Humanization of pediatric care in the world: focus and review of existing models and measurement tools

Abstract

BackgroundThe term “humanization” indicates the process by which people try to make something more human and civilized, more in line with what is believed to be the human nature. The humanization of care is an important and not yet a well-defined issue which includes a wide range of aspects related to the approach to the patient and care modalities. In pediatrics, the humanization concept is even vaguer due to the dual involvement of both the child and his/her family and by the existence of multiple proposed models.ObjectiveThe present study aims to analyze the main existing humanization models regarding pediatric care, and the tools for assessing its grade.ResultsThe main Humanization care programs have been elaborated and developed both in America (Brazil, USA) and Europe. The North American and European models specifically concern pediatric care, while the model developed in Brazil is part of a broader program aimed at all age groups. The first emphasis is on the importance of the family in child care, the second emphasis is on the child’s right to be a leader, to be heard and to be able to express its opinion on the program’s own care. Several tools have been created and used to evaluate humanization of care programs and related aspects. None, however, had been mutually compared.ConclusionsThe major models of humanization care and the related assessment tools here reviewed highlight the urgent need for a more unifying approach, which may help in realizing health care programs closer to the young patient’s and his/her family needs.Electronic supplementary materialThe online version of this article (10.1186/s13052-017-0394-4) contains supplementary material, which is available to authorized users.

Uncompleted Emergency Department Care (UEDC): a 5-year population-based study in Veneto Region, Italy.

“…In fact, other studies found social issues fundamentally important, especially in such a sensitive environment as the ED, where patients and those accompanying them are often in a state of physical pain and psychological distress. It is therefore worth considering architectural design features and other factors of the built environment in an effort to make waiting at the ED less stressful, and more comfortable [ 41 , 42 ].…”

Compreensão sobre o atendimento humanizado em um ambulatório de odontologia da marinha

“…Ela é capaz de solucionar problemas que podem contribuir no processo de humanização em saúde, pois pode proporcionar conhecimentos atualizados sobre o assunto, além de renovar o compromisso dos atores envolvidos com a importância do atendimento humanizado. Essa também foi a conclusão a que chegou um estudo sobre os modelos e instrumentos de humanização adotados em diversos países, como Brasil, Estados Unidos, Itália e França, revelando que, nesses países, a falta de protagonismo da humanização na formação acadêmica é um importante obstáculo para a abordagem centrada no paciente (19) .…”

Humanization of care in pediatric wards: differences between perceptions of users and staff according to department type

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