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Informed Consent in Decision-Making in Pediatric Practice

Aviva L Katz, Sally A Webb,

    Pediatrics
    |July 27, 2016
    PubMed

    Insights

    Informed consent in healthcare involves parental permission and childhood assent, actively engaging patients in their care. Pediatric practice uniquely adapts decision-making to a child's developmental stage, enhancing their involvement over time.

    Area of Science:

    • Pediatric Healthcare Ethics
    • Bioethics
    • Child Development

    Background:

    • Informed consent is a cornerstone of ethical healthcare practice.
    • Pediatric patients require specific considerations due to developmental maturation.
    • Parental permission and child assent are crucial for patient engagement.

    Purpose of the Study:

    • To provide a comprehensive background on informed consent in pediatric practice.
    • To explore surrogate decision-making and the evolving role of children in healthcare choices.
    • To address special considerations for adolescent informed consent, assent, and refusal.

    Main Methods:

    • This technical report accompanies a policy statement on informed consent in pediatric decision-making.
    • It synthesizes information on the nature of informed consent and surrogate decision-making.
    • It reviews child and adolescent decision-making processes and special issues.

    Main Results:

    • The report details the active process of parental permission and childhood assent.
    • It highlights how developmental maturation enables increasing patient inclusion in decisions.
    • It covers specific challenges and considerations for adolescents.

    Conclusions:

    • Informed consent, parental permission, and child assent are vital for pediatric patient engagement.
    • Understanding developmental stages is key to adapting informed consent processes.
    • This report supports recommendations for informed consent in pediatric practice and research.

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