PubMed · 1868994
The source did not provide an abstract. Follow the original record for more information.
Explore connections, maps & timelines
G Oreto. 1991. [Informed consent: a utopia?].. https://pubmed.ncbi.nlm.nih.gov/1868994/
Cite the original work for its findings. Save a collection to share your selection of sources.
KEEP EXPLORING
Explore the source record for details and available documents.
Guidelines regarding non-resuscitation decisions sometimes raise conceptual and ethical questions. Establishing blood circulation and gas exchange is no useful criterium to determine the efficacy of resuscitation. A professional assessment of efficacy or medical futility of resuscitation may involve value judgements. These value judgements should not concern the life of the individual patient, but rather the objective of resuscitation in general. Furthermore, these judgements ought to be grounded on professional consensus. A patient should be informed of a non-resuscitation decision that has been taken, since in the normal course of events resuscitation is the correct treatment. Furthermore, a conversation serves not only to obtain informed consent but also to align the views and expectations of the patient and his treating physician. Suspension of a non-resuscitation policy during operations should be discussed with the patient. A physician is allowed to define the limits to the risks to which he wants to expose the patient.
OBJECTIVE: This study is the context portion of a larger study that described the experience of 30 nurses in Texas, USA who worked in for-profit psychiatric hospitals during a documented period of corporate deviance. The objective of the contextual portion was to describe the major findings in 1991-1992 of investigating agencies that probed the scandal. DESIGN: Exploratory descriptive. SAMPLE: Over 1,240 pages and 40 hours of corporate records obtained under subpoena, and written and oral testimony before the USA House Select Committee on Children, Youth, and Families. METHODS: Content analysis, triangulating sources, and comparing as well as cross-checking themes. FINDINGS: Four themes: insurance games, dumping patients, patient abuse, and playing with language. CONCLUSIONS: Organizational deviance may become more widespread in profit-driven systems of care. Lobbying for whistleblower protection, collective advocacy, and creative educational reforms are used.