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Autonomy, privacy and informed consent 3: elderly care perspective.

Autonomy, privacy and informed consent 3: elderly care perspective.

Br J Nurs. 2003 Feb 13;12(3):158-168

Authors: Scott PA, Välimäki M, Leino-Kilpi H, Dassen T, Gasull M, Lemonidou C, Arndt M

Abstract
Despite the growing Interest In clinical healthcare ethics, there Is a dearth of empirical studies Investigating the ethical elements of day-to-day clinical practice from the perspective of either patients or staff. This article, the third In a four-part series, reports the results of a Scottish study that formed part of a multl-slte comparative study funded by the European Commission. It explores patient autonomy, privacy and Informed consent In the care of elderly people In long-stay care facilities (I.e. nursing homes and continuing care units). A convenience sample of 101 elderly residents and their nurses (n=160) participated In the study. Data were collected by means of a selfcompletion questionnaire for staff and a structured Interview schedule for elderly residents. Results Indicate marked differences between staff's and residents' responses on three of the four dimensions explored: Informatlon-glvlng, and opportunity to participate In declslon-maklng about care and consent. There was much closer agreement between staff's and residents' responses regarding protection of patient privacy. From the results of this study there Is Indication of a clear need for further empirical studies exploring Issues of patient autonomy, privacy and Informed consent In the day-to-day nursing care of older people. Rndlngs to date suggest there Is stili a slgnfflcant need to educate staff concemlng ethical awareness and sensitivity to the dignity and rights of patients.

PMID: 27866442 [PubMed - in process]