Results for 'Pediatric consent'

977 found
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  1.  34
    Pediatric consent: Case study analysis using a principles approach.Adaorah N. U. Azotam - 2012 - Nursing Ethics 19 (4):581-585.
    This article will explore pediatric consent through the analysis of a clinical case study using the principles of biomedical ethics approach. Application of the principles of autonomy, nonmaleficence, beneficence, and justice will be dissected in order to attempt to establish resolution of the ethical dilemma. The main conflict in this case study deals with whether the wishes of an adolescent for end-of-life care should be followed or should the desire of his parents outweigh this request. In terminal cancer, (...)
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  2.  60
    Informed consent in paediatric critical care research – a South African perspective.Brenda M. Morrow, Andrew C. Argent & Sharon Kling - 2015 - BMC Medical Ethics 16 (1):62.
    Medical care of critically ill and injured infants and children globally should be based on best research evidence to ensure safe, efficacious treatment. In South Africa and other low and middle-income countries, research is needed to optimise care and ensure rational, equitable allocation of scare paediatric critical care resources.
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  3. Should parents be asked to consent for life-saving paediatric interventions?Nathan K. Gamble & Michal Pruski - forthcoming - Journal of the Intensive Care Society.
    Informed consent, when given by proxy, has limitations: chiefly, it must be made in the interest of the patient. Here we critique the standard approach to parental consent, as present in Canada and the UK. Parents are often asked for consent, but are not given the authority to refuse medically beneficial treatment in many situations. This prompts the question of whether it is possible for someone to consent if they cannot refuse. We present two alternative and (...)
     
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  4. Emerging issues in paediatric health research consent forms in Canada: working towards best practices. [REVIEW]Edward S. Dove, Denise Avard, Lee Black & Bartha M. Knoppers - 2013 - BMC Medical Ethics 14 (1):1-10.
    BackgroundObtaining a research participant’s voluntary and informed consent is the bedrock of sound ethics practice. Greater inclusion of children in research has led to questions about how paediatric consent operates in practice to accord with current and emerging legal and socio-ethical issues, norms, and requirements.MethodsEmploying a qualitative thematic content analysis, we examined paediatric consent forms from major academic centres and public organisations across Canada dated from 2008–2011, which were purposively selected to reflect different types of research ethics (...)
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  5.  22
    Guardians and research staff experiences and views about the consent process in hospital-based paediatric research studies in urban Malawi: A qualitative study.Nicola Desmond, Michael Parker, David Lalloo, Ian J. C. MacCormick, Markus Gmeiner, Charity Gunda, Neema Mtunthama Toto & Mtisunge Joshua Gondwe - 2022 - BMC Medical Ethics 23 (1):1-15.
    BackgroundObtaining consent has become a standard way of respecting the patient’s rights and autonomy in clinical research. Ethical guidelines recommend that the child’s parent/s or authorised legal guardian provides informed consent for their child’s participation. However, obtaining informed consent in paediatric research is challenging. Parents become vulnerable because of stress related to their child’s illness. Understanding the views held by guardians and researchers about the consent process in Malawi, where there are limitations in health care access (...)
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  6.  32
    Ethics of paediatric end-of-life decision making and consent for publication.David Isaacs - 2015 - Journal of Medical Ethics 41 (2):201-202.
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  7.  40
    Cognitive Development and Pediatric Consent to Organ Donation.Susan Zinner - 2004 - Cambridge Quarterly of Healthcare Ethics 13 (2):125-132.
    Attempting to balance the needs and interests of minors with the obligation to protect them from their own potentially harmful decisions poses an ethical challenge for the physician. This problem is further exacerbated when the context is not medical treatment but organ donation. That is, medical treatment scenarios generally involve decisions likely to result in objective improvements to the minor's health status. Consent to organ donation, however, raises several vexing problems. First, how should the provider measure both the cognitive (...)
