RESPECTING PATIENT CHOICE: A SYSTEMATIC REVIEW OF PATIENT AUTONOMY AND INFORMED CONSENT IN NURSING
Author Name: 1..Dr. P M Prathiba, 2.Mary Shini.D, 3. Azra Parveen 4. Misbah Moin 5. Dhanasekar V M, 6. Dr.Prathima Prakasam, 7. Princia Rolita Dsouza, 8. Prof Amutha V. K. 9. Prof .T. Beaulah Mercy Mary
Volume/Issue: 05/05
Country: India
DOI NO.: 08.2020-25662434 DOI Link: https://doi-ds.org/doilink/10.2024-74756227/UIJIR
Affiliation:
- Associate professor, ESIC College of Nursing, Kalaburagi, India.
- Professor cum vice Principal, Government Nursing College, Kavaratti, Lakshadweep, India.
- Principal, Praduman Singh SPS School of Nursing, India.
- Nursing Tutor, College of Nursing, AMU, Aligarh, UP. India.
- Nursing \Tutor/DNS, All Institute of Medical Sciences, Mangalagiri, India.
- Prof cum Principal, Sree Vidyanikethan College of Nursing, Tirupati Andhra Pradesh. India.
- Associate Professor, Rohilkhand College of Nursing, Bareilly, U.P. India.
- Principal, The Kaavery Nursing College, India.
- Principal, Florida College of Nursing, India.
ABSTRACT
Patient autonomy and informed consent are fundamental principles in healthcare, ensuring patients' rights to make decisions about their care. Nursing professionals play a crucial role in upholding these principles. This systematic review aims to synthesize evidence on patient autonomy and informed consent in nursing practice, exploring factors influencing patients' decision-making and nurses' roles in promoting autonomy. A comprehensive search of major databases (PubMed, CINAHL, Scopus) will be conducted, including studies published in English from 2010 to 2023. Studies examining patient autonomy, informed consent, and nursing practice will be included. Two independent reviewers will assess study quality using the Joanna Briggs Institute (JBI) critical appraisal tools. This review will provide insights into: Factors influencing patients' autonomy and decision-making, Nurses' roles and strategies in promoting patient autonomy, Barriers and facilitators to informed consent in nursing practice, The impact of patient autonomy on health outcomes. Findings will inform nursing practice, education, and policy, enhancing patients' autonomy and informed decision-making. This review will provide recommendations for nurses, healthcare organizations, and policymakers to promote patient-centered care.The systematic review titled "Respecting Patient Choice: A Systematic Review of Patient Autonomy and Informed Consent in Nursing" examines the essential components of patient autonomy and informed consent within the nursing profession. The review highlights the ethical imperative for healthcare providers, particularly nurses, to prioritize patient choice and agency in their care decisions. It synthesizes findings from multiple studies to assess how informed consent processes are implemented in clinical practice and the impact on patient satisfaction and outcomes. The review reveals that effective communication and education about treatment options are crucial for empowering patients to make informed decisions regarding their healthcare. Additionally, it identifies barriers that nurses face in facilitating patient autonomy, such as time constraints, organizational policies, and varying levels of health literacy among patients. The review advocates for enhanced training and resources for nursing professionals to improve the informed consent process, ensuring that it is not merely a legal formality but a genuine dialogue that respects patient preferences and values. Overall, the findings underscore the significance of fostering a culture of respect and partnership between nurses and patients, ultimately enhancing the quality of care and promoting patient-centered approaches in nursing practice.
Key words: Patient Autonomy, Informed consent, Nursing Practice, Decision-Making, Systematic Review.
No comment