| Making a difference: incorporating theories of autonomy into models of informed consent. | |
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MedLine Citation:
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PMID: 18757622 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Obtaining patients' informed consent is an ethical and legal obligation in healthcare practice. Whilst the law provides prescriptive rules and guidelines, ethical theories of autonomy provide moral foundations. Models of practice of consent, have been developed in the bioethical literature to assist in understanding and integrating the ethical theory of autonomy and legal obligations into the clinical process of obtaining a patient's informed consent to treatment. AIMS: To review four models of consent and analyse the way each model incorporates the ethical meaning of autonomy and how, as a consequence, they might change the actual communicative process of obtaining informed consent within clinical contexts. METHODS: An iceberg framework of consent is used to conceptualise how ethical theories of autonomy are positioned and underpin the above surface, and visible clinical communication, including associated legal guidelines and ethical rules. Each model of consent is critically reviewed from the perspective of how it might shape the process of informed consent. Results and discussion: All four models would alter the process of obtaining consent. Two models provide structure and guidelines for the content and timing of obtaining patients' consent. The two other models rely on an attitudinal shift in clinicians. They provide ideas for consent by focusing on underlying values, attitudes and meaning associated with the ethical meaning of autonomy. CONCLUSIONS: The paper concludes that models of practice that explicitly incorporate the underlying ethical meaning of autonomy as their basis, provide less prescriptive, but more theoretically rich guidance for healthcare communicative practices. |
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Authors:
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C Delany |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of medical ethics Volume: 34 ISSN: 1473-4257 ISO Abbreviation: J Med Ethics Publication Date: 2008 Sep |
Date Detail:
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Created Date: 2008-09-01 Completed Date: 2008-11-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7513619 Medline TA: J Med Ethics Country: England |
Other Details:
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Languages: eng Pagination: e3 Citation Subset: E; IM |
Affiliation:
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School of Physiotherapy, The University of Melbourne, Carlton, Melbourne, Australia. c.delany@unimelb.edu.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Communication Decision Making Humans Informed Consent / ethics*, legislation & jurisprudence Patient Education as Topic / ethics* Personal Autonomy* Physician-Patient Relations / ethics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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