Autonomy with responsibility ¿Is informed consent just a signature on a paper? Evaluation in patients who underwent spine’s surgery

Núñez, Jorge H.; Jimenez-Jimenez, Maria Jose; Taberner, Anna; Alonzo-González, Francisco; Cisneros, Berta Escudero; Bosch-García, David

doi:10.1007/s00586-023-07867-2

Cited by 4 publications

(1 citation statement)

References 22 publications

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“…The fear of being frightened and refusing the intervention (20.5%) is another reason for not reading the forms, especially the fear of becoming aware of the risks derived from the anesthetic act to which they are going to be subjected [ 34 ]. Different studies observe that a majority of patients for different reasons adopt a passive attitude and do not read the informed consent forms so as not to have to assume the responsibility of deciding on the procedure they are going to undergo [ 35 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

Readability and Comprehension of Anesthesia Informed Consent Forms in a Spanish County Hospital: An Observational Study

García-Álvarez,

García-Sánchez

2024

Nursing Reports

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(1) Background: The wording of informed consent forms could hinder their comprehension and hinder patients’ autonomous choice. The objective of this study was to analyze the readability and comprehension of anesthesia informed consent forms in a Spanish county hospital. (2) Methods: Descriptive and cross-sectional study carried out on patients who were going to undergo anesthetic techniques. The readability of the forms was analyzed using the INFLESZ tool and their subjective comprehension using an ad hoc questionnaire. (3) Results: The analyzed forms presented a “somewhat difficult” legibility. A total of 44.2% of the patients decided not to read the form, mainly because they had previously undergone surgery with the same anesthetic technique. The language used in the forms was considered inadequate by 49.5% of the patients and 53.3% did not comprehend it in its entirety. A statistically significant negative correlation of age and INFLESZ readability score with the overall questionnaire score was found. A statistically significant association was observed as a function of age and educational level with the different criteria of the questionnaire. (4) Conclusions: The anesthesia informed consent forms presented low readability with limited comprehension. It would be necessary to improve their wording to favor comprehension and to guarantee patients’ freedom of choice.

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Section: Discussionmentioning

confidence: 99%