Accountability of professional nurses informed consent
Systems need to be designed and operated to support, cultivate and sustain individual competence and virtue, with explicit attention to how they encourage the norms and values that shape the exercise of moral agency. Some of the ethical principles impacting informed consent are existing cornerstones of professional nursing practice.
Basically he was saying they weren't avoidable.
In one of the African hospitals, administration of fluids and antibiotics to a very sick baby was delayed by several hours. The effect was to continually erode the morale, energy and will of staff and the distinction between genuinely insurmountable problems and less legitimate excuses.
Much concern was reported by participants about the fairness of devolving blame to specific teams and individuals when the problems were felt to originate in external contexts over which they had no control.
With the exception of emergencies, informed consent must be obtained. Participating in Obtaining Informed Consent The physician, or other licensed independent provider, the nurse and the client have roles and responsibilities in terms of informed consent.
Who should obtain informed consent
For moral philosophers, the principle of autonomy represents the moral right to choose and follow one's own plan for life and action. Importantly, this principle applies to every individual in an organisation, from the blunt end to the sharp end. Diseases don't go to pray on Sunday do they? When consent, for any reason including the lack of majority, mental incompetence and unconsciousness, cannot be obtained, other people can provide legal consent for the patient. Nevertheless, surgeons bear the ultimate responsibility for the informed consent process before surgery. For instance a frail, elderly patient who fell partially out of bed in an English hospital was left hanging in some distress for several minutes while staff nearby completed cleaning another bed, despite being made aware of the situation. If actors are to be made accountable, then the standards they need to meet must be defined and they must be aware of their responsibilities for meeting them. Any delivery method may be used as long as it necessitates providing patients with the a indications, b risks, c benefits, and d alternatives about a planned surgery. If the Director does not decide to limit [the number of admissions] when we have exhausted our capacity, what can we do? Ultimately the site abandoned the checklist altogether.
We observed several encouraging examples of such forums, for example when they renewed or created understandings of the proper standards of care and of professional integrity and moral responsibility.
based on 57 review