2024 Volume 44 Pages 463-472
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.
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.
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.
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.
