Patient’s views of the consent process for groin hernia repair: Use of consent template improves compliance with best practice (Original research)
| Autor: | Robert N. Williams, Peter Waterland, Aikaterini Peleki, David J. Bowrey, Jun Yi Soh, Nazli Muhibullah, Saad Ullah Khan |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Hernia medicine.medical_treatment 030230 surgery 03 medical and health sciences 0302 clinical medicine Patient satisfaction Informed consent medicine Outpatient clinic 030212 general & internal medicine Herniorrhaphy Original Research Groin business.industry General surgery Inguinal hernia General Medicine medicine.disease Hernia repair Felt Happy medicine.anatomical_structure Surgery Surveys and questionnaires business |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| DOI: | 10.1016/j.amsu.2018.09.033 |
| Popis: | Background Informed consent obtained for day case surgery has been historically incomplete. An assessment of consenting practice for groin hernia was performed relative to existing gold standards and patient's perception of the consent process was evaluated with a questionnaire. The aim of the study was to identify areas of improvement to comply with best practice. Methods A retrospective audit of adult patients undergoing groin hernia repair (June–November 2016) at a tertiary care centre was performed. The same cohort of patients was surveyed with a self-administered questionnaire to identify their view on consenting practice. Results 113 patients were identified who underwent groin hernia repair during the study period. Pre-printed consent templates-stickers (as opposed to hand-written) were used in 53(47%) cases. In 75(66%) cases, there was complete documentation of the risks and benefits of surgery. 81(72%) patients received information about the full benefits of surgery. 27(23%) patients received partial information and 7(6%) patients had no mention of benefit recorded. Postoperative recovery was fully explained to 85(75%) patients. Use of pre-printed templates ensured 100% documentation compared to handwritten consent forms (risks 37%, benefits 47%, and recovery 53%). Preference for the timing of consent was in clinic (64%), day of surgery (25%). 34(56%) felt the choice for the technique and 22(36%) felt the choice for anaesthesia. Satisfaction was non-significantly better in those consented in clinic (87% versus 76% p = 0.74). 49(80%) felt happy with the overall consent process. 57(93%) felt that they received support and advice. 60(98%) responders felt confidence in the National Health Service and 59(97%) would recommend treatment to family and friends. Conclusions The use of pre-printed consent and discharge summary templates improve compliance with best practice. Whilst patient preference favours consent in the outpatient clinic, satisfaction levels were high wherever consent was obtained. Patients should have more choice. Highlights • Informed consent is the legal and ethical right of every patient who is able to give consent. • Informed consent obtained for day case surgery has been historically incomplete. • There is still a degree of medical paternalism. • Significant number of the patients prefer consent in the clinic in advance of the day of surgery. • Use of pre-printed consent and discharge summary templates improve compliance with best practice. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|