急性住院环境中的有效同意:来自一项基于调查的研究的护理和医疗专业人员的观点。

IF 1.7 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Charmaine Zahra, Motheo Kobua, Živa Kovic, Mary Fogarty, Catherine Buckley, Jane Murphy, Julie Walshe, Paul Zambra, Declan Byrne, Una Geary, Marie E Ward
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引用次数: 0

摘要

背景:在医疗保健中,同意是指对治疗和护理、调查、接受或利用服务或参与研究或教学给予许可或同意的行为。同意应该是一个持续的过程,包括对拟议干预措施的性质、益处和潜在风险进行明确的沟通。目的:本研究以问卷调查为基础,收集某大型急症教学医院初级医生和护士对当前同意实践的经验和改进建议。方法:分别于2022年和2023年对初级医生和护士进行问卷调查。结果:初级医生(n = 58)的回复率为21%(实习生)和57%(高级住院医师),占护理总人数的10% (n = 184)。采用描述性统计和内容分析对结果进行分析。初级医生和护理专业人员都认为,在同意程序和做法方面,包括为患者提供更好的信息以及为保健专业人员提供更多的教育和培训,都有需要改进的地方。结论:知情同意过程是规划和提供安全、有效的以人为本的医疗保健的核心,因为它包括医疗保健专业人员和患者就医疗干预进行沟通、共同决定和同意。这项基于调查的研究着眼于经验,态度和感知需求的初级医生和护理专业人员在临床实践中的知情同意过程在急性医院,并告知改进建议的发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Valid consent in the acute hospital setting: perspectives of nursing and medical professionals from a survey-based study.

Background: In healthcare, consent refers to the act of granting permission or agreement for treatment and care, investigation, receiving or utilising a service, or participating in research or teaching. Consent should be an ongoing process that involves clear communication about the proposed intervention, including its nature, benefits, and potential risks.

Aim: This survey-based study gathered experiences from junior doctors and nurses in a large acute teaching hospital about current consent practices and suggestions for improvement.

Method: Two surveys were developed and distributed to junior doctors in 2022 and nurses in 2023.

Results: The response rate for junior doctors (n = 58) was 21% (interns) and 57% (senior house officers) and 10% of the total nursing population responded (n = 184). Descriptive statistics and content analysis were used to analyse the results. Both junior doctors and nursing professionals believed there were areas for improvement in terms of consent processes and practices including in relation to better information for patients and more education and training for healthcare professionals.

Conclusions: The process of informed consent is central in the planning and provision of safe, effective person-centred healthcare as it encompasses healthcare professionals and patients communicating about and together deciding on and agreeing to medical interventions. This survey-based study looked at the experiences, attitudes, and perceived needs of junior doctors and nursing professionals in relation to the informed consent process in clinical practice at an acute hospital and informed the development of recommendations for improvement.

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来源期刊
Irish Journal of Medical Science
Irish Journal of Medical Science 医学-医学:内科
CiteScore
3.70
自引率
4.80%
发文量
357
审稿时长
4-8 weeks
期刊介绍: The Irish Journal of Medical Science is the official organ of the Royal Academy of Medicine in Ireland. Established in 1832, this quarterly journal is a contribution to medical science and an ideal forum for the younger medical/scientific professional to enter world literature and an ideal launching platform now, as in the past, for many a young research worker. The primary role of both the Academy and IJMS is that of providing a forum for the exchange of scientific information and to promote academic discussion, so essential to scientific progress.
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