Title

Children's voices on their participation and best interests during a hospital stay in Australia

Document Type

Journal Article

Publication Title

Journal of Pediatric Nursing

Volume

63

First Page

64

Last Page

71

Publisher

Elsevier

School

School of Nursing and Midwifery

Funders

Western Australia Nurses Memorial Trust Grant [SUB/85093]

Australian College of Children

Young People's Nurses Dorothy Clarke Scholarship Grant [26767/6072]

Childhood Cancer Fund in Sweden [PR2019–0052].

Comments

Foster, M., Quaye, A. A., Whitehead, L., & Hallström, I. K. (2022). Children's voices on their participation and best interests during a hospital stay in Australia. Journal of Pediatric Nursing, 63, 64-71.

https://doi.org/10.1016/j.pedn.2022.01.003

Abstract

Purpose:

To explore school-aged children's experiences about their best interests and participation in care during a hospital admission.

Design and methods:

A descriptive qualitative design involving in-depth, iterative inductive review of child responses to generate key words that led to identification of categories and themes. The study was guided by the United Nations Convention on the Rights of the Child's definition of the best interests of the child, Bronfenbrenner's bioecological model and a child centred care approach.

Results:

Nine school-aged children (5–15 years old) from one children's ward in Australia participated. Analysis yielded thirteen categories, six sub-themes, and three themes: 1) Relationships with parents were positive when they met their children's physical and emotional needs and advocated for them; 2) Relationships with staff were positive when staff created opportunities for children to have a say in their healthcare, and checked in on the children and 3) Seeking familiarity away from home was facilitated when the environment children found themselves in provided them their own space and various forms of entertainment.

Conclusion:

School-aged children were able to verbalize what their best interests were and how participation in care could be facilitated in the hospital setting. The inter-relationships of the children with their parents, healthcare professionals, and the immediate environment reflected interactions both within, and between systems.

Research and practice implications:

Children in hospital need to be provided with age-appropriate opportunities to participate in shared decision making to support their best interests. Studies that model and evaluate such opportunities are needed.

DOI

10.1016/j.pedn.2022.01.003

Access Rights

subscription content

Share

 
COinS