Alshammari Sahar Mazied, Linden Mark A, Kerr Helen, Noble Helen
Department of Maternal and Child Health, College of Nursing, University of Hail, Hail, 2440, Saudi Arabia.
Medical Biology Centre, School of Nursing and Midwifery, Queen's University Belfast, 97 Lisburn Rd, Belfast, United Kingdom.
Syst Rev. 2025 Jan 10;14(1):9. doi: 10.1186/s13643-025-02756-9.
The concept of children's rights emerged during the 1980s and emphasised the role of children as active participants in matters which concern them.
This review aims to identify and synthesise the empirical evidence base on healthcare professionals' (HCPs) understanding of children's rights.
Five electronic databases (PubMed, CINAHL, Embase, PsycINFO, and the Web of Science) were systematically searched in May 2023. The Mixed Methods Appraisal Tool (MMAT) was used to quality appraise full-text papers included in the review. A descriptive narrative synthesis of the studies' findings was performed.
A total of 15 relevant studies from 10 countries were identified and included in the review. The number of participants included ranged from 6 to 1048 for HCPs with a broad range of sampling methods. Based on the narrative synthesis of the included studies, three main themes were identified: (1) Barriers to implementing children's rights in healthcare, (2) Factors that contribute to children's rights implementation, and (3) Study instruments used to measure outcomes.
HCPs require a better understanding of children's rights to implement these rights into practice. Listening to children, building trusting relationships with children, and continuing professional development of HCPs could help to address barriers to understanding children's rights. There is a pressing need for the development of a tool that is capable of tracking changes in the understanding of children's rights in healthcare environments as efforts to increase awareness become more widely recognised.
儿童权利的概念在20世纪80年代出现，强调儿童在涉及其自身事务中作为积极参与者的角色。
本综述旨在识别和综合关于医疗保健专业人员（HCPs）对儿童权利理解的实证证据基础。
2023年5月系统检索了五个电子数据库（PubMed、CINAHL、Embase、PsycINFO和科学网）。使用混合方法评估工具（MMAT）对纳入综述的全文论文进行质量评估。对研究结果进行了描述性叙述性综合分析。
共识别出10个国家的15项相关研究并纳入综述。医疗保健专业人员的参与者数量从6人到1048人不等，采用了广泛的抽样方法。基于纳入研究的叙述性综合分析，确定了三个主要主题：（1）医疗保健中实施儿童权利的障碍，（2）有助于儿童权利实施的因素，以及（3）用于衡量结果的研究工具。
医疗保健专业人员需要更好地理解儿童权利，以便将这些权利付诸实践。倾听儿童的声音、与儿童建立信任关系以及医疗保健专业人员的持续专业发展有助于消除理解儿童权利的障碍。随着提高认识的努力得到更广泛认可，迫切需要开发一种能够跟踪医疗保健环境中对儿童权利理解变化的工具。
