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Baker, Eileen F. "Autonomy and Informed Consent." Bowling Green State University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1491391673593916.
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Gibb, Winna. "Informed consent : a liberal perspective." Thesis, Queensland University of Technology, 1998.
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Aveyard, H. "Does informed consent theory inform nursing practice? : an exploration of the application of informed consent prior to nursing care procedures." Thesis, King's College London (University of London), 2000. https://kclpure.kcl.ac.uk/portal/en/theses/does-informed-consent-theory-inform-nursing-practice--an-exploration-of-the-application-of-informed-consent-prior-to-nursing-care-procedures(39554aa7-cfb4-41e6-81bd-a522ccf1d851).html.
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Alderson, Dorothea Priscilla. "Informed consent : problems of parental consent to paediatric cardiac surgery." Thesis, Goldsmiths College (University of London), 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.702485.
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Scott, John. "Informed consent and respect for autonomy." Thesis, University of Sunderland, 2007. http://sure.sunderland.ac.uk/3561/.
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In this thesis I examine the medical concept of informed consent and the philosophical concept of autonomy in conjunction with the relationship between them. This examination is complicated because autonomy can refer to decisions or persons. Further autonomy may have instrumental or intrinsic value. These differences mean autonomy may be respected in different ways. This examination is further complicated because whilst a vast wealth of medical literature exists on informed consent and mentions autonomy, very little of this literature does more than mention autonomy. As a result of my examination I argue for the following. Firstly I argue the form of autonomy underlying informed consent should be personal autonomy and to respect autonomy means accepting autonomous decisions. Secondly I show in certain contexts a surrogate decision maker cannot make a decision on behalf of an incompetent patient that would be generally agreed to be in his best interests. I will argue in such contexts a patient’s decision should always be accepted as the concept of competence becomes detached from the concept of informed consent. Thirdly I show a patient may make an autonomous decision based only on understanding the purpose of the procedure he is consenting to. I will argue it follows a patient should not be required to understand details of the nature of the procedure he is consenting to for his consent to be accepted. Fourthly I argue an autonomous decision must be one an agent identifies with and has some persistence. I will show these conditions are satisfied by an autonomous agent’s absence of restlessness to change his decision Lastly I argue informed consent decisions should be linked to a patient’s ability to understand the risk involved in his decision and not directly linked to the degree of risk involved in his decision.
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Bullock, Emma Cecelia. "Informed consent and justified hard paternalism." Thesis, University of Birmingham, 2012. http://etheses.bham.ac.uk//id/eprint/3400/.
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According to the doctrine of informed consent medical procedures are morally permissible when a patient has consented to the treatment. Problematically it is possible for a patient to consent to or refuse treatment which consequently leads to a decline in her best interests. Standardly, such conflicts are resolved by prioritising the doctrine of informed consent above the requirement that the medical practitioner acts in accordance with the duty of care. This means that patient free choice is respected regardless as to whether her choice leads to a decline in her best interests, since to disrespect patient choice would be an instance of ‘unwarranted’ paternalism. This thesis defends the claim that in cases where patient consent comes into conflict with her best interests, paternalistic interference is in fact justified. The ambition of the thesis is thus twofold: in the first place I argue that the doctrine of informed consent cannot be used as an ethical guarantor for medical decision making. Secondly I will conclude that hard paternalism is justified in medical practice, thereby calling for a reversal of the prioritisation of informed consent procedures over the medical practitioner’s duty of care.
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Walker, Nancy L. Hamilton. "The relationship between patient perceptions of informed consent and recall of information received during the informed consent process." Virtual Press, 1993. http://liblink.bsu.edu/uhtbin/catkey/865959.
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Informed consent is a requirement by law. Informed consent is a two part process: giving the patient sufficient information so that an educated choice can be made and obtaining assent in writing (Coy, 1989; Fiesta 1991; Sweeney, 1991;). The purpose of this study is to determine the ability to recall information and the perception of patients about the process of receiving information after signing a consent to participate in a large research trial. Patients signing consents for participation in the Breast Cancer Prevention Trial were asked to complete the surveys. Thirty three patients were asked to complete the questionnaires. Twenty - four (72%) of the respondents returned the completed questionnaires. Confidentiality will be maintained since no names or identifying markers will be used.A modified Patient Recall Survey (Casselith, Zupkis, Sutton - Smith, & March, 1980) and a modified Consent Form Survey (Casselith et al, 1980) were used. The significance of the study is that the results will assist in improving the type of information given to patients and how that information is provided. By increasing patients awareness about the need for and rights of giving informed consent patients will be more knowledgeable health care consumers. Imogene King(1981) provides the theoretical framework for this study using the concept of perceptions as the basis.The first research question illustrated that the majority of the respondents were able to recall at least three risks or complications of participation in the Breast Cancer Prevention Trial. The second research question revealed eighty - seven percent of the patients agreed that informed consents are necessary. However, 27.8 % of the respondents perceived the informed consent as a legal document to protect the physician rights, while only 19.6 % felt that the consent represented a legal document to protect patient rights. Eighty three percent of the respondents understood that a consent did not have to be signed. However, responses to a second question revealed only 21.3 % understood that the informed consent was a chance to refuse or change treatment. Results to research question 3 illustrated that patients felt that informed consents are necessary. Finally, 79.2 % of patients reported that nurses provided the majority of informed consent information. When patients are able to understand and participate in health care decisions, patients will feel more control in determining outcomes.School of Nursing
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Ahmed, Abdul-Kareem H. "SIGN HERE : informed consent in personalized medicine." Thesis, Massachusetts Institute of Technology, 2013. http://hdl.handle.net/1721.1/83832.
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Thesis (S.M. in Science Writing)--Massachusetts Institute of Technology, Dept. of Comparative Media Studies, 2013.Vita. Cataloged from PDF version of thesis.
Includes bibliographical references (pages 27-30).
The next era of medicine will be one of personalization, scientists and physicians promise. Personalized medicine is a refined clinical approach in which clinicians will utilize your genomic information to help you prevent disease, and tailor targeted therapies for you when you fall ill. This is the future science has slowly been approaching. However, the human genome is not enough, not unless we can decipher its language. One ambitious study to this effect is the Personal Genome Project, led by Dr. George Church at Harvard Medical School. This project will eventually recruit 100,000 volunteers to donate their genomes and a full body of information concerning their biological health. With this data, Church hopes others can cross-analyze these profiles and better determine the role in disease of each gene of the human genome. However, the Personal Genome Project is as much a study in the ethical, legal and social aspects of genomic studies as it is an effort toward personalized medicine. Church envisions a future where privacy cannot be guaranteed. Society is becoming more open and technology is more invasive than ever. Considering this, Church has informed his participants that their information will likely not remain anonymous. With their fully informed consent, he has in turn made all this data public, to promote open science. This ethical approach raises several important questions about expansive genomic studies. The scientific community will have to decide on an approach that will eventually deliver personalized medicine. On one end of the spectrum, there is Church's open approach, and the other, more security, more firewalls and more legislation. In order for personalized medicine to become a reality, society will have to prepare itself for our ever-changing ethical, technological and scientific landscape.
by Abdul-Kareem H. Ahmed.
