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Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
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Published on: January 16, 2019

Using consentless practices on medical wards-A qualitative study.

Joar Björk1, Niklas Juth1, Tove Godskesen1

  • 1Centre for Research Ethics & Bioethics (CRB), Uppsala University, Uppsala, Sweden.

Nursing Ethics
|June 29, 2026
PubMed
Summary
This summary is machine-generated.

Somatic healthcare staff frequently use consentless practices, learning them informally on the job. Experienced professionals may become accustomed to these methods, raising ethical concerns in medical wards.

Keywords:
coercionconsentdecision-making capacityhospital staffnursingprofessionalism

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Last Updated: Jul 1, 2026

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
10:38

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

  • Medical Ethics
  • Nursing Practice
  • Patient Rights

Background:

  • Limited research exists on coercive practices in somatic healthcare, unlike in psychiatry.
  • Informed consent is a cornerstone of ethical medical practice.

Purpose of the Study:

  • To explore how nurses and staff provide somatic healthcare without informed consent.
  • To understand the nature and context of consentless practices in medical wards.

Main Methods:

  • Qualitative study utilizing focus-group interviews.
  • Analysis of data through Reflexive Thematic Analysis.
  • Participants included 37 healthcare professionals, primarily nurses, from two Swedish hospitals.

Main Results:

  • Consentless practices are routinely employed in medical wards.
  • These practices are learned informally through observation and mentorship.
  • Professional experience influences the adoption and execution of consentless interventions.
  • Four key themes emerged: constant use, informal learning, situational adaptation, and influence of experience.

Conclusions:

  • Consentless practices are prevalent and familiar to healthcare staff in somatic settings.
  • Informal learning and professional experience contribute to the normalization of these practices.
  • Ethical concerns arise from the frequent use of consentless care, necessitating improved reflection and education.