How much do emergency healthcare workers know about capacity and consent?

Evans, Katharine; Warner, James; Jackson, Elizabeth

doi:10.1136/emj.2006.041293

Cited by 33 publications

(38 citation statements)

References 4 publications

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“…Seventy seven per cent of the asked re spondents answered the question correctly. The result is similar to the result of Evans et al, who observed that 90% of the doctors working in the medical emergency depart ment treat the patients illegally if they do not agree to such treatment [16]. Similarly, 90% of Evans's subjects gave the same answer and stated that the patient's family does not to have to give a consent or refusal if such cannot be ob tained from the patient.…”

Section: Discussionsupporting

confidence: 86%

Knowledge of medical law amongst doctors of internal diseases

Zajdel¹,

Zajdel²,

Kuna³

2013

International Journal of Occupational Medicine and Environmental Health

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Objectives: In Poland, 95% of medical personnel had not received legal education before they completed their studies. Having been given these facts, we have started questioning legal awareness of people providing medical services. Aim of the study: The study aimed at evaluating the knowledge of allergists and pulmonologists. Material and Methods: The group consisting of 328 allergists and/or pulmonologist completed the questionnaire. Results: The participants possess the best knowledge in providing information to patients about their health status (CV1). Sixty nine % of responders replied correctly, and the difference was significant (p < 0.001) in comparison with next aspect referring to the principles of pro viding medical services following guidelines created by think-tanks and also possibilities to take autonomous decisions by physicians (CV2). The correct answers in relation to CV2 were given by 57% of responders. The third compared aspect was physicians' awareness of patients' right to giving a consent or refusal before undertaking the medical procedure CV3. Only 55% of physicians gave correct answers and the difference was significant compared to CV1 (p < 0.001) as well as CV2 (p < 0.05). Younger doctors showed to have better knowledge than their older colleagues (p < 0.05). Working in urban workplaces proved to be more associated with better knowledge than in rural ones (p < 0.05). Discussion: Insuf ficient knowledge results in a low quality of provided services and puts the doctors at risk of being liable. The rates indicate that doctors are not aware of the fact that only legal regulations are binding, while standards not published by the Minister of Health are not legally valid. Half of the respondents have the wrong belief that the opinions expressed by experts make the doctor feel exempt from liability. Probably there are specialities, like occupational medicine which are specially linked with awareness of valid legal rules.

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Section: Discussionsupporting

confidence: 86%

Knowledge of medical law amongst doctors of internal diseases

Zajdel¹,

Zajdel²,

Kuna³

2013

International Journal of Occupational Medicine and Environmental Health

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“…Previous surveys indicate that clinicians have limited understanding of the law pertaining to capacity. 6,7 Twenty-nine (81%) doctors in our survey indicated that they had received training about the Act, of which 23 (79%) felt that the training was adequate. Despite this, a startling and rather worrying revelation of our survey was that only seven (19%) respondents were aware of the exact criteria where 'unbefriended' incapacitous individuals must be referred to the IMCA service.…”

Section: Discussionmentioning

confidence: 91%

Mental Capacity Act 2005: views and experiences of learning disability psychiatrists

Sawhney¹,

Mukhopadhyay²,

Karki³

2009

Psychiatr. bull.

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competencies across specialties for working in niche super-specialised areas. Any such provision needs to be structured to protect the value of the CCT and should have the quality assurance processes of pre-CCT training posts. Post-CCT training should not dilute the increasing importance of continuing professional development within the consultant grade. ConclusionIt is clear that there are specialty combinations that remain crucial to service provision and appropriate training must therefore exist to ensure that there are specialists in these areas. However, traditional dual training appears to be under threat and adaptations need to be made to the new structure of postgraduate training to allow trainees to develop the necessary competencies across specialties. The rhetoric surrounding MMC promised greater flexibility of training and it is of paramount importance that this is developed in order for trainees to achieve the broad and diverse range of competencies that are required by these developing services. This will allow us to meet the needs of our patients and deliver the best possible care.

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“…These difficulties include deficiencies in practitioner knowledge about the principles and legal responsibilities of the MCA. For example, a survey of 86 emergency care practitioners judged only 67% of doctors and 10% of nurses correct in their knowledge regarding capacity to consent or refuse treatment (Evans et al, 2007). Similarly, qualitative interviews with 32 care home staff found considerable variation in understanding of the terms and principles of the MCA (Manthorpe et al, 2011).…”

Section: Introductionmentioning

confidence: 99%