S.M.in Science Writing
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Carr, Kelly Marie. "The Impact of Verbal Explanation and Modified Consent Materials on Orthodontic Informed Consent." The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1298904481.
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Moloi, Gaotswake Patience. "Informed consent : communication and miscommunication in clinical trials." Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/20157.
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Thesis (MCur)--Stellenbosch University, 2012.ENGLISH ABSTRACT: Background Informed Consent (IC) has been proposed as the optimal method for ensuring the ethical entry of patients into clinical trials. IC is a vital part of the research process and as such entails more than obtaining a signature on a form. The IC must be given freely, without coercion, and must be based on a clear understanding of what participation involves. Aim The overall aim of this study was to attain an understanding of participants' knowledge regarding informed consent when participating in a research project. Methods The study was conducted at two public hospitals in a city in the Eastern Cape Province of South Africa. The quantitative study used descriptive survey design. A self administered questionnaire was used as a tool for data collection. Results The sample size consisted of 170 women with an average of 25.9 years. The majority had completed secondary level education. More than half of the participants did not have knowledge of the purpose of the original study. The majority of participants did not have knowledge of their responsibilities. Forty-two percent gave uninformative responses and 26% indicated they did not know their responsibilities. None of the participants understood the concept of randomization. The majority (85.9%) of participants indicated that information provided on the IC forms was sufficient for them to decide to participate. Conclusion Despite extensive efforts to ensure that participants understood their participation in the original studies, this study found poor recall of vital information for IC. A signed informed consent does not guarantee that participants understand information given. Recommendations The existing methods of communicating and obtaining of an informed consent seem to be insufficient for participants to make an informed decision. A new approach with more interactive features such as combination of audio-visual techniques might increase the possibilities of the understanding.
AFRIKAANSE OPSOMMING: Agtergrond Ingeligte toestemming (IT) is voorgestel as die optimale metode om die etiese toelating van die pasiënte vir kliniese toetse te verseker. IT is 'n belangrike deel van die navorsingsproses en as sodanig behels dit meer as die verkryging van 'n handtekening op 'n vorm. Die IT moet vrylik gegee word, sonder dwang en moet gebaseer wees op 'n duidelike begrip van wat die deelname behels. Doel Die algemene doel van hierdie studie is om 'n begrip van die deelnemers se kennis met betrekking tot ingeligte toestemming te bepaal, wanneer hulle deelneem aan 'n navorsingsprojek. Metodes Die studie is uitgevoer by twee openbare hospitale in ’n stad in die Oos-Kaap in Suid-Afrika. Die navorsingsontwerp is beskrywend van aard en ’n kwantitatiewe benadering is toegepas. ‘n Self-geadministreerde vraelys is as 'n instrument gebruik om data in te samel. Resultate Die steekproefgrootte het bestaan uit 170 vroue met 'n gemiddelde ouderdom van 25.9 jaar. Die meerderheid van die vroue het opleiding tot op sekondêre vlak. Meer as die helfte van die deelnemers het geen kennis van die doel van die oorspronklike studie gehad nie. Die meerderheid van die deelnemers het ook nie kennis van hul verantwoordelikhede gehad nie. Twee-en-veertig persent het nie toepaslike antwoorde gegee nie en 26% het aangedui dat hulle nie weet wat hul verantwoordelikhede in die studie is nie. Nie een van die deelnemers het die konsep van verewekansiging verstaan nie. Die meerderheid (85.9%) van die deelnemers het aangedui dat die inligting wat deur die IT verskaf word voldoende was om te besluit of hulle aan die studie wou deelneem. Gevolgtrekking Ten spyte van uitgebreide pogings om te verseker dat deelnemers hulle deelname verstaan het in die oorspronklike toetsing, het hierdie studie die swak herroeping van belangrike inligting aangaande IT bewys. ‘n Ondertekende ingeligte toestemming gee geen waarborg dat die deelnemers die inligting waarvoor toestemming geteken is, verstaan nie. Aanbevelings Die bestaande metodes van die kommunikasie en verkryging van ingeligte toestemming blyk onvoldoende te wees om deelnemers ingeligte besluite te laat neem. ‘n Nuwe benadering met meer interaktiewe eienskappe soos ’n kombinasie van oudio-visuele tegnieke mag die moontlikhede om te verstaan, meer duidelik maak.
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McNair, Angus Gregor Keith. "Information and informed consent in oesophagogastric cancer surgery." Thesis, University of Bristol, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.685417.
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Oesophagogastric cancer represents a major healthcare burden in the UK. Surgery is the mainstay of treatment and often represents the only chance of long-term survival. However, treatment is associated with major morbidity and mortality and a potentially irreversible deterioration in quality of life. Authorising surgery is therefore an enormous decision for patients to make, often when anxious and unwell. The aim of this thesis was to explore the provision of, and need for, information before oesophagogastric cancer surgery. A validated questionnaire surveyed patients' views of information importance, including questions about the cancer and prognosis, tests, treatments, and impact on physical and psychosocial health. Audio-recorded out-patient consultations, followed by semi-structured interviews, supplemented questionnaire data and explored information provision and patients' information preferences using thematic analysis. Patients' understanding of visual information was assessed through interviews in which patients were asked to interpret series of graphs depicting hypothetical multidimensional quality of life data. A total of 136 of 226 (60.2%) invited patients completed the questionnaire. Patients rated most information highly but, in particular, potentially sensitive information (such as survival), complex information (such as the rationale behind treatment recommendations) and quality of life. 18 (17 male) patients underwent audio-recorded consultations and interviews. Consultations were found to involve uniform, methodical, surgeon-centric discussions of the process of surgery and short-term outcomes, and inconsistent, typically patient led discussions of quality of life issues. Interviews highlighted patients' desire for information about treatment eligibility, the process of surgery itself, survival and quality of life. 132 of 194 (68%) invited patients were interviewed to assess understanding of visual information. The majority understood simple (87%) and complex (81 %) multidimensional data. Recommended. information exchange between surgeons and patients selected for oesophagogastric cancer surgery includes communication of sensitive and complex concepts as well as information regarding the process of surgery. This research will inform the development of an intervention to improve information provision before cancer surgery.
