Nurses' roles in informed consent in a hierarchical and communal context
Nurses' roles in informed consent in a hierarchical and communal context
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DOI：
10.1177/0969733012468467
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发表时间：
2013-06-01
期刊：
影响因子：
4.2
通讯作者：
Ekawati, Nora
中科院分区：
文献类型：
--
作者：
Susilo, Astrid P.;Van Dalen, Jan;Ekawati, Nora
虽然医疗程序知情同意的主要责任在于医生，但护士的作用也很重要，特别是作为患者的倡导者。护士在等级森严和公共文化环境中为这一角色所做的准备很少受到关注。我们探讨了医院管理者和护士对护士在知情同意中的角色以及影响这些角色的因素的看法。我们在印度尼西亚的一家私立多专科医院进行了一项定性研究。对七名经理进行了半结构化访谈。与护士（n = 27）进行了两轮焦点小组讨论。分析中采用了不断比较的方法。护士可以在知情同意过程中充当管理者、证人、信息提供者和倡导者。这些角色受到护士的准备情况、医院文化和政策、患者的理解、家庭参与和成本相关问题的影响。在准备这些任务时，护士应掌握沟通技巧、临床知识以及法律和道德知识。
Although the main responsibility for informed consent of medical procedures rests with doctors, nurses' roles are also important, especially as patient advocates. Nurses' preparation for this role in settings with a hierarchical and communal culture has received little attention. We explored the views of hospital managers and nurses regarding the roles of nurses in informed consent and factors influencing these roles. We conducted a qualitative study in a private, multispecialty hospital in Indonesia. Semi-structured interviews were conducted with seven managers. Two rounds of focus group discussions with nurses (n = 27) were conducted. Constant comparative approach was used in the analysis. Nurses can act as manager, witness, information giver, and advocate in the informed consent process. These roles are influenced by nurses' preparedness, hospital culture and policy, patients' understanding, family involvement, and cost-related issues. In preparation for these tasks, nurses should acquire communication skills, clinical knowledge, and legal and ethical knowledge.