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Decision-making during hospitalization: parents' and children's involvement.

Hallström, Inger LU and Elander, Gunnel (2004) In Journal of Clinical Nursing 13(3). p.367-375
Abstract
Background. Ethical duties of health professionals include the obligation to enhance their patients' competence and ability to participate.



Aims and objectives. To explore what kind of decisions and how these decisions were made during a child's hospitalization.



Design. During a 9-week period 24 children and their parents were followed during the course of events at the hospital. In total 135 hours of observations were made and analysed in two steps.



Results. In most of the situations one or both parents were present with the child. Most decisions were of a medical nature, and commonly decisions were made in consultation with those affected by the decision. Although one or more... (More)
Background. Ethical duties of health professionals include the obligation to enhance their patients' competence and ability to participate.



Aims and objectives. To explore what kind of decisions and how these decisions were made during a child's hospitalization.



Design. During a 9-week period 24 children and their parents were followed during the course of events at the hospital. In total 135 hours of observations were made and analysed in two steps.



Results. In most of the situations one or both parents were present with the child. Most decisions were of a medical nature, and commonly decisions were made in consultation with those affected by the decision. Although one or more persons protested in 83 of the 218 described situations, decisions were seldom reconsidered.



Conclusions. The children and their parents were usually involved in the decision-making process. Children and parents made few decisions themselves and even if they disagreed with the decision made, few decisions were reconsidered.



Relevance to clinical practice. Having a voice in decision-making helps the child to develop a sense of himself as a person and gives the parents a feeling that they are part of a team giving their child optimal care during hospitalization. Promoting children's rights is one of the most important roles for the children's nurse. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Clinical Nursing
volume
13
issue
3
pages
367 - 375
publisher
Wiley-Blackwell
external identifiers
  • pmid:15009339
  • wos:000189025000012
ISSN
1365-2702
DOI
10.1046/j.1365-2702.2003.00877.x
language
English
LU publication?
yes
id
77d6ebc3-02c5-4bd9-930c-0f867ca1c3c9 (old id 121420)
date added to LUP
2007-07-23 14:20:25
date last changed
2016-04-16 03:09:06
@article{77d6ebc3-02c5-4bd9-930c-0f867ca1c3c9,
  abstract     = {Background. Ethical duties of health professionals include the obligation to enhance their patients' competence and ability to participate.<br/><br>
<br/><br>
Aims and objectives. To explore what kind of decisions and how these decisions were made during a child's hospitalization.<br/><br>
<br/><br>
Design. During a 9-week period 24 children and their parents were followed during the course of events at the hospital. In total 135 hours of observations were made and analysed in two steps.<br/><br>
<br/><br>
Results. In most of the situations one or both parents were present with the child. Most decisions were of a medical nature, and commonly decisions were made in consultation with those affected by the decision. Although one or more persons protested in 83 of the 218 described situations, decisions were seldom reconsidered.<br/><br>
<br/><br>
Conclusions. The children and their parents were usually involved in the decision-making process. Children and parents made few decisions themselves and even if they disagreed with the decision made, few decisions were reconsidered.<br/><br>
<br/><br>
Relevance to clinical practice. Having a voice in decision-making helps the child to develop a sense of himself as a person and gives the parents a feeling that they are part of a team giving their child optimal care during hospitalization. Promoting children's rights is one of the most important roles for the children's nurse.},
  author       = {Hallström, Inger and Elander, Gunnel},
  issn         = {1365-2702},
  language     = {eng},
  number       = {3},
  pages        = {367--375},
  publisher    = {Wiley-Blackwell},
  series       = {Journal of Clinical Nursing},
  title        = {Decision-making during hospitalization: parents' and children's involvement.},
  url          = {http://dx.doi.org/10.1046/j.1365-2702.2003.00877.x},
  volume       = {13},
  year         = {2004},
}