Expert by Experience, Liverpool, United Kingdom.
Edge Hill University and National Restraint Reduction Network, Ormskirk, United Kingdom.
University of Strathclyde, Glasglow, United Kingdom.
Alder Hey Children’s Hospital, Liverpool, United Kingdom.
Alder Hey Children’s Hospital, Liverpool, United Kingdom.
Alder Hey Children’s Hospital, Liverpool, United Kingdom.
University of Glasgow, Glasgow, United Kingdom.
Sant Joan de Déu Children’s Hospital, Barcelona, Spain.
Umeå universitet, Institutionen för omvårdnad.
University of Gothenburg, Gothenburg, Sweden.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. University of Borås, Borås, Sweden.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. University of Borås, Borås, Sweden.
Great Ormond Street Hospital, London, United Kingdom.
Trinity College, Dublin, Ireland.
Great Ormond Street Hospital, London, United Kingdom.
Barts Health NHS Trust, London, United Kingdom.
The University of Salford, Salford, United Kingdom.
Children’s Health Ireland (CHI) at Crumlin, Dublin, Ireland.
University of Liverpool, Liverpool, United Kingdom.
Maastricht University Medical Centre / Maastricht University, Maastricht, Netherlands.
University Hospitals of Leicester NHS Trust and Leicester University, Leicester, United Kingdom.
University of Cumbria, Cumbria, United Kingdom.
Bangor University, Bangor, United Kingdom.
Edge Hill University, Ormskirk, United Kingdom.
Paediatric RN, HSC, Lund University, Lund, Sweden.
Midlands Partnership NHS Foundation Trust & Keele University, Keele, United Kingdom.
University of Tasmania and the Royal Hobart Hospital, Tasmani, Australia.
University of Tasmania, TAS, Australia.
Auckland University of Technology, Auckland, New Zealand.
Auckland University of Technology, Auckland, New Zealand.
Auckland University of Technology, Auckland, New Zealand.
Federation University, VIC, Australia.
São Paulo State University, São Paulo, Brazil.
Molloy College in Rockville Centre, New York City, United States.
Universitas Padjadjaran, Bandung Ciry, Indonesia.
Philadelphia University, Amman, Jordan.
University of Malawi, Kamuzu College of Nursing, Malawi, South Africa.
The Harry Crossley Children’s Nursing Development Unit, University of Cape Town, Cape Town, South Africa.
Dalhousie University, Halifax, Canada.
Ulluriaq, Ungava Tulattavik Health Center and UQAM UQO, QC, Canada.
Children continue to experience harm when undergoing clinical procedures despite increased evidence of the need to improve the provision of child-centred care. The international ISupport collaboration aimed to develop standards to outline and explain good procedural practice and the rights of children within the context of a clinical procedure. The rights-based standards for children undergoing tests, treatments, investigations, examinations and interventions were developed using an iterative, multi-phased, multi-method and multi-stakeholder consensus building approach. This consensus approach used a range of online and face to face methods across three phases to ensure ongoing engagement with multiple stakeholders. The views and perspectives of 203 children and young people, 78 parents and 418 multi-disciplinary professionals gathered over a two year period (2020–2022) informed the development of international rights-based standards for the care of children having tests, treatments, examinations and interventions. The standards are the first to reach international multi-stakeholder consensus on definitions of supportive and restraining holds.
Conclusion: This is the first study of its kind which outlines international rights-based procedural care standards from multi-stakeholder perspectives. The standards offer health professionals and educators clear evidence-based tools to support discussions and practice changes to challenge prevailing assumptions about holding or restraining children and instead encourage a focus on the interests and rights of the child.
What is Known:
• Children continue to experience short and long-term harm when undergoing clinical procedures despite increased evidence of the need to improve the provision of child-centred care.
• Professionals report uncertainty and tensions in applying evidence-based practice to children’s procedural care. What is New:
• This is the first study of its kind which has developed international rights-based procedural care standards from multi-stakeholder perspectives.
• The standards are the first to reach international multi-stakeholder consensus on definitions of supportive and restraining holds.
Springer Nature , 2023.