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Healthcare decisions: a review of children's involvement

Jenny Baston1

  • 1Paediatric Oncology Unit, St James Hospital, Leeds.

Paediatric Nursing
|May 27, 2008
PubMed

Insights

Children

Area of Science:

  • Pediatric Healthcare
  • Bioethics
  • Nursing Practice

Background:

  • Children's rights and consent to medical treatment are increasingly discussed.
  • Involving children in healthcare decisions can enhance their sense of control.
  • Unresolved ethical issues and nursing confusion persist regarding children's participation.

Purpose of the Study:

  • To explore the complexities of children's involvement in healthcare decision-making.
  • To address the need for a structured approach to including children in treatment choices.
  • To clarify the extent of children's rights in medical consent and participation.

Main Methods:

  • Literature review on children's rights in healthcare.
  • Analysis of existing guidelines and ethical considerations.
  • Exploration of nursing perspectives on child involvement.

Main Results:

  • Evidence supports that child involvement in decision-making improves their sense of control.
  • Significant unresolved issues remain concerning a child's right to decide.
  • Nurses express confusion regarding the appropriate level of child participation.

Conclusions:

  • A consistent, structured method is needed to ensure children's inclusion in healthcare decisions.
  • Further development of practice codes is essential for consistent child involvement.
  • Addressing ethical ambiguities and providing clear guidance for nurses is crucial.

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