Patient, Nurse, Medical Assistant, and Surgeon Perspectives Inform the Development of a Decision Support Tool for Inguinal Hernia Surgery: A Qualitative Analysis.

Autor: Gleason F; Division of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA., Feng K; Division of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA., Herbey I; Division of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA., Shorten A; School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA., Chu DI; Division of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA., Parmar AD; Division of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: aparmar@uabmc.edu.
Jazyk: angličtina
Zdroj: American journal of surgery [Am J Surg] 2021 Aug; Vol. 222 (2), pp. 272-280. Date of Electronic Publication: 2021 Jan 13.
DOI: 10.1016/j.amjsurg.2021.01.009
Abstrakt: Background: Critical perspectives on the informed consent process for inguinal hernia surgery are lacking.
Methods: We conducted focus group interviews of patients who have undergone inguinal hernia surgery and nurses/medical assistants. Individual phone interviews were also conducted with surgeons sampled from the International Hernia Collaboration. Interviews were transcribed for coding and qualitative thematic analysis performed using NVivo 12 Plus. Themes were compiled to develop a decision aid.
Results: Sixteen patients, 6 support staff members, and 12 surgeons participated. Multiple themes were identified. Patients, nurses, and medical assistants identified barriers to asking questions in the current clinic setup, patient stress, and time constraints, while surgeons identified strategies to implement decision aids. All participants agreed that decision aids improve the informed consent process.
Conclusion: Key stakeholders identified barriers to the informed consent process and provided input on necessary components of a decision aid. Opportunities exist to address these barriers and improve the consent process.
Competing Interests: Declaration of competing interest Drs. Gleason, Herbey, Shorten, Chu, and Parmar as well as Ms. Feng have no conflicts of interest or financial ties to disclose.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: