Integrating Public Health Ethics into Shared Decision Making for Children During the Novel Coronavirus Disease-19 Pandemic

Patel, Angira; Feltman, Dalia M.; Paquette, Erin Talati

doi:10.1016/j.jpeds.2020.11.061

Cited by 4 publications

(3 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Restricting visitation is necessary from a public health perspective but can have unintended but deleterious consequences [ 28 ] as patients and their families are in a state of heightened psychological distress owing to the lethality of the SARS-CoV-2 virus [ 29 ]. In line with existing literature, we identified that patients are isolated and distressed and restricted families are having to navigate the shared decision-making process differently [ 30 , 31 ]. The COVID-19 pandemic has also placed a heavy toll on healthcare professionals, who grappled with fatigue while navigating unfamiliar virtual modalities (to connect competent patients with their loved ones), cared for their own colleagues who fell ill, and comforted dying, isolated patients [ 32 ].…”

Section: Discussionsupporting

confidence: 64%

Restricted visitation policies in acute care settings during the COVID-19 pandemic: a scoping review

et al. 2021

View full text Add to dashboard Cite

Background Restricted visitation policies in acute care settings because of the COVID-19 pandemic have negative consequences. The objective of this scoping review is to identify impacts of restricted visitation policies in acute care settings, and describe perspectives and mitigation approaches among patients, families, and healthcare professionals. Methods We searched Medline, Embase, PsycINFO, Healthstar, CINAHL, Cochrane Central Register of Controlled Trials on January 01/2021, unrestricted, for published primary research records reporting any study design. We included secondary (e.g., reviews) and non-research records (e.g., commentaries), and performed manual searches in web-based resources. We excluded records that did not report primary data. Two reviewers independently abstracted data in duplicate. Results Of 7810 citations, we included 155 records. Sixty-six records (43%) were primary research; 29 (44%) case reports or case series, and 26 (39%) cohort studies; 21 (14%) were literature reviews and 8 (5%) were expert recommendations; 54 (35%) were commentary, editorial, or opinion pieces. Restricted visitation policies impacted coping and daily function (n = 31, 20%) and mental health outcomes (n = 29, 19%) of patients, families, and healthcare professionals. Participants described a need for coping and support (n = 107, 69%), connection and communication (n = 107, 69%), and awareness of state of well-being (n = 101, 65%). Eighty-seven approaches to mitigate impact of restricted visitation were identified, targeting families (n = 61, 70%), patients (n = 51, 59%), and healthcare professionals (n = 40, 46%). Conclusions Patients, families, and healthcare professionals were impacted by restricted visitation polices in acute care settings during COVID-19. The consequences of this approach on patients and families are understudied and warrant evaluation of approaches to mitigate their impact. Future pandemic policy development should include the perspectives of patients, families, and healthcare professionals. Trial registration: The review was registered on PROSPERO (CRD42020221662) and a protocol peer-reviewed prior to data extraction.

show abstract

Section: Discussionsupporting

confidence: 64%

Restricted visitation policies in acute care settings during the COVID-19 pandemic: a scoping review

et al. 2021

View full text Add to dashboard Cite

show abstract

“…25 Any long-term strategy for control of COVID-19 will need to include plans for universal vaccination of children with the involvement of pediatric health care providers. 26 One also needs to consider many of the challenges to the logistics of trying to vaccinate most of the domestic and global population. Moderna has never had an approved vaccine before, and neither has BioNTech.…”

Section: What Comes Next? Is the Pandemic Over?mentioning

confidence: 99%

The COVID-19 mRNA Vaccines and the Pandemic: Do They Represent the Beginning of the End or the End of the Beginning?

Jhaveri

2021

Clinical Therapeutics

View full text Add to dashboard Cite

In December 2020, the US Food and Drug Administration issued emergency use authorizations for two mRNA vaccines against coronavirus disease 2019. These vaccines represent an incredible scientific achievement and a major step in efforts to bring the global pandemic to a close. However, these vaccines create many logistical challenges that limit just how far-reaching their impact can be. This commentary reviews how these vaccines offer immunity, summarizes the Phase III trial results, and offers a discussion of the challenges that remain after these vaccines are introduced for widespread use.

show abstract

“…However, different countries have different rules for the need to adolescents' consent for vaccination. Nonetheless, physicians can have a supportive role in helping them decide, as they can consult, give information and transparent the benefits of being vaccinated against SARS‐CoV‐2, encouraging the adolescent to consent voluntarily 67 …”

Section: Introductionmentioning

confidence: 99%

COVID‐19 vaccination in children as a global dilemma through an ethical lens: A retrospective review

Assadi

Kiani

Gooshki

et al. 2022

Health Science Reports

View full text Add to dashboard Cite

Background and Aims COVID‐19 pandemic led to a need to rapidly vaccinate as many people as possible. Children are an important part of the population with different characteristics which vaccinating them is a matter of great importance as it should be decided considering all aspects and ethics. Here, we present different aspects of COVID vaccination in children including the potential challenges. Methods We searched on PubMed, Google Scholar and Scopus in this regard, and all of the relevant papers published until June 28, 2021 were included if we could access their full‐texts. Results We found various expert opinions in this regard and tried to summarized them. Saving lives has similar ethical value as preventing evitable adverse event. Accordingly, mandating the children to receive the SARS‐CoV‐2 vaccine, needs risk‐benefit weighing with special consideration of ethical challenges. Conclusion Considering the vast range of benefits resulted from pediatric vaccination both for the children and the community, implementing the program in a scientific manner and also with the least financial expenses for the families seems to be reasonable and makes it both ethical and moral.

show abstract

Integrating Public Health Ethics into Shared Decision Making for Children During the Novel Coronavirus Disease-19 Pandemic

Cited by 4 publications

References 28 publications

Restricted visitation policies in acute care settings during the COVID-19 pandemic: a scoping review

Restricted visitation policies in acute care settings during the COVID-19 pandemic: a scoping review

The COVID-19 mRNA Vaccines and the Pandemic: Do They Represent the Beginning of the End or the End of the Beginning?

COVID‐19 vaccination in children as a global dilemma through an ethical lens: A retrospective review

Contact Info

Product

Resources

About