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.

Pediatric Nursing
|May 25, 2002
PubMed

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.

Related Concept Videos

Nursing Ethical Principles II01:27

Nursing Ethical Principles II

Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...
Ethical Dilemmas I01:17

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Nurses' Legal Responsibilities I01:27

Nurses' Legal Responsibilities I

In healthcare, informed consent is a crucial process that involves thoroughly communicating medical treatment options to patients, including benefits, risks, potential side effects, and alternatives. This process enables patients to make well-informed decisions about their care, ensuring they understand the implications of their choices before consenting to or refusing treatment.
The legal responsibilities of a nurse regarding informed consent include the following:
Social Foundations of Self II: The Generalized Other01:20

Social Foundations of Self II: The Generalized Other

According to George Herbert Mead, as children progress beyond the game stage, they develop a more comprehensive understanding of societal rules and norms. This cognitive and social development enables them to internalize the expectations of the broader community, refining their ability to regulate behavior.Consistent participation in organized activities is crucial in helping children recognize that their actions are not isolated but contribute to a more significant, interconnected group effort.