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Related Experiment Videos

Informed consent: Part III.

E K Murphy1

  • 1University of Wisconsin-Milwaukee.

AORN Journal
|June 1, 1988
PubMed
Summary
This summary is machine-generated.

Perioperative nurses play a crucial role in ensuring informed consent for surgical procedures. While nurses document consent, legal precedent places the primary responsibility with the physician-patient relationship.

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Area of Science:

  • Nursing Practice
  • Medical Law
  • Patient Rights

Background:

  • Perioperative nurses prioritize patient understanding of surgical procedures.
  • Informed consent is a legal right, essential for patient autonomy in healthcare.
  • Current legal frameworks do not formally recognize perioperative nurses in enforcing informed consent.

Purpose of the Study:

  • To examine the legal standing and practical role of perioperative nurses in the informed consent process.
  • To clarify the boundaries of perioperative nursing involvement in patient-physician communication regarding consent.
  • To analyze existing case law concerning informed consent and the healthcare team's responsibilities.

Main Methods:

  • Review of legal precedents and case law related to informed consent.

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  • Analysis of nursing scope of practice and agency policies regarding patient consent.
  • Examination of the established patient-physician relationship in legal contexts.

    • Main Results:

    • Case law consistently vests informed consent responsibilities within the patient-physician relationship.
    • Broadening legal responsibility to include perioperative nurses is viewed as potentially disruptive.
    • The current legal framework designates the surgeon as the primary party responsible for obtaining informed consent.

    Conclusions:

    • Perioperative nurses' role is to ensure documented informed consent aligns with agency policy and to report discrepancies.
    • Nurses should report suspected overreach by surgeons to administrators, rather than intervening directly.
    • Direct involvement by perioperative nurses in the physician-patient consent dialogue is legally and ethically discouraged.