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Children's right to play in Chilean hospitals: A forgotten right?-A qualitative study protocol
Aleksandra Głos1, Alejandra Santana López2, Ivonne Vargas Celis3
1Center for Bioethics, Faculty of Medicine/Faculty of Law, Pontifical Catholic University of Chile, Santiago de Chile, Chile.
Insights
Children
Area of Science:
- Pediatric Health
- Child Development
- Healthcare Policy
Background:
- The right to play is a recognized human right for children, yet its implementation in healthcare settings remains limited.
- In Chile, hospital play provision for children is contingent on institutional capacity, potentially exacerbating socio-economic disparities.
- Existing research inadequately addresses the practical realities of children's right to play within hospital environments.
Purpose of the Study:
- To qualitatively explore institutional frameworks and play opportunities for hospitalized children in Chilean public hospitals.
- To understand healthcare professionals' experiences and institutional arrangements concerning children's play.
- To identify key factors influencing the provision and limitations of play opportunities for pediatric patients.
Main Methods:
- Exploratory qualitative research employing a multiple and instrumental case study design.
- Data collection through semi-structured interviews with healthcare professionals, supported by self-assessment questionnaires.
- Non-participant observations of hospital playrooms and other designated play spaces.
Main Results:
- This study will provide the first comprehensive investigation into the implementation of children's right to play in Chilean hospitals.
- Findings will illuminate the extent to which this right is understood and enacted by healthcare professionals.
- The research will identify specific barriers and facilitators impacting play opportunities for hospitalized children.
Conclusions:
- This research is crucial for understanding and improving the provision of play for hospitalized children in Chile.
- Results will inform policy and practice to better uphold children's right to play within healthcare settings.
- The study highlights the need for systemic improvements to ensure equitable access to play for all hospitalized children.
Background:
Despite being a recognised human right (art. 31 of the United Nations Convention on the Rights of the Child), children's right to play is still insufficiently researched, understood and, above all, implemented. In Chile, the National Child Health Programme recognises the importance of this right for the hospitalised children but makes its provision dependent on the hospital's capacity. We therefore hypothesise that the provision of children's right to play in Chilean hospital settings will be irregular, varying from institution to institution, possibly reflecting the existing socio-economic inequalities in the country, thereby leaving much room for improvement.
Aims:
This study aims to collect qualitative data on the institutional arrangements and opportunities for children's play in public hospitals in Chile. Specifically, our goal is to (a) interpret the conditions and opportunities for play that Chilean public hospitals provide to children and adolescents; (b) interpret institutional arrangements and professional experiences of children's play in those institutions; (c) identify factors that favour and/or limit opportunities for children's play in the Chilean hospital setting.
Methods:
This is exploratory qualitative research, combining multiple and instrumental case study with ethnographic research. Its data collection techniques are semi-structured interviews with professionals in hospital settings (supported by a self-assessment questionnaire), and non-participant observations of hospital playrooms (and/or other play spaces).
Conclusion:
This will be the first study to investigate children's right to play in Chilean hospitals, with a particular focus on the extent of its implementation, its understanding among health professionals, as well as existing limitations and opportunities for its development.
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