Power K J
Department of Nursing and Midwifery, De Montfort University, School of Health and Community Studies, Leicester.
Br J Nurs. 1997;6(15):885-8. doi: 10.12968/bjon.1997.6.15.885.
Nurses are increasingly expanding their practice to include many more invasive procedures. Consequently, there is a need to re-examine nurses' responsibilities in relation to obtaining consent for nursing as opposed to medical procedures. Fully informed consent is not a legal requirement in England, for either medical or nursing procedures. However, this article argues that to comply with the standard set by the Code of Professional Conduct nurses should obtain informed consent for any proposed procedure they undertake. The concept of informed consent is examined and applied to practice. Ultimately, nurses are charged with four key tasks in relation to securing consent for nursing procedures: educating themselves about the risks and benefits of the procedures they propose to undertake; conveying this information to patients; assessing their understanding of the information given; and endeavouring to support the patient in his/her decision.
护士们越来越多地拓展其业务范围,涵盖更多侵入性操作。因此,有必要重新审视护士在获取护理操作(而非医疗操作)同意方面的责任。在英格兰,无论是医疗操作还是护理操作,充分知情同意都不是一项法律要求。然而,本文认为,为了符合《职业行为准则》设定的标准,护士应对其进行的任何拟议操作获取知情同意。本文探讨了知情同意的概念并将其应用于实践。最终,护士在确保获得护理操作同意方面承担四项关键任务:了解自己所提议操作的风险和益处;将这些信息传达给患者;评估患者对所提供信息的理解;并努力支持患者做出决定。