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Informed consent prior to nursing care procedures.

Helen Aveyard1

  • 1School of Health Care, Oxford Brookes University, John Radcliffe Hospital, Headley Way, Oxford OX3 9DU, UK. haveyard@brookes.ac.uk

Nursing Ethics
|February 3, 2005
PubMed
Summary

Nurses often fail to obtain informed consent before providing nursing care, and patient refusals are sometimes disregarded. Uncertainty also exists regarding consent for patients unable to consent themselves.

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Area of Science:

  • Nursing Practice
  • Bioethics
  • Patient Rights

Background:

  • Informed consent is a fundamental ethical and legal requirement in healthcare.
  • Ensuring valid consent is crucial for respecting patient autonomy and upholding ethical nursing standards.

Purpose of the Study:

  • To qualitatively explore how registered nurses obtain informed consent for nursing care procedures.
  • To identify challenges and variations in the consent process within English teaching hospitals.

Main Methods:

  • Qualitative study utilizing focus group discussions.
  • Critical incident technique employed to gather specific examples of consent practices.
  • Participants included qualified nurses from two English teaching hospitals.
Keywords:
Empirical ApproachProfessional Patient Relationship

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Main Results:

  • Evidence suggests informed consent was frequently not obtained by participating nurses.
  • Patient refusals of care were often overlooked or ignored.
  • Nurses expressed uncertainty in managing consent when patients lacked capacity.

Conclusions:

  • The process of obtaining informed consent for nursing care is inconsistently applied and requires further development.
  • A new ethical framework or approach is necessary to strengthen the practice of informed consent in nursing.