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  8.  28
    A comprehensive systematic review of stakeholder attitudes to alternatives to prospective informed consent in paediatric acute care research.Jeremy Furyk, Kris McBain-Rigg, Bronia Renison, Kerrianne Watt, Richard Franklin, Theophilus I. Emeto, Robin A. Ray, Franz E. Babl & Stuart Dalziel - 2018 - BMC Medical Ethics 19 (1):89.
    A challenge of performing research in the paediatric emergency and acute care setting is obtaining valid prospective informed consent from parents. The ethical issues are complex, and it is important to consider the perspective of participants, health care workers and researchers on research without prospective informed consent while planning this type of research. We performed a systematic review according to PRISMA guidelines, of empirical evidence relating to the process, experiences and acceptability of alternatives to prospective informed consent, (...)
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  9.  33
    Paediatric deep brain stimulation: ethical considerations in malignant Tourette syndrome.Rosemary T. Behmer Hansen, Arjun Dubey, Cynthia Smith, Patrick J. Henry & Antonios Mammis - 2020 - Journal of Medical Ethics 46 (10):668-673.
    Gilles de la Tourette syndrome (TS) is a childhood neuropsychiatric disorder characterised by the presence of motor and vocal tics. Patients with malignant TS experience severe disease sequelae; risking morbidity and mortality due to tics, self-harm, psychiatric comorbidities and suicide. By definition, those cases termed ‘malignant’ are refractory to all conventional psychiatric and pharmacological regimens. In these instances, deep brain stimulation (DBS) may be efficacious. Current 2015 guidelines recommend a 6-month period absent of suicidal ideation before DBS is offered to (...)
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  10.  79
    How experience makes a difference: practitioners' views on the use of deferred consent in paediatric and neonatal emergency care trials.Kerry Woolfall, Lucy Frith, Carrol Gamble & Bridget Young - 2013 - BMC Medical Ethics 14 (1):45.
    In 2008 UK legislation was amended to enable the use of deferred consent for paediatric emergency care (EC) trials in recognition of the practical and ethical difficulties of obtaining prospective consent in an emergency situation. However, ambiguity about how to make deferred consent acceptable to parents, children and practitioners remains. In particular, little is known about practitioners’ views and experiences of seeking deferred consent in this setting.
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  11.  22
    Storing paediatric genomic data for sequential interrogation across the lifespan.Christopher Gyngell, Fiona Lynch, Danya Vears, Hilary Bowman-Smart, Julian Savulescu & John Christodoulou - 2025 - Journal of Medical Ethics 51 (3):205-211.
    Genomic sequencing (GS) is increasingly used in paediatric medicine to aid in screening, research and treatment. Some health systems are trialling GS as a first-line test in newborn screening programmes. Questions about what to do with genomic data after it has been generated are becoming more pertinent. While other research has outlined the ethical reasons for storing deidentified genomic data to be used in research, the ethical case for storing data for future clinical use has not been explicated. In this (...)
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  12.  39
    A novel method to enhance informed consent: a prospective and randomised trial of form-based versus electronic assisted informed consent in paediatric endoscopy.Joel A. Friedlander, Greg S. Loeben, Patricia K. Finnegan, Anita E. Puma, Xuemei Zhang, Edwin F. De Zoeten, David A. Piccoli & Petar Mamula - 2011 - Journal of Medical Ethics 37 (4):194-200.
    Next SectionObjectives To evaluate the adequacy of paediatric informed consent and its augmentation by a supplemental computer-based module in paediatric endoscopy. Methods The Consent-20 instrument was developed and piloted on 47 subjects. Subsequently, parents of 101 children undergoing first-time, diagnostic upper endoscopy performed under moderate IV sedation were prospectively and consecutively, blinded, randomised and enrolled into two groups that received either standard form-based informed consent or standard form-based informed consent plus a commercial (Emmi Solutions, Inc, Chicago, (...)
