護理人員面對知情同意的倫理困境

The Ethical Dilemma of Nursing Staff Facing Informed Consent

近年來由於人權意識高漲，社會價值觀的快速轉變，使得醫療體系所提供的照護亦需不斷的修正以符合病患所需。因此，促使醫護人員更重視病人的知情同意權。尤其是照護病患第一線的護理人員，更常面臨到「知情同意」(Informed Consent)的議題，然而臨床實務工作充滿了複雜性與多變性，護理人員在病患行使「知情同意」權時，常會因而遭遇到許多護理倫理的困境。故本文將病患知情同意權與護理倫理困境做一介紹，並且提出對於未來之展望，給予護理人員建議與對護理措施的省思，期使本文能作為護理人員在面對知情同意所產生的倫理困境有一參考的資料。

With the increased appreciation of human right and rapid change of social value, medical health providers have to constantly modify their services to meet patients’ need. In addition, medical staffs emphasize more on the issue of informed consent nowadays. Nursing staffs, standing in the front line of caring, have to face the issue of “informed consent” more often. However, due to the complex and diverse clinical working environment, nursing staff often face various ethical dilemmas when they try to keep patients well informed. This article discussed issues related to ethical dilemma of informed consent and proposed coping strategies for dealing with this issue.