Preference matters: Knowledge of beneficiary's preference influences children's evaluations of the act of leaving a choice for others.

People value indirect prosocial actions that benefit others as byproducts of self-oriented actions. One example of such an action is the act of leaving a choice for others when selecting an item for oneself. In this study, we investigated how knowledge of the beneficiary's preference may influence children's evaluations of such actions. Children (n = 91, 4- to 10-year-olds) and adults (n = 43) were asked to evaluate characters taking a snack for themselves from a set of three items-two identical items and one unique item-in a way that either leaves a choice (two different items) or leaves no choice (two identical items) for the next person (the beneficiary). The beneficiary's preference was systematically manipulated as unknown, preferring the unique item, or preferring the item of which there are two. We found notable developmental changes: Children as young as 4 years of age understand that it is nicer not to take away the only thing others prefer; with age, children increasingly appreciate the value of leaving a diverse choice when the beneficiary's preference is unknown; however, when the beneficiary clearly prefers the item of which there are two, children increasingly think that it is nicer to leave two identical but preferred items than to leave a diverse choice. These findings reveal increasing flexibility and subtlety in children's social evaluation of indirect prosocial actions; their evaluation develops from a mere understanding of the value of preference to a flexible appreciation of both preference and choice.

Choosing Among Undesirable Options: Children Consider Desirability of Available Choices in Evaluation of Socially Mindful Actions.

Previous studies show that adults and children evaluate the act of leaving a choice for others as prosocial, and have termed such actions as socially mindful actions. The current study investigates how the desirability of the available options (i.e., whether the available options are desirable or not) may influence adults' and children's evaluation of socially mindful actions. Children (N = 120, 4- to 6-year-olds) and adults (N = 124) were asked to evaluate characters selecting items for themselves from a set of three items-two identical items and one unique item-in a way that either leaves a choice (two diverse items) or leaves no choice (two identical items) for the next person (i.e., the beneficiary). We manipulated whether the available options were either desirable or undesirable (i.e., damaged). We found that adults' and 6-year-olds' evaluation of socially mindful actions is moderated by the desirability of the options. Although they evaluate the act of leaving a choice for others as nicer than the act of leaving no choice both when the choosing options are desirable and when they are undesirable, the discrepancy in the evaluation becomes significantly smaller when the choosing options are undesirable. We also found that inference of the beneficiary's feeling underlies social evaluation of the actor leaving a choice (or not). These findings suggest that children consider both the diversity of options left and the desirability of the available options in understanding and evaluating socially mindful acts.

Formal Quality and Compliance of Informed Consent Forms in Critical Care and Surgical Areas in Spain: An Observational Study.

(1) Background: The informed consent form must contain all the relevant information about the procedure to be performed to guarantee the patient's freedom to choose. (2) Objective: To analyze the formal quality of, and compliance with informed consent forms in critical care and surgical areas in a county hospital in Spain. (3) Methods: The formal quality of informed consent forms in critical care and surgical areas from the hospital were analyzed, following the established formal quality criteria for informed consent forms. The compliance with specific criteria for each of the operated patients during the period of study was also evaluated. (4) Results: The formal quality of 224 informed consent forms was analyzed from 8 disciplines observing a median of non-compliances of 4 with a minimum of 1 and a maximum of 5, with the most breaches being in verifying the delivery of a copy to the patient and showing contraindications. The compliance of 376 documents from 188 operated patients were assessed, highlighting that the non-complied items were: the personalized risks and complete identification of the patient and the physician. A significant association was found between disciplines analyzed and the identification of the physician and personalized risks, with anesthesia and critical care showing the best compliance. (4) Conclusions: The informed consent forms in critical care and surgical areas were shown to have a deficient formal quality and an inadequate compliance. These deficiencies should be corrected to improve the information received by the patients and to guarantee their freedom to choose. As nurses have a responsibility to ensure that patients are adequately informed about both nursing interventions and care, as well as the surgical treatments they receive, consideration should be given to the possibility of nursing professionals taking the lead in obtaining informed consent.