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  13.  37
    Paediatric xenotransplantation clinical trials and the right to withdraw.Daniel J. Hurst, Luz A. Padilla, Wendy Walters, James M. Hunter, David K. C. Cooper, Devin M. Eckhoff, David Cleveland & Wayne Paris - 2020 - Journal of Medical Ethics 46 (5):311-315.
    Clinical trials of xenotransplantation (XTx) may begin early in the next decade, with kidneys from genetically modified pigs transplanted into adult humans. If successful, transplanting pig hearts into children with advanced heart failure may be the next step. Typically, clinical trials have a specified end date, and participants are aware of the amount of time they will be in the study. This is not so with XTx. The current ethical consensus is that XTx recipients must consent to lifelong monitoring. (...)
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  14.  50
    Moral distress in paediatric oncology: Contributing factors and group differences.Pernilla Pergert, Cecilia Bartholdson, Klas Blomgren & Margareta af Sandeberg - 2019 - Nursing Ethics 26 (7-8):2351-2363.
    Background: Providing oncological care to children is demanding and ethical issues concerning what is best for the child can contribute to moral distress. Objectives: To explore healthcare professionals’ experiences of situations that generate moral distress in Swedish paediatric oncology. Research design: In this national study, data collection was conducted using the Swedish Moral Distress Scale-Revised. The data analysis included descriptive statistics and non-parametric analysis of differences between groups. Participants and research context: Healthcare professionals at all paediatric oncology centres in Sweden (...)
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  15.  38
    Paediatric oncology patients’ definitions of a good physician and good nurse.Elif Aşikli & Rahime Aydin Er - 2021 - Nursing Ethics 28 (5):656-669.
    Background: It is stated that the communication and disease experiences of paediatric patients, especially paediatric oncology patients, with healthcare professionals are completely different from those of adults. Objective: The aim of this study was to determine the definitions of a good physician and good nurse provided by elementary school-age oncology patients. Research design: In this qualitative research, data were collected through semi-structured individual interviews. The data were evaluated thorough thematic analysis. Participants and research context: Eighteen children hospitalised due to cancer (...)
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  16.  17
    Research ethics committee members’ perspectives on paediatric research: a qualitative interview study.Kajsa Norberg Wieslander, Anna T. Höglund, Sara Frygner-Holm & Tove Godskesen - 2023 - Research Ethics 19 (4):494-518.
    Research ethics committees (RECs) have a crucial role in protecting children in research. However, studies on REC members’ perspectives on paediatric research are scarce. We conducted a qualitative study to explore Swedish scientific REC members’ perspectives on ethical aspects in applications involving children with severe health conditions. The REC members considered promoting participation, protecting children and regulatory adherence to be central aspects. The results underscored the importance of not neglecting ill children’s rights to adapted information and participation. REC members supported (...)
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  17.  27
    Reconsenting paediatric research participants for use of identifying data.Blake Murdoch, Allison Jandura & Timothy Caulfield - 2023 - Journal of Medical Ethics 49 (2):106-109.
    When a minor research participant reaches the age of majority or the level of maturity necessary to be granted legal decision-making capacity, reconsent can be required for ongoing participation in research or use of health information and banked biological materials. Despite potential logistical concerns with implementation and ethical questions about the trade-offs between maximising respect for participant agency and facilitating research that may generate benefits, reconsent is the approach most consistent with both law and research ethics.Canadian common law consent (...)
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  18.  40
    Ethical challenges in consent procedures involving pediatric cancer patients in Saudi Arabia: An exploratory survey.Ghiath Alahmad, Muneera AlSaqabi, Hala Alkamli & Mona Aleidan - 2022 - Developing World Bioethics 22 (3):140-151.
    Pediatric cancer is accompanied by many ethical challenges, particularly those related to respecting the child's opinion and parental responsibility and consent.Questionnaires were collected from 400 participants, from four equal groups: doctors, nurses, parents and medical students, from three cities in Saudi Arabia, about three problematic issues which revolve around the mandatory consent of one or both parents, the extent of a child’s assent, and the acceptable form of consent and assent.Despite the diversity of the participants' cultural (...)
