Adolescents’ health choices related rights, duties and responsibilities: An integrative review

Moilanen, Tanja; Pietilä, Anna‐Maija; Coffey, Margaret; Kangasniemi, Mari

doi:10.1177/0969733016654316

Cited by 13 publications

(22 citation statements)

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“…In the first phase, the prerequisites for using semi‐structured interviews were identified, which were chosen because they were suitable for studying perceptions of complex issues that participants were not used to talking about. In the second phase, we gained a comprehensive understanding of the research subject using previous knowledge . In the third phase, we formulated the preliminary interview guide, which consisted of themes and questions related to rights, duties and responsibilities in relation to health choices (Table ).…”

Section: Methodsmentioning

confidence: 99%

“…Adolescents’ rights, duties and responsibilities in relation to their health choices are justified , and their importance is undeniable . However, there have been very few previous studies in this area , and there is a lack of understanding about adolescents’ lived experiences of the ethical point of views of their health choices . Therefore, there is a need to focus on how adolescents’ feel about their rights , duties and responsibilities in relation to health choices.…”

Section: Introductionmentioning

confidence: 99%

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Adolescents’ lived experiences of making health choices: an ethical point of view

Moilanen

Pietilä

Coffey

et al. 2017

Scandinavian Caring Sciences

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This study describes and interprets adolescents' lived experiences of their rights, duties and responsibilities in relation to their health choices. Fourteen focus group interviews with 67 adolescents aged 15 and 16 were conducted and analysed using the phenomenological hermeneutical method. Adolescents' lived experiences of their rights in relation to their health choices were described as things that were allowed. Duties and responsibilities were perceived as something that they were required to carry out for their own health or other people's health. Although their experiences of rights, duties and responsibilities overlapped, they referred to different aspects of their health choices. Adolescents viewed their rights, duties and responsibilities in the wider context, with parents and society defining their opportunities to make independent choices. We found that ethical considerations influenced adolescents' choices and, the opportunities to exercise their rights, duties and responsibilities varied. Further consideration and recognition of these issues are needed.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Adolescents’ lived experiences of making health choices: an ethical point of view

Moilanen

Pietilä

Coffey

et al. 2017

Scandinavian Caring Sciences

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show abstract

Section: Introductionmentioning

confidence: 99%

“…Previous studies have disregarded the ethical reasons behind health choices, which focus on rights, duties and responsibilities 40 . Definitions of these important values 11,19,31,41,42 vary, or are missing, and there are no existing tools to measure adolescents´ perceptions of their health choices with regard to their rights, duties and responsibilities 40 . Clearer definitions of adolescents´ rights, duties and responsibilities could help us to understand the topic 43 and how it influences the way healthcare and society see adolescents and the ethical basis of their health choices 44 .…”

Section: Introductionmentioning

confidence: 99%

Developing a scale: Adolescents’ health choices related rights, duties and responsibilities

Moilanen¹,

Pietilä

Coffey

et al. 2019

Nurs Ethics

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Background: Adolescents’ health choices have been widely researched, but the ethical basis of these choices, namely their rights, duties, and responsibilities, have been disregarded and scale is required to measure these. Objective: To describe the development of a scale that measures adolescents’ rights, duties, and responsibilities in relation to health choices and document the preliminary scale testing. Research design: A multi-phase development method was used to construct the Health Rights Duties and Responsibilities ( HealthRDR) scale. The concepts and content were defined through document analysis, a systematic literature review, and focus groups. The content validity and clarity of the items were evaluated by expert panel of 23 adolescents, school nurses, and researchers. We calculated the content validity index and the content validity ratio at on item and scale levels. Preliminary testing was conducted with 200 adolescents aged 15–16 years. Descriptive statistics, Cronbach’s alpha correlation, and statistics for the item-analysis were calculated. Ethical considerations: Ethical approval and permission were obtained according to national legislation and responsible research practice was followed. Informed consent was obtained from the participants and the parents were informed about the study. Findings: The Health Rights Duties and Responsibilities scale comprises of four sub-scales with 148 items: 15 on health choices, 36 on rights, 47 on duties, and 50 on responsibilities. The items had a 0.93 content validity index and a 0.85 content validity ratio. Cronbach’s alpha correlation coefficient was 0.99 for the total scale and the individual sub-scales scores were health choices (0.93), rights (0.97), responsibilities (0.99), and duties (0.98). Discussion: The findings are discussed in light of the ethical concepts and validity and reliability of the developed scale. Conclusion: The Health Rights Duties and Responsibilities scale defines and understands adolescents’ rights, duties, and responsibilities in relation to health choices and has good content validity. Further testing and refinement of the concepts are needed.

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“…Nuorten terveysvalintoja koskeva aikaisempi tutkimus on kohdistunut terveyskäyttäytymiseen, terveyteen liittyviin arvoihin, terveyskäsityksiin sekä laajemmin terveyden edistämiseen. Terveysvalintoihin liittyviä oikeuksia, vastuita ja velvollisuuksia on tarkasteltu aikuisten näkökulmasta, mutta tieto nuorten käsityksistä puuttuu(34). Koska nuoruus on terveysvalintojen suhteen eri-…”

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Nuorten terveysvalintoihin liittyvät oikeudet, velvollisuudet ja vastuu

Moilanen¹

2019

SLA

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Adolescents’ health choices related rights, duties and responsibilities: An integrative review

Abstract: Research into adolescents' health choices in relation to their rights, duties and responsibilities is still methodologically fragmented. In future, more research is needed to support adolescents' health promotion initiatives and increase their involvement opportunities.

Cited by 13 publications

References 50 publications

Adolescents’ lived experiences of making health choices: an ethical point of view

Adolescents’ lived experiences of making health choices: an ethical point of view

Developing a scale: Adolescents’ health choices related rights, duties and responsibilities

Nuorten terveysvalintoihin liittyvät oikeudet, velvollisuudet ja vastuu

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