McParland J, Scott P A, Arndt M, Dassen T, Gasull M, Lemonidou C, Valimaki M, Leino-Kilpi H
Department of Nursing and Midwifery, University of Stirling.
Br J Nurs. 2000;9(10):660-5. doi: 10.12968/bjon.2000.9.10.6280.
In this, the last in a three-part series considering how the concepts of autonomy, privacy and informed consent are articulated in nursing and the related literature, the authors focus on the notion of consent. Definitions of consent are considered, as are the legal elements of valid consent. Obtaining a patient's consent to treatment has several important functions. This article looks at some of these functions, such as safeguarding patient autonomy and encouraging patient participation in health care. Finally, a number of the difficulties in obtaining an informed consent from patients are considered. Some empirical studies which consider patients' understanding of the information and consent process are also discussed. From a review of the literature it appears that the issue of informed consent is very much tied up with the perceived power struggle between doctors and nurses and doctors and their patients.
在这篇文章中，作为探讨自主性、隐私和知情同意概念如何在护理及相关文献中阐述的系列文章三部曲的最后一篇，作者聚焦于同意的概念。文中不仅探讨了同意的定义，还涉及有效同意的法律要素。获取患者对治疗的同意具有多项重要功能。本文将审视其中一些功能，比如维护患者自主性以及鼓励患者参与医疗保健。最后，还会考虑在获取患者知情同意过程中存在的一些困难。文中也会讨论一些关于患者对信息及同意过程理解情况的实证研究。从文献综述来看，知情同意问题似乎与医生和护士之间以及医生和患者之间所察觉到的权力斗争紧密相关。