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  19.  58
    Paediatric MRI research ethics: The priority issues. [REVIEW]Jocelyn Downie, Matthais Schmidt, Nuala Kenny, Ryan D’Arcy, Michael Hadskis & Jennifer Marshall - 2007 - Journal of Bioethical Inquiry 4 (2):85-91.
    In this paper, we first briefly describe neuroimaging technology, our reasons for studying magnetic resonance imaging (MRI) technology, and then provide a discussion of what we have identified as priority issues for paediatric MRI research. We examine the issues of respectful involvement of children in the consent process as well as privacy and confidentiality for this group of MRI research participants. In addition, we explore the implications of unexpected findings for paediatric MRI research participants. Finally, we explore the ethical (...)
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  20.  55
    Living bioethics, clinical ethics committees and children's consent to heart surgery.Priscilla Alderson, Deborah Bowman, Joe Brierley, Martin J. Elliott, Romana Kazmi, Rosa Mendizabal-Espinosa, Jonathan Montgomery, Katy Sutcliffe & Hugo Wellesley - 2022 - Clinical Ethics 17 (3):272-281.
    This discussion paper considers how seldom recognised theories influence clinical ethics committees. A companion paper examined four major theories in social science: positivism, interpretivism, critical theory and functionalism, which can encourage legalistic ethics theories or practical living bioethics, which aims for theory–practice congruence. This paper develops the legalistic or living bioethics themes by relating the four theories to clinical ethics committee members’ reported aims and practices and approaches towards efficiency, power, intimidation, justice, equality and children’s interests and rights. Different approaches (...)
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  21.  25
    Online Pediatric Research: Addressing Consent, Assent, and Parental Permission.Kyle B. Brothers, Ellen Wright Clayton & Aaron J. Goldenberg - 2020 - Journal of Law, Medicine and Ethics 48 (S1):129-137.
    This article provides practical guidance for researchers who wish to enroll and collect data from pediatric research participants through online and mobile platforms, with a focus on the involvement of both children and their parents in the decision to participate.
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  22.  75
    Youth should decide: the principle of subsidiarity in paediatric transgender healthcare.Florence Ashley - 2023 - Journal of Medical Ethics 49 (2):110-114.
    Drawing on the principle of subsidiarity, this article develops a framework for allocating medical decision-making authority in the absence of capacity to consent and argues that decisional authority in paediatric transgender healthcare should generally lie in the patient. Regardless of patients’ capacity, there is usually nobody better positioned to make medical decisions that go to the heart of a patient’s identity than the patients themselves. Under the principle of subsidiarity, decisional authority should only be held by a higher level (...)
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  23.  24
    Ethical climate and moral distress in paediatric oncology nursing.Päivi Ventovaara, Margareta af Sandeberg, Janne Räsänen & Pernilla Pergert - 2021 - Nursing Ethics 28 (6):1061-1072.
    Background: Ethical climate and moral distress have been shown to affect nurses’ ethical behaviour. Despite the many ethical issues in paediatric oncology nursing, research is still lacking in the field. Research aim: To investigate paediatric oncology nurses’ perceptions of ethical climate and moral distress. Research design: In this cross-sectional study, data were collected using Finnish translations of the Swedish Hospital Ethical Climate Survey–Shortened and the Swedish Moral Distress Scale–Revised. Data analysis includes descriptive statistics and non-parametric analyses. Respondents and research context: (...)
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  24.  18
    Important situations that capture moral distress in paediatric oncology.Margareta af Sandeberg, Cecilia Bartholdson & Pernilla Pergert - 2020 - BMC Medical Ethics 21 (1):1-9.
