Foster, MandieBlamires, JulieMoir, ChrisJones, VirginaShrestha- Rangit, JagamayaDickinson, Annette2023-06-122023-06-122023-02-21Journal of Child Health Care, ISSN: 1367-4935 (Print); 1741-2889 (Online), SAGE Publications, 13674935231153430-. doi: 10.1177/136749352311534301367-49351741-2889https://hdl.handle.net/10292/16253There is a paucity of literature on children and young people’s participation in decision-making within healthcare organisations in New Zealand. This integrative review examined child self-reported peer-reviewed manuscripts and published guidelines, policy, reviews, expert opinion and legislation to explore how New Zealand children and young people participate in discussions and decision-making processes within healthcare settings and what are barriers and benefits to such participation. Four child self-reported peer-reviewed manuscripts and twelve expert opinion documents were retrieved from four electronic databases including academic, government and institutional websites. Inductive content thematic analysis generated one theme (a discourse in children and young people’s participation within healthcare settings), four sub-themes, 11 categories, 93 codes and 202 findings. It is evident within this review that there is a discourse between what expert opinion are stating is required to promote children and young people’s participation in discussions and decision-making processes within healthcare settings and what is occurring in practice. Despite literature reporting on how children and young people’s participation and voice were essential for healthcare provision, there was sparse literature published on children and young people’s participation in discussions and decision-making processes in healthcare delivery in New Zealand.https://creativecommons.org/licenses/by/4.0/child advocacychildren’s participationchildren’s rightsdetermination of healthcare needshealthcare systems4203 Health Services and Systems42 Health SciencesPediatric7.1 Individual care needs7 Management of diseases and conditions7.3 Management and decision makingGeneric health relevance1110 Nursing1114 Paediatrics and Reproductive Medicine1117 Public Health and Health Services3213 Paediatrics4205 NursingJournal ArticleOpenAccess10.1177/13674935231153430