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Accompaniment of minors during health care procedures
Verjano Sánchez Felipe1, José Antonio Salinas Sanz2, Ester Barrios Miras3
1Área integrada de Pediatría y Neonatología, Hospital Universitario Costa del Sol, Marbella, Spain.
Insights
Allowing parents to accompany children during medical procedures improves care quality and reduces emotional distress. Evidence supports the need for institutional policies and mediators to ensure child welfare and ethical healthcare practices.
Area of Science:
- Pediatric Healthcare
- Medical Ethics
- Child Psychology
Background:
- Separating children from parents during medical procedures can cause emotional distress and conflict.
- Current practices sometimes exclude families, impacting the child's experience.
Conclusions:
- Humanizing pediatric care is essential for improving patient outcomes.
- Developing institutional policies and appointing mediators are recommended.
- Prioritizing the child's best interests, legal aspects, and healthcare ethics is crucial.
Abstract:
In clinical practice, it is not rare to encounter situations in which parents and families are asked to leave the child alone with the health care team in rooms full of devices throughout the performance of procedures, which at times may give rise not only to conflicts but, more importantly, emotional sequelae in children or adolescents. We conducted a narrative review of the literature by searching the digital library of the public health care system of Andalusia for articles concerning the experiences of health care professionals and families with the accompaniment of paediatric patients during health care procedures. We restricted the search to studies published in Spanish or English and conducted in humans. The review evinced the need to humanise care in order to improve care quality. The need to accompany minors is supported by the evidence from works that have analysed the factors involved in the persistence of these behaviours and attitudes in both professionals and parents. We consider it necessary to develop institutional policies and appoint mediators to compile the statements of different national and international societies, taking into account legal aspects but, above all, the pertinent values from a health care ethics perspective, and in pursuit of the best interests of the child.
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