    The paediatric Moral Distress Scale-Revised was previously translated and adapted to Swedish paediatric oncology. Cognitive interviews revealed five not captured situations among the 21 items, resulting in five added items: 22) Lack of time for conversations with patients/families, 23) Parents’ unrealistic expectations, 24) Not to talk about death with a dying child, 25) To perform painful procedures, 26) To decide on treatment/care when uncertain. The aim was to explore experiences of moral distress in the five added situations in the Swedish (...)
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  25.  24
    Investigating compassion fatigue and predictive factors in paediatric surgery nurses.Eda Ayten Kankaya, Nazife Gamze Özer Özlü & Fatma Vural - 2024 - Nursing Ethics 31 (5):845-858.
    Background Nurses provide care to meet the complex needs of patients in the increasing workload in the health system and are at risk of compassion fatigue. The concept of compassion fatigue has begun drawing attention in the last decade, as it negatively affects nurses' physical and mental health, job performance and satisfaction, and therefore patient care quality. Objectives This study was to examine compassion fatigue and predictive factors in paediatric surgery nurses. Participants and research context The study was cross-sectional, predictive (...)
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  26.  68
    Therapeutic Misconception: Hope, Trust and Misconception in Paediatric Research.Simon Woods, Lynn E. Hagger & Pauline McCormack - 2014 - Health Care Analysis 22 (1):3-21.
    Although the therapeutic misconception (TM) has been well described over a period of approximately 20 years, there has been disagreement about its implications for informed consent to research. In this paper we review some of the history and debate over the ethical implications of TM but also bring a new perspective to those debates. Drawing upon our experience of working in the context of translational research for rare childhood diseases such as Duchenne muscular dystrophy, we consider the ethical and (...)
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  27.  31
    Consent and cultural conflicts: ethical issues in pediatric anesthesiologists' participation in female genital cutting.Maliha A. Darugar, Rebecca M. Harris & Joel E. Frader - 2010 - In Gail A. Van Norman, Stephen Jackson, Stanley H. Rosenbaum & Susan K. Palmer, Clinical Ethics in Anesthesiology: A Case-Based Textbook. Cambridge University Press. pp. 69.
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  28.  39
    Fertility preservation for transgender children and young people in paediatric healthcare: a systematic review of ethical considerations.Chanelle Warton & Rosalind J. McDougall - 2022 - Journal of Medical Ethics 48 (12):1076-1082.
    BackgroundWhile fertility preservation is recommended practice for paediatric oncology patients, it is increasingly being considered for transgender children and young people in paediatric care. This raises ethical issues for clinicians, particularly around consent and shared decision-making in this new area of healthcare.MethodsA systematic review of normative literature was conducted across four databases in June 2020 to capture ethical considerations related to fertility counselling and preservation in paediatric transgender healthcare. The text of included publications was analysed inductively, guided by the (...)
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  29.  52
    An Overview of Moral Distress and the Paediatric Intensive Care Team.Austin Wendy, Kelecevic Julija, Goble Erika & Mekechuk Joy - 2009 - Nursing Ethics 16 (1):57-68.
    A summary of the existing literature related to moral distress (MD) and the paediatric intensive care unit (PICU) reveals a high-tech, high-pressure environment in which effective teamwork can be compromised by MD arising from different situations related to: consent for treatment, futile care, end-of-life decision making, formal decision-making structures, training and experience by discipline, individual values and attitudes, and power and authority issues. Attempts to resolve MD in PICUs have included the use of administrative tools such as shift worksheets, (...)
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  30.  22
    Call for moral recognition as part of paediatric assent.Jared Smith & Jennifer Blumenthal-Barby - 2023 - Journal of Medical Ethics 49 (7):481-482.
    In ‘Reification and Assent in Research Involving Those Who Lack Capacity’, Smajdor argues that adults with impaired capacity to grant informed consent (AWIC) are often excluded from participating in biomedical research because they cannot provide informed consent, leading to decreased chances AWIC will benefit from such research. Smajdor uses Honneth’s concept of reification to propose that securing assent (rather than consent) in cases involving AWIC offers patients moral recognition that is not tied to their capacities. Assent provides (...)
