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Advisor(s)
Abstract(s)
Foi objectivo deste estudo: conhecer o entendimento dos médicos, enfermeiros, doentes e
família em relação ao CI a partir dos relatos por eles efectuados. A metodologia foi qualitativa
e o estudo foi exploratório e descritivo. Decorreu durante os anos de 2006 e 2007, tendo a
recolha de dados decorrido entre Julho de 2006 a Janeiro de 2007, em dois hospitais: um
público e outro privado.
Na análise teórica são focados os seguintes aspectos: a relação médico/ doente, a enfermagem, o
doente, a família, o hospital, a informação, o Consentimento Informado em Portugal, as
reflexões éticas e a moldura jurídica.
Dos resultados obtidos destaco:
- O entendimento dos médicos em relação ao consentimento ocorre na relação médico / doente,
dando grande importância a esta.
- Há uma notória ausência de informação ao doente, sobretudo nos diagnósticos graves.
- O trabalho de equipa entre os médicos e os enfermeiros é difícil ou quase inexistente.
- Os doentes transmitem a necessidade de serem informados e esclarecidos pela equipa médica,
sobretudo quando o é diagnóstico grave.
- Os doentes querem participar na decisão clínica.
- O Consentimento Informado é considerado útil e necessário na prática clínica, embora na
maioria das vezes, o doente não seja informado, nem realizado o CI.
- Os principais obstáculos ao Consentimento Informado são: o nível sócio/cultural e económico
do doente e a equipa saúde (devido à falta de tempo, de espaço adequado e de hábito).
- Os enfermeiros na maioria dos casos, são excluídos da informação e do CI pelos médicos,
doentes, família e por eles próprios.
- Os enfermeiros consideram que a informação deve ser dada pelos médicos. Porém, dão grande
ênfase ao papel do enfermeiro no CI, na informação, na relação enfermeiro / doente
considerando que esta contribui para a humanização dos cuidados.
- Para a maioria dos enfermeiros a participação no CI e na informação é confusa. Esta encontrase
limitada e totalmente dependente do médico.
- Existe uma relação entre a qualidade na prática clínica e o Consentimento Informado.
- A família considera de extrema importância ter acesso à informação, porém sente dificuldades
na comunicação com os médicos.
- Os médicos concordam com a obrigatoriedade da obtenção do Consentimento Informado, mas
em nenhum dos dois hospitais se realiza o CI.
- Não há diferenças significativas entre a assistência pública e a privada a nível do CI, na
informação dada ao paciente.
The objective of this study was: to find out how the agreement developed between doctors, nurses, patients and family in relationship to talks between them. The study was exploratory, descriptive, with a qualitative methodology. The study occurred during the years 2006 and 2007, with data collected between July, 2006 and January, 2007, in two hospitals: one public and the other private. The theoretical analysis is focused on the following aspects: the relationship between doctor and patient, nursing, the patient, the family, the hospital, information, the informed consent in Portugal, ethical reflections and the legal framework. The detailed results obtained: - The agreement of the doctors in relation to the consent that occurs between the doctor and the patient, with the doctors giving great importance to this aspect. - There is a notable absence of information given to the patient, especially in serious cases. - Teamwork between doctors and nurses is difficult or almost non existant. - Patients need to be informed and have things clarified by the medical team. - The patient wants to participate in the clinical decision. - The informed consent is considered useful and necessary in clinical practice, however in most cases, the patient is not informed and the informed consent does not take place. - The main obstacles to the informed consent are: the social, cultural and economic class of the patient as well as the medical team ( because of a lack of time, adequate space and habit). - The nurses in most cases are excluded from information and from the informed consent by doctors, patients, family and the nurses themselves. - The nurses consider that information must be given by the doctors. However they give great emphasis to the role of the nurse in the informed consent, information and to the nurse/patient relationship, that contributes to humanitarian care. - For the majority of nurses, participation in the informed consent and information is confusing. It is limited and totally dependent on the doctor. - A relationship exists between the quality of clinical practice and informed consent. - The family considers it extremely important to have access to information, however they often experience difficulties in communication with the doctors. - The doctors agree with the obligation of obtaining informed consent, but in neither of the two hospitals used in this research, did informed consent take place. - There are no significant differences between public and private assistance concerning informed consent and information given to the patient.
The objective of this study was: to find out how the agreement developed between doctors, nurses, patients and family in relationship to talks between them. The study was exploratory, descriptive, with a qualitative methodology. The study occurred during the years 2006 and 2007, with data collected between July, 2006 and January, 2007, in two hospitals: one public and the other private. The theoretical analysis is focused on the following aspects: the relationship between doctor and patient, nursing, the patient, the family, the hospital, information, the informed consent in Portugal, ethical reflections and the legal framework. The detailed results obtained: - The agreement of the doctors in relation to the consent that occurs between the doctor and the patient, with the doctors giving great importance to this aspect. - There is a notable absence of information given to the patient, especially in serious cases. - Teamwork between doctors and nurses is difficult or almost non existant. - Patients need to be informed and have things clarified by the medical team. - The patient wants to participate in the clinical decision. - The informed consent is considered useful and necessary in clinical practice, however in most cases, the patient is not informed and the informed consent does not take place. - The main obstacles to the informed consent are: the social, cultural and economic class of the patient as well as the medical team ( because of a lack of time, adequate space and habit). - The nurses in most cases are excluded from information and from the informed consent by doctors, patients, family and the nurses themselves. - The nurses consider that information must be given by the doctors. However they give great emphasis to the role of the nurse in the informed consent, information and to the nurse/patient relationship, that contributes to humanitarian care. - For the majority of nurses, participation in the informed consent and information is confusing. It is limited and totally dependent on the doctor. - A relationship exists between the quality of clinical practice and informed consent. - The family considers it extremely important to have access to information, however they often experience difficulties in communication with the doctors. - The doctors agree with the obligation of obtaining informed consent, but in neither of the two hospitals used in this research, did informed consent take place. - There are no significant differences between public and private assistance concerning informed consent and information given to the patient.