Coyne Imelda, Harder Maria
School of Nursing & Midwifery, Trinity College Dublin, Ireland.
J Child Health Care. 2011 Dec;15(4):312-9. doi: 10.1177/1367493511406570. Epub 2011 Aug 9.
Children's participation in decision-making in the health care setting is complex because parents and health professionals tend to take a protective stance towards children to act in their best interest. Children prefer to be protected in some situations and to share decision-making in others. Adults in the health care setting need to consider children as individuals, rather than as a homogenous group, and take into account that a child's competence and preferences will depend on the circumstances in every situation. This article argues for a situational perspective of children's participation to act in the child's best interest and to balance protection with shared decision-making, according to children's rights and desires.
儿童参与医疗保健环境中的决策很复杂，因为家长和医疗专业人员倾向于采取保护立场，以儿童的最佳利益行事。儿童在某些情况下希望得到保护，而在其他情况下则希望参与决策。医疗保健环境中的成年人需要将儿童视为个体，而非同质化群体，并考虑到儿童的能力和偏好将取决于每种情况的具体情形。本文主张从情境角度看待儿童参与，以便根据儿童的权利和愿望，以儿童的最佳利益行事，并在保护与共同决策之间取得平衡。