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  31.  39
    Living bioethics, theories and children’s consent to heart surgery.Priscilla Alderson, Deborah Bowman, Joe Brierley, Nathalie Dedieu, Martin J. Elliott, Jonathan Montgomery & Hugo Wellesley - forthcoming - Clinical Ethics:147775092210910.
    Background This analysis is about practical living bioethics and how law, ethics and sociology understand and respect children’s consent to, or refusal of, elective heart surgery. Analysis of underlying theories and influences will contrast legalistic bioethics with living bioethics. In-depth philosophical analysis compares social science traditions of positivism, interpretivism, critical theory and functionalism and applies them to bioethics and childhood, to examine how living bioethics may be encouraged or discouraged. Illustrative examples are drawn from research interviews and observations in (...)
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  32.  19
    The Principle of the Primacy of the Human Subject and Minimal Risk in Non-Beneficial Paediatric Research.Joanna Różyńska - 2022 - Journal of Bioethical Inquiry 19 (2):273-286.
    Non-beneficial paediatric research is vital to improving paediatric healthcare. Nevertheless, it is also ethically controversial. By definition, subjects of such studies are unable to give consent and they are exposed to risks only for the benefit of others, without obtaining any clinical benefits which could compensate those risks. This raises ethical concern that children participating in non-beneficial research are treated instrumentally; that they are reduced to mere instruments for the benefit of science and society. But this would make the (...)
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  33.  62
    Informed Consent in Pediatric Research.Lainie Friedman Ross - 2004 - Cambridge Quarterly of Healthcare Ethics 13 (4):346-358.
    The first principle of the Nuremberg Code requires the informed consent of the subject. Proxy consent was not addressed until the Declaration of Helsinki. U.S. policies regarding consent for the participation of children in research would not be finalized for almost two more decades in subpart D of the federal regulations that govern the participation of subjects in research. In October 2000, the Children's Health Act was passed. Title X required the Secretary of the Department of Health (...)
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  34. Living bioethics, theories and children’s consent to heart surgery.Priscilla Alderson, Deborah Bowman, Joe Brierley, Nathalie Dedieu, Martin J. Elliott, Jonathan Montgomery & Hugo Wellesley - 2023 - Clinical Ethics 18 (4):418-426.
    Background This analysis is about practical living bioethics and how law, ethics and sociology understand and respect children’s consent to, or refusal of, elective heart surgery. Analysis of underlying theories and influences will contrast legalistic bioethics with living bioethics. In-depth philosophical analysis compares social science traditions of positivism, interpretivism, critical theory and functionalism and applies them to bioethics and childhood, to examine how living bioethics may be encouraged or discouraged. Illustrative examples are drawn from research interviews and observations in (...)
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  35.  40
    Consent to Pediatric Research: A Couple of Distinctions.Carlo Petrini - 2012 - American Journal of Bioethics 12 (1):37 - 38.
    The American Journal of Bioethics, Volume 12, Issue 1, Page 37-38, January 2012.
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  36.  29
    Ethical Issues in Paediatric Nontherapeutic Pain Research.Päivi Kankkunen, Katri Vehviläinen-Julkunen & Anna-Maija Pietilä - 2002 - Nursing Ethics 9 (1):80-91.
    The purpose of this article is to describe the main ethical issues in paediatric nontherapeutic qualitative pain research. It is based on an analysis of the research literature related to ethical issues in research and on experiences from a family interview study focusing on pain assessment and management in children aged 1-6 years. In addition, different views concerning obtaining informed consent from children, as published in the research literature, are compared. Ethical challenges occur during all stages of qualitative research. (...)
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  37.  10
    Informed consent and the pediatric patient.David Clendenin & David B. Waisel - 2010 - In Gail A. Van Norman, Stephen Jackson, Stanley H. Rosenbaum & Susan K. Palmer, Clinical Ethics in Anesthesiology: A Case-Based Textbook. Cambridge University Press. pp. 33.
