Informed Consent, Confidentiality, and Practitioner Disclosure in Therapeutic Work with Youth: A Systematic Review of Practitioners’ Perspectives

Thannhauser, Rachelle E.; Morris, Zoë; Gamble, Nicholas

doi:10.1007/s40894-021-00173-2

Cited by 6 publications

(2 citation statements)

References 44 publications

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“…This is in line with different studies assessing the healthcare professionals' knowledge in regard to obtaining consent forms. Although the radiogeology department is relatively different from other clinical settings by providing mainly diagnostic services, receiving any health services remains one of the patient's rights (9,10). It should be notice that within this study, more than 80% of the participants are aware of verbal consent, which is considered one of the practices of taking informed consent.…”

Section: Discussionmentioning

confidence: 81%

Radiographers’ knowledge and attitude toward informed consent

Alshamrani

2023

Acta bioeth.

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Health professionals are obliged to provide the patient and/or his or her guardian with information about examinations and treatment. In the case of examinations involving the use of ionizing radiation, informed consent is essential to weigh the associated benefits and risks. This study evaluates the knowledge and attitude of radiographers regarding informed consent in the radiology department. It is a descriptive cross-sectional study using an online questionnaire, divided into three sections and containing 19 questions, detailing the demographics, knowledge, and attitude of radiographers. Participant responses were scored between 1 and 3, then calculated and averaged to determine mean scores. Student's t-test was used to determine the statistical significance between means. Mean scores for knowledge and attitudes ranged from 11.60 ±1.72 to 18.73 ±1.84. Radiographers with more experience showed a statistically significant difference (17.45 ±1.23) (p < 0.00) with those with less experience (15.34 ±1.52). Twenty-one percent of the respondents did not seek consent from patients prior to examination. This study demonstrated that these professionals are knowledgeable about informed consent; however, more emