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Table 2 Critical appraisal of the normative ethical literature

From: A systematic review of the literature on ethical aspects of transitional care between child- and adult-orientated health services

  Does the article address a focused ethics question? Are the arguments that support the results of the article valid? What are the results? What are the conclusions of the paper’s ethical analysis and argument? Will the results help me in clinical practice?
Bailey et al. (2003) (33) Yes. In part: This paper is a commentary rather than a formal ethical analysis. Obstacles to effective transition are detailed and authors conclude that a formal transition program should be in place to promote autonomy and self-determination in the young person and the carer/family members. A little: Although statements about developing a more effective transition program are made, how this should be achieved is not operationalized.
Kaufman et al. (2010) (31) Yes. In Part: The authors drew on arguments, mixing differing ethical issues, theories (starting with a duties-based approach and ending with consequentialist outcomes) and principals. A number of ethical issues are identified, including dignity and respect, trust, graduated capacity, promoting autonomy, duties (including beneficence, non-maleficence, truth-telling, advocacy and providing developmentally-appropriate care) Yes: Numerous recommendations are made about how to act on the identified ethical issues.
Racine et al. (2014) (29) Yes Yes Four ethical considerations are identified: autonomy in transition; youth-provider relationships; development of ethics in transition programs; and the ethical challenges during transition among young people with neurodevelopmental disabilities. Yes. A paradigm of personalized transition is elucidated, including suggestions on how to overcome barriers.