98464Oxford Brookes University Faculty of Health and Life Sciences, Oxford, UK.
Nurs Ethics. 2022 Aug;29(5):1244-1252. doi: 10.1177/09697330221095148. Epub 2022 Jun 20.
Informed consent prior to nursing care procedures is an established principle which acknowledges the right of the patient to authorise what is done to him or her; consent prior to nursing care should not be assumed. Nursing care procedures have the potential to be unwanted by the patient and hence require an appropriate form of authorisation that takes into consideration the relationship between the nurse and patient and the ongoing nature of care delivery.
How do nurses obtain consent from patients prior to nursing care?.
Critical incident technique and the collection of critical happenings.
17 participants who were all qualified nurses took part in in-depth interviews.
Ethical approval was obtained from the university ethics committee.
Information giving is a key component prior to nursing care procedures. Nurses provide information to patients as a routine aspect of care delivery, and do so even when the patient is unable to communicate themselves. Whilst some participants described how information giving might be rushed or overlooked at times, it is clearly an established part of nursing care and is provided to ensure the patient knows what to expect when care is delivered. What is less clear is the extent to which information is given in order to seek the consent - rather than merely inform the patient - about nursing care.
Implied consent is often an appropriate way in which consent is obtained prior to nursing care procedures. It takes into account the ongoing care provision and the relationship that exists between the nurse and patient. However implied consent should not be assumed. Nurses need to ensure that information is given not only to inform the patient about a procedure but to enable the patient to give his or her consent and to find an alternative way forward if the patient withholds their consent.
在护理程序之前获得知情同意是一项既定原则，承认患者有权授权对其进行的操作；不应假定患者会同意护理。护理程序有可能不受患者欢迎，因此需要一种适当的授权形式，要考虑到护士和患者之间的关系以及护理提供的持续性。
护士如何在提供护理之前获得患者的同意？
关键事件技术和关键事件的收集。
所有 17 名参与者均为合格护士，他们参加了深入访谈。
已从大学伦理委员会获得伦理批准。
信息提供是护理程序之前的关键组成部分。护士将信息作为护理提供的常规方面提供给患者，即使患者无法自行交流也是如此。虽然有些参与者描述了信息提供有时可能会匆忙或被忽视，但这显然是护理的一个既定部分，是为了确保患者在接受护理时知道会发生什么。不太清楚的是，在多大程度上提供信息是为了寻求对护理的同意——而不仅仅是通知患者——。
在提供护理程序之前，默示同意通常是获得同意的一种适当方式。它考虑到了持续的护理提供以及护士和患者之间存在的关系。但是不应假定默示同意。护士需要确保不仅提供信息以使患者了解程序，而且能够使患者同意并在患者拒绝同意时找到替代方法。
