The moral experiences of children with osteogenesis imperfecta

Yi Wen Wang1,2, Franco A Carnevale1,2, Maria Ezcurra1,2

  • 15620McGill University, Canada.

Nursing Ethics
|July 8, 2022
PubMed

Insights

Children with osteogenesis imperfecta (OI) want more involvement in their healthcare. Art-making can help them express themselves and improve their participation and moral experiences.

Area of Science:

  • Pediatric Healthcare
  • Bioethics
  • Child Psychology

Background:

  • Ethical concerns in pediatric osteogenesis imperfecta (OI) care can negatively affect children's moral experiences.
  • Moral experiences relate to a child's fulfillment of personal values and beliefs.

Purpose of the Study:

  • To explore children's desired versus actual participation in healthcare decisions and actions within a hospital and community setting.
  • To investigate the use of art-making as a tool to enhance self-expression and participation.

Main Methods:

  • Focused ethnography utilizing the moral experiences framework.
  • Data collection included key informant interviews, participant observations, semi-structured interviews, and practice-based research (art-making) with 10 children with OI.
  • Study conducted at a pediatric orthopedic hospital.

Main Results:

  • Children with OI expressed a desire for greater participation in their care.
  • A lack of resources and provider encouragement sometimes limited their actual involvement.
  • Art-making emerged as a valuable method for facilitating children's voices and engagement in health discussions.

Conclusions:

  • Healthcare providers should consider incorporating art-making and educational resources into care.
  • These interventions can help bridge the gap between desired and actual participation.
  • Promoting greater participation can lead to enhanced moral experiences for children with OI.
Abstract

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