ArticleThe open nursing journal2017
Challenges of Obtaining Informed Consent in Emergency Ward: A Qualitative Study in One Iranian Hospital.
Article in The open nursing journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Legal and ethical conflicts in hospital settings: thematic synthesis of qualitative studies focused on nursing practice.BMC medical ethics · 2025Article
- Informed consent practices among emergency staff for patients undergoing emergency surgery in the emergency surgical units of two tertiary teaching hospitals in Uganda: a qualitative study.BMC medical ethics · 2025Article
- Culture of paternalism in the emergency department: a critical ethnographic study.BMC health services research · 2025Article
- Informed consent practice and associated factors among healthcare professionals in public hospitals of Southern Ethiopia, 2023: a mixed-method study.BMC nursing · 2024Article
- Experiences of patients and next of kin on informed consent process for emergency surgery in two Urban university teaching hospitals in Uganda: a comparative cross sectional study.BMC emergency medicine · 2023Article
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4 authors.
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Abstract
BACKGROUND AND
objectiveRegarding the fact that emergency ward has unique characteristics, whose uniqueness affects informed consent processes by creating specific challenges. Hence, it seems necessary to identify the process and challenges of informed consent in the emergency ward through a qualitative study to understand actual patients' and health care providers' experiences, beliefs, values, and feelings about the informed consent in the emergency ward. Through such studies, new insight can be gained on the process of informed consent and its challenges with the hope that the resulting knowledge will enable the promotion of ethical, legal as well as effective health services to the patients in the emergency ward.
methodIn this qualitative study, research field was one of the emergency wards of educational and public hospitals in Iran. Field work and participant observation were carried out for 515 hours from June 2014 to March 2016. Also, conversations and semi-structured interviews based on the observations were conducted. The participants of the study were nurses and physicians working in the emergency ward, as well as patients and their attendants who were involved in the process of obtaining informed consent.
resultsThree main categories were extracted from the data: a sense of frustration; reverse protection; and culture of paternalism in consent process.
conclusionFindings of this study can be utilized in correcting the structures and processes of obtaining informed consent together with promotion of patients' ethical and legal care in emergency ward. In this way, the approaches in consent process will be changed from paternalistic approach to patient-centered care which concomitantly protects patient's autonomy.
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