03/25/2023]
Abstract
PURPOSES This study aimed to explore children's perceptions and experiences of receiving intravenous (IV) injections and the self-reported pain scores and management strategies that can support children while receiving IV injections. DESIGN AND METHODS This mixed-methods study included 17 children aged 4-11 years who presented to the outpatient clinic of a pediatric hospital and received IV injections. Data were collected using the draw, write, and tell method (DWT) and Facial Pain Rating Scale. Descriptive statistics and content analyses were performed. RESULTS The children's self-reported mean pain score was 4.82, indicating moderate pain. Many expressions indicated that IV injections were painful or caused tingling or stinging sensations. A vague fear of needles in addition to pain was identified after listening to the children and analyzing their own interpretation of drawings. Three main themes were identified: (1) physical and emotional experiences, (2) parents as my secure base, and (3) comfort and relief strategies. CONCLUSIONS Children expressed their experiences during IV injections, the alleviation of their pain and fear, and their suggestions for comfort and relief strategies visually, auditorily, and verbally. Parents played an important role in supporting their children and reducing pain, anxiety, and distress related to the IV procedure. PRACTICE IMPLICATIONS The DWT, as an arts-based and child-centered approach, is a useful and valid method to understand children's experience related to the IV injection. Children experience comfort and relief within a family-centered care context during IV injection. Nurses should promote children's and parents' participation in the development of strategies to reduce the negative effects of IV injections in children.
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Affiliation(s)
- Jin Sun Kim
- Department of Nursing, Chosun University, South Korea.
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Foster M, Blamires J, Moir C, Jones V, Shrestha-Ranjit J, Fenton B, Dickinson A. Children and young people's participation in decision-making within healthcare organisations in New Zealand: An integrative review. J Child Health Care 2023:13674935231153430. [PMID: 36809178 DOI: 10.1177/13674935231153430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
There is a paucity of literature on children and young people's participation in decision-making within healthcare organisations in New Zealand. This integrative review examined child self-reported peer-reviewed manuscripts and published guidelines, policy, reviews, expert opinion and legislation to explore how New Zealand children and young people participate in discussions and decision-making processes within healthcare settings and what are barriers and benefits to such participation. Four child self-reported peer-reviewed manuscripts and twelve expert opinion documents were retrieved from four electronic databases including academic, government and institutional websites. Inductive content thematic analysis generated one theme (a discourse in children and young people's participation within healthcare settings), four sub-themes, 11 categories, 93 codes and 202 findings. It is evident within this review that there is a discourse between what expert opinion are stating is required to promote children and young people's participation in discussions and decision-making processes within healthcare settings and what is occurring in practice. Despite literature reporting on how children and young people's participation and voice were essential for healthcare provision, there was sparse literature published on children and young people's participation in discussions and decision-making processes in healthcare delivery in New Zealand.
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Affiliation(s)
- Mandie Foster
- School of Clinical Sciences, 1410Auckland University of Technology, Auckland, New Zealand
- School of Nursing and Midwifery, Edith Cowan University, Perth, WA, Australia
- Child and Youth Health Research Centre, 1410AUT, Auckland, New Zealand
| | - Julie Blamires
- School of Clinical Sciences, 1410Auckland University of Technology, Auckland, New Zealand
- Child and Youth Health Research Centre, 1410AUT, Auckland, New Zealand
| | - Chris Moir
- Child and Youth Health Research Centre, 1410AUT, Auckland, New Zealand
- Centre for Postgraduate Nursing Studies, 2494University of Otago, Christchurch, New Zealand
| | - Virginia Jones
- Child and Youth Health Research Centre, 1410AUT, Auckland, New Zealand
- Centre for Postgraduate Nursing Studies, 2494University of Otago, Christchurch, New Zealand
| | - Jagamaya Shrestha-Ranjit
- School of Clinical Sciences, 1410Auckland University of Technology, Auckland, New Zealand
- Child and Youth Health Research Centre, 1410AUT, Auckland, New Zealand
| | - Brie Fenton
- School of Clinical Sciences, 1410Auckland University of Technology, Auckland, New Zealand
- Child and Youth Health Research Centre, 1410AUT, Auckland, New Zealand
| | - Annette Dickinson
- School of Clinical Sciences, 1410Auckland University of Technology, Auckland, New Zealand
- Child and Youth Health Research Centre, 1410AUT, Auckland, New Zealand
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Davies C, Waters D, Fraser JA. Implementing Article 12 of the United Nations Convention on the Rights of the Child in health care: a scoping review. INTERNATIONAL JOURNAL OF HUMAN RIGHTS IN HEALTHCARE 2022. [DOI: 10.1108/ijhrh-07-2022-0080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Purpose
The purpose of this paper is to present the results of a scoping review on the implementation of Article12 in health care. The scoping review will provide a summary and overview of the key concepts and published literature on this topic internationally. Article 12 of the United Nations Convention on the Rights of the Child (1989) states that children have a right to express their views, to have them heard and for their views to be given due weight in all matters that affect them. Despite increased calls for Article 12 to be given attention in health care, there is little evidence to suggest this has been well implemented and embedded in Australian health-care delivery. The scoping review was undertaken to provide a summary and overview of the key concepts and published literature on this topic internationally.
