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IDENTIFIERS England, Denmark, Sweden, and Holland Which Was

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IDENTIFIERS England, Denmark, Sweden, and Holland Which Was DOCUMENT REsopmE ED)16 79.7 PS 008 257 AUTHOR Hardqrove, Carol TITLE. Parent. Participation and Play Programs inHospitaSk Pediatrics in England, Sweden and Denmark.. SPONS AGENCY Panttmerican,Health Organization, Washington, D. C. PUB DATE 72 NOTE 73p. DR PRICE ifF-$0076 HC-$3.32 Plus Postage. ESRIPTORS. *Child Development; Family Involvement; Financi Support; *Foreign Countries; Furniture Design; Government Role; Hospitalized Children *Hospitals; *Parent Participation; *Play; Space Utilization; _Yolunteers IDENTIFIERS Denmark; England; Sweden ABSTRACT T. This paper presents the findings fro& a trip to England, Denmark, Sweden, and Holland which was desigied investigate how.hOspitals in these countries facilitate chifdren's healthy development during the stress of hospitalization. The areas specifically discussed are: J(1) initiating and reinforcing family involvement;(2) meeting childre ;'s need for play;(3) adapting space,,furnishihgs, and designs for parent and play programs; and (4) financing and publlcizing programs. Jnformation about the activities and functioning of government agencis, volunteer, and consumer advocate groups in each country are also included. (3MB) A ************************************ ************'********************** Documents acquired by ERIC inc ude many informal unpublished * *materials not available from ,o'the sources. ERIC makes_ every effort* *to obtain-the best copy AvailableNevertheless, items of marginal * *reproducibility are often encounte ed his affects the Auality * *of the microfiche and hardcopy reps uctions ERIC makes available, 31' *via the ERIC Document Reproduction Service (EDRS). EDRS is not *responsible.for the quality of the original docuileht. Reproductions* *supplied by EDRS are the best tHat an be made from the original. * *********************************************************************** ,1- ,14***14.444....****Wd*R.4)**... ,...44011aAw..- 4 OF HEALTH. U S DEPARTMENT EDUCATION & WELFARE OF NATIONAL INSTITUTE EDUCATION HAS BEEN REPRO THIS DOCUMENT RECEIVED FROM DUCKED EXACTLYORC,ANtZAT AS/ ION ORIGIN THE PERSON OROF vil W OR OPINIONS STING IT pOINTsNECESSARILY REPRE STATED 00 1.0T OF SENT OFF CINATIONAL INSTITUTE OR POLICY gEOLKATION poSITtON Id I S PARENT PARTICIPATION AND PLAYPROGRA IN HOSPITAL PEDIATRICS IN ENGLAI ,SEN AND DENMARK j Carol ,gardgrove , M.A. Assistant Clinical Professor Department of Family Health Care Nursing University of California San Frbncisco 94123 S. San Francisco, California o o 2 (41 A To The World Health Organization who granted me the honor and made possible my travel study; to the program arrangers who understood my mission and arranged intro- ductions to people and programs who helped me learn about parent and play activities, and to tie nurses, psycholpgists, play leaders, physicians,..parents and patients who shared so generously their experience, enthusiasm, wisdom, time and energy;I wish to express my deep' appreciation. I truly learned the meaninof "hands across the sea," and hope that, together, we may adritinue to wok to improve the situation for young hospitalized children and their families. 7- 0 ©3 so ht. TABLE OF CONTENTS C, Foreword v IntroductiOn vi Certificate of Award 0 4... vii Objectives viii ' Itinerary ix -(xiv /1. Engldnd 1 Government Polic' Governmental Guidelines Health Services for Children Study Day Conference' Role of the Hospit Play Leader Volunteers and Consumer Glups National Associationor the Welfare of Children in Hospital. Save the Children Fund Noah's Ark Toy Library Role of Volunteers- 4 Interviews with James and Joyce Robertson Hospital Visits Great Ormond Street Amersham General Hospital Stoke Mandeville it. Mary's /araed Street: Mobile Unit Fulham Hospital.(CharingCrbss) The Nursery Nurse Denma/rk 23 PreventiveHealth Policy Parent Pol BRIS...Children Rights Organization Hospital Visits Glostrup Counity Hospital Hillerod Rigshospitale Vangede 0 4 Table of Contents (ContinUed) 4 ". 4i. .Sweden 314 National Welfare System Parent Accommodations St. Goran's Karolinska Institute Umea Samaritan- Hospital Play History and Philosophy Staff Education and Ro19. Child Nurse Training Hospital Visits / Samaritan Karolinska St. Goran's Umea . Holland , 149 Queen Wilhelmina, Utrecht Amsterdam University of Letden: Observatrice Pr6gram Hospital Based Day Care for Staff Children 51 FUlham Amersham Sweden Denmark Glostrup Hillerod Conclusion,., 511 References. and Bibliography.? 