title: Ethics and shared decision-making in paediatric occupational therapy practice.
abstract: BACKGROUND
  Sharing information and decisions with children and their parents is critical in pediatric rehabilitation. Although the ethical significance and clinical benefits of sharing decisions are established, approaches for implementing shared decision-making in clinical practice are still developing.
  
  
  OBJECTIVE
  To explore the ethical challenges of sharing information and decisions with one family in pediatric occupational therapy.
  
  
  METHODS
  We used a single qualitative in-depth interview with an occupational therapist to examine the ethical dimensions of sharing decisions.
  
  
  RESULTS
  We found that asking what was ethically at stake in the information-sharing process, highlighted how timing and style of information sharing impacts on understanding and collaboration within the therapeutic relationship. Using ethics-based questions assisted in drawing out the complexity of implementing the ideals of sharing information and decisions in pediatric practice.
  
  
  CONCLUSIONS
  Reflecting on ethical dimensions of communication with families assists to identify approaches to shared decision-making in clinical practice.
authors.affiliation: The Children's Bioethics Centre, The Royal Children's Hospital Melbourne , Parkville, Melbourne, VIC , Australia .
authors.forename: Clare
authors.initials: C
authors.lastname: Delany
authors.forename: Jane
authors.initials: J
authors.lastname: Galvin
mesh_terms: D002648:Child; D003142:Communication; D003657:Decision Making / Q000941:ethics*; D006429:Hemiplegia / Q000534:rehabilitation; D006801:Humans; D009788:Occupational Therapy / Q000941:ethics* / Q000458:organization & administration*; D010290:Parents; D011369:Professional-Patient Relations
keywords: Clinical ethics; occupational therapy; pediatrics; shared decision-making