Reframing the focus from a family-centred to a child-centred care approach for children’s healthcare

2016 ◽  
Vol 20 (4) ◽  
pp. 494-502 ◽  
Author(s):  
Imelda Coyne ◽  
Inger Hallström ◽  
Maja Söderbäck

In this article, we argue for a conceptual move from family-centred care (FCC) to a child-centred care approach and the implications for clinical nursing practice. Firstly, we argue that the parents and professional dominance constructs an asymmetric relationship towards the child, which may take away the focus from the child; Secondly, we need to renew efforts to promote the fundamental principles of protection, promotion and participation rights for children and young people according to the United Nations Convention on the Rights of the Child declaration and thirdly, we need to strengthen the child’s perspective and to view the child as an agent representing own experiences and wishes to be respected and negotiated.

Author(s):  
Sonali Shah

Traditionally, disability was considered to be a personal trouble, as opposed to the social issue and public policy concern that it is today. Children with physical and cognitive impairments were shunned away from mainstream society into asylums or workhouses. They were typically discussed and analyzed through a medical lens, pathologized and conceived as a social problem to be regulated, cured, or killed. The emergence of ideologies constructing disabled children and adults as dependent victims unable to contribute to the development of society encouraged the development of charities for disabled people and exploitation of textual and nontextual narratives of the “vulnerable disabled child” to evoke sympathy and induce the public’s financial generosity. The ideological mantra that impairment was the cause of individual and family disadvantage was embedded in the cultural consciousness of society and thus influenced how disabled people (across the lifecourse) “made themselves known” and were made known to others (i.e., as inferior, developmentally delayed, financial and emotional burdens to their family and society). It led to the expansion of the rehabilitation industry and new social policies that focused on altering or incarcerating the impaired body. However this was challenged by the upsurge of the British Disabled People’s Movement in the 1960s and 1970s. Based on the ideas of the Union of Physically Impaired against Segregation, the movement campaigned for social equality and human rights legislation in all spheres of social life and generated a new understanding of disability. With the historic shift in thinking about both childhood and disability as a public issue rather than a personal matter, there has been increasing interest in the social world of both disabled people and all children and young people. The United Nations Convention on the Rights of the Child (particularly Article 12) and the Children Act 1989 initiated subsequent developments with regard to children having a right to be involved in decisions about their lives. The United Nations Convention on the Rights of Persons with Disabilities means that disabled children today are the first generation to grow up in an era of full international civil rights. This bibliography lists works that include the voices and experiences of disabled children and young people in research about their everyday lives, including health and medical treatment, education, and identity. These works demonstrate the richness and diversity of disabled children’s individual lives, thus challenging the traditional conception that disabled children are a homogenous group.


2015 ◽  
Vol 23 (1) ◽  
pp. 52-77 ◽  
Author(s):  
Helen Connolly

The rights and experiences of unaccompanied asylum seeking children living in industrialised nations are rarely seen from the perspectives of children themselves. This paper takes a narrative based approach to report on the lives 29 unaccompanied asylum seeking young people in the uk. The research from which this paper emerges explored the ways in which they thought the rights of the United Nations Convention on the Rights of the Child (1989) were or were not being realised on their behalf. It highlights the significance of making the promises that are held within the uncrc into viable strategies of protection for unaccompanied asylum seeking children as they search for a new place to belong to and a new place that belongs in them.


2018 ◽  
Vol 17 (1) ◽  
pp. 105-124 ◽  
Author(s):  
Salomé Sola-Morales ◽  
Nicole Alejandra Campos Garrido ◽  

(analytical): The objective of this research has been to analyze the Chilean state’s discourse on the protection of children and young people’s rights. We used quantitative and qualitative methodologies to carry out this research that were focused on an analysis of the discourse of the Chilean state. The main finding is that young people under the age of 18 play secondary roles in government policies and are not considered social actors in the Chilean state’s discourse on children and young people. In addition, they don’t or can’t express opinions and they are discriminated against when they form part of a precarious social context or they have broken the law. In conclusion, the study affirms that the discourse of the Chilean state goes against the principles of the United Nations Convention on the Rights of the Child, signed on the 20th of November 1990.


