Pediatric patients with long term diseases are spending long times indoor for their healing process. Recently many researches claimed that mostly of their times are spent indoor so, many of children are neglecting the importance of such connection that affects them badly. However, more rigorous quantitative evaluation is required to determine their impact on children's HIV-related health outcomes.Ĭhildren have biological and psychological needs for nature that affect their health and well-being.
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Several barriers impeding the success of child-friendly spaces were reported including space challenges clashing health facility priorities inadequate management support inadequate training on how to maximise the child-friendly spaces and lastly the inappropriateness of existing child-friendly spaces for much older children.Ĭhild-friendly spaces promote HIV positive children's right to participation and agency in accessing care. This was evidenced by the increased involvement and participation of children, increased PCGs' participation in the care of their children and a positive transformation of the PHC to a therapeutic environment for children. The COREQ checklist was used to ensure that the study adheres to quality standards for reporting qualitative research.Ĭhild-friendly spaces contributed to the centredness of care for children in PHCs. Data were imported to NVivo 10 for thematic analysis. The interviews were audio-recorded transcribed and translated to English by a research team member competent in both languages. Data were generated, using a semi-structured interview guide printed in both English and IsiZulu. We conducted qualitative interviews with children (n = 30), their primary caregivers (PCGs) (n = 30), and KidzAlive trained healthcare workers (HCWs) (n = 20) using and providing child-friendly spaces, respectively. However, the user-provider experiences of these child-friendly spaces in these facilities have not been explored. Through this intervention, 10 child-friendly spaces were created in 10 primary healthcare centres (PHCs) in KwaZulu-Natal to enhance child-centred HIV care. KidzAlive is a child-centred intervention aimed at improving the quality of HIV care for children in South Africa. This study organized the understanding on the components of supportive environments and its outcomes for pediatric healthcare design. Yet significant research gaps emerged between positive distractions and play in garden spaces and spatial design to accommodate interactive technology and socialization in the public areas of pediatric healthcare environments.
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The research indicated that positive distractions in the pediatric healthcare environment provide a series of health benefits for patients, including improved behavioral and emotional well-being, reduced stress and anxiety, enhanced healthcare experience and satisfaction, and facilitated medical procedures and recovery. The gathered materials were grouped into six themes of positive distractions: (1) art and environmental aesthetics, (2) spatial arrangement and atrium, (3) considerations of socialization patterns, (4) play and interactive technologies, (5) sound and lighting interventions, and (6) access to nature. Eventually, 27 peer-reviewed publications were reviewed and discussed in detail. The aims of this study were to validate and extend evidence on positive distractions and play opportunities in the design of the public spaces in pediatric healthcare environments, translate existing evidence into design suggestions, and identify research gaps in this realm.Ī four-phased literature review method was employed in the study, including literature search, literature screening and selection, literature appraisal, and thematic analysis and in-depth discussion. This study investigated the essential positive distractions and the associated health benefits.
Existing research has deemed the application of positive distractions in pediatric environments to be significant.
A positive distraction is a significant environmental feature that introduces positive feelings by diverting attention from stress or anxious thoughts.
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