Montreuil Marjorie, Carnevale Franco A
1 Ingram School of Nursing, McGill University, Montreal, Quebec, Canada.
J Child Health Care. 2016 Dec;20(4):503-511. doi: 10.1177/1367493515620914. Epub 2016 Jul 26.
The capacity of children to act as agents is being increasingly recognized and has important implications for health research and practice. However, there are various discrepancies in how children's agency is defined in the literature. The aim of this analysis was to examine the concept of children's agency within the health-related literature, using Rodgers evolutionary method. The following questions were addressed: How did the concept of agency become associated with children in the health-related literature? What are the sociocultural and legal contexts that surround the concept of children's agency? What is the meaning of children's agency? Forty-five articles were included in the analysis. An inductive approach was used to identify the attributes of children's agency as well as the temporal, disciplinary, and paradigmatic trends in its conceptualization. The concept of children's agency first appeared in the health literature in the 1980s and was defined as an ability children could gradually develop. Later on, children's agency was used to refer to the capacity of all children to influence their own and others' health-care needs and is now increasingly used to refer to children as active agents who reflect on and construct their social worlds.
儿童作为行为主体的能力日益得到认可，这对健康研究与实践具有重要意义。然而，文献中对儿童能动性的定义存在各种差异。本分析的目的是运用罗杰斯的进化方法，审视健康相关文献中儿童能动性的概念。探讨了以下问题：在健康相关文献中，能动性概念是如何与儿童联系起来的？围绕儿童能动性概念的社会文化和法律背景是什么？儿童能动性的含义是什么？分析纳入了45篇文章。采用归纳法来确定儿童能动性的属性以及其概念化过程中的时间、学科和范式趋势。儿童能动性的概念最早于20世纪80年代出现在健康文献中，被定义为儿童可以逐渐发展的一种能力。后来，儿童能动性被用来指代所有儿童影响自身及他人医疗保健需求的能力，现在越来越多地被用来指代作为积极行为主体、能够反思并构建其社会世界的儿童。
