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Updated: Aug 11, 2026

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Children's consent to treatment: using a scale to assess degree of self-determination
I Runeson1, G Elander, G Hermerén
1Department of Medical Ethics, Faculty of Medicine, Lund University, Lund, Sweden.
Insights
Hospitalized children
Area of Science:
- Pediatric Healthcare
- Child Psychology
- Medical Ethics
Background:
- Growing debate on "best interest of the child" decisions.
- Increasing emphasis on incorporating children's voices in healthcare.
Purpose of the Study:
- To identify situations in pediatric medical and nursing care where children's voices were included or excluded.
- To analyze the extent of self-determination granted to hospitalized children.
Main Methods:
- Interviews with 26 hospitalized children (ages 6-17) and 21 parents.
- Analysis of 100 identified situations using a five-level self-determination instrument.
Main Results:
- Identified opportunities for children's self-determination in daily hospital care.
- Found that healthcare staff, to varying degrees, respected children's choices regarding their health.
Conclusions:
- Opportunities exist to enhance child self-determination in pediatric healthcare settings.
- Acknowledging and acting on children's preferences is feasible and practiced to some extent.
Abstract:
Discussion and debate regarding decision-making that is 'in the best interest of the child' and that also considers the child's voice in these decisions have increased in recent years. A study was undertaken to identify everyday situations in medical and nursing care in which children had been allowed to have a voice or been denied the right. Twenty-six hospitalized children, ages 6 to 17 years, and 21 parents were interviewed concerning their experiences with hospitalization. The interviews contained examples of 100 situations in which the children could have had a say in decisions concerning their care and treatment. An instrument describing five levels of self-determination was used to analyze the situations. The results showed that there are situations in the daily care of children who are hospitalized where it is possible to discuss the degree of self-determination of the child. To different degrees, staff members honored children's choices in questions concerning their own health.
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