Literature DB >> 17513532

How much do emergency healthcare workers know about capacity and consent?

Katharine Evans1, James Warner, Elizabeth Jackson.   

Abstract

AIM: To assess knowledge of capacity and consent among emergency healthcare workers.
DESIGN: A cross-sectional survey with a structured questionnaire.
METHODS: 86 questionnaires were distributed and completed by 42 accident and emergency doctors, 21 accident and emergency nurses, and 23 emergency ambulance staff. Correct answers on assessing capacity to consent to or refuse treatment were given by 67% of the doctors and 10% of the nurses, but by none of the ambulance workers. 15% of all respondents wrongly believed that an adult who is found to have capacity can lawfully be treated against his or her will.
CONCLUSIONS: The results of this study indicate that emergency healthcare workers do not have adequate knowledge about how to assess capacity and treat people who either refuse treatment or lack capacity. It shows a need for further training among doctors, nurses and ambulance staff working in the emergency setting.

Entities:  

Mesh:

Year:  2007        PMID: 17513532      PMCID: PMC2658269          DOI: 10.1136/emj.2006.041293

Source DB:  PubMed          Journal:  Emerg Med J        ISSN: 1472-0205            Impact factor:   2.740


  4 in total

1.  Lesson of the week: managing patients with deliberate self harm who refuse treatment in the accident and emergency department.

Authors:  T B Hassan; A F MacNamara; A Davy; A Bing; G G Bodiwala
Journal:  BMJ       Date:  1999-07-10

2.  How much do doctors know about consent and capacity?

Authors:  Elizabeth Jackson; James Warner
Journal:  J R Soc Med       Date:  2002-12       Impact factor: 5.344

3.  The discrepancy between the legal definition of capacity and the British Medical Association's guidelines.

Authors:  J O A Tan; J R McMillan
Journal:  J Med Ethics       Date:  2004-10       Impact factor: 2.903

4.  Self-harm, capacity, and refusal of treatment: implications for emergency medical practice. A prospective observational study.

Authors:  R Jacob; I C H Clare; A Holland; P C Watson; C Maimaris; M Gunn
Journal:  Emerg Med J       Date:  2005-11       Impact factor: 2.740

  4 in total
  5 in total

Review 1.  Assessing mental capacity: the Mental Capacity Act.

Authors:  Timothy R J Nicholson; William Cutter; Matthew Hotopf
Journal:  BMJ       Date:  2008-02-09

2.  Responding to abusive patients: a primer for ethics committee members.

Authors:  Anita J Tarzian; Catherine A Marco
Journal:  HEC Forum       Date:  2008-06

3.  Advance decisions to refuse treatment and suicidal behaviour in emergency care: 'it's very much a step into the unknown'.

Authors:  Leah Quinlivan; Rebecca Nowland; Sarah Steeg; Jayne Cooper; Declan Meehan; Joseph Godfrey; Duncan Robertson; Damien Longson; John Potokar; Rosie Davies; Neil Allen; Richard Huxtable; Kevin Mackway-Jones; Keith Hawton; David Gunnell; Nav Kapur
Journal:  BJPsych Open       Date:  2019-06-13

4.  Mental Capacity Assessments for COVID-19 Patients: Emergency Admissions and the CARD Approach.

Authors:  Cameron Stewart; Paul Biegler; Scott Brunero; Scott Lamont; George F Tomossy
Journal:  J Bioeth Inq       Date:  2020-11-09       Impact factor: 1.352

5.  How to Regulate the Right to Self-Medicate.

Authors:  Joseph T F Roberts
Journal:  HEC Forum       Date:  2022-09
  5 in total

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