Centring children's lived experiences in understanding the importance of play in hospitals

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2024-07-03 DOI:10.1111/cch.13287

Kelsey Graber, Christine O'Farrelly, Paul Ramchandani

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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.

Conclusion

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.

Abstract Image

查看原文本刊更多论文

以儿童的生活经验为中心，理解医院游戏的重要性。

背景：儿童有权参与影响其生活的事务。人们越来越经常地征求儿童对其健康和医疗保健经历的看法。尽管有证据表明儿童认为游戏是住院的 "最好 "方面之一，但很少有研究关注儿童对住院游戏的看法：这项定性研究探讨了儿童在住院期间的游戏体验。在五个月的时间里，我们在儿科肿瘤病房进行了人种学观察，并对 16 名 3-13 岁的儿童进行了访谈：结果：通过解释性现象学分析，儿童的表达和体验揭示了三个关键点：安全和舒适是儿童在医院能够游戏的必要条件；游戏的价值和功效由儿童决定；游戏是病人首先成为儿童（并作为儿童对待）的一种方式：结论：只有当儿童觉得医院友好时，医院才能成为对儿童友好的医院。在讨论医院中游戏的重要性时，倾听儿童的观点并将其融入其中，对于尊重儿童权利和提供以人为本的儿科医疗保健服务至关重要。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.