Evans Katharine, Warner James, Jackson Elizabeth
Emergency Department, Royal Cornwall Hospital, Truro, Cornwall, UK.
Emerg Med J. 2007 Jun;24(6):391-3. doi: 10.1136/emj.2006.041293.
To assess knowledge of capacity and consent among emergency healthcare workers.
A cross-sectional survey with a structured questionnaire.
86 questionnaires were distributed and completed by 42 accident and emergency doctors, 21 accident and emergency nurses, and 23 emergency ambulance staff. Correct answers on assessing capacity to consent to or refuse treatment were given by 67% of the doctors and 10% of the nurses, but by none of the ambulance workers. 15% of all respondents wrongly believed that an adult who is found to have capacity can lawfully be treated against his or her will.
The results of this study indicate that emergency healthcare workers do not have adequate knowledge about how to assess capacity and treat people who either refuse treatment or lack capacity. It shows a need for further training among doctors, nurses and ambulance staff working in the emergency setting.
评估急救医护人员对行为能力和同意权的认知。
采用结构化问卷进行横断面调查。
分发了86份问卷，由42名急诊医生、21名急诊护士和23名急救车工作人员填写并完成。67%的医生和10%的护士正确回答了关于评估同意或拒绝治疗的行为能力的问题，但急救车工作人员无人答对。所有受访者中有15%错误地认为，被认定有行为能力的成年人可以在其违背意愿的情况下被合法治疗。
本研究结果表明，急救医护人员对如何评估行为能力以及如何治疗拒绝治疗或无行为能力的人缺乏足够的认知。这表明在急诊环境中工作的医生、护士和急救车工作人员需要进一步培训。
