help button home button
AJRCCM
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Silverman, H. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Silverman, H. J.

Am. J. Respir. Crit. Care Med., Vol 154, No. 3, 09 1996, 582-586.

Ethical considerations of ensuring an informed and autonomous consent in research involving critically ill patients

HJ Silverman
Department of Medicine, University of Maryland School of Medicine, Baltimore, USA.

Despite several codes of research ethics, the issuance of comprehensive rules regarding informed consent by governmental agencies, and numerous writings on the subject of informed consent, many commentators still question the quality of the informed consent process in clinical research. A major concern is that investigators emphasize only the information-giving aspect of "informed" consent, whereas moral philosophy stresses a more robust concept of informed consent that incorporates the additional requirements of subject competence and voluntariness of the consent, thus ensuring that a consent is not only informed, but autonomous as well. This article aims to examine the issues involved with disclosure, competence, and voluntariness, especially those related to research involving critically ill patients. Suggestions concerning methods that can promote an informed consent process that is more respectful of autonomous decision making will also be discussed.


This article has been cited by other articles:


Home page
 JAMAHome page
D. Wendler and E. Emanuel
Assessing the Ethical and Practical Wisdom of Surrogate Consent for Living Organ Donation
JAMA, February 11, 2004; 291(6): 732 - 735.
[Full Text] [PDF]

Home page
 ChestHome page
M. Coppolino and L. Ackerson
Do Surrogate Decision Makers Provide Accurate Consent for Intensive Care Research?
Chest, February 1, 2001; 119(2): 603 - 612.
[Abstract] [Full Text] [PDF]

Home page
 JAMAHome page
T. J. Smith and K. Swisher
Telling the Truth About Terminal Cancer
JAMA, June 3, 1998; 279(21): 1746 - 1748.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Proc. Am. Thorac. Soc. Am. J. Respir. Cell Mol. Biol.
Copyright © 1996 American Thoracic Society