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Medical procedures in children using a conceptual framework that keeps a focus on human dimensions of care - a
Katarina Karlsson1, Kathleen Galvin1,2, Laura Darcy1
1Faculty of Caring Science, Work Life and Social Welfare, University of Boras , Boras , Sweden.
Insights
Including children
Area of Science:
- Pediatric healthcare
- Medical ethics
- Child psychology
Background:
- Historically, children's perspectives in healthcare have been undervalued, leading to potential dehumanization.
- Children are often perceived as incapable of effectively communicating their experiences or participating in their care.
Purpose of the Study:
- To illustrate children's experiences during medical procedures.
- To apply the eight dimensions of humanized care theoretical framework to understand these experiences.
Main Methods:
- Reflective interrogation of findings from six published papers.
- Analysis focused on identifying implicit findings related to the dimensions of humanized care.
Main Results:
- Identified practices that enhance human sensitivity in care.
- Highlighted practices that obscure human dimensions, leading to dehumanization.
- Demonstrated how children's experiences vary based on care approaches.
Conclusions:
- Incorporating children's lifeworld perspectives and voices can mitigate dehumanizing practices in healthcare.
- Addressing the power imbalance is crucial for ethical pediatric care.
- The theoretical framework underscores the need to treat young children as human beings.
Abstract:
Purpose: Children's perspectives in the context of health service delivery have historically been seen as unimportant. They have been viewed as unintelligent, unable to effectively share or tell of their experiences or fully participate in their care, potentially resulting in a sense of dehumanisation. Method: The present paper illustrates children's experiences when undergoing medical procedures, using application of the eight dimensions of humanised care theoretical framework. Results: Findings from six published papers were reflectively interrogated to identify implicit findings related to the dimensions of humanised care. These implicit findings show ways of caring for childrenwhichcan lead to enhanced human sensitivity in care or conversely where the dimensions of being human are obscured to greater or lesser degrees and can result in forms of dehumanisation. Conclusions: Inadvertent dehumanising features of practice can be mediated by encouraging the inclusion of children's own lifeworld perspective and make room for their voices in both care and research. In this way the present well documented power imbalance could be addressed. Adding the value of the theoretical framework highlights areas of need for young children to be cared for as human beings.
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