2020 ◽  
Vol 28 (3) ◽  
pp. 447-470
Author(s):  
Elaine E. Sutherland

Abstract The United Nations Convention on the Rights of the Child sets the gold standard for the rights of children and young people, placing the obligation on States parties to ensure their realisation. Since most children live in families, recognising their rights has implications for other family members, particularly their parents. Article 5 creates a framework for balancing the rights and obligations of the parties – the child, the parents and the state – in this triangular relationship, requiring States parties to respect the right of parents to direct and guide the child in the exercise of Convention rights. Yet other Convention provisions address the parties’ roles, calling into question the need for Article 5. This article sets the scene for those that follow in this issue, exploring what the drafters of the Convention were seeking to achieve in Article 5 and highlighting issues that proved controversial, before focussing on the work of the United Nations Committee on the Rights of the Child to drill down into its content and address its place in the Convention.


2019 ◽  
pp. 136749351987207 ◽  
Author(s):  
Clare Davies ◽  
Jennifer Fraser ◽  
Donna Waters

The principle that children and young people are capable of forming their own views, have the right to express those views, and are entitled to have those views taken seriously was introduced by the United Nations Convention on the Rights of the Child (UNCRC) in 1989. The implications for the delivery of healthcare are clear; however, children and young people continue to experience difficulty in having their views heard and taken seriously during healthcare encounters and the effectiveness of the UNCRC, in particular Article 12 appears to be limited. This article will discuss how, 30 years on, significant barriers continue to impede the full implementation of Article 12. In recognition of the limited awareness of its scope or even existence by health professionals working with children, a framework that can facilitate a better understanding of the concept of voice, and articulate healthcare organisations’ full responsibilities when it comes to Article 12, is presented.


2014 ◽  
Vol 1 (16) ◽  
pp. 174
Author(s):  
Camilla Parker

<p>This article considers three areas in which the Mental Health Act 2007 has introduced some positive change in relation to children and young people: admission to hospital, age appropriate facilities and advocacy. It also highlights issues of continuing concern. It does so in the light of the United Nations Convention on the Rights of the Child (‘the Convention’), which was ratified by the UK government in 1991 and applies to all those aged under 18.</p>


2021 ◽  
Vol 29 (4) ◽  
pp. 835-871
Author(s):  
Nicola Fairhall ◽  
Kevin Woods

Abstract Children’s rights are set out in the United Nations Convention on the Rights of the Child. This systematic literature review aimed to investigate children’s views of children’s rights, at a broad level. Nine papers were included, from a range of countries and contexts. They all accessed the views of children and young people (aged up to 18 years). A content analysis was carried out using a recursive process of hybrid aggregative-configurative synthesis, and themes within children’s views and factors that may affect these were identified. These were ‘awareness of rights’, ‘value placed on (importance of) rights’, ‘impact of having/not having rights fulfilled’, ‘realisation and respect of rights’, ‘equality of rights’, ‘identifying and categorising of rights’, and ‘factors that may affect children’s views’. These were developed into a progression of rights realisation and implications for practice and further research were considered.


2017 ◽  
Vol 25 (2) ◽  
pp. 438-455 ◽  
Author(s):  
Tim Covell

Film classification helps countries meet their obligations to protect children under Article 17(e) of the United Nations Convention on the Rights of the Child. Classifying films is an administrative proceeding that affects children, by limiting and setting conditions on what they can view. Therefore, children should have their interests represented or otherwise participate, as required by Article 12. This paper researches the degrees and methods of child participation in film classification systems, primarily by a survey of agencies. Based on data from 22 agencies in 17 countries, 73 per cent have some degree of child participation. This ranges from providing a website for children, to children’s panels reviewing and discussing classification for pre-screened films. Comparison with other international data sets suggests countries with a high degree of child participation in film classification are those which are generally making good progress implementing children’s rights.


2009 ◽  
Vol 34 (3) ◽  
pp. 24-29 ◽  
Author(s):  
David Vicary ◽  
Mike Clare ◽  
Judy Tennant ◽  
Tine Hoult

Internationally, there is a growing trend for children and young people to participate in decisions affecting their lives (Bellamy 2002; Hart 1997). The active participation of children and young people is clearly articulated in the United Nations Convention on the Rights of the Child (1989). However, despite the international movement towards children's participation, there are precious few opportunities for Australian children and young people to contribute to policy and research debate in a sustainable manner. A review of the literature demonstrates that there are few ongoing research or policy advisory groups made up of children and young people, and those that are operational are generally auspiced by Children's Commissioners (e.g. New South Wales) and policy offices addressing the issues of children and young people.In Western Australia, when children and young people are consulted, the dialogues tend to be short-term and issue-specific in nature. This paper will briefly discuss a number of techniques employed to engage Western Australian children and young people in dialogues about important issues affecting their lives. Using these examples, the barriers that challenge efficacious children's and young people's participation are discussed; finally, some suggested ways forward are delineated.


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