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Informed consent: the nurse's dilemma

¹Department of Nursing, Faculty of Medicine, Tel Aviv University, Israel.

Medicine and Law

|January 1, 1996

Summary

Nurses face ethical dilemmas when patients are not fully informed about experimental treatments. A new worksheet helps nurses navigate these situations, promoting informed consent through doctor-nurse cooperation and patient respect.

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Area of Science:

Medical Ethics
Nursing Practice
Patient Rights

Background:

Informed consent is crucial for patients undergoing experimental medical procedures.
Nurses often become involved when patients feel inadequately informed by physicians.
This involvement creates a conflict of loyalty for the nurse between patient and physician.

Purpose of the Study:

To address the ethical dilemma nurses face regarding patient information and informed consent.
To present a tool to aid nurses in resolving conflicts between patient advocacy and team collaboration.
To emphasize the importance of cooperation between doctors and nurses in ensuring patient understanding.

Main Methods:

Discussion of the nurse's role in the doctor-patient relationship concerning information disclosure.
Presentation of a worksheet designed to guide nurses through ethical decision-making.
Reference to the Code for Nurses and ethical principles for professional conduct.

Main Results:

The nurse's dilemma arises from divided loyalties when information is insufficient.
A structured approach (worksheet) can assist nurses in ethical problem-solving.
Cooperation and improved communication skills between doctors and nurses are vital.

Conclusions:

Resolving the nurse's dilemma and achieving informed consent requires collaboration.
Both nurses and doctors need to develop skills in patient communication and comprehension verification.
Respect for patient autonomy, sensitivity, and strong moral principles are essential for healthcare professionals.

Keywords:

Biomedical and Behavioral Research Professional Patient Relationship

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