Research log continued
Sacco-Peterson, M, and L Borell. "Struggles for autonomy in self-care: the impact of the physical and socio-cultural environment in a long-term care setting." Scandinavian Journal of Caring Sciences 18.4 (2004): 376-386. CINAHL. EBSCO. Web. 10 Apr. 2011
This article studies the cultural and social beliefs that affect the degree of autonomy exercized by individual patients.It also looks at the physical inability for patients to care for themselves. Many factors affect who is control in terms of our own healthcare, what we personally think and our own physical capabilities is important and I plan on using patient's opinions on how the doctor-patient relationship should be as examples of the societal/personal beliefs play in patient autonomy
Dreyer, A, R Forde, and P Nortvedt. "Autonomy at the end of life: life-prolonging treatment in nursing homes -- relatives' role in the decision-making process." Journal of Medical Ethics 35.11 (2009): 672-677. CINAHL. EBSCO. Web. 10 Apr. 2011
This article discusses the inability of patients to form competent decisions and the use of relatives as substitutes to gain consent.The goal is to protect patient autonomy despite the fact that relatives are not knowledgable of end to life care and therefore may not be able to make appropriate decisions. I plan to use the article to show the importance of being informed and how it plays in patient autonomy.
Moser, A, R Houtepen, and G Widdershoven. "Patient autonomy in nurse-led shared care: a review of theoretical and empirical literature." Journal of Advanced Nursing 57.4 (2007): 357-365. CINAHL. EBSCO. Web. 10 Apr. 2011.
Article looks at the role of nurses in helping to foster patient autonomy as well as patients thoughts on patient autonomy. The article discusses and divides the idea of autonomy between a positive view and a negative view,the negative view centering around personal freedom to do "whatever" and the positive more centered towards decision making. I hope to use this article to better describe the role that care givers play in patient autonomy because this issue concerns care givers as well as the patients.
Erer, S, E Atici, and AD Erdemir. "The views of cancer patients on patient rights in the context of information and autonomy." Journal of Medical Ethics 34.5 (2008): 384-388. CINAHL. EBSCO. Web. 10 Apr. 2011.
This article sites the opinions of cancer patients about patient autonomy and information being given to patients.Different aspects of autonomy received varying views. A majority agreed that patients should have control in health decision making but few on refusing a potential treatment that could save the patien'ts life.A lot depended on how questions were phrased. Why is it not clear cut? What we think about autonomy is important in how patients practice self determinism when receiving medical treatment. I hope to usse this article to support this idea.
Scanlan, C, and IH Kerridge. "Autonomy and chronic illness: not two components but many." American Journal of Bioethics 9.2 (2009): 40-42. CINAHL. EBSCO. Web. 3 Apr. 2011.
It explores the question" what is autonomy?"It attempts to touch on the different aspects of autonomy, notablby the autonomy of "will, thought,and action".Each is explored extensively with specific examples. I hope to use this in my paper to focus on the concept of freedom of action and how this helps in connecting between my experience and patient autonomy.
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