title: Informed consent to research in long-term care settings.
abstract: Informed consent to nursing home research is a two-tiered process that begins with obtaining the consent of a long-term care community at the institutional level and progresses to the engagement of individuals in the consent process. Drawing on a review of the literature and the authors' research experiences and institutional review board service, this article describes the practical implications of nurse investigators' obligation to ensure informed consent among participants in long-term care research. Recommendations focus on applying a community consent model to long-term care research, promoting an evidence-based approach to the protection of residents with decisional impairment, and increasing investigators' attention to ethical issues involving long-term care staff.
authors.affiliation: Department of Health and Community Systems, University of Pittsburgh School of Nursing, Pennsylvania 15261, USA. linglerjh@upmc.edu
authors.forename: Jennifer Hagerty
authors.initials: JH
authors.lastname: Lingler
authors.forename: Rita A
authors.initials: RA
authors.lastname: Jablonski
authors.forename: Meg
authors.initials: M
authors.lastname: Bourbonniere
authors.forename: Ann
authors.initials: A
authors.lastname: Kolanowski
mesh_terms: D000368:Aged; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D003657:Decision Making / Q000941:ethics; D003659:Decision Making, Organizational; D028744:Ethics Committees, Research; D006805:Human Experimentation / Q000941:ethics; D006801:Humans; D007258:Informed Consent / Q000941:ethics; D008134:Long-Term Care / Q000458:organization & administration; D009728:Nursing Assistants / Q000941:ethics / Q000458:organization & administration / Q000523:psychology; D015399:Nursing Research / Q000941:ethics / Q000458:organization & administration; D009740:Nursing Staff / Q000941:ethics / Q000458:organization & administration / Q000523:psychology; D010344:Patient Advocacy / Q000941:ethics / Q000523:psychology; D012107:Research Design; D035842:Research Subjects / Q000523:psychology