Lingler Jennifer Hagerty, Jablonski Rita A, Bourbonniere Meg, Kolanowski Ann
Department of Health and Community Systems, University of Pittsburgh School of Nursing, Pennsylvania 15261, USA.
Res Gerontol Nurs. 2009 Jul;2(3):153-61. doi: 10.3928/19404921-20090428-03. Epub 2009 May 29.
Informed consent to nursing home research is a two-tiered process that begins with obtaining the consent of a long-term care community at the institutional level and progresses to the engagement of individuals in the consent process. Drawing on a review of the literature and the authors' research experiences and institutional review board service, this article describes the practical implications of nurse investigators' obligation to ensure informed consent among participants in long-term care research. Recommendations focus on applying a community consent model to long-term care research, promoting an evidence-based approach to the protection of residents with decisional impairment, and increasing investigators' attention to ethical issues involving long-term care staff.
养老院研究的知情同意是一个分两个层次的过程，首先是在机构层面获得长期护理社区的同意，然后推进到让个人参与同意过程。基于对文献的回顾以及作者的研究经验和机构审查委员会服务，本文描述了护士研究人员有义务确保长期护理研究参与者获得知情同意的实际意义。建议集中在将社区同意模式应用于长期护理研究、推广基于证据的方法来保护有决策障碍的居民，以及提高研究人员对涉及长期护理工作人员的伦理问题的关注。
