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Assessing the Implementation and Awareness of Children's Rights in Pediatric Hospital: A Comparative Study of
Vasiliki Georgousopoulou1, Chrysoula Dafogianni2, Pinelopi Vlotinou3
1Department of Nursing, Democritus University of Thrace, 68100 Alexandroupolis, Greece.
Insights
Children
Area of Science:
- Pediatric Healthcare Ethics
- Patient Rights
- Child Psychology
Background:
- Ethical considerations in pediatric healthcare are paramount.
- Children's rights in hospitals encompass communication, privacy, and participation.
- Understanding these rights from both child and parent perspectives is crucial.
Purpose of the Study:
- To compare parental and child awareness and implementation of children's rights in a pediatric hospital setting.
- To identify discrepancies in the perception of communication, privacy, and participation rights.
- To inform ethical healthcare practices in pediatric environments.
Main Methods:
- A cross-sectional study conducted in Greece (February-April 2023).
- Surveyed 250 parents and 150 children using a structured questionnaire on six domains of children's rights.
- Statistical analysis included chi-square tests (p < 0.05).
Main Results:
- Significant discrepancies exist between children's and parents' awareness of rights; few children knew about printed rights lists.
- Children reported more positively on child-friendly communication, while parents were more satisfied with health information.
- Children perceived privacy practices during examinations less favorably than parents.
Conclusions:
- Critical gaps in communicating and implementing children's rights were found in pediatric hospitals.
- Interventions like staff training and child-friendly materials are needed.
- Ensuring an ethical healthcare environment requires prioritizing children's rights and well-being.
Abstract:
To evaluate and compare the awareness and implementation of children's rights in pediatric hospital settings from the perspectives of parents and children, this study emphasizes ethical considerations in healthcare, focusing on communication practices, privacy, and participation rights. Methods: A cross-sectional study was conducted in the largest pediatric hospital in Greece between February and April 2023. A total of 250 parents and 150 children participated. Data were collected using a structured questionnaire assessing six domains of children's rights: access to information, participation, privacy, non-discrimination, play and recreation, and parental support. Statistical analysis included chi-square tests for categorical variables, with significance set at p < 0.05. Results: Significant discrepancies were identified between parents and children in their awareness of children's rights. Only 2.9% of children were aware of printed lists of rights, and 46.3% of parents reported not knowing of their existence (p = 0.005). Children evaluated communication practices, such as the use of child-friendly language, more positively than parents (p = 0.02). Parents reported higher satisfaction with explanations of health conditions, treatments, and medication side effects (p < 0.001). Regarding privacy, children rated room allocation and privacy practices during examinations less positively than parents (p = 0.02). Conclusions: The study highlights critical gaps in the communication and implementation of children's rights within pediatric hospitals. Tailored interventions, including staff training, development of child-friendly materials, and policy adjustments, are necessary to bridge these gaps and ensure an ethically sound healthcare environment that prioritizes the rights and well-being of both children and their families.
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