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Patient autonomy and criminal law
Published in Paweł Daniluk, Patient Autonomy and Criminal Law, 2023
First of all, it should be noted that the authority to give consent belongs to the patient, not his/her relatives. Therefore, in Turkey, the practice of obtaining consent, even in terms of adults and conscious patients, from their relatives, spouses and children for medical intervention is against the law, and this type of consent has no legal value.14
Drug evaluation in children
Published in Evelyne Jacqz-Aigrain, Imti Choonara, Paediatric Clinical Pharmacology, 2021
Evelyne Jacqz-Aigrain, Imti Choonara
Consent and assent are processes. They are not one-off events confirmed by a signed form. Consent comes from the exercise of choice and informed consent from the ability to evaluate options in the exercise of choice. The preconditions for consent to be legal are: To be competent of mindTo be fully informedTo understand the informationTo decide voluntarily and give authorisation
Informed Consent
Published in Julie Dickinson, Anne Meyer, Karen J. Huff, Deborah A. Wipf, Elizabeth K. Zorn, Kathy G. Ferrell, Lisa Mancuso, Marjorie Berg Pugatch, Joanne Walker, Karen Wilkinson, Legal Nurse Consulting Principles and Practices, 2019
Karen Wilkinson, Deborah A. Wipf, Elena Capella
Informed consent is the legal process that protects a patient’s right to know the risks, benefits, and alternatives of a proposed treatment or procedure and the risks and benefits of the alternatives, including no treatment (American Medical Association, n.d.-a). Understanding the elements of informed consent is an essential part of the role of healthcare providers (HCPs), including nurses, regardless of practice setting. Patients’ rights regarding their personal medical decision-making have become more important due to longer lifespans, which can lead to increasing chronic illnesses and co-morbidities. When implementing the informed consent process, HCPs and registered nurses (RNs) have an ethical duty to promote patient rights and self-determination issues (Congress.gov, n.d.). The American Medical Association (AMA) and the American Nurses Association (ANA) codes of ethics discuss specific information regarding patient rights and self-determination (AMA, n.d.-a, n.d.-b; ANA, 2015, 1.4 and 3.2 provisions). In addition, many professional organizations have established ethic white papers that address the informed consent rights of an individual. The legal nurse consultant (LNC) should reference the HCP’s specific professional codes or white paper when reviewing informed consent cases.
Evaluating first year residents’ communication skills: a health literacy curriculum needs assessment
Published in Journal of Communication in Healthcare, 2023
Zach Budesa, Melinda Klar, Sujata Datta, Emily Moore, Leonard Lamsen
One aspect of communication with which residents struggle is obtaining informed consent 20. Informed consent is a process that ensures patients agree to medical treatment with full knowledge of the procedure, including risks, benefits, and alternatives. Obtaining thorough informed consent reduces costly medical errors and unwanted outcomes 21. Physicians who do not accommodate patients’ levels of health literacy may not impart the key information patients need to provide a truly informed consent 4,22. Patients who do not understand the procedure they are agreeing to may experience danger23 and have less accurate expectations about the results of procedures 24,25. When providers do not communicate effectively, they may open themselves to ethical and legal liabilities26. Physicians must have skill in describing treatments, explaining risks, and discussing alternatives without using jargon that is confusing for patients.
Disruptions in standard care: anterior cruciate ligament reconstruction outcomes during the SARS-COV2 pandemic
Published in The Physician and Sportsmedicine, 2022
Donghoon Lee, Adam J. Lencer, Brian S. Gibbs, Ryan W. Paul, Fotios P. Tjoumakaris
Identified patients who met criteria were contacted by research team members, who played no role in patient care. Assent and parental consent were obtained for patients under the age of 18. Patients were asked to complete the International Knee Documentation Committee (IKDC) subjective knee score, Lysholm Knee Scoring Scale (Lysholm), a custom survey asking about post-operative care, as well as report any subsequent procedures on the operative knee. Patients were not asked to complete the clinical score surveys if they had undergone subsequent knee procedures. The custom survey asked both cohorts for the method and timing of each post-operative appointment, the number and type of physiotherapy appointments attended, and overall satisfaction Visual Analog Scale (VAS) with post-operative care and physiotherapy. Additionally, the COVID cohort patients were asked if there were any delays or changes to their physiotherapy due to the pandemic. All surveys were collected at minimum one-year post-operatively.
Professionalism, Resilience and Reflective Thinking: How Do These Influence Occupational Therapy Student Fieldwork Outcomes?
Published in Occupational Therapy In Health Care, 2022
Ted Brown, Mong-lin Yu, Alana Hewitt, Robert Cousland, Jamie Etherington
Students from each year level were invited to participate in the study at the conclusion of a lecture between March and April 2018. Students were provided with an explanatory statement, informed that participation was voluntary, and their anonymity would be assured in all published outputs. A non-teaching member of staff facilitated the process to avoid lecturer-student power relations, and students were asked to complete a questionnaire in person, taking approximately 20 minutes to complete. Implied consent was gained via completion of the questionnaire. Students completed the questionnaire two months prior to starting their fieldwork placements. In their third year, students undertake six weeks’ full-time fieldwork and two days per week for 12 weeks of part-time participatory community placement. Fourth year students undertake a full-time 10-week fieldwork and two days per week for 12 weeks part-time participatory community placement. Students were asked to provide their university identification number but not their name on the questionnaire. The students’ university identification number was used to match their questionnaire data to their fieldwork performance data. Following the completion of placement, students SPEF-R domain scores were obtained from the completed forms submitted by students’ fieldwork supervisors. After the students’ questionnaire and SPEF-R data were matched using their university identification numbers, this item of linking data was deleted to ensure anonymity of the study participants.