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- Title
РОЛЯТА НА МЕДИЦИНСКАТА СЕСТРА В ПРОЦЕСА НА ИНФОРМИРАНО СЪГЛАСИЕ
- Authors
Димитрова, Светлана М.; Маринов, Юлияна; Парашкевова, Боряна; Чамова, Галя; Петрова, Галина
- Abstract
The informed consent is a paradigm with a country of origin USA. It development begins in the second half of the 20 century. IC is a base of the doctor-patient relationship, a way of respecting the patient autonomy – the first contemporary ethical principle according to the four-principle approach. Since the 90-s of 20 century including the present time IC is seen as a base for shared decision making in medical practice in the context of the sacred relationship with the doctor, based on mutual trust and respecting the patient dignity.Nowadays the medical care is performed not by physician only but by other medical team members as well who might influence the ethical relationship with the patient significantly.The core figure in the medical team especially in hospital care is the nurse. She is the most closely situated to the patient due to her professional responsibilities and she spends a longer time with him/her than the physician. The Bulgarian nurses do recognize their deontological and ethical obligations. More than 20 years they have been trained in medical ethics according to the best practices on the undergraduate and postgraduate level of education. The topic of IC is discussed multiple times – in the connection with the basic ethical principles, patient rights, models of relationship with the patient etc. Most of practicing nurses have a big experience not only in receiving IC in nursing procedures but as a participants in the process of receiving specialized IC in surgical procedures, invasive diagnostic tests, aggressive therapy etc.The aim of this study is to discover and analyze role and level of participation of the nurse in the process of obtaining IC concerning physician procedures to the so called ‘”difficult patients” in hospital care. The method of investigation is a content analysis of the written real cases of seeking and receiving IC.The cases are given by nurses working in hospitals in the towns of Stara Zagora, Sliven, Haskovo and Kurdjali. 12 cases are investigated. A questionnaire based on the elements of the IC process according to the medico-legal model is applied. Four real cases are analyzed in more details. In conclusion, the nurse role in obtaining IC in difficult patients may be a crucial one especially in the process of giving and understanding the medical information.
- Publication
Knowledge: International Journal, 2019, Vol 35, Issue 4, p1355
- ISSN
2545-4439
- Publication type
Article