Zahra Charmaine, Kobua Motheo, Kovic Živa, Fogarty Mary, Buckley Catherine, Murphy Jane, Walshe Julie, Zambra Paul, Byrne Declan, Geary Una, Ward Marie E
Quality and Safety Improvement Directorate, St James's Hospital, Dublin 8, Ireland.
School of Medicine, Trinity College Dublin, Dublin 2, Ireland.
Ir J Med Sci. 2025 May 2. doi: 10.1007/s11845-025-03952-1.
In healthcare, consent refers to the act of granting permission or agreement for treatment and care, investigation, receiving or utilising a service, or participating in research or teaching. Consent should be an ongoing process that involves clear communication about the proposed intervention, including its nature, benefits, and potential risks.
This survey-based study gathered experiences from junior doctors and nurses in a large acute teaching hospital about current consent practices and suggestions for improvement.
Two surveys were developed and distributed to junior doctors in 2022 and nurses in 2023.
The response rate for junior doctors (n = 58) was 21% (interns) and 57% (senior house officers) and 10% of the total nursing population responded (n = 184). Descriptive statistics and content analysis were used to analyse the results. Both junior doctors and nursing professionals believed there were areas for improvement in terms of consent processes and practices including in relation to better information for patients and more education and training for healthcare professionals.
The process of informed consent is central in the planning and provision of safe, effective person-centred healthcare as it encompasses healthcare professionals and patients communicating about and together deciding on and agreeing to medical interventions. This survey-based study looked at the experiences, attitudes, and perceived needs of junior doctors and nursing professionals in relation to the informed consent process in clinical practice at an acute hospital and informed the development of recommendations for improvement.
在医疗保健领域，同意是指给予治疗和护理、调查、接受或使用服务、或参与研究或教学的许可或协议的行为。同意应该是一个持续的过程，包括对拟议干预措施进行清晰的沟通，包括其性质、益处和潜在风险。
这项基于调查的研究收集了一家大型急性教学医院的初级医生和护士关于当前同意做法的经验以及改进建议。
2022年为初级医生和2023年为护士分别制定并分发了两份调查问卷。
初级医生（n = 58）的回复率为21%（实习生）和57%（高级住院医师），护理人员总人数的10%（n = 184）做出了回复。使用描述性统计和内容分析来分析结果。初级医生和护理专业人员都认为同意流程和做法方面存在改进空间，包括为患者提供更好的信息以及为医疗保健专业人员提供更多教育和培训。
知情同意过程是规划和提供安全、有效的以患者为中心的医疗保健的核心，因为它涵盖了医疗保健专业人员和患者就医疗干预措施进行沟通、共同决策并达成一致。这项基于调查的研究考察了急性医院临床实践中初级医生和护理专业人员在知情同意过程方面的经验、态度和感知需求，并为改进建议的制定提供了参考。
