Hemingway Pippa, Redsell Sarah
School of Nursing, Midwifery and Physiotherapy, University of Nottingham, Queen's Medical Centre, United Kingdom.
Int Emerg Nurs. 2011 Oct;19(4):192-8. doi: 10.1016/j.ienj.2011.06.003. Epub 2011 Jul 23.
Approximately 4 million children attend emergency departments (ED) in England, United Kingdom, per annum. It is important for children and young people to have an active say in their assessment and treatment during each emergency care episode. However the reality of hearing the child or young person's voice within active participation in health care consultations remains low at approximately 6% of voices recorded. In the context of policy drivers and patient benefits, there is a need to increase the level of participation by children and young people within the emergency care environment. However, noise, child and parental anxiety and distress, professional time pressure, and severity of child illness or injury add to the inherent complexity of triadic communication (parent, child, healthcare professional) in the ED. Research examining child participation in decision-making in ED is sparse and guidance for all parties is limited. Therefore methods drawn from the wider literature on child participation are discussed which may be implemented, validated and evaluated with an ED context.
在英国英格兰，每年约有400万儿童前往急诊科就诊。对于儿童和青少年而言，在每次急诊护理过程中，能够积极参与自身的评估和治疗非常重要。然而，在医疗保健咨询中真正听到儿童或青少年声音并让其积极参与的比例仍然很低，记录在案的此类声音约占6%。在政策推动和患者受益的背景下，有必要提高儿童和青少年在急诊护理环境中的参与程度。然而，噪音、儿童及其父母的焦虑与痛苦、专业人员的时间压力以及儿童疾病或损伤的严重程度，都增加了急诊科三方沟通（父母、儿童、医护人员）的内在复杂性。关于儿童在急诊科决策中参与情况的研究很少，针对各方的指导也很有限。因此，本文讨论了从更广泛的儿童参与文献中汲取的方法，这些方法可在急诊科环境中实施、验证和评估。
