Exploring Distinct Profiles in Paediatric Bioethics. An Analysis of Proactive and Reactive Approaches by Adults
Anno:
2025
Tipologia prodotto:
Articolo in Rivista
Tipologia ANVUR:
Articolo su rivista
Lingua:
Inglese
Formato:
Elettronico
Referee:
Sì
Nome rivista:
CHILDREN (BASEL)
ISSN Rivista:
2227-9067
N° Volume:
12
Numero o Fascicolo:
120
Intervallo pagine:
1-14
Parole chiave:
Bioethics; Children; End of Life; Medical Ethics; Paediatric Bioethics; Palliative Care; Questionnaire; Survey
Breve descrizione dei contenuti:
Background/Objectives: The field of paediatric bioethics addresses ethical issues
in paediatric care, where parental authority often guides medical decisions, but children’s
preferences should also be considered. Promoting ethical awareness among minors can
help them understand complex issues. This study aimed to analyse how sociodemographic,
educational, and experiential factors shape adult perspectives on paediatric bioethical
issues, particularly concerning pain and death. Methods: A questionnaire was developed
to collect adult views of bioethical issues. The online questionnaire was disseminated via email
or WhatsApp. It started with an initial group of known individuals and then expanded
hierarchically to include contacts of friends. Participants completed an online questionnaire,
and data were analysed using SPSS version 22.0 forWindows. Clustering analysis identified
two distinct groups. Results: This research focused on Italian adults (N = 889) aged 18
and over. Cluster 1, predominantly female (78.3%) and more highly educated (38.6%
with postgraduate degrees), exhibited greater experience with paediatric bioethical issues
(81.1%). This group favoured a collaborative approach, supporting shared training among
adults (92.3%) and advocating for gradually addressing bioethical issues during childhood
(84.3%). Cluster 2, with a higher proportion of males (31.5%) and parents (75.1%), showed
lower educational levels (3.0% with middle school education) and less experience with
bioethical concerns (93.5%). This group preferred a reactive, situation-specific approach to
these issues. Conclusions: This study showed two distinct adult profiles regarding how
they approach paediatric bioethics. The first group adopts a preventive and collaborative
strategy, while the second group is more reactive and situation-driven. These findings can
guide the development of tailored educational programmes to improve discussions about
sensitive topics such as pain, incurability, and death in paediatric care.