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  38. The quality of informed consent: mapping the landscape. A review of empirical data from developing and developed countries.Amulya Mandava, Christine Pace, Benjamin Campbell, Ezekiel Emanuel & Christine Grady - 2012 - Journal of Medical Ethics 38 (6):356-365.
    Objective Some researchers claim that the quality of informed consent of clinical research participants in developing countries is worse than in developed countries. To evaluate this assumption, we reviewed the available data on the quality of consent in both settings. Methods We conducted a comprehensive PubMed search, examined bibliographies and literature reviews, and consulted with international experts on informed consent in order to identify studies published from 1966 to 2010 that used quantitative methods, surveyed participants or parents (...)
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  39. Ethical dimension of paediatric cochlear implantation.Rui Nunes - 2001 - Theoretical Medicine and Bioethics 22 (4):337-349.
    In congenitally or prelingually deaf childrencochlear implantation is open to seriousethical challenge. The ethical dimension ofthis technology is closely related to both asocial standard of quality of life and to theuncertainty of the overall results of cochlearimplantation. Uncertainty with regards theacquisition of oral communicative skills.However, in the western world, available datasuggest that deafness is associated with thelowest educational level and the lowest familyincome. Notwithstanding the existence of aDeaf-World, deafness should be considered as ahandicap. Therefore, society should provide themeans for the (...)
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  40.  55
    Assessing Clinical Trial Informed Consent Comprehension in Non-Cognitively-Impaired Adults: A Systematic Review of Instruments.Laura D. Buccini, Don Iverson, Peter Caputi, Caroline Jones & Sheridan Gho - 2009 - Research Ethics 5 (1):3-8.
    This systematic review identifies and critically evaluates instruments that have been developed to measure clinical trial informed consent comprehension in non-cognitively-impaired adults. Literature searches were carried out on Medline (Ovid), PsycInfo, CINHAL, ERIC, ScienceDirect, and Cochrane Library for English language articles published between January 1980 and September 2008. Instruments were excluded if they focused on consent onto paediatric trials, the construct under study was primarily capacity or competency, or the instrument was developed specifically for psychiatric or cognitively-impaired populations. (...)
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  41.  76
    A study of consent for participation in a non-therapeutic study in the pediatric intensive care population.Kusum Menon & Roxanne Ward - 2014 - Journal of Medical Ethics 40 (2):123-126.
    Objective To document the legal guardian-related barriers to consent procurement, and their stated reasons for non-participation in a paediatric critical care research study.Study design A multicentre, prospective, cohort study.Participants Legal guardians of children who participated in a multicentre study on adrenal insufficiency in paediatric critical illness. Data were collected on all consent encounters in the main study.Methods Screening data, reasons for consent not being obtained, paediatric risk of mortality scores and age were collected on all 1707 patients (...)
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  42.  48
    Beyond Consent? Paternalism and Pediatric Doping.Mike McNamee - 2009 - Journal of the Philosophy of Sport 36 (2):111-126.
  43.  9
    Lowering the Age of Consent for Vaccination to Promote Pediatric Vaccination: It’s Worth a Shot.Margaret Irwin, Derek R. Soled & Christy L. Cummings - 2024 - Journal of Law, Medicine and Ethics 52 (1):52-61.
    This paper challenges historically preconceived notions surrounding a minor’s ability to make medical decisions, arguing that federal health law should be reformed to allow minors with capacity as young as age 12 to consent to their own Centers for Diseases Control and Prevention (CDC)-approved COVID-19 vaccinations. This proposal aligns with and expands upon current exceptions to limitations on adolescent decision-making. This analysis reviews the historic and current anti-vaccination sentiment, examines legal precedence and rationale, outlines supporting ethical arguments regarding adolescent (...)
