School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand.
School of Nursing and Midwifery, Edith Cowan University, Perth, WA, Australia.
J Child Health Care. 2024 Sep;28(3):675-692. doi: 10.1177/13674935231153430. Epub 2023 Feb 21.
There is a paucity of literature on children and young people's participation in decision-making within healthcare organisations in New Zealand. This integrative review examined child self-reported peer-reviewed manuscripts and published guidelines, policy, reviews, expert opinion and legislation to explore how New Zealand children and young people participate in discussions and decision-making processes within healthcare settings and what are barriers and benefits to such participation. Four child self-reported peer-reviewed manuscripts and twelve expert opinion documents were retrieved from four electronic databases including academic, government and institutional websites. Inductive content thematic analysis generated one theme (a discourse in children and young people's participation within healthcare settings), four sub-themes, 11 categories, 93 codes and 202 findings. It is evident within this review that there is a discourse between what expert opinion are stating is required to promote children and young people's participation in discussions and decision-making processes within healthcare settings and what is occurring in practice. Despite literature reporting on how children and young people's participation and voice were essential for healthcare provision, there was sparse literature published on children and young people's participation in discussions and decision-making processes in healthcare delivery in New Zealand.
关于新西兰医疗保健组织中儿童和年轻人参与决策的文献很少。本综合评价研究了儿童自我报告的同行评议文献以及已发表的指南、政策、综述、专家意见和法规，以探讨新西兰儿童和年轻人如何在医疗环境中参与讨论和决策过程，以及这种参与的障碍和益处。从四个电子数据库（包括学术、政府和机构网站）中检索到四份儿童自我报告的同行评议文献和十二份专家意见文件。归纳主题内容分析产生了一个主题（医疗环境中儿童和年轻人参与的话语）、四个子主题、11 个类别、93 个代码和 202 个发现。从本综述中可以明显看出，专家意见所陈述的促进儿童和年轻人参与医疗环境中的讨论和决策过程的要求与实际情况之间存在着一种话语。尽管有文献报道儿童和年轻人的参与和声音对医疗保健服务至关重要，但关于新西兰儿童和年轻人在医疗保健服务中的参与和决策过程的文献却很少。
