关键词: children's perspectives health hospital paediatrics play

Mesh : Humans Child Male Female Play and Playthings / psychology Qualitative Research Child, Preschool Adolescent Child, Hospitalized / psychology Hospitalization

来  源:   DOI:10.1111/cch.13287

Abstract:
BACKGROUND: Children have a right to participate in matters affecting their lives. With increasing regularity, children\'s perspectives are being sought regarding their health and health care experiences. Though there is evidence that children find play to be one of the \'best\' aspects of hospitalisation, studies rarely focus on children\'s perspectives on play in hospital.
METHODS: This qualitative study explored children\'s lived experiences of play during hospitalisation. Over five months, ethnographic observations were conducted on a paediatric oncology ward as well as interviews with 16 children ages 3-13 years.
RESULTS: Using interpretative phenomenological analysis, children\'s expressions and experiences illuminated three key points: safety and comfort are integral to children feeling able to play in hospital; the value and efficacy of play is decided by children; and that play is a way for patients to be (and be treated as) children first.
CONCLUSIONS: Hospitals can only be child-friendly if children find them friendly. Listening to and integrating children\'s perspectives in the discourse around the importance of play in hospital is essential for respecting children\'s rights and delivering person-centred paediatric healthcare.
摘要:
背景:儿童有权参与影响其生活的事务。随着规律性的增加,儿童的观点正在寻求关于他们的健康和医疗保健经验。尽管有证据表明儿童认为玩耍是住院的“最佳”方面之一,研究很少关注儿童在医院玩耍的角度。
方法:这项定性研究探讨了儿童在住院期间的游戏体验。五个多月,在儿科肿瘤病房进行了人种学观察,并采访了16名3-13岁的儿童。
结果:使用解释现象学分析,儿童的表情和体验阐明了三个关键点:安全和舒适是儿童在医院中能够玩耍的不可或缺的部分;游戏的价值和功效由儿童决定;游戏是患者首先成为(并被视为)儿童的方式。
结论:只有当孩子们觉得他们友好时,医院才能对儿童友好。在围绕医院玩耍的重要性的话语中倾听和整合儿童的观点对于尊重儿童的权利和提供以人为本的儿科医疗保健至关重要。
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