Children's participation in consultations and decision-making at health service level: a review of the literature.

Abstract:

BACKGROUND:The past decade has seen a growing recognition in Ireland and internationally that children and young people have a right to participate in matters that affect their lives. OBJECTIVES:To critique the research literature on children's, parents and healthcare professionals' experiences of children's participation in consultations and decision-making within the healthcare setting. METHOD:The literature was obtained from electronic databases, books, and journals focusing on work published in between 1993 and 2007. RESULTS:Despite the importance of consulting with sick children, their views are rarely sought nor acknowledged within the healthcare setting. Children are rarely involved in decision-making process and appear to occupy a marginalized position in healthcare encounters. Healthcare professionals and parents play a significant influence on whether children's efforts to participate are facilitated and supported in the hospital setting. CONCLUSIONS:There is a need for further research to explore health professionals' and parents' perspectives on children's participation in consultations and decision-making, as clearly they have reservations/concerns about children's active involvement in such matters. This information could be used to develop guidelines that will assist professionals and parents in facilitating and supporting children's participation.

journal_name

Int J Nurs Stud

authors

Coyne I

doi

10.1016/j.ijnurstu.2008.05.002

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

1682-9

issue

11

eissn

0020-7489

issn

1873-491X

pii

S0020-7489(08)00146-6

journal_volume

45

pub_type

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