Nurses' roles in informed consent in a hierarchical and communal context

Astrid P. Susilo*, Jan Van Dalen, Albert Scherpbier, Sugiharto Tanto, Patricia Yuhanti, Nora Ekawati

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Although the main responsibility for informed consent of medical procedures rests with doctors, nurses' roles are also important, especially as patient advocates. Nurses' preparation for this role in settings with a hierarchical and communal culture has received little attention. We explored the views of hospital managers and nurses regarding the roles of nurses in informed consent and factors influencing these roles. We conducted a qualitative study in a private, multispecialty hospital in Indonesia. Semi-structured interviews were conducted with seven managers. Two rounds of focus group discussions with nurses (n = 27) were conducted. Constant comparative approach was used in the analysis. Nurses can act as manager, witness, information giver, and advocate in the informed consent process. These roles are influenced by nurses' preparedness, hospital culture and policy, patients' understanding, family involvement, and cost-related issues. In preparation for these tasks, nurses should acquire communication skills, clinical knowledge, and legal and ethical knowledge.
Original languageEnglish
Pages (from-to)413-425
JournalNursing Ethics
Issue number4
Publication statusPublished - Jun 2013


  • Informed consent
  • nurses
  • roles
  • interviews
  • focus group discussions

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