<総説>「子どもへ検査・処置について説明を行うこと」に関する文献検討

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To investigate informed consent practice in the pediatric clinical setting, including health care provider views, from the perspective of children's rights, pre-examination or pretreatment provision of information to child patients, details of such information, and the relation between patient reaction and intervention by physicians, nurses and parents, we reviewed papers on pediatric nursing published overseas in English from 1972 to 1999,and Japanese papers from 1981 to 1999. Results are summarized as follows : 1) Although those receiving treatment are child patients in pediatric settings, parents have the authority or right to give consent by proxy. There is no standard for informed consent for child patients : some physicians give them explanations, others not. 2) Factors affecting child patient agreement are as follows : provision of information before examination or treatment ; provision of information when the patient demands it : allowing the patient choice of treatment options, such as injection site and treatment of wound site (stitching or gluing); asking the patient's wishes ; use of audiovisual materials for explanation ; help from parents ; and the developmental stage of the patient. 3) There are few papers analyzing the relationship between interventions by physicians, nurses or parents and the reactions of child patients, depending on their developmental stages, in the courses of examination or treatment.
神戸市看護大学の論文
2000-03-31

<総説>「子どもへ検査・処置について説明を行うこと」に関する文献検討

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