Write a paper reviewing a peer-reviewed article about an ethical need in the Pediatric setting. It can be home care, acute care, or general care.

The student will find the article. The instructor recommends search words such as: Ethics, Ethical care, Pediatric, Child, infant, adolescent, children, ethical issues, nursing care, etc., although the student may use other search words.  Find something of interest to you.

• Do not use more than one quote per six sentences.
• Upload a copy of the article.

Paper must include:

• Cover page in APA 7th edition
• In the Introduction, include:
  • What is an ethical dilemma?
  • What is the dilemma in this article?
  • What will be included in this paper (the thesis)?
• The body of the paper should include at least, but not limited to the following:
  • What is the ethical problem from the article you selected?
  • Provide a brief background to the problem
  • Describe the solution the writers implemented.
  • From the student’s point of view, what thoughts do you have regarding this problem and generalize about caring for client’s in the pediatric setting. (You may write this section in first person.)
• Write a conclusion, include:
  • A brief summary of the contents of the paper.
  • Final words of wisdom.

 

The fading boundary between the research and care in the pediatric patient.

Ethical Problem

Ethics are the moral standards that govern the behaviors and the decision-making of the individual and the organization. An ethical dilemma is arrived at when the standards and principles conflict with each other in decision-making. An ethical dilemma in pediatric nursing is when issues arise and the choice made is not ideal, or answers may not be clear. The moral dilemma is either to include the pediatric patients in the clinical studies and research practices or not (Byrjalsen et al., 2020).  This paper will discuss the ethical review of the ethical dilemma evidence in the chosen article, background information of the moral problem, the view on the dilemma presented in the article, and some recommendations.

Analysis of the Ethical Problem

To begin, the dilemma in the article is the “ethical consequences of the fading boundary between research and care from the perspective of parents and physicians." The dilemma is seen either to include the pediatric patients in the clinical trials or research practice. Such kind of study has led to the improvement in the outcome of pediatric patients since it resulted in supportive care and improved treatment by 75% (Byrjalsen et al., 2020). Many physicians are also doing lucrative research on pediatric oncology because the evidence found from the adult research cannot be generalized to the children, and the types of cancers found in children are scarce. Therefore to come out with proper management, systemic analysis, which are studies that increase the proportion of the children and are rising to solve the required needs for the direction of the pediatric management (Byrjalsen et al., 2020). Also, most cancer drugs are primarily for adult patients, and thus, getting appropriate dose children is very technical. Most children's drugs are given in international and national units that underline the treatment plan for the cancers in children. Besides using the fundamental protocols in pediatrics care and management, research studies also indicate some improvements in the treatment.

The writers implemented a need for high-quality research to ensure that the cancer drugs used in pediatric patients are safe and effective. The writers also supported that nurses should rely on the already available information generated from the adult patient for the cancer treatment in the patient. To ensure that safety and effectiveness are maintained therefore children should be involved in the clinical studies. The writers mention that involving children in clinical studies and scientific research may apply several ethical dilemmas to the patient, parents, and physicians. On the parents' side, there is no balance between the forces of interest. The parent cannot understand the boundary between the care and the research. It is challenging for the parents to believe that the study's treatment option will help improve the outcome of their children's health (Byrjalsen et al., 2020). Some parents are also afraid if they are not involved in the studies, and some parents may fear giving their children promising research because of the experimental nature that appears scary.

The writers also concluded that most parents are preoccupied with a misconception about some promising research and do not want to allow their children to get involved. The writers encouraged that the parents provide accurate information when their children participate in the promising research. Providing accurate information will thus enable the researcher to identify the pros and cons of the study (Miller et al., 2017).  The writers also implemented that the parents and the researchers should not focus on the therapeutic effects of the research but focus on the research purpose. The writers implemented that when a patient is included in a clinical trial will help the doctor to decide on the best medication for the patient. The pediatric nurses and physicians should ensure that they get involved in the trial participation.

I choose half to support that pediatric patients should be included in the clinical research practice and clinical studies. When the children are involved in the clinical studies and research, the nurses and the clinicians will come up with better management of the patients (Miller et al., 2017). Since most cancers are common in adults and the past studies mainly focused on adult participation, and thus the efficacy and the effectiveness of the drug on children are not easily identifiable.

As well, I feel children are considered as the vulnerable group. From an ethics point of view, the group of patients as the vulnerable groups should not be involved in experimental studies.  Some research and clinical studies have long-term effects that may affect children at later ages.  We suspect that children still have the longest time to live compared to the adults who have already lived their lives and may not be affected much compared to children's effects (Clinical research, 2017). Also, I think that children are still maturing. If the research is conducted on pediatric patients with cancer, the result may be accurate because the child is still growing.

Therapeutic misconceptions should be avoided. Pediatric nurses should ensure that they provide adequate health information to the parents to avoid misinformation on the clinical studies and research practice to ensure that the pediatric nurses identify the disadvantages and advantages of the research. The pediatric nurses should also understand the boundary between the purpose of the study and the therapeutic effects. According to Arnott, L., Martinez-Lejarreta (2020), nurses should educate the parents on the importance of research studies before they begin the studies on their children. Also, my view is that there may be a problem since the children are not involved. The children should be allowed to participate in the decision-making of either to be part of the studies.  Again, not applying them may not serve the patient's interest but the interest of the nurses and the parent.

Conclusion

Conclusively the ethical dilemma involving pediatric patients in oncology studies should be encouraged since it helps boost the health outcome of the children diagnosed with cancer. A lot of research should be conducted to develop better treatments for the patient and thus will help increase the safety and effectiveness of these cancer drugs.  I recommend that the researchers on oncology studies for children be encouraged. They should provide adequate information to the parents to ensure there is no misconception. The nurses should ensure that the pediatric patients have informed consent of the clinical trial and studies.

Concept Outline

1. Ethical Problem

The moral dilemma is either to include the pediatric patients in the clinical studies and research practices or not

2. Analysis of the Ethical Problem

1. The dilemma is seen either to include the pediatric patients in the clinical trials or research practice. Such kind of study has led to the improvement in the outcome of pediatric patients since it resulted in supportive care and improved treatment by 75%
2. The writers mention that involving children in clinical studies and scientific research may apply several ethical dilemmas to the patient, parents, and physicians.
3. The writers also concluded that most parents are preoccupied with a misconception about some promising research and do not want to allow their children to get involved
4. The writers also implemented that the parents and the researchers should not focus on the therapeutic effects of the research but focus on the research purpose.