在治疗内镜中实现真正个性化的知情同意的挑战
Philip Berry1, Sreelakshmi Kotha1
1Guy's and St Thomas' Hospitals NHS Trust, London, UK.
Frontline gastroenterology
|April 26, 2024
概括
获得治疗内镜知情同意需要透明度和明确的沟通. 解决患者焦虑和实习生参与等挑战对于满足最新的英国指南至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 医学伦理 医学伦理
- 患者安全 患者安全
背景情况:
- 英国对内镜的知情同意指南已更新,受法律案件和一般医疗委员会指令的影响.
- 目前的标准要求讨论所有重大风险和替代方案,但在实施方面仍然存在挑战.
- 在治疗内镜中获得个性化知情同意仍然是从业者面临的复杂问题.
研究的目的:
- 探索获得治疗内镜知情同意的实际挑战.
- 提供关于在临床实践中导航困难的同意场景的指导.
主要方法:
- 介绍了五种现实的治疗内镜方案.
- 讨论在每个场景中对同意的最佳方法,以文献为依据.
主要成果:
- 场景突出挑战,包括患者焦虑,信息过载,急性疾病的紧迫性,死亡风险的披露,学员参与和镇静效应.
- 标签说明了在获得全面和个性化的同意方面存在的困难.
结论:
- 高透明度,彻底的文件,以及涉及亲属对于治疗内镜同意至关重要.
- 需要对实习生参与进行明确的沟通.
- 建议加强内镜师在治疗内镜的同意过程中的培训.
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