Centre for Trials Research, Cardiff University, Cardiff, Wales.
Nurs Older People. 2021 Mar 30;33(2):26-31. doi: 10.7748/nop.2020.e1267. Epub 2020 Oct 21.
Research is important because it underpins evidence-based care. However, people who lack capacity to consent are often excluded from research, due partly to ethical concerns and practical challenges, and partly to a lack of awareness among professionals of the legal framework that supports their inclusion. The COVID-19 pandemic, which has extensively affected care home residents, has reinforced the importance of including older people with cognitive impairment in research. Nurses who care for older people with impaired cognition have an important role in ensuring these people have the opportunity to contribute to and benefit from research. This article discusses some of the challenges associated with the inclusion in research of older people who lack capacity to consent, including the involvement of relatives and friends in decision-making. The article describes the findings of recent research and shares resources with the aim of supporting nurses to ensure that older people in their care who lack capacity can participate in research.
研究很重要，因为它是循证护理的基础。然而，由于伦理问题和实际挑战，以及专业人员对支持其纳入的法律框架缺乏认识，往往将没有能力同意的人排除在研究之外。COVID-19 大流行广泛影响了养老院居民，这加强了将认知障碍的老年人纳入研究的重要性。照顾认知障碍老年人的护士在确保这些人有机会参与研究并从中受益方面发挥着重要作用。本文讨论了与将没有能力同意的老年人纳入研究相关的一些挑战，包括亲属和朋友参与决策的问题。本文描述了最近研究的结果，并分享了资源，旨在支持护士确保他们照顾的没有能力的老年人能够参与研究。
