Doctors’ perspectives of informed consent for non‐emergency surgical procedures: a qualitative interview study

Wood, Fiona; Martin, Sebastian; Carson‐Stevens, Andrew; Elwyn, Glyn; Precious, Elizabeth; Kinnersley, Paul

doi:10.1111/hex.12258

Cited by 41 publications

(47 citation statements)

References 21 publications

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“…We conducted a brief literature review on the process of informed consent which revealed a lack of studies on the doctors' perspectives of the consent process. Even fewer studies [15,28,30] already conducted had expressed views about how the consent process was undertaken. This study was part of a bigger study and the interview schedule was piloted on 20 persons (n = 5 doctors).…”

Section: Participants Ethical Approval and Proceduresmentioning

confidence: 99%

“…In PNG if patient rights are violated, the only recourse is to approach the consumer courts. Prominent features of patients' rights, responsibilities and code of ethics [28] are given in Table 7 (adopted and amended).…”

Section: Laws About Informed Consentmentioning

confidence: 99%

“…Delegating the task of seeking consent to another person has been challenged. Junior medical staffs who often obtain informed consent for surgical procedures may lack understanding of the procedures for which they have little or no experience [27] and this leads to poor discussion of the risks [28].…”

Section: Introduction mentioning

confidence: 99%

“…Previous studies exploring the consent process had focused on doctors [28] and patients' perspectives [15,30] and concluded that current processes are often inadequate as patients often have limited understanding of the process, are frightened or disempowered by the process, or feel that they have either not understood or not been told relevant information about their treatment. Rahman and co-workers [31] reviewed consent documents and found doctors' variability in covering complications.…”

Section: Introduction mentioning

confidence: 99%

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Physicians’ Perspectives of Informed Consent for Medical Procedures: A Qualitative Interview Study

Minei¹,

Araña²,

Kaipu³

et al. 2020

JHS

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This work is based on an on-going research on medical informed consent in Papua New Guinea (PNG) with 19 doctors from hospitals, health care centers and private medical establishments in the National Capital District and Central Province who voluntarily participated in the study. The authors conducted an examination of doctors' understanding of informed consent for medical procedures through a qualitative interview study and we describe our findings. We saw a need to involved patients in decision-making about their care, ethical imperative and concerns about litigation and their complaints highlighted the issue of informed consent. In order for the patients to make an informed decision about medical procedure, the doctors involved in the proposed treatment should conduct the informed consent discussion. The discussion should include the treatment, the risks and benefits of treatment, and alternative therapies with associated risks and benefits. We studied doctors' perspectives of gaining informed consent for routine medical procedures. We used qualitative study methods using structured interviews selected by purposive sampling. The data collected were entered into a data base and were analyzed thematically. The discussion is based on review of legal decisions, commentaries and our personal experience in studying medical malpractice cases. We have utilized case reports and several informative writings that have appeared in the world literature, as well as selections from vast amounts of material available in USA, UK, Australia, India and PNG. The current informed consent processes do not appear to be ideal for many doctors in PNG. In particular, there are inhibiting factors that affect patients from making medical informed decisions, doctors find time not enough to run discussions on informed consent, Department of Health does not have a standard informed consent form, patients complain about no consent form, and they have not signed consent forms. These are but some issues that affect patients when trying to make informed decisions. We say that informed consent process flows from the relationship between doctor and patient, however when this does not occur, serious legal and ethical consequences may result. This report is not intended to be specific advice on any private legal matter.

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Section: Participants Ethical Approval and Proceduresmentioning

confidence: 99%

Section: Laws About Informed Consentmentioning

confidence: 99%

Section: Introduction mentioning

confidence: 99%

Section: Introduction mentioning

confidence: 99%

See 2 more Smart Citations

Physicians’ Perspectives of Informed Consent for Medical Procedures: A Qualitative Interview Study

Minei¹,

Araña²,

Kaipu³

et al. 2020

JHS

View full text Add to dashboard Cite

show abstract

“…There is evidence, however, that professionals often view obtaining consent as a procedural formality. 1 If so, the process may fail to meet ethical and professional requirements. A recent landmark case has seen the law better match these guidelines, and now sets-out clear standards of communication required to prepare patients for treatment.…”

Section: Introductionmentioning

confidence: 99%

The changing face of informed consent

Main

Adair

2015

Br Dent J

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All healthcare professionals are required to gain a patient's consent before proceeding with examination, investigation or treatment. Gone are the days when consent was about protecting the professional. Following a recent landmark Supreme Court case, 'informed' consent is now embedded in UK law. Patients have the right to high-quality information that allows them to be involved in making decisions about their care. Dentists have a duty of care to provide this information and guide their patients through the process. This paper reviews key ethical, legal, and professional guidance available to dentists about informed consent and concludes by discussing how shared decision-making is a model of healthcare delivery with much to offer dentist and patient alike.

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‘All by myself’: interns’ reports of their experiences taking consent in Irish hospitals

et al. 2018

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Doctors’ perspectives of informed consent for non‐emergency surgical procedures: a qualitative interview study

Cited by 41 publications

References 21 publications

Physicians’ Perspectives of Informed Consent for Medical Procedures: A Qualitative Interview Study

Physicians’ Perspectives of Informed Consent for Medical Procedures: A Qualitative Interview Study

The changing face of informed consent

‘All by myself’: interns’ reports of their experiences taking consent in Irish hospitals

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