Page 102 - Human Rights
P. 102

Faculty of Nursing
                                                                   Adult care Nursing Department



               3.2.2 Consent


                The principle of free and informed consent is a core value in the health professions.


               It  is  not  just  about  “permission-giving”  but  rather  about  a  decision-making  process  which  is
               sensitive to context.


                It was affirmed as central to ethical health care in the Nuremberg Code and nurses, as frontline

               careers, play a key role in ensuring that “the individual receives sufficient information on which to

               base consent for care and related treatment.”

               As a 2001 public enquiry into paediatric heart surgery in the UK affirmed:


               The process of informing the patient, and obtaining consent to a course of treatment, should be

               regarded as a process and not a one-off event consisting of obtaining a patient’s signature on a

               form.  The  process  of  consent  should  apply  not  only  to  surgical  procedures  but  to  all  clinical
               procedures  and  examinations  which  involve  any form  of  touching.  This must  not  mean  more

               forms: it means more communication.


               As informed consent requires patient access to information, the right to information becomes an

               important factor in this process.

               It is critical that the consent of the patient is protected as a central tenet of nursing and the other

               caring  professions  and  must  be  sought  prior  to  undertaking  any  nursing  procedure.  Where

               patients are incompetent – that is, prevented from taking decisions in an informed manner by

               learning difficulties, serious mental illness, young age or unconsciousness – then nurses must act
               in consultation with parents, guardians or other family members, with other clinicians, and in

               patients’ best interests.


               3.2.3 Confidentiality





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