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The parental role is needed to offer extra protection by creating the context for the child's competent decision-making and by facilitating the child's long term autonomy.
The script concordance test (SCT) was designed to probe whether the organization of knowledge networks allows for competent decision-making processes [ 3].
While it is difficult to assess to what extent knowledge and beliefs reflect actual behaviour, domain-specific knowledge is an important component of competent decision-making [ 61].
An explanation might be that children at a certain age have the required capacities, and competent decision-making is possible when information provision is of good quality.
Furthermore, new developments in neuropsychiatry may contribute to the understanding of the functioning of specific brain regions or connections that promote competent decision-making.
In the other words, competent decision-making is more than the simple application of theoretical knowledge or performing technical skills, but it requires integrating knowledge, skills and experiences and also a close relationship to the patients to make a deep "understanding of the clinical picture" [ 4] or "seeing the big picture" [ 17].
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The ratings provide the assessing clinician with a structured overview of the capacities needed for competent decision making.
In principle, risk assessment is to be carried out by competent national decision-making authorities.
Competent clinical decision-making is a complex and critical process[ 1] and leaders in graduate medical education have long sought to hone residents' decision-making skills [ 2].
This then selects for leaders who are overconfident, but not necessarily competent in their decision-making (Van Vugt and Ronay, 2014).
To be effective in end-of-life care, physicians must also have a broad conceptualization of end-of-life care and the legal issues that support it [ 1] and they must be competent in communication, decision-making and relation-building skills [ 2].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com