Children's ages of consent to non‐urgent heart surgery: The views of two paediatric cardiology teams

Author:

Alderson Priscilla1ORCID,Bellsham‐Revell Hannah2,King Liz3,Vigneswaran Trisha2,Wray Jo4

Affiliation:

1. Social Research Institute, University College London London UK

2. Evelina London Children's Hospital, Guys and St Thomas NHS Trust London London UK

3. School of Health Wellbeing and Social Care Open University Milton Keynes UK

4. Great Ormond Street Children's Hospital London UK

Abstract

AbstractPaediatric cardiology practitioners and related experts report unusually young ages when they begin to inform children about their non‐urgent heart surgery and begin to respect children's consent or refusal. Research methods included observations in two paediatric cardiology units, audio‐recorded interviews with 45 experts, and qualitative data analysis. Significantly younger ages were cited than are usually recommended in the clinical and legal literature. Interviewed practitioners took seriously children's consent to or refusal of a heart transplant from around 6 years, and a child's firm refusal of induction of anaesthesia from around 4 years, when surgery might be postponed.

Funder

British Heart Foundation

Publisher

Wiley

Subject

Life-span and Life-course Studies,Education,Health (social science)

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