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Assent in Pediatric Patients.

Jean C Self1, Jennifer A Coddington2, Karen J Foli3

  • 1Indiana University Health Arnett.

Nursing Forum
|April 19, 2017
PubMed
Summary
This summary is machine-generated.

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Pediatric assent, the patient's thoughtful review and decision-making regarding treatment, is crucial for protecting minor patients' rights. This analysis clarifies the concept to improve ethical medical practices and decision-making skills in pediatric care.

Area of Science:

  • Pediatric healthcare ethics
  • Bioethics
  • Nursing practice

Background:

  • The concept of pediatric assent is not clearly defined in existing literature.
  • This ambiguity may result in flawed practices when obtaining assent from pediatric patients.
  • A clear definition is needed to ensure ethical and effective patient care.

Purpose of the Study:

  • To analyze and clarify the concept of pediatric assent.
  • To address the lack of definition in current literature.
  • To provide a framework for understanding and implementing pediatric assent.

Main Methods:

  • Concept analysis using the Walker and Avant (2011) method.
  • Systematic literature search across multiple databases (PubMed, Academic Search Premier, PhilPapers, Wikipedia, Google).
Keywords:
Assentadvanced practicepediatric nursepediatrics

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  • Inclusion of sources from 1979 to 2015, including seminal reports and recent publications.

    • Main Results:

    • Pediatric assent involves a child's careful consideration of proposed medical treatments and a rational decision-making process.
    • Factors such as cognitive development, social context, and family dynamics can influence a child's ability to assent.
    • Key elements include understanding, voluntariness, and competence.

    Conclusions:

    • The developed framework enhances nurses' understanding of pediatric assent, integrating cognitive development and ethical principles.
    • Implementing this framework respects minor patients' rights and promotes their autonomy in healthcare decisions.
    • This analysis provides a stronger conceptual foundation for policies, research, and nursing education in pediatric assent.