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The Role of Nurses in Securing Consent

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The Role of Nurses in Securing Consent
Types of consent

Consent comes in a form of implied and expressed consent. In nurses’ day-to-day dealing with patients, consent is secured from patients frequently. Implied consent refers to nonverbal acknowledgement of a health care provider’s request to provide treatment (O’Keefe, 2001). An example of implied consent would be when a nurse walks to the patient and inform the patient that she is going to administer an antiemetic injection and the patient rolls up his/her sleeve and brings his arm forward indicates the patient has given an implied consent.

Expressed consent refers to verbal and written. It should be obtained when the treatment is likely to be more than mildly painful, when it carries appreciable risk, or when it will result in ablation of a bodily function (Evans, 2006). Nurses secure verbal informed consent by the patient bedside and the consent is obtained by providing patients with detailed information regarding the procedure. For example, prior to the insertion of a cannula, the nurse would provide the patients with information to secure an informed consent.

The physician obtains written informed consent when patients require a medical or surgical procedure. The physician carrying out the procedure will provide the patient with detailed information when obtaining an informed consent. The role of the nurse is to be a witness. Dr Young (2007) indicated that 70 percent of what patients are told is forgotten immediately after the consultation. Therefore the nurse will access the patient comprehension of the information given. The nurse has an ethical responsibility, to do good and no harm by informing the physician if the patient is unclear or has unanswered questions pertaining to the procedure for the consent that has been obtained, to be considered valid.

Professional drivers

Nurses are guided by the Singapore Nursing Board (SNB), which indicates that nurses have a duty to obtain consent for nursing interventions where



References: Murphy, J.B. (2008) Benefits and Challenges of informed consent. Mayo Clinic Proceedings. 83 (3), p272-273. Evans, K. G. (2006) Consent a guide for Canadian physicians. Available from: <http://www.cmpaacpm.ca/cmpapd04/docs/resource_files/ml_guides/consent_guide/pdf/com_consent-e.pdf > [accessed 31st Oct 2011]. Dicken, B. M. (2005) The Challenges and Opportunities of Ethics. American Journal of Public Health. 95 (7), p1094. Roberts, M. (2011) Doctors 'often defy ' their own treatment advice. Available from: < http://www.bbc.co.uk/news/health-13036508 > [accessed 17th Oct 2011]. Johnstone, M.J. (2000) Informed consent and the betrayal of patient 's rights. Australian nursing journal. 8 (2), p1-4. Singapore Nursing Board. (2006) Code of ethics and professional conduct [website]. Available from: < http://www.snb.gov.sg/html/1151900236839.html#VS2 > [accessed 4th Nov 2011]. Oxford Dictionary Online. (2011) Consent. England: Oxford University Press. Webster online dictionary. (2011) Consent. Available: < http://www.websters-online-dictionary.org/definitions/consent > [accessed 1st Nov 2011]. O 'Keefe, M.E (2001) Nursing practice and the law. United States of America: F. A. davis company. p100-217. Aiken, T. D. (1994) Legal, ethical and political issues in nursing. United States of America: F. A. davis company. P23-107. Appelbaum, P. S. Grisso, T. (1988) Assessing patients’ capacities to consent to treatment. Available from: < http://www.ncbi.nlm.nih.gov/pubmed/3200278 > [accessed 25th Oct 2011]. Dr Young, M. (2009) Informed consent is central to the doctor-patient relationship. Available: < http://www.kevinmd.com/blog/2009/10/informed-consent-central-doctorpatient-relationship.html > [accessed 10th Oct 2011]. Hardingham, L. (2001) Ethics in the workplace. Nurses and informed consent: lessons from the Winnipeg inquest. 57 (2), p1-4. Aveyard, H. (2002) Implied consent prior to nursing care procedures. Journal of advanced nursing. 39 (2), p201-207. Guido, G. W (2001) Legal and Ethical Issues In Nursing. 3rd ed. New Jersey: Prentice hall. p54-55. Tingle, J. Cribb. A (1999) Nursing Law and Ethics. 4th ed. Great Britain: MPG books Ltd. p28-31.

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