Child participation and care experience in child health clinic nursing encounters: children's views by multi-methodology.

Abstract

Purpose: The aim of this qualitative descriptive study was to explore young children's perspectives on participation and care experiences in child health clinic nursing encounters. Knowledge of children's experiences and views can help professionals support children's right to participation.

Methods: Data were generated using a multi-method approach that included researcher-initiated role-play, stimulated recall interviews, Storycrafting, painting and drawing. Eleven children aged 5-7 years and 12 parents participated. Children were involved in selecting methods and settings. Thematic and semiotic analyzes were conducted, supported by researcher triangulation. The Consolidated Criteria for Reporting Qualitative Research checklist guided reporting.

Results: Clinic visits emerged as shared and meaningful experiences for children. Children's narratives highlighted their wish to act as active agents, the importance of play, toys and rewards, the need for psychosocial support and proximity to a support person, and the significance of the clinic's physical appearance. Vaccinations, physical measurements and adults' restrictive actions were described as memorable aspects that shaped children's care experiences.

Conclusions: Clinic visits emerged as shared and meaningful experiences for children. Children's narratives highlighted their wish to act as active agents, the importance of play, the need for psychosocial support, and the significance of the clinic's environment. Vaccinations, physical measurements and adults' restrictive actions were described as memorable aspects that shaped children's care experiences.