title: Nurses' roles in informed consent in a hierarchical and communal context.
abstract: Although the main responsibility for informed consent of medical procedures rests with doctors, nurses' roles are also important, especially as patient advocates. Nurses' preparation for this role in settings with a hierarchical and communal culture has received little attention. We explored the views of hospital managers and nurses regarding the roles of nurses in informed consent and factors influencing these roles. We conducted a qualitative study in a private, multispecialty hospital in Indonesia. Semi-structured interviews were conducted with seven managers. Two rounds of focus group discussions with nurses (n = 27) were conducted. Constant comparative approach was used in the analysis. Nurses can act as manager, witness, information giver, and advocate in the informed consent process. These roles are influenced by nurses' preparedness, hospital culture and policy, patients' understanding, family involvement, and cost-related issues. In preparation for these tasks, nurses should acquire communication skills, clinical knowledge, and legal and ethical knowledge.
authors: Mulawarman University, Indonesia. pratidina@yahoo.com
authors: Astrid P
authors: AP
authors: Susilo
authors: Jan
authors: J
authors: Van Dalen
authors: Albert
authors: A
authors: Scherpbier
authors: Sugiharto
authors: S
authors: Tanto
authors: Patricia
authors: P
authors: Yuhanti
authors: Nora
authors: N
authors: Ekawati
mesh_terms: D002983:Clinical Competence; D017144:Focus Groups; D006801:Humans; D007214:Indonesia; D007258:Informed Consent / Q000941:ethics; D007407:Interviews as Topic; D024802:Nurse's Role; D010344:Patient Advocacy; D036301:Qualitative Research
keywords: Informed consent; focus group discussions; interviews; nurses; roles