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<p>Stable family accompaniment may support the well-being of hospitalized children, particularly when family presence is absent, fragmented, or mediated by public guardianship. This study aimed to establish expert consensus on the dimensions of stable accompaniment and its perceived contribution to emotional, educational, clinical, identity-related, institutional, and existential-relational well-being in pediatric care. A two-round mixed-methods Delphi study was conducted between June and September 2025 with 45 experts from health care, education, social care, law, public institutions, foster care, volunteering, and lived-experience backgrounds. Round 1 generated 843 narrative contributions, which were analyzed through inductive thematic coding. Round 2 used a 45-item Likert questionnaire completed by 42 experts. Consensus, content validity, ordinal agreement, and exploratory internal consistency were examined using medians, interquartile ranges, agreement percentages, I-CVI, S-CVI/Ave, Kendall’s <i>W</i>, and Cronbach’s <i>α</i>. The panel identified five core dimensions and one cross-cutting existential-relational axis. Thirty-seven items reached full consensus (82.2%), six reached partial consensus (13.3%), and two did not reach consensus (4.4%). The strongest agreement concerned educational continuity, identity recognition, and existential-relational support, whereas tensions emerged around volunteer substitution and clinical decision-making. Stable accompaniment was understood as a multidimensional relational condition that supports the practical exercise of children’s rights during hospitalization. Ensuring it requires intersectoral protocols, supervision, and public responsibility.</p>

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Stable Family Accompaniment as a Relational Right in Pediatric Care: A Delphi Study of Its Dimensions and Perceived Contribution to Child Well-being

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月10日

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  • Lucía García Expósito,
  • María José Arroyo González

摘要

Stable family accompaniment may support the well-being of hospitalized children, particularly when family presence is absent, fragmented, or mediated by public guardianship. This study aimed to establish expert consensus on the dimensions of stable accompaniment and its perceived contribution to emotional, educational, clinical, identity-related, institutional, and existential-relational well-being in pediatric care. A two-round mixed-methods Delphi study was conducted between June and September 2025 with 45 experts from health care, education, social care, law, public institutions, foster care, volunteering, and lived-experience backgrounds. Round 1 generated 843 narrative contributions, which were analyzed through inductive thematic coding. Round 2 used a 45-item Likert questionnaire completed by 42 experts. Consensus, content validity, ordinal agreement, and exploratory internal consistency were examined using medians, interquartile ranges, agreement percentages, I-CVI, S-CVI/Ave, Kendall’s W, and Cronbach’s α. The panel identified five core dimensions and one cross-cutting existential-relational axis. Thirty-seven items reached full consensus (82.2%), six reached partial consensus (13.3%), and two did not reach consensus (4.4%). The strongest agreement concerned educational continuity, identity recognition, and existential-relational support, whereas tensions emerged around volunteer substitution and clinical decision-making. Stable accompaniment was understood as a multidimensional relational condition that supports the practical exercise of children’s rights during hospitalization. Ensuring it requires intersectoral protocols, supervision, and public responsibility.