Design/methodology/approach
A five-step methodological framework described by Arksey and O’Malley (2005) was used to undertake the scoping review. Preferred Reporting Items for Systematic Reviews and Meta-Analysis was used as a guideline for undertaking the study selection.
Findings
Children are still not routinely involved in health-care decision-making, are frequently left out of service planning and evaluation and the perception that they lack the capability to make rational decisions persists.
Originality/value
While there has been a focus on research that investigates children’s participation in health-care decision-making in recent years, there is little that directs attention specifically to the implementation of Article 12, particularly in Australian health care. Recommendations are made for further research in these areas.
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Gugglberger L, Flaschberger E, Degelsegger-Márquez A. [Children's rights in Austrian hospitals: implementation factors for children's participation]. Monatsschr Kinderheilkd 2022:1-7. [PMID: 35578683 PMCID: PMC9097564 DOI: 10.1007/s00112-022-01505-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Accepted: 03/24/2022] [Indexed: 11/28/2022]
Abstract
Background Various studies show that it is important for children and adolescents (as well as their parents) to be involved and have a say in decisions regarding treatment. Nevertheless, it seems that participation processes are not necessarily implemented into hospital routines everywhere. So far, no study has been conducted on the implementation of children's rights or participation in Austrian hospitals. Objective Our study aimed at investigating the extent to which children's rights (especially the right to participation) and the European Association of Children in Hospital (EACH) Charter are known in Austrian hospitals, how they are implemented, and which facilitating and hindering factors can be identified. Methods A questionnaire survey was conducted among the chief medical and nursing staff on wards where children and adolescents are treated (n = 133), and qualitative interviews were conducted with experts on children's rights, medical and nursing staff, parents and one adolescent girl (n = 15). The results and recommendations for action that were derived from the data were discussed and validated in an expert workshop. Results The medical and nursing staff in Austrian children's and adolescents' wards are already doing a lot to implement and uphold children's rights. There is awareness of the need for child-centered treatment and the need to allow children and adolescents to participate during their hospital stay. Nevertheless, the interviews with parents show that there are large differences between hospitals and that there is still a lot to be done. Conclusion Based on the results, three areas for recommendations for action were identified: 1) anchoring children's rights, both legally and in the training of medical and nursing staff, 2) strengthening the team and feedback culture, e.g., through more staff resources for good teamwork and 3) good health information and good conversation quality. This means that health information for children and adolescents should be quality assured, comprehensible, evidence-based and on aspects relevant to them. Conversations between health professionals and patients and their relatives, should be patient-centered, which can be promoted through training, introduction of quality standards and guidelines.
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Christian BJ. Translational research - Promoting patient safety in hospitalized children: A paramount concern for pediatric nursing. J Pediatr Nurs 2022; 63:156-158. [PMID: 35287880 DOI: 10.1016/j.pedn.2022.02.015] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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