临床实践中的儿科同意:一个批判性的范围审查
Jason Adam Wasserman1,2,3, Amelia N Najor4, Natalie Liogas4
1Department of Foundational Medical Studies, Oakland University William Beaumont School of Medicine, Rochester, Michigan, USA.
AJOB empirical bioethics
|August 21, 2024
概括
儿科医生对医疗保健的同意是有价值的,但其意义,过程和伦理基础仍然不清楚. 了解这些细微差别对于适当地让孩子参与他们的治疗决策至关重要.
科学领域:
- 医学伦理 医学伦理
- 儿科医疗保健 儿科医疗保健
- 儿童发展 儿童发展
背景情况:
- 儿科医生的同意对于让儿童参与医疗决策至关重要.
- 现有的研究更多地侧重于研究中的同意,而不是临床护理.
- 治疗同意包括平衡孩子的偏好与最佳利益和父母的许可.
研究的目的:
- 在临床环境中分析儿科同意的概念化和伦理理由.
- 为了澄清治疗背景下围绕儿科同意的模两可.
主要方法:
- 在11个数据库 (2010-2020年) 进行系统的文献搜索.
- 选文章的相关性,以儿童同意在临床护理与规范性主张.
- 对29篇文章进行主题分析,重点关注定义,时间方面,理解和道德理由.
主要成果:
- 儿科同意因治疗,患者年龄和文化背景而异.
- 赞同涉及两个纵向过程:偏好诱导和发育成熟.
- 对同意的伦理理由往往含糊不清,基于工具和内在原因.
结论:
- 对于儿科同意的道德价值有广泛的共识.
- 关于治疗儿科同意的定义,操作化和伦理基础,仍然存在显著的模两可.
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