Factors Associated With Advocating Informed Consent for Patients Aged 75 Years or Over by Acute Care Hospital Nurses

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  • Fukada Masami
    Department of Nursing, Faculty of Nursing, Shoin University
  • Doi Mana
    Division of Nursing, Chiba Faculty of Nursing, Tokyo Healthcare University
  • Kanoya Yuka
    Nursing Course, School of Medicine, Yokohama City University

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  • 急性期病院看護師による後期高齢患者のインフォームドコンセントに関わるアドボカシー実施状況と関連要因

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<p>Objective: We examined the status of acute care hospital nurses’ advocacy regarding the informed consent (IC) of patients aged 75 years or over and its factors, including psychological safety.</p><p>Methods: The participants were 485 nurses who were working in four acute care hospitals. We used a measurement scale for shared decision-making in treatment based on the concept of patient advocacy in nursing (scale). Multiple regression analysis was conducted to investigate the factors.</p><p>Results: Valid responses were obtained from 295 nurses (response rate: 60.8%). The mean total score of scale was 67.6 (SD = 8.9). Four factors were identified: psychological safety, awareness of individualized care, being present during IC, and having professional qualifications.</p><p>Conclusion: To further advocate regarding IC for patients aged 75 years or over more effectively, four elements are important; the improvement of psychological safety; the recognition of individualized care; an improvement in IC attendance rates and possess professional qualifications.</p>

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