55 41 G0005 A FOREWORD and to incor- 'My long standing concern with.theneed to involve parents the pediatric hospitalarises from a background porate play into the world of California, San Maternal Child Nursing atthe University of on the faculty in paren4s and chi dren in nurseryschool Francisco, after many yearsworking with bring pa?ents and Work withstudents and staff nurses at UCSF't settings. that can block thesetwo impor- play. into our hospitaluncqvered difficulties tant activities. .); research showed clearlythat many people share Our work and study of the making working to humanize thehospital environment by these concerns and are in England, Sweden, it 'more family andchild-centered. In particular, programs available for importationto the and Denmark suggestedthat innovations were WHO for a travel-studyfellowship and United States. I therefore applied to happily was granted theopportunity to visit. This report presentsfindings from that trip. with three countries: England,Denmark and Sweden, The itinerary covered have added on my own toHolland. As the three countries a brief excursion of national priorities similar social philotophies,I'hoped to see Vie result because so much of theimpetus on hospitalpediatrics. England was selected of James.and*JoyceRobertson, for family inclusionhas come from the work John\Bowlby,.and Anna Freud. 4 N. I for new designs forplaythings In addition,fanticiPated collecting ideas This very practicalaspect has lots to and furniture to accommodateparents. the hospital. A space-saving bed do with parentinvitation,and acceptance in whete a hundredimpassioned arguments .for wents can openthe ward to parents fail. approved and before thevisits, correspondence and _,1-41 ter WHO funding was several representatives of theMinistries of Health in the counsel came from Nelson (then president of countries as well as.fromJames Robertson, Margaret study fruitful. To them NAWCH) and others interestedin helping to make the I express my sinceregratitude. representatives of Ministriesexplained the organizational On the trip, relationship to hospitals,andto structure of governmentagencies and their Such interviews helped meunderstand the govern- preventive health programs. attending hospitals. Additional time went to menial,philosophy relative to the advo- interviewing representatives ofprivate groups active in conferences and remainder children in the hospital. Hospital visits took up the cacy for young in'England and Scandanavia had philoso- of the time. All the hospitalsvisited psychological well-being. No visits phies based on concernfor the child's rigid visitinghoursv. were made toinstitutions with weekly or twice weekly althoughauch programsstill exist. 00006 INTRODUCTION I believe that hospipalizaglion can be a positive experience for,the pediatric patient and his family. The child can learn how ptecious he is to his own family and to caring people in the hospital and community.He and ( his family discover strengths they may never have known they had. The crisis t opens them to learning as at no other time. If the child's supports are adequate, 4he hospitalization can beCome an adventure with the patieht emerging'', a triumphant hero. A On the other hand, deprived of emotional support, the child and his family may have an additional psychological burden placed on the already stressful physicalproblem, thus lowering their ability to cope. The child and the family may become overwhelmed and'not only fail tQp improve. despite the hospital's efforts to help, but may actually be waged by the experience: It is the responsibility of the professionals who are aware of the research around the subject of.attachment and separation to inform parents of their impor- tance to the child and to help them in their plans to stay. Otherwise, parents, especially those with low'self-esteem, may feel intimidated and uncomfortable and take flight under the pretext that they are only in the way. a vi 4 00007 PAN AMC:RICAN HEAL H ORGANIZATION full16.1er-him Srlir tory Rh ernswilh.lh:lrhe!1/11!e WORLD HEALTI 01 FANt7A-rioN CERTIFICATE OF AWAi<i) This is to certify that Carol Hardgrove Foos been awarded a fellowship by the Pan American Health Organizotion to stud] Family Centered Pedintric Care Program in United Kingdom, Denmark and Sweden for a period of four week° Any courtesies and facilities granted during the period of this felloWship will be appreciated. C. Washington, D.C. 18 Mny1972 0G008. vii - or. a OBJECTIVES I. To see how hospitals in some advanced countries facilitate children's healthy development during the stress of hospitalization by Initiatirig or reinfo4Ing family involvement. MeOling their need for play. Adapting spackVe, furnishings and designs-for parent and play programs. Finaticing and publicizing programs. 2. To study the adiivities and functioning of government agencies, volunteer, and consumer advocate groups. 3. To bring back idelo.s for use in the United States. 1 41 0000.9 ITINERARY W/ England 4. It September 18 - 29,1972 Monday, 18 September Mrs.'C.M.R. Mitchell,Hospital Nursing Offi 'ner. Nursing Officer
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