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Master thesis

Le consentement dans la pratique infirmière : « Qui ne dit mot, consent » ?

Abstract : Today, we continually highlight the rights of patients both in the news and in our educational background. Despite this, the way they are applied in nursing practice remains unclear. During my work placement, I had to deal with several puzzling situations. So, the consent to care is the subject I chose. I have made the observation that the request for consent before performing a nursing care was rarely practiced by nurses. I restricted my research to the request from a patient free in his choices, conscious and pressure free. My research question is formulated as follows: "Why is the care consent request, which is a legal obligation and an ethical and good practice standard, so rarely applied before performing a daily nursing on medical prescription, by professionals in general care units? ". After some exploratory talks, I made the following research hypotheses: the patient would be agree to receive nursing acts by consent to hospitalization ; nurses habits, forgetfulness or ignorance of the law may be explanations for this lack of practice. My work is an exploratory study and adheres to an inductive qualitative process. I chose to conduct a case study because this method allows to obtain exhaustive information about a situation. I conducted semi-structured interviews with six nurses in the Internal Medicine and Clinical Immunology unit at Brabois Hospital. It appears that the request for consent is needed or necessary for half of the nurses but is practiced by none. The usual practice in the care and the patients' approval for the hospitalization are the two reasons given. But can we reduce nursing care in all its complexity to a simple "care task", not by neglect to the person after whom we look but by health facilities which would be "a machine to produce care"?
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Master thesis
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http://docnum.univ-lorraine.fr/public/BUMED_MINF_2015_DAGNEAUX_MELANIE.pdf
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https://hal.univ-lorraine.fr/hal-01835025
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Mélanie Dagneaux. Le consentement dans la pratique infirmière : « Qui ne dit mot, consent » ?. Médecine humaine et pathologie. 2015. ⟨hal-01835025⟩

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