Giving Children a Voice: Investigation of children's participation in consultation and decision making in Irish hospitals

The purpose of this study was to investigate sick children’s experiences of participation in consultation and decision-making within the healthcare setting. The specific objectives were: to describe children’s experiences of consultation in the healthcare setting; to identify the factors that enhance children’s involvement in consultation and the decisionmaking process; to identify the factors that hinder children from involvement in consultation and the decisionmaking process; to explore strategies that will empower children to participate in their own healthcare decisions

Research Priorities for Children's Nursing in Ireland: A Delphi Study

This paper is a report of a study which identified research priorities for children's nursing in an acute care setting in Ireland. A limited number of studies have examined research priorities for children's nursing. This study was undertaken against the backdrop of significant proposed changes to the delivery of of children's healthcare. A three round Delphi survey design was used to identify and rate the importance of research priorities for children's nursing. In round 1 participants were asked to identify five of the most important research priorities for children's nursing. Participants in round 2 were asked to rate the importance of each of each research priority on a seven point Likert scale. In round 3 participants were presented with the mean scoreof each research priority from the second questionaire, and again asked to consider the importance of each topic on a 7 point Likert scale. The aim was to reach a consensus on the priorities. The top three priorities identified were recognition and care of the deteriorating child, safe transfer of the critically ill child between acute health care facilities, and the child and families perceptions of care at end-of life. The wide variation of priorities reflects the scope of care delivery of children's nurses and mirrors many global care concerns in caring for children

Contrasting Narratives on Responses to Victims and Survivors of Clerical Abuse in England and Wales: Challenges to Catholic Church Discourse

NoAccounts of the Catholic Church's response to those disclosing sexual abuse by clergy to diocesan safeguarding commissions (formerly child protection commissions) in England and Wales are analysed and compared. The accounts given and the conclusions reached by the Church and those it employs or has commissioned are considered alongside the experiences reported by survivors. The contrasts between these narratives are discussed using techniques underpinned by critical discourse analysis and highlighting service user perspectives. Reports for the period to 2010 and published in 2011 by the National Catholic Safeguarding Commission and Minister and Clergy Sexual Abuse Survivors are discussed in detail, with the resulting analysis of the narratives emerging arguably reflecting a broader discourse. It is suggested that, despite attempts to present the situation differently, the Roman Catholic Church in England and Wales continues to be hampered in its efforts to respond sensitively to the needs of those who have been abused, because, as an institution, it also continues to serve conflicting legitimacy communities, and that, as a result, it risks further alienating those victims and survivors who have been led to expect that their needs will be prioritised over the financial interests and reputation of the institution

Invisible from View: Leaving and Aftercare Provision in the Republic Of Ireland

The adequacy of provisions for young people leaving care and in aftercare in the Republic of Ireland have been the subject of recent policy attention. A landmark report, the Ryan Report (2009), into historic abuse in state institutions recommended strengthening provisions in this area. However, the legislative basis for aftercare remains relatively weak and services for young people leaving care remain ad hoc and regionally variable. This article outlines the current context of leaving and aftercare provision in the Republic of Ireland and traces some of the recent policy debates and recommendations in this area. A genealogical analysis of leaving care and aftercare provision highlights that this issue has historically only emerged as a concern in the context in which young people leaving the care system are perceived as a ‘threat’ to social order. It is argued that the failure to adequately reform leaving and aftercare provision is reflective of wider social inequality and of a context in which young people in care are largely invisible from view

Privileging practice: facing the challenge of integrated working for outcomes for children

Integrated working for outcomes is complex and challenging in theory and practice. Yet, outcomes and integrated working are central to the policy goals for children and families in Ireland. In this article, the authors present two main arguments: first, that reflective practice offers a useful general methodology for engaging with the theoretical and practical challenges of integrated working for outcomes; and second, reflective practice as a specific approach can help achieve the balance between policy and services blueprints and the realities of practice, a necessity in achieving better outcomes for children. The authors' recent involvement in policy development work in Ireland is drawn on to illustrate the arguments