Children’s voices: participation in decision-making within the goal setting process in occupational therapy

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dc.contributor.advisor Lynch, Helen en
dc.contributor.advisor Boyle, Bryan en
dc.contributor.author O'Connor, Deirdre
dc.date.accessioned 2020-05-25T10:31:54Z
dc.date.available 2020-05-25T10:31:54Z
dc.date.issued 2019-12-17
dc.date.submitted 2019-12-17
dc.identifier.citation O'Connor, D. M. 2019. Children’s voices: participation in decision-making within the goal setting process in occupational therapy. MRes Thesis, University College Cork. en
dc.identifier.endpage 229 en
dc.identifier.uri http://hdl.handle.net/10468/10030
dc.description.abstract Introduction: Children’s participation in decision-making remains an under-researched area, especially in the context of Occupational Therapy. Therefore, the principal aim of this research was to explore the experience of children in relation to having their voices heard within goal-setting in Occupational Therapy. This is consistent with Article 12 of the United Nations Convention on the Rights of the Child, 1989) and with Occupational Therapy’s commitments to client-centred practice (World Federation of Occupational Therapy, 2019). Study Design: Informed by the approaches of ethnography, this qualitative study had 17 participants including 6 children, 5 parent(s)/guardian(s) and 6 occupational therapists to gain multiple perspectives from those involved in goal-setting. Semi-structured interviews were conducted with all participants, while a mosaic approach offered children multiple methods to communicate their experience. Findings were analysed using a thematic analysis approach. Findings: On analysis, 3 themes emerged: 1) Where goal setting exists: Experiences of paediatric Occupational Therapy services in an Irish context; 2) Children’s right to be heard: Knowledge, views, attitudes and power and 3) Goal setting processes … power and influence. Findings suggest that Occupational Therapy goals are, for the most part, adult directed and as such children’s voices are subsumed by adult agendas, priorities, and adult-led services. Conclusion: Findings illustrate that despite healthcare professionals valuing the voice of children, children and their parent(s)/guardian(s) are not consistently included in goal-setting. Numerous factors impacting children’s participation in decision-making were found such as awareness and attitudes towards children and their rights as well as the age and ability of children, for example. Few formal guidelines or standards exist as to how to operationalise a child’s right-based approach in practice. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher University College Cork en
dc.rights © 2019, Deirdre O'Connor. en
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/ en
dc.subject Children's voices en
dc.subject Decision-making en
dc.subject Participation en
dc.subject Occupational therapy en
dc.title Children’s voices: participation in decision-making within the goal setting process in occupational therapy en
dc.type Masters thesis (Research) en
dc.type.qualificationlevel Masters en
dc.type.qualificationname MSc - Master of Science en
dc.internal.availability Full text not available en
dc.description.version Accepted Version en
dc.description.status Not peer reviewed en
dc.internal.school Occupational Science and Occupational Therapy en
dc.internal.conferring Summer 2020 en
dc.availability.bitstream controlled
dc.check.date 2021-05-01


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© 2019, Deirdre O'Connor. Except where otherwise noted, this item's license is described as © 2019, Deirdre O'Connor.
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