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Bone marrow transplantation: Nurses' and physicians' perceptions of informed consent

Identification of communication problems between nurses and physicians in relation to informed consent for bone marrow transplantation (BMT) is the principal concern of this research. Sixteen oncology nurses and five oncology physicians were interviewed in regard to their perceptions of informed consent with adult BMT patients and their roles and responsibilities in the consent process. The interviews were audiotape-recorded and transcribed. Content analysis of the transcriptions revealed that the nurses focused on the process of informed consent, whereas physicians focused on the options and outcomes. The roles and responsibilities identified for the nurse, physician, and patient in the consent process by nurses and physicians demonstrated a mixture of agreement and disagreement. The principal nursing roles and responsibilities identified were patient advocacy and patient education. The principal roles and responsibilities identified for the physicians were providing the patient with information and validating patient understanding. For the patient, participating in the consent process and being receptive to information were seen as the major roles and responsibilities. The findings are discussed in relation to current research. Implications for bone marrow transplantation nursing practice and recommendations for research are provided.