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  44.  64
    GnRHa (‘Puberty Blockers’) and Cross Sex Hormones for Children and Adolescents: Informed Consent, Personhood and Freedom of Expression.David Pilgrim & Kirsty Entwistle - 2020 - The New Bioethics 26 (3):224-237.
    Ethical concerns have been raised about routine practice in paediatric gender clinics. We discuss informed consent and the risk of iatrogenesis in the prescribing of gonadotropin-releasing hormone...
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  45. F31. Informed consent in pediatric genetic screening.Frank J. Leavitt & Dina Pilpel - forthcoming - Bioethics in Asia: The Proceedings of the Unesco Asian Bioethics Conference (Abc'97) and the Who-Assisted Satellite Symposium on Medical Genetics Services, 3-8 Nov, 1997 in Kobe/Fukui, Japan, 3rd Murs Japan International Symposium, 2nd Congress of the Asi.
     
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  46.  21
    Does the light at the end of the tunnel shine for everyone? The need for early paediatric participation in vaccine trials during infectious pandemics.Erin M. Kwolek - 2022 - Clinical Ethics 17 (4):346-351.
    While most of the mortality associated with severe acute respiratory syndrome coronavirus 2 has been in elderly populations and adults with significant medical comorbidities, there has been death and morbidity in paediatric populations. As vaccine trial data is released to the public, many people look to the future with hope ; with good vaccine uptake there is the opportunity to reduce the spread of infectious pandemics. Initial vaccine trials were completed with adults and were expanded to include paediatric populations delaying (...)
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    Caregiver Perspectives on Informed Consent for a Pediatric Learning Healthcare System Model of Care.A. E. Pritchard, T. A. Zabel, L. A. Jacobson, E. Jones, C. Holingue & L. G. Kalb - 2021 - AJOB Empirical Bioethics 12 (2):92-100.
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  48.  76
    Ethical issues in pediatric life-threatening illness: Dilemmas of consent, assent, and communication.Howard Kunin - 1997 - Ethics and Behavior 7 (1):43 – 57.
    The treatment of life-threatening illnesses in childhood is replete with ethical issues and with clinical issues that have ethical implications. The central issues are those involved with a child's participation in the decision-making process and with communication of information about the illness and treatments to children. This article examines the questions of patient autonomy and of parental responsibility and prerogative in the context of pediatric oncology. Included in this examination of the ethical dimensions of pediatric life-threatening illness is (...)
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  49.  28
    Assessment of Knowledge and Attitudes of Physicians Serving Pediatric Patients on Children›s Rights and Informed Consent in Children.Gürkan Sert, Can Ilgın, Elif Samiye Duru, Canan Kalmaz, Gizem Karagöl, Janda Hasso, Refia Katmer & Sena Ecin - 2018 - Türkiye Biyoetik Dergisi 5 (2):48-63.
    INTRODUCTION[|]The practice of medicine has evolved from old approach, in which all decisions for the patient are taken by physician, to a new approach, which includes patients to the medical decision-making process and endorses informed consent of the patients. In addition to healthcare professionals and patients, parents or legal representatives are stakeholders in the informed consent process of children. The knowledge and attitudes of physicians and medical school students about the informed consent period in children are important (...)
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    What information and the extent of information to be provided in an informed assent/consent form of pediatric drug trials.Nimit Morakote, Wannachai Sakuludomkan, Kanda Fanhchaksai, Rungrote Natesirinilkul, Pimlak Charoenkwan & Nut Koonrungsesomboon - 2022 - BMC Medical Ethics 23 (1):1-10.
    BackgroundThis study aimed to determine the elements and the extent of information that child participants and their parents would like to read in an informed assent form /informed consent form of a pediatric drug trial.MethodsA descriptive survey was conducted to determine the perceived importance of each element of the ICF content from child participants and their parents who underwent informed assent/consent of a multi-center pediatric drug trial. The respondents were asked to indicate the level of importance (...)
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