Children's rights as law in Sweden–every health‐care encounter needs to meet the child's needs. (22nd April 2020)

• Record Type: Journal Article
• Authors: Sahlberg, Sofia; Karlsson, Katarina; Darcy, Laura
• Is Part Of: Health expectations. Volume 23:Number 4(2020)
• Page Start: 860
• Page End: 869
• Publication Date: 2020-04-22
• Subjects: children's rights -- health‐care services -- paediatric nursing -- qualitative design -- the United Nations Convention on the Rights of the Child -- young children; Medical policy -- Periodicals; Public health -- Periodicals; Health planning -- Periodicals; 362.105
• DOI: 10.1111/hex.13060
• Languages: English
• ISSNs: 1369-6513

Abstract

Abstract: Background: In 2020, the United Nations Convention on the Rights of the Child (UNCRC) became law in Sweden. This puts extra demands on Swedish health care for children in need. This study aimed to investigate children's experiences and paediatric nurses' experiences of caring in accordance with the UNCRC. Methods: Interviews were conducted in 2019 with 10 children and 13 nurses at a paediatric clinic in western Sweden. Child and nurse data were analysed separately with qualitative content analysis. The results are presented as a synthesis of the combined analysis of both data sets. Results: Children did not always meet health‐care professionals with the necessary competence to care for them, and they were not always cared for in a child‐friendly environment. Even though nurses in paediatric care had the competence necessary to meet children's rights in health care, organizational issues made it challenging. Providing health care in accordance with the UNCRC principles required time and competence. Sufficient time to help children participate in their care and ensure that they feel secure was considered necessary—regardless of the health‐care context. Conclusion: Health‐care encounters without the necessary time or competence can affect children and future encounters negatively. Instruments to safeguard children's rights in health care need to be developed and implemented, such as a documentation system to make children's rights visible and/or UNCRC certification. Implementation of UNCRC principles in all health‐care situations for children as standardized care requires competence, involvement, strong leadership and economic support. Children's voices in research can assist in guiding care.