The moral experiences of children with osteogenesis imperfecta
Yi Wen Wang1,2, Franco A Carnevale1,2, Maria Ezcurra1,2
15620McGill University, Canada.
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.
Background:
Serious ethical problems have been anecdotally identified in the care of children with osteogenesis imperfecta (OI), which may negatively impact their moral experiences, defined as their sense of fulfillment towards personal values and beliefs.
Research Aims:
To explore children's actual and desired participation in discussions, decisions, and actions in an OI hospital setting and their community using art-making to facilitate their self-expression.
Research Design:
A focused ethnography was conducted using the moral experiences framework with data from key informant interviews; participant observations, semi-structured interviews, and practice-based research (art-making) with 10 children with OI; and local documents.
Participants And Research Context:
The study was conducted at a pediatric, orthopedic hospital.
Ethical Considerations:
This study was approved by McGill University Institutional Review Board.
Findings/Results:
Children expressed desires to participate in their care, but sometimes lacked the necessary resources and encouragement from healthcare providers. Art-making facilitated children's voice and participation in health-related discussions.
Conclusions:
Healthcare providers are recommended to consider the benefits of art-making and educational resources to reduce discrepancies between children's actual and desired participation in care and promote positive moral experiences.
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