Do We Need Chaperones for Intimate Examination in Urology Clinics? Patients' Preferences and Urologists' Practice in Scotland

Ong, E.; Garnett, Sarah P.; MacFARLANE, J. R.; Donat, Roland

doi:10.1016/j.bjmsu.2009.11.004

Cited by 4 publications

(7 citation statements)

References 5 publications

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“…In an earlier study, the majority (73%) of male urology patients felt a chaperone should be offered for every encounter while a smaller group (14%) actually prefer a chaperone to be present. 9 A later study confirmed this finding, revealing that the vast majority of urology patients, both men and women, believe that chaperones should be offered and that urological patients have the right to refuse a chaperone. 8 The offer of a chaperone on its own is seen as a sign of respect for the patient in that chaperone-use becomes a patientcentered healthcare decision.…”

Section: Perspectives On Chaperonesmentioning

confidence: 84%

“…7 Other studies within urology established that most patients did not care about gender of the chaperone, focusing more on comfortability with their provider and invasiveness of the procedure. 8,9 Patients' preference for a chaperone was not influenced by the gender or profession of the examiner. 9 Another key finding is that the majority of patients prefer a chaperone to be either their family member or their friend.…”

Section: Perspectives On Chaperonesmentioning

confidence: 94%

“…Particularly within the group of urology patients who do prefer to use a chaperone, there is also a subset of patients who do not feel comfortable requesting a chaperone if their physician did not offer one. 9 These findings emphasize the importance of establishing standards of care which routinely offer chaperones during urological examinations. 9 There are contradicting findings on chaperone gender preference.…”

Section: Perspectives On Chaperonesmentioning

confidence: 95%

“…9 These findings emphasize the importance of establishing standards of care which routinely offer chaperones during urological examinations. 9 There are contradicting findings on chaperone gender preference. One study found that 93% of females preferred a female chaperone, whereas males were split between preferring female or male chaperones.…”

Section: Perspectives On Chaperonesmentioning

confidence: 95%

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Chaperones Utilization in Clinical Practice: Intimate and Sensitive Physical Examination Best Practice Strategies and Concepts in Modern Urological Medicine

Mitra

Koerber

Shah

et al. 2022

Health Psychology Research

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The intention of utilizing chaperones during sensitive physical exams is to show respect to the patient, while simultaneously providing protection to both the patient and the medical provider. Despite clinical practice recommendations to offer chaperones for sensitive urologic exams, there is no data regarding the consistency of chaperone utilization. Our aim was to summarize the patient and provider perspectives on the role of chaperones in urology as well as identify barriers to implement chaperone consistency. In the present investigation, we conducted a systematic review of prospective, case-control, and retrospective studies and followed the PRISMA 2020 guidelines for data reporting. Studies were identified from PubMed, MEDLINE, and PMC using the Medical Subject Headings (MeSH) terms “chaperones, patient”, “chaperones, medical”, and keywords “chaperones”, and “urology”. Studies were included if they addressed patient/provider perspectives on chaperone utilization in urology specifically and were excluded if they investigated perspectives on chaperone utilization in other specialties. Preliminary study identification yielded 702 studies, 9 of which were eligible for this review after applying the inclusion and exclusion criteria. Of these, 4 studies focused on the patient perspective and 5 focused on the provider perspective. The percentage of patients that did not have a chaperone present during their urologic exam ranged from 52.9-88.5%. A greater proportion of these patients were male. Patients (59%) prefer a family member compared to a staff member as a chaperone. Physicians (60%) prefer staff member chaperones compared to family members. One study reported that 25.6% of patients did not feel comfortable to ask for a chaperone if they were not offered one. Two studies reported the percentage of patients who believed chaperones should be offered to all urology patients, ranging from 73-88.4%. Three studies reported the use of chaperones in the clinic which ranged from 5-72.5%. Two studies reported chaperone utilization documentation, ranging between 16-21.3%. Two studies reported the likelihood of chaperone utilization depending on gender of the physician, showing that male physicians were more likely to utilize chaperones and were 3x more likely to offer chaperones to their patients compared to female physicians. Research suggests that there are differing perspectives between patients and physicians regarding the specific role and benefits chaperones offer during a sensitive urologic examination, as well as differences in preferences of who should perform the role of the chaperone. While more work needs to be done to bridge the divide between clinical practice and patient/physician preferences, the act of offering chaperones to urologic patients, regardless if they want to utilize a chaperone for their examination is respectful of patient privacy and decision making.

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Section: Perspectives On Chaperonesmentioning

confidence: 84%

Section: Perspectives On Chaperonesmentioning

confidence: 94%

Section: Perspectives On Chaperonesmentioning

confidence: 95%

Section: Perspectives On Chaperonesmentioning

confidence: 95%

See 2 more Smart Citations

Chaperones Utilization in Clinical Practice: Intimate and Sensitive Physical Examination Best Practice Strategies and Concepts in Modern Urological Medicine

Mitra

Koerber

Shah

et al. 2022

Health Psychology Research

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“…A search of the published literature worldwide found limited research about the use of chaperones overseas whether in primary care [ 5 , 12 , 14 , 15 ] or hospital clinics [ 6 , 16 – 19 ] about patients' awareness [ 13 , 17 , 20 ], protection for patients and/or doctors [ 3 , 11 , 21 ], or guidelines [ 22 – 24 ]. Similarly, little literature was found about the use of chaperones in Australia; results of two studies conducted in sexual health clinics [ 4 , 25 , 26 ], commentaries about doctors' misconduct [ 1 ], and risk management [ 27 ], as well as three documents providing medicolegal guidance [ 7 , 28 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

The Attitudes and Practices of General Practitioners about the Use of Chaperones in Melbourne, Australia

Hecke

Jones

2012

International Journal of Family Medicine

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Introduction. To consider the use of medical chaperones during certain clinical examinations is important whether one practises as a specialist, nurse, medical student, or generalist. Chaperones have been used by doctors conducting intimate examinations for many years but their true extent remains largely unknown. Until recently, there was no national guidance in Australia. Aim. To explore the attitudes and practices of general practitioners (GP) regarding their use of chaperones in urban Melbourne, Australia. Method. Qualitative two focus groups involving seventeen GPs from two locations. Discussions were audio-taped, transcribed verbatim and analysed. Results. Common themes and subthemes emerged which were grouped into three main areas: (a) practitioner-related, (b) patient-related and (c) practice related. Discussion. This is the first study from an Australian primary care perspective to gauge the attitudes and experiences of GPs on their use of chaperones. It will provide vital information to inform the next step of extending this research to a national GP audience. From an international perspective, this study provides an excellent template for other primary care clinicians to conduct research in this important field of doctor-patient relationship.

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Patient Perceptions of Chaperones during Intimate Examinations and Procedures in Urology Clinic

Han¹,

Noennig²,

Pavlinec³

et al. 2019

Urology Practice

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Do We Need Chaperones for Intimate Examination in Urology Clinics? Patients' Preferences and Urologists' Practice in Scotland

Cited by 4 publications

References 5 publications

Chaperones Utilization in Clinical Practice: Intimate and Sensitive Physical Examination Best Practice Strategies and Concepts in Modern Urological Medicine

Chaperones Utilization in Clinical Practice: Intimate and Sensitive Physical Examination Best Practice Strategies and Concepts in Modern Urological Medicine

The Attitudes and Practices of General Practitioners about the Use of Chaperones in Melbourne, Australia

Patient Perceptions of Chaperones during Intimate Examinations and Procedures in Urology Clinic

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