Moral structuring of children during the process of obtaining informed consent in clinical and research settings

Background: Informed consent is an important factor in a child’s moral structure from which different types of doctor–patient relationships arise. Children’s autonomy is currently under discussion in terms of their decent treatment, beyond what doctors and researchers perceive. To describe the influ...

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Autores:: Díaz-Pérez, Anderson
Navarro Quiroz, Elkin
Aparicio Marenco, Dilia Esther

Tipo de recurso:

Fecha de publicación:: 2020

Institución:: Universidad Simón Bolívar

Repositorio:: Repositorio Digital USB

Idioma:: eng

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dc.title.eng.fl_str_mv	Moral structuring of children during the process of obtaining informed consent in clinical and research settings
title	Moral structuring of children during the process of obtaining informed consent in clinical and research settings
spellingShingle	Moral structuring of children during the process of obtaining informed consent in clinical and research settings Autonomy Paternalism Doctor–patient relationship Consent Informed consent in minors Capacity Children Understanding Moral Practices Pediatrics Clinical Investigator Biomedical
title_short	Moral structuring of children during the process of obtaining informed consent in clinical and research settings
title_full	Moral structuring of children during the process of obtaining informed consent in clinical and research settings
title_fullStr	Moral structuring of children during the process of obtaining informed consent in clinical and research settings
title_full_unstemmed	Moral structuring of children during the process of obtaining informed consent in clinical and research settings
title_sort	Moral structuring of children during the process of obtaining informed consent in clinical and research settings
dc.creator.fl_str_mv	Díaz-Pérez, Anderson Navarro Quiroz, Elkin Aparicio Marenco, Dilia Esther
dc.contributor.author.none.fl_str_mv	Díaz-Pérez, Anderson Navarro Quiroz, Elkin Aparicio Marenco, Dilia Esther
dc.subject.eng.fl_str_mv	Autonomy Paternalism Doctor–patient relationship Consent Informed consent in minors Capacity Children Understanding Moral Practices Pediatrics Clinical Investigator Biomedical
topic	Autonomy Paternalism Doctor–patient relationship Consent Informed consent in minors Capacity Children Understanding Moral Practices Pediatrics Clinical Investigator Biomedical
description	Background: Informed consent is an important factor in a child’s moral structure from which different types of doctor–patient relationships arise. Children’s autonomy is currently under discussion in terms of their decent treatment, beyond what doctors and researchers perceive. To describe the influential practices that exist among clinicians and researchers toward children with chronic diseases during the process of obtaining informed consent. Methods: This was a cross-sectional, qualitative study via a subjective and interpretivist approach. The study was performed by conducting semi-structured interviews of 21 clinicians and researchers. Data analysis was performed using the SPSS version 21® and Atlas Ti version 7.0® programs. Results: The deliberative and paternalistic models were influential practices in the physician–patient relationship. In the deliberative model, the child is expected to have a moral awareness of their care. The paternalistic model determined that submission was a way of structuring the child because he or she is considered to be a subject of extreme care. Conclusions: The differentiated objectification [educational] process recognizes the internal and external elements of the child. Informed consent proved to be an appropriate means for strengthening moral and structuring the child.
publishDate	2020
dc.date.accessioned.none.fl_str_mv	2020-11-30T17:37:04Z
dc.date.available.none.fl_str_mv	2020-11-30T17:37:04Z
dc.date.issued.none.fl_str_mv	2020
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dc.type.spa.eng.fl_str_mv	Artículo científico
dc.identifier.issn.none.fl_str_mv	14726939
dc.identifier.uri.none.fl_str_mv	https://hdl.handle.net/20.500.12442/6830
dc.identifier.doi.none.fl_str_mv	https://doi.org/10.1186/s12910-020-00540-z
dc.identifier.url.none.fl_str_mv	https://bmcmedethics.biomedcentral.com/articles/10.1186/s12910-020-00540-z
identifier_str_mv	14726939
url	https://hdl.handle.net/20.500.12442/6830 https://doi.org/10.1186/s12910-020-00540-z https://bmcmedethics.biomedcentral.com/articles/10.1186/s12910-020-00540-z
dc.language.iso.eng.fl_str_mv	eng
language	eng
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dc.format.mimetype.eng.fl_str_mv	pdf
dc.publisher.eng.fl_str_mv	Springer Nature
dc.source.eng.fl_str_mv	Revista BMC Medical Ethics
dc.source.spa.fl_str_mv	Vol. 21, No. 122, (2020)
institution	Universidad Simón Bolívar
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spelling	Díaz-Pérez, Anderson1c41cfcd-6b03-4ec2-a737-8299ac90ad88Navarro Quiroz, Elkind586f4e1-e86b-4364-8aa2-1b1dc7c1bb5eAparicio Marenco, Dilia Esther60f2332f-cf1a-4c9d-a168-1008a48232842020-11-30T17:37:04Z2020-11-30T17:37:04Z202014726939https://hdl.handle.net/20.500.12442/6830https://doi.org/10.1186/s12910-020-00540-zhttps://bmcmedethics.biomedcentral.com/articles/10.1186/s12910-020-00540-zBackground: Informed consent is an important factor in a child’s moral structure from which different types of doctor–patient relationships arise. Children’s autonomy is currently under discussion in terms of their decent treatment, beyond what doctors and researchers perceive. To describe the influential practices that exist among clinicians and researchers toward children with chronic diseases during the process of obtaining informed consent. Methods: This was a cross-sectional, qualitative study via a subjective and interpretivist approach. The study was performed by conducting semi-structured interviews of 21 clinicians and researchers. Data analysis was performed using the SPSS version 21® and Atlas Ti version 7.0® programs. Results: The deliberative and paternalistic models were influential practices in the physician–patient relationship. In the deliberative model, the child is expected to have a moral awareness of their care. The paternalistic model determined that submission was a way of structuring the child because he or she is considered to be a subject of extreme care. Conclusions: The differentiated objectification [educational] process recognizes the internal and external elements of the child. Informed consent proved to be an appropriate means for strengthening moral and structuring the child.pdfengSpringer NatureAttribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Revista BMC Medical EthicsVol. 21, No. 122, (2020)AutonomyPaternalismDoctor–patient relationshipConsentInformed consent in minorsCapacityChildrenUnderstandingMoralPracticesPediatricsClinicalInvestigatorBiomedicalMoral structuring of children during the process of obtaining informed consent in clinical and research settingsinfo:eu-repo/semantics/articleArtículo científicohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_2df8fbb1Nuño Gutiérrez BL, Becerra Hernández JJ, San Martín AH, et al. Consideraciones éticas Para la investigación médica con adolescentes. Rev Médica Inst Mex Seguro Social. 1996;34(3):189–93.Sayoux AMG, Frometa TG. Aspectos Bioéticos en la Práctica de la Reumatología pediátrica su autonomía relación médico paciente. Rev Cuba Reumatol. 2003;1(1):36–40 February 12, 2016 [cited September 12, 2018]; 17. Available at: http://www.revreumatologia.sld.cu/index.php/reumatologia/ article/view/179.Sánchez Vázquez MJ. Ética e infancia: el niño Como sujeto moral; 2007. March 23, 2018 [cited October 05, 2019]; 17. Available at: https://www. redalyc.org/pdf/184/18401509.pdf.López MLS. Aspectos éticos de la investigación en salud en niños. Rev Colomb Bioét. 2014;9(1):183–96 March 20, 2016 [cited September 22, 2019]; 17. Available at: https://revistas.unbosque.edu.co/index.php/RCB/article/ view/754Nussbaum MC. Crear capacidades: propuesta Para el desarrollo humano 2012; 2018. [Cited August 22, 2019] Available at: https://www.casadellibro. com/libro-crear-capacidades-propuesta-para-el-desarrollo-humano/97884493 09885/1965734Pérez AD. 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Moral structuring of children during the process of obtaining informed consent in clinical and research settings

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