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Kettle, Nancy M. "Informed Consent: Its Origin, Purpose, Problems, and Limits." Scholar Commons, 2002. https://scholarcommons.usf.edu/etd/1523.
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The doctrine of informed consent, defined as respect for autonomy, is the tool used to govern the relationship between physicians and patients. Its framework relies on rights and duties that mark these relationships. The main purpose of informed consent is to promote human rights and dignity. Some researchers claim that informed consent has successfully replaced patients' historical predispositions to accept physicians' advice without much explicit resistance.
Although the doctrine of informed consent promotes ideals worth pursuing, a successful implementation of these ideals in practice has yet to occur. What has happened in practice is that attorneys, physicians, and hospital administrators often use consent forms mainly to protect physicians and medical facilities from liability. Consequently, ethicists, legal theorists, and physicians need to do much more to explain how human rights and human dignity relate to the practice of medicine and how the professionals can promote them in practice. This is especially important because patients' vulnerability has increased just as the complexity and power of medical science and technology have increased. Certain health care practices can shed light on the difficulties of implementing the doctrine of informed consent and explain why it is insufficient to protect patients' rights and dignity.
Defining a normal biological event as a disease, and routinely prescribing hormone drug therapy to menopausal women for all health conditions related to menopause, does not meet the standards of free informed consent. Clinicians provide insufficient disclosure about risks related to long-term use of hormone therapies and about the absence of solid evidence to support their bias toward hormone therapies as a treatment of choice for menopause related health conditions. The contributing problem is women's failure to act as autonomous agents because they either choose not to take an active part in their own therapy or because they fear to question physicians' medical authority. To insure that patients' autonomy and free choice are a part of every physician-patient interaction, physicians and patients need actively to promote them as values that are absolutely indispensable in physicians' offices, clinics, and hospitals.
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Agulanna, Christopher. "Informed Consent in Sub-Saharan African Communal Culture: The." Thesis, Linköping University, Centre for Applied Ethics, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-11963.
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Some scholars argue that the principle of voluntary informed consent is rooted in the Western ethos of liberal individualism; that it would be difficult to implement this requirement in societies where the norms of decision-making emphasize collective rather than individual decision-making (for example, Sub-Saharan Africa); that it would amount to “cultural imperialism” to seek to implement the principle of voluntary informed consent in non-Western societies. This thesis rejects this skepticism about the possibility of implementing the informed consent requirement in non-Western environments and argues that applying the principle of voluntary informed consent in human subjects’ research in Sub-Saharan African communal culture could serve as an effective measure to protect vulnerable subjects from possible abuses or exploitations. The thesis proposes the “multi-step” approach to informed consent as the best approach to the implementation of the principle in the African communal setting. The thesis argues that the importance of the “multi-step” approach lies in the fact that it is one that is sensitive to local culture and customs. On the question of whether the principle of voluntary informed consent should be made compulsory in research, the thesis answers that we have no choice in the matter.
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Ahlin, Jesper. "Personal Autonomy and Informed Consent : Conceptual and Normative Analyses." Licentiate thesis, KTH, Filosofi, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-212300.
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This licentiate thesis is comprised of a “kappa” and two articles. The kappa includes an account of personal autonomy and informed consent, an explanation of how the concepts and articles relate to each other, and a summary in Swedish. Article 1 treats one problem with the argument that a patient’s consent to treatment is valid only if it is authentic, i.e., if it is “genuine,” “truly her own,” “not out of character,” or similar. As interventions with a patient’s life and liberties must be justified, the argument presupposes that the authenticity of desires can be reliably determined. If the status of a desire in terms of authenticity cannot be reliably determined, discarding the desire-holder’s treatment decision on the basis that it is inauthentic is morally unjustified. In the article, I argue that no theory of authenticity that is present in the relevant literature can render reliably observable consequences. Therefore, the concept of authenticity, as it is understood in those theories, should not be part of informed consent practices. Article 2 discusses the problem of what it is to consent or refuse voluntarily. In it, I argue that voluntariness should be more narrowly understood than what is common. My main point is that a conceptualization of voluntariness should be agent-centered, i.e., take into account the agent’s view of her actions. Among other things, I argue that an action is non-voluntary only if the agent thinks of it as such when being coerced. This notion, which at first look may seem uncontroversial, entails the counterintuitive conclusion that an action can be voluntary although the agent has been manipulated or coerced into doing it. In defense of the notion, I argue that if the agent’s point of view is not considered accordingly, describing her actions as non-voluntary can be alien to how she leads her life. There are other moral concepts available to describe what is wrong with manipulation and coercion, i.e., to make sense of the counterintuitive conclusion. Voluntariness should be reserved to fewer cases than what is commonly assumed.QC 20170821
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Earle, Murray. "Judicial policy in the common law of informed consent." Thesis, University of Edinburgh, 2000. http://hdl.handle.net/1842/22173.
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This thesis has entailed an investigation into the common law of informed consent to medical procedures among competent adults. This fails within the law of delict in Scotland and South Africa and within the law of torts in England, Canada, Australia and the United States of America. These six jurisdictions comprise the countries whose common law has been deconstructed by this thesis. This deconstruction was done with the aim of highlighting those points in the law of negligence, delict and/or torts at which policy is made or enforced in favour of the patient, the medical practitioner or indeed in favour of compromise. The thesis begins by considering the nature of the relationship between the doctor and the patient - the parties who will later become the defender/defendant and the pursuer/plaintiff in law. The thesis then follows two routes concurrently. The sequence of chapters has followed the judicial inquiry into informed consent. Accordingly, it begins with a choice of laws issue: into which category of law will the informed consent scenario fall. Having concluded that any action lies primarily within the law of negligence, the route of that particular judicial inquiry has been followed. Chapters which follow cover the issues of the standard of care, the breach of the duty and causation, before moving on to consider the weight given to medical and lay evidence at each stage of that judicial inquiry. At each stage the different judicial tests and standards of the jurisdictions have been compared and contrasted. Within each chapter, another route has been followed. This has been coined the geochronological route because through time the doctrine of informed consent has traversed the globe from America, through Canada, Australia and South Africa, but has not found sanctuary in either England or Scotland. This leads us to the penultimate chapter in which we pose the question 'Informed Consent: Quo Vadis?' This chapter concludes that there are several routes to the adoption of consent principles in the United Kingdom, but none of these will lead to the adoption of the doctrine of informed consent. This is because of the security of the judicial tests in the Bolam and Hunter v Hanley cases. From a comparison throughout the thesis to alternative standards and tests outwith the United Kingdom, the concluding chapter comes out in support of these tests as able to reflect patients' interests because together they constitute a floating benchmark. This is possible precisely because of the operation of judicial policy within the common law of informed consent.
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Fabry, Götz Bernhard. "Einschätzung der Einwilligungsfähigkeit zum "informed consent" in der Psychiatrie /." [S.l. : s.n.], 1999.
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Fabry, Götz Bernhard [Verfasser], and Franz Josef [Akademischer Betreuer] Illhardt. "Einschätzung der Einwilligungsfähigkeit - zum "informed consent" in der Psychiatrie." Freiburg : Universität, 1999. http://d-nb.info/1123415781/34.
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Morin, Sophie. "La place des droits du patient à l'intérieur de la conception actuelle de l'obligation de renseigner en matière médicale /." Thesis, McGill University, 1999. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=30319.
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This thesis deals with the concept of the medical duty to inform focusing on the rights of the patient. It emerges that the notions governing medical responsibility do not adequately address the question of the protection and application of the rights of the patient. Existing conceptions of the notions of dereliction, causality and damage are analysed in order to point out the many inadequacies with the rights of the patient, source of the obligation to inform. Particular emphasis is given to the situation in Quebec and to the eventual place that could be occupied by conception of the duty to inform that is more sensitive to the situation and rights of the patient.
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Hoeyer, Klaus. "Biobanks and informed consent : An anthropological contribution to medical ethics." Doctoral thesis, Umeå universitet, Institutionen för folkhälsa och klinisk medicin, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-358.
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Background: 1985 saw the beginnings of a population-based biobank in Västerbotten County, Sweden. In 1999, a start-up genomics company, UmanGenomics, obtained ‘all commercial rights’ to the biobank. The company introduced an ethics policy, which was well received in prestigious journals, focusing on public oversight and informed consent. Aims: To explore how social anthropology can aid understanding of the challenges posed by the new role of the biobank in Västerbotten, and thus complement more established traditions in the field of medical ethics. An anthropological study of the ethics policy was executed. Theoretical perspective: Inspired by the anthropology of policy and social science perspectives on ethics and morality, the policy was studied at three analytical levels: policymakers (who formulate the policy), policy workers (who implement the policy, primarily nurses who obtain informed consent) and target group (for whom and on whom the policy is supposed to work: the potential donors to the biobank). Methods: Policymakers, nurses, and potential donors were interviewed, donations observed, and official documents analysed to mirror the moral problematizations made at the three levels in each other and to study the practical implications of the policy. To extend the reliability of the findings two surveys were executed: one among the general population, one among donors. Results: The qualitative studies show that policymakers distinguish between blood and data differently to potential donors. Informed consent seems more important to policymakers than potential donors, who are more concerned about political implications at a societal level. Among the respondents from the survey in the general public, a majority (66.8%) accepted surrogate decisions by Research Ethics Committees; a minority (4 %) stated informed consent as a principal concern; and genetic research based on biobank material was generally accepted (71%). Among the respondents to the survey in donors, 65% knew they had consented to donate a blood sample, and 32% knew they could withdraw their consent; 6% were dissatisfied with the information they had received; and 85% accepted surrogate decisions by Research Ethics Committees. Discussion: The ethics policy constitutes a particular naming and framing of moral problems in biobank-based research which overemphasises the need for informed consent, and underemphasises other concerns of potential donors. This embodies a political transformation where access to stored blood and medical information is negotiated in ethical terms, while it also has unacknowledged political implications. In particular, the relations between authorities and citizens in the Swedish welfare state are apparently transforming: from mutual obligation to individual contracts. Conclusion: Anthropology contributes to medical ethics with increased awareness of the practical implications of particular research ethical initiatives. This awareness promotes appreciation of the political implications of ethics policies and raises new issues for further consideration.
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ATWERE, PEARL. "Evaluation of Informed Consent Documents used in Critical Care Trials." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/33356.
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The literature suggests that informed consent documents (ICDs) are not well understood by research participants. The patient decision aid model may suggest improvements for the informed consent process, particularly in the critical care setting (ICU) because of patient capacity issues. Our goal was to evaluate the extent to which existing ICDs used in ICU research adhere to standards and recommendations for high quality informed consent. Eighteen items from recommendations specific to ICU trials were added to a previously developed ICD evaluation tool. A sample of ICU trials was identified from clinicaltrials.gov database and the investigators contacted for their trial ICD.
Conformity to the recommendations was variable. Some information are found routinely in consent documents for critical care research and some are not. Efforts should aim to establish tools for measuring decision quality in the ICU with the goal of facilitating and helping patients and surrogates work through trial participation decisions.
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Hoeyer, Klaus Lindgaard. "Biobanks and informed consent : an anthropological contribution to medical ethics /." Umeå : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-358.
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Lashley, Myrna. "Informed proxy consent : communication between surgeons and surrogates about surgery." Thesis, McGill University, 1995. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=29068.
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Professionals whose job it is to counsel patients must be cognizant of the role played by communication in the establishment of a trusting working relationship. This is no less true for those within the medical community who must obtain informed consent for surgical interventions than it is for those working within the area of mental health. In order to determine what role communication plays in the obtaining of informed consent within a pediatrics setting, a qualitative study was conducted of 20 surrogates (those individuals giving consent on behalf of legally incompetent children) and of 5 surgeons performing surgical interventions on those children. Two sets of questionnaires were administered in order to elicit information pertaining to how surgeons communicate information to surrogates and to investigate how that information is received and processed by the surrogate. Results showed that while the obtaining of signed informed consent itself may not be a major problem, there are some difficulties in the communication between surgeons and surrogates in this domain. Based on the findings, recommendations for improved communication between surgeons and surrogates are proposed.
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Stone, Tracey Jayne. "Rationality, informed consent and patient decision making for clinical trials." Thesis, University of Bristol, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.509761.
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Pawlak, Caroline E. "Orthodontic Informed Consent Considering Information Load and Serial Position Effect." The Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1395964866.
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Skulski, Brennan. "Rehearsal's effect on recall and comprehension of orthodontic informed consent." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1553690512382297.
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Barit, Avi. "The doctrine of informed consent in South African medical law." Diss., University of Pretoria, 2017. http://hdl.handle.net/2263/60104.
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King, Hillary S. "An Ethically Informed Consideration of the Use of a Waiver of Informed Consent in Emergency Medicine Research." Ohio University / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1366042483.
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Cai, Yinghong. "The legal rights in informed consent form for treatment in China." View the Table of Contents & Abstract, 2007. http://sunzi.lib.hku.hk/hkuto/record/B38478730.
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Ascheman, Paul L. "Informed consent to genetic research student participation and perception of risk /." [Ames, Iowa : Iowa State University], 2010. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:1475915.
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Abbey, Erica. "Informed consent as a therapeutic intervention: tailoring expectations to maximize recovery." Thesis, McGill University, 2012. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=110633.
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Informed consent is an integral component of modern medicine; however, gaps between ethical objectives and psychological corollaries linger. Despite mounting evidence to demonstrate its impact on human behavior, physicians and bioethicists scantily construe it as a source of therapeutic influence. Here we explore judicious ways to leverage this standard-of-care tool as both an ethical requisite in the clinical milieu and a procedure, which could either bolster or deflate the health of individuals, perhaps through a placebo effect.First, in a literature review, we examine the history and components of the informed consent process, and its relation to bioethical principles and patient-practitioner models. We explore relevant psychological mechanisms, such as the placebo and nocebo effect, that are inherent in consent discussions as well as in clinical practice. Applying this information, we offer an attractive recommendation that not only harmonizes the sometimes-clashing bioethical principles of autonomy and non-malfeasance, but also serves as an intervention to improve therapeutic outcome. Further, the review explains the ethical concerns embedded in placebo use, such as deception, abuse of trust, and manipulation, and shows how using the informed consent to elicit a placebo effect withstands ethical scrutiny.Second, we investigate if the informed consent process may actually function as a therapeutic, autonomous intervention. We tested if suggestions given during the informed consent procedure could elicit a placebo effect that would influence the postoperative experience of patients undergoing third molar extractions. Results from this randomized controlled pilot study at the Jewish General Hospital in Montreal indicated that slightly modifying consent form information and tenor decreased overall symptom severity scores on the Postoperative Symptom Severity Scale for experimental subjects compared to controls, as well as overall pain scores on the McGill Pain Questionnaire. Our findings suggest that altering expectations during the informed consent discussion may minimize manifested symptoms experienced post-surgically.Lastly, we study the risk factors often considered to influence postoperative recovery following third molar extractions. The analysis included patients' preoperative expectations as a determinant for the severity of postsurgical pain. Standardized coefficients demonstrated that out of age, gender, number of teeth removed, difficulty of extraction, operation time, intervention, and patient expectations, the latter was the largest significant predictor of postoperative pain scores. These results demonstrate that preoperative expectations are of utmost importance when predicting and determining the severity of patient recovery.Bien que le consentement éclairé soit une partie intégrante de la médecine contemporaine, un fossé entre les objectifs éthiques et les connaissances psychologiques demeure présent. En effet, malgré l'accumulation de preuves scientifiques démontrant l'influence du formulaire de consentement sur le comportement humain, les médecins et bioéthiciens considèrent rarement ce dernier comme ayant un impact thérapeutique. Nous explorons ici la possibilité de percevoir cette norme de diligence comme étant à la fois une obligation éthique du milieu clinique et une procédure thérapeutique pouvant, probablement par le biais d'un effet placebo, aider ou nuire à la santé de l'individu.En premier lieu, dans une revue de la littérature nous examinons l'historique et les composantes du processus de consentement éclairé et étudions comment ce dernier correspond aux principes de la bioéthique et aux modèles de relation entre les patients et les professionnels de la santé. Nous explorerons également les mécanismes psychologiques importants dans le processus de consentement et dans la pratique clinique, comme par exemple les effets placebo et nocebo. Mettant en pratique cette information, nous proposons une attirante suggestion dans l'utilisation du processus de consentement éclairé qui promet de rééquilibrer l'harmonie entre les principes éthiques d'autonomie et de non-malfaisance, lesquels ont tendance à s'affronter dans l'utilisation traditionnelle de ce processus. Notre suggestion servira également d'intervention qui aidera au processus de guérison. Enfin, la revue littéraire expliquera les préoccupations éthiques comprises dans l'utilisation des placebos, comme par exemple la déception, l'abus de confiance et la manipulation, puis détaillera en quoi l'utilisation de l'effet placebo dans le processus de consentement contrebat ces problèmes éthiques.En second lieu, nous cherchons à savoir si le processus de consentement éclairé peut effectivement fonctionner comme une intervention thérapeutique autonome. Plus précisément, nous avons testé si des suggestions administrées au cours du processus de consentement peuvent produire un effet placebo influençant l'expérience thérapeutique de patients suite à l'extraction chirurgicale des troisièmes molaires. Nous avons menée cette étude à l'Hôpital Général Juif de Montréal et avons utilisé un échantillonnage aléatoire afin de s'assurer de la validité des résultats. Les résultats de cette étude pilote indiquent qu'une légère modification de l'information et de la teneur générale du formulaire de consentement suffit pour réduire la sévérité des symptômes évalués sur l'échelle de sévérité des symptômes postopératoires [Postoperative Symptom Severity Scale], ainsi que pour réduire les indices de douleur du Questionnaire sur la douleur de McGill [McGill Pain Questionnaire]. En effet, nos résultats démontrent qu'une modification des attentes des patients lors du processus de consentement peut éliminer, ou du moins réduire, les symptômes reliés à l'expérience postopératoire.Finalement, nous étudions les facteurs de risque souvent considérés comme ayant un impact sur la guérison suite à l'extraction chirurgicale d'une troisième molaire. L'analyse incluait les attentes des patients concernant la sévérité des symptômes post-chirurgicaux. Des coefficients standardisés ont indiqué que, parmi les variables étudiées (âge, sexe, nombre de dents extraites, difficulté de l'extraction, temps d'opération, intervention et attentes des patients), les attentes des patients sont les meilleurs prédicteurs des résultats postopératoires. Ces résultats démontrent l'importance des attentes préopératoires sur la prédiction des symptômes et de leur sévérité chez des patients en rémission chirurgicale.
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Goldsmith, Lesley. "Informed consent for pharmacogenomic testing in people with a learning disability." Thesis, University of Plymouth, 2011. http://hdl.handle.net/10026.1/316.
Full textAbstract:
Informed consent for pharmacogenomic testing in people with a learning disability Background Advances in genomic healthcare will enable medication to be tailored to each individual’s needs, based on subtle genetic variations. This will result in individuals being asked to consent to genetic testing for this purpose. The recent political agenda for social change has emphasised the right of people with learning disabilities to have more autonomy and make their own decisions. There have also been significant changes in the way healthcare practitioners relate to their patients, with a shift away from paternalism towards shared decision-making. Research Aim The aims of the study were (1) to explore the information needs of people with mild to moderate learning disabilities with respect to pharmacogenomic tests and (2) to identify ways of facilitating informed consent. Methods An integrative literature review was conducted to identify research on informed consent to healthcare interventions in people with learning disabilities (Phase 1). Subsequent phases (Phases 2-4) of the study were conducted using an ethnographic approach. Phase 2 involved observation of six participants with learning disabilities undergoing a routine blood test consultation in general practice. This was followed by Phase 3, in which semi-structured interviews with 14 participants with learning disabilities were conducted. In Phase 4, three different methods were used: focus groups with carers (four paid carers, five family carers), an on-line bulletin board for healthcare professionals (five participants) and interviews with six key informants from the field of learning disability. Findings The data showed consent procedures were often inadequate and there was inconsistent knowledge of mental capacity law amongst health professionals. Provision of information to patients prior to a blood test was variable, but interviews with people with learning disabilities revealed the fact that this information may not be wanted by them. People with learning disabilities viewed pharmacogenomic tests as similar to other blood tests and would want access to them. The attitudes of paid carers and family carers differed in terms of decision-making opportunities for people with learning disabilities. Conclusions Healthcare practitioners, carers and people with learning disability need to be familiar with the principles of the Mental Capacity Act to facilitate valid consent in the healthcare context. Healthcare practitioners also need to be made aware of developments in pharmacogenomics if it is to become part of routine health care. Finally, this study demonstrated the value of qualitative research in exploring the knowledge and attitudes of people with learning disability.
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Cai, Yinghong, and 蔡映紅. "The legal rights in informed consent form for treatment in China." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B39724347.
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Pease-Carter, Cheyenne. "Preferences among student counselors regarding informed consent practices within counselor education." Thesis, University of North Texas, 2008. https://digital.library.unt.edu/ark:/67531/metadc6066/.
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The purpose of this study was to investigate student preferences for content, timing, and method of informed consent within counselor education programs. Participants included 115 students enrolled in counseling internship courses at six counseling programs accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP). Participants completed the Informed Consent Preferences Questionnaire (ICPQ), an instrument designed specifically for this study through systematic instrumentation development. Descriptive statistics highlighted participants' moderate to high ratings of perceived importance for an array of suggested content pieces for student informed consent. Participants varied among themselves and between items in relation to preferred timing of informed consent, and they consistently reported a desire for student informed consent to be facilitated through a combination of both oral and written methods. Results of exploratory factor analysis revealed a simple eight-factor structure within the ICPQ and suggested strong internal reliability. Correlations for participant scale scores for the eight factors revealed a variety of small to medium correlations. Results from t-test and one-way analysis of variances (ANOVA) indicated that participant preferences did not vary according to demographic variables. Finally, participants' qualitative responses revealed high levels of support for student informed consent. Findings of this study may aid counselor educators in evaluating current program informed consent practices. As a result of evaluation, counselor educators can affirm existing, and/or design new informed consent practices that accurately reflect the needs and desires of counseling students. Future researchers may also utilize the results to guide additional studies related to the practice of student informed consent.
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Pease-Carter, Cheyenne Minton Casey Barrio. "Preferences among student counselors regarding informed consent practices within counselor education." [Denton, Tex.] : University of North Texas, 2008. http://digital.library.unt.edu/permalink/meta-dc-6066.
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Nieuwkamp, Garry Anthony Aloysius, and res cand@acu edu au. "The Theory of Informed Consent in Medicine: problems and prospects for improvement." Australian Catholic University. School of Philosophy, 2007. http://dlibrary.acu.edu.au/digitaltheses/public/adt-acuvp166.22072008.
Full textAbstract:
Practice and law around informed consent in healthcare have undergone a revolution for the better over recent decades. However the way we obtain informed consent remains problematic and is imbued with irreducible but not ineliminable uncertainty. The reasons for this uncertainty are varied. The uncertainty is partly due to the conceptual opacity of important core concepts. The complexity of communication in clinical encounters is another. The role of autonomy, and the changing nature of the clinician patient relationship, have also contributed to this uncertainty remaining. This thesis is not a panacea for these difficulties. However there have been two quite profound revolutions in healthcare over the last decade or so, namely, the introduction of evidence-based medicine into clinical decision making, and the institutionalization of clinical governance and the application of quality improvement philosophy. I have examined ways in which these two “movements” can help in reducing some of the uncertainty in the practice of informed consent.
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Nicholls, Alice. "Effort test results : the effect of informed consent in a clinical sample." Thesis, University of Leicester, 2012. http://hdl.handle.net/2381/27639.
Full textAbstract:
Effort or Symptom Validity Tests (SVTs) are used during neuropsychological assessment to assess for negative response bias. SVT failure can be used as evidence that other test results are invalid and to support a diagnosis of malingering. The positive predictive accuracy of a SVT is dependent on its sensitivity, specificity and the base rate of malingering within the population sampled. The British Psychological Society (BPS, 2009) advises that all clinical patients should be assessed for effort using a SVT. However, there is no available data on the likely base rates of malingering within a UK clinical sample. Furthermore, despite test manual instructions, the BPS also advises that examinees should be informed they will be assessed for effort, potentially invalidating test results. A systematic literature review was conducted to ascertain what is currently known about the base rates of malingering. Studies were only included if they enabled the application of the Slick, Sherman and Iverson (1999) criteria for definite or probable malingering to their sample. Four North American Studies yielded 503 litigating, traumatic brain injured participants of which 24.55% were identified as either probably or definitely malingering. This figure was significantly lower than previous estimates, which have suggested the base rate of malingering may be as high as 40% (Larabee, 2003). In order to investigate whether informing people presenting for a neuropsychological assessment that they would be tested for effort affects their SVT results a multi-site experimental design was employed. Participants were randomly assigned to either informed or uninformed conditions and administered a battery of neuropsychological tests including the Test of Memory Malingering (Tombaugh, 1996). Practical difficulties resulted in small sample size and insufficient statistical power to either accept or reject the null hypothesis. Further data collection, research opportunities and clinical implications are discussed.
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Torres, Roberto. "Communicating informed consent with LEP participants during clinical trials| A case study." Thesis, University of Phoenix, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3691421.
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Healthcare systems are under pressure to eliminate disparities of care. Communication methods used with Limited English Proficiency (LEP) patients was presented in the literature as an essential component to deliver quality and equal care. Several strategies have been implemented to assess and target the communication methods between patients and health care teams. The challenge for health systems workers is to address communication barriers to eliminate disparities of care and medical errors. The purpose of the present qualitative case study was to explore if communication barriers affect the understanding of LEP research participants while participating in the informed consent process during clinical trials. Communication barriers during the informed consent process may affect clinical trial outcomes. In the study, the use of a triangulation data gathering method was associated with a qualitative case study. Data regarding barriers of communication during the informed consent process were gathered by performing semistructured interviews. The study population included six principal investigators, five interpreters, and nine LEP research participants. Data analysis involved reviewing the emerging themes from participants’ responses. Results indicated four major themes supporting communication challenges. The themes included authority figure, cultural sensitivity, communication barriers, and education. The study suggested the need for further research regarding communication barriers during the clinical trials process.
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Desman, Alexander Robert. "Rehearsal's effect on long-term recall and comprehension of orthodontic informed consent." The Ohio State University, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=osu1616177260258374.
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Huber, Franziska [Verfasser]. "Die medizinische Indikation als Grundrechtsproblem : Zum Informed Consent als Indikationsäquivalent / Franziska Huber." Baden-Baden : Nomos Verlagsgesellschaft mbH & Co. KG, 2020. http://d-nb.info/1204710325/34.
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Flanagan, Ellen Cecelia. "AN URBAN BIOETHICS APPROACH TO PARENTAL INFORMED CONSENT FOR PEDIATRIC CLINICAL RESEARCH." Master's thesis, Temple University Libraries, 2018. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/537038.
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Urban BioethicsM.A.
In the current healthcare landscape, parents generally make decisions regarding whether or not their children are allowed to take part in clinical research, with the general assumption being that parents know what is best for children. Investigations have been conducted regarding what is likely to lead parents to consent or not consent to their child’s participation in a trial, but research plans seldom incorporate the consideration that not all parents come into the consent process with equal social, academic, and economic footing. Since the burden of the ultimate decision lies primarily on the parents, it is supremely important that they are capable of making a well-informed and thoughtful choice. Bioethical understanding of the influence of parental decisions in clinical research must consider demographic variables and how they may affect parents’ decisions to allow or disallow their child to participate in a clinical trial. Those differences could affect the consent process and have ramifications for the research findings, as research results are affected in numerous ways by which children do, and do not, participate in studies. This paper looks specifically at parents in the process of informed consent for pediatric research, taking into account several social determinants of health and how they affect who participates in research and how that affects research as a whole.
Temple University--Theses
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Ching, Yang Pei, and 楊沛青. "Dental Practice and Informed Consent." Thesis, 2005. http://ndltd.ncl.edu.tw/handle/45245738219407434421.
Full textAbstract:
碩士長庚大學
醫務管理學研究所
93
In the lack of comprehensive studies of dental care and informed consent, dentists in Taiwan in genera do not know what is informed consent, let alone how to practice it. The central focus of this research is about dental care and informed consent, its legal implications and practical problems. The author wishes to examine and clarify various problems that exist in dental care and informed consent, so as to search for appropriate solutions. To achieve this goal, broadly reviewed international literatures and tried to create a strong analytical framework. This study concluded that not only is the patient population developing stronger personal opinions regarding dental care, but also patients who desire a role in the decision-making process of their dental health are gradually gaining respect from the medical community. As traditional dentistry changes in dramatic ways and medical malpractice suits increase in frequency, there is a greater need for emphasis on informed consent. Given the fact that more and more dental treatments are by nature selective, respect to patient autonomy should play a significant role in the dentist-patient relationship and it is urged that more attentions should be paid to assure truthfully practice of informed consent in daily clinical reality.
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Whitley, Sarah Marie. "Informed Consent with Homeless Patients." Thesis, 2011. http://hdl.handle.net/10150/183732.
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A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.Access to healthcare for homeless persons is a significant problem within the United States. However, as barriers are lessened through federally funded or philanthropic organizations, attention must be paid to ensuring quality healthcare. The homeless population has disproportionately high rates of substance abuse, mental health disorders, and traumatic brain injuries. This places these patients at greater risk for lacking capacity to consent. This study was designed to examine the informed consent practices of healthcare practitioners in the primary care setting of clinics having received the federal Healthcare for the Homeless grant. Due to the poor response rate, no data of statistical significance were obtained and the study was treated as a pilot study. Patient demographics closely mirrored national statistics of homelessness excepting ethnicity. Likewise, patients seen in these clinics experience high rates of substance abuse and mental health disease. Providers reported only low rates of traumatic brain injuries in their population, contrary to national statistics demonstrating high rates of this disorder. Despite the high prevalence of risk factors for incapacity to consent, providers rarely questioned their patients’ decisional capacity. Practices involving informed consent varied widely. Further studies need to be conducted to evaluate informed consent practices though it is apparent that studies of this nature may be impractical and unethical, if not impossible.
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Chih-Yi, Lin, and 林芝伊. "Clinical Practice of Informed Consent in Taiwan: Content Analysis of Informed Consent Form for Cardiac Surgery." Thesis, 2005. http://ndltd.ncl.edu.tw/handle/28295501214826159754.
Full textAbstract:
碩士長庚大學
醫務管理學研究所
93
A new Model Surgical Consent Form (SC Form) was put into effect on Jan. 1, 2004, which was designed to facilitate doctor-patient communication so as to promote patient autonomy. Does the new form really bring in a new practice in clinical reality? Given the general style of the new form, it is essential for hospitals to design a more detailed Surgical Explanation Form (SE Form) to aid patient understanding. This study is to investigate whether the SC and SE forms now in use in hospitals meet accepted standards of informed consent, and whether they deliver needed medical information? To answer the above-mentioned questions, this study collected 48 SE forms about 8 cardiac surgeries in 6 major hospitals in Northern Taiwan. Then, this study created a 32-item list of necessary content of informed consent by reviewing related literatures. The 48 SE forms were examined accordingly for evidence of the basic elements of informed consent (nature of the procedure, risks, benefits, and alternatives) and items that might enhance patient-physician interactions and encourage shared decision making. The study findings are as followed: (1) 4 items, including name of disease, reason of suggested operation, name of suggested operation, and responsible surgeon, appeared in all 48 SE forms. (2) 13 items, such as body part to be operated, prognosis of refusal of surgery, approximate time of operation, prognosis, fees and charges, etc, were not mentioned in all 48 SE forms. (3) The rest 15 items are displayed in minor different style. In general, information about risks, complications, and alternatives are most apparent in the reviewed forms. This study revealed that there is no big difference among hospitals in information-giving. Though most SE forms contain much information, to truly facilitate patient autonomy, the current SE form does not provide enough and necessary information.
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Lai, Huei-Jen, and 賴惠蓁. "Scope and Liability of Informed Consent." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/94527418833495947586.
Full textAbstract:
碩士雲林科技大學
科技法律研究所
98
To protect patients’ autonomy, informed consent imposes a duty upon physicians to share information with their patients before getting consent. However, there is a huge gap between the legal and medical professions. Furthermore, the criteria of informed consent in trails are not consistent. Extending the scope of informed consent unlimitedly to impose liability upon physicians for the cases with unfavorable outcomes will lead to defense medicine and deteriorate the physician-patient relationship. In the current thesis, we examined trials regarding inform consent and summarized the rules of informed consent in other countries to make some suggestions about the scope and standards of informed consent. In addition, Department of Health is promoting the patient-safety reporting system actively. This reporting system asks the physicians to report their medical errors voluntarily to prevent the secondary damage by medical errors. This system aims to improve patients’ safety and to improve medical quality. However, current rules do not exempt physicians from liability and the document regarding their medical errors could be used as evidence in trials to prove physicians’ liability. Further policy arguments about the system of reporting errors by improving the incentives of physicians should be the key issue to implement this system.
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Huang, Hui-Yi, and 黃蕙怡. "The Study of Informed Consent Forms and Clients’ Experiences Involved in the Informed Consent Process in Psychotherapy." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/72961865402604466112.
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碩士中國文化大學
心理輔導學系
102
The researcher used both quantitative and qualitative methods to investigate the content of informed consent forms which are used in 44 student counseling centers of universities in Taiwan and clients’ experiences involved in informed consent process in psychotherapy. The investigation of 44 informed consents forms were analyzed and presented by using descriptive statistics. The elements included in informed consent forms are itemized, and the content and format of informed consent vary depending upon the schools. The limits of confidentiality, the right to request or to refuse any particular treatment technique or to withdraw from therapy at any time and the right to request a referral to another therapist are the elements which are included in every informed consent forms; however, just few of them mention about the information regarding clients’ right to examine personal records, alternative treatments or options and potential risks and benefits of treatment. Generally, the consent for audio or video recordings and the information of destruction timeframe as well as who will have access to the recordings and where they will be stored are ambiguous and scanty. A total of 5 interviewees (3 females and 2 males) with a mean age of 26 years, who had at least 6 times of individual counseling experiences in the student counseling centers in universities were recruited by purposive sampling for in-depth interviews in this study. Interviewees described their informed consent experiences as confusing and oppressive. The signed informed consent form and a clear verbal interpretation of situation cannot ensure the clients really understand the nature of psychotherapy and what its process. While confronting dilemma, they tend to react in a passive way such as withdrawal, conformity or surmise. Finally, basic on their personal experiences, interviewees give suggestions to therapists conducting informed consent. Recommendations and suggestions for future research are also provided.
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Kettle, Nancy M. "Informed consent : its origin, purpose, problems, and linits." 2002. http://purl.fcla.edu/fcla/etd/SFE0000041.
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Gasa, Nolwazi Bright Khanyisile. "Cultural conceptions of research and informed consent." Thesis, 1999. http://hdl.handle.net/10413/5843.
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AIDS has had a negative impact on developing countries. Because most developing countries
cannot afford the new antiretroviral drug therapies, it has been suggested that preventive
vaccines might reduce the spread of the HIV/AIDS epidemic (Bloom, 1998). The clinical
trials of AIDS vaccines do, however, present with complex ethical issues such as informed
consent. Informed consent is primarily grounded on the Western principle of respect for
individuals as autonomous agents. This may be at variance, however, with African societies'
emphasis on the social embeddedness of the individual.
The current study forms part of the HIVNET vaccine trials to be conducted in Hlabisa, in
Northern Zululand, under the auspices of the South African Medical Research Council. The
main aim of the study was to explore key informants' cultural conceptions of research and
informed consent in order to facilitate community consultation and cultural sensitivity.
Maximum variation sampling was used to select twenty-three key informants, who are in
leadership positions within Hlabisa. An interview guide was used to facilitate narrative
disclosure of cultural conceptions of research and informed consent. Perceptions of research,
conceptions of the informed consent process, and projected motivations for why individuals
agree to participate in studies were explored during interviews.
Results suggest that members of the Hlabisa community have a limited understanding of the
Western research process. Community education about research is therefore warranted.
Informants indicated that community members would value the establishment of a
relationship characterised by mutual respect for cultural differences between researchers and
participants. This was perceived as likely to facilitate shared decision-making, and the
reduction of the power differentials that exist between researchers and participants. While the
involvement of key community leaders and family members was recommended by most
informants, a few informants felt that participants could also make individual decisions about
participation. The theoretical implications of the study are considered last.Thesis (M.A.)-University of Natal, Pietermaritzburg, 1999.
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Cheng, Yu-Hui, and 鄭育惠. "Reflections on the Principle of Informed Consent." Thesis, 2003. http://ndltd.ncl.edu.tw/handle/10425729966448302167.
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Wu, You-Lin, and 吳侑臨. "A study on the Medical Informed Consent." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/vh42ru.
Full textAbstract:
碩士亞洲大學
財經法律學系
107
“Informed Consent”—doctor’s duty to inform—is the premise of the right of patient autonomy. Without emphasizing the importance of the duty, one cannot make a concrete discourse on the right. When the right has been the center of legal-medical discussion/debate for years, the duty has been transformed from a medical ethic issue into a legal obligation in Taiwan. Regardless of the aforementioned transformation, a thorough legal examination and discussion has not yet been made in Taiwan. This thesis intends to fill the research blank, and discuss the duty, starting from the duty’s basic concepts--human rights, human dignity, patient autonomy, and health care right, to its relevant civil, criminal, and procedural law issues. This thesis will also analyze Taiwanese court decisions to show how Taiwanese judiciary treats the informed consent issue. Lastly, this thesis will conclude with the need to introduce the idea of legal risk into the discourse of the duty in Taiwan. “An ounce of informed consent is worth a pound of malpractice defense,” as the old saying goes. This thesis argues that taking legal risk into consideration of constructing the concept of the duty can reduce unnecessary legal medical conflicts between doctors and patients.
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LIN, CHEN-YU, and 林宸羽. "Legal Study on MD’s Informed Consent Liability." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/r6z5z5.
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