Informed consent process for emergency surgery: A scoping review of stakeholders' perspectives, challenges, ethical concepts, and policies.
Informed consent process for emergency surgery: A scoping review of stakeholders' perspectives, challenges, ethical concepts, and policies.
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DOI：
10.1177/20503121231176666
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发表时间：
2023
影响因子：
2.3
通讯作者：
中科院分区：
文献类型：
--
作者：
从患者、近亲、急诊工作人员和可用的指导政策的角度对急诊手术知情同意程序的文献进行范围回顾。概述紧急手术的知情同意程序；从患者、急救人员和近亲的角度提出的挑战；指导紧急手术的知情同意的政策；并确定任何可能指导这一领域进一步调查的知识差距。我们检索了谷歌学者、PubMed/MEDLINE数据库以及谢里登图书馆和韦尔奇医学图书馆，时间从1990年到2021年。我们包括用英语发表的期刊文章，不包括未经同行评审的期刊文章、未发表的手稿和会议摘要。讨论的主题包括紧急手术同意、伦理和理论概念、利益相关者的看法、挑战和关于紧急手术的政策。文章由三名独立审查员进行审查，以确定相关性。在检索到的65篇文章中，包括18篇文章。在审查的18篇文章中，5篇涉及紧急知情同意，9篇涉及利益相关者的观点，7篇涉及紧急知情同意的挑战，3篇涉及紧急知情同意的伦理和理论概念，3篇涉及紧急手术知情同意的政策。急诊手术知情同意程序满意度不高。同意能力受损和时间有限是一个挑战。政策建议，知情同意不应延误挽救生命的紧急护理，必须维护患者的最大利益。
A scoping review of literature about the informed consent process for emergency surgery from the perspectives of the patients, next of kin, emergency staff, and available guiding policies. To provide an overview of the informed consent process for emergency surgery; the challenges that arise from the perspectives of the patients, emergency staff, and next of kin; policies that guide informed consent for emergency surgery; and to identify any knowledge gaps that could guide further inquiry in this area. We searched Google Scholar, PubMed/MEDLINE databases as well as Sheridan Libraries and Welch Medical Library from 1990 to 2021. We included journal articles published in English and excluded non-peer-reviewed journal articles, unpublished manuscripts, and conference abstracts. The themes explored were emergency surgery consent, ethical and theoretical concepts, stakeholders’ perceptions, challenges, and policies on emergency surgery. Articles were reviewed by three independent reviewers for relevance. Of the 65 articles retrieved, 18 articles were included. Of the 18 articles reviewed, 5 addressed emergency informed consent, 9 stakeholders’ perspectives, 7 the challenges of emergency informed consent, 3 ethical and theoretical concepts of emergency informed consent, and 3 articles addressed policies of emergency surgery informed consent. There is poor satisfaction in the informed consent process in emergency surgery. Impaired capacity to consent and limited time are a challenge. Policies recommend that informed consent should not delay life-saving emergency care and patient’s best interests must be upheld.
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影响因子：
2.7
作者：
Lawton, J.;Hallowell, N.;Denison, F. C.
通讯作者：
Denison, F. C.
影响因子：
2.4
作者：
Li, Fay Xiangzhen;Nah, Shireen Anne;Low, Yee
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Low, Yee
影响因子：
--
作者：
Bernat, JL;Peterson, LM
通讯作者：
Peterson, LM
影响因子：
6.2
作者：
BORAK, J;VEILLEUX, S
通讯作者：
VEILLEUX, S
影响因子：
1.9
作者：
Degerliyurt, Kagan;Gunsolley, John C.;Laskin, Daniel M.
通讯作者：
Laskin, Daniel M.