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Are we following the European charter? Children, parents and staff perceptions

M Migone1, F Mc Nicholas, R Lennon

  • 1Lucena Clinic, University College Dublin and Our Lady's Hospital for Sick Children, Crumlin, Dublin, Ireland. mariamigone@oceanfree.net

Child: Care, Health and Development
|May 9, 2008
PubMed

Insights

Children and parents are satisfied with staff relationships but concerned about hospital facilities and privacy. Staff also noted unnecessary admissions and reluctance in discussing medication side effects or encouraging patient questions.

Area of Science:

  • Pediatric Healthcare
  • Patient Rights
  • Hospital Administration

Background:

  • The European Association for Children in Hospital (EACH) established a charter of rights in 1988 for hospitalized children.
  • This study assesses adherence to the EACH Charter in a children's hospital setting.

Purpose of the Study:

  • To evaluate the extent to which children, parents, and healthcare staff perceive compliance with the European Charter for Children in Hospital.
  • To identify discrepancies between the charter's principles and actual hospital practices.

Main Methods:

  • A total of 111 parents, 50 children, 61 nurses, and 41 doctors participated.
  • Surveys based on the 10 rights outlined in the EACH Charter were administered to all participant groups.

Main Results:

  • Most children and parents reported positive relationships with hospital staff.
  • Significant concerns were raised regarding inadequate facilities (parental accommodation, play, education, privacy) and age-appropriate wards.
  • Staff expressed concerns about unnecessary admissions and treatments, and a reluctance to discuss medication side effects or encourage patient questions.
  • Disagreement exists regarding the age of consent, with clinicians hesitant to consider under-16s capable, while parents and children suggested higher age thresholds (17/18).

Conclusions:

  • The study highlights differing perceptions of children's rights in hospitals between patients and staff.
  • Identifies key areas requiring improvement to fully align with the EACH Charter's principles.
  • Emphasizes the need for enhanced facilities, improved communication, and clearer guidelines on consent for pediatric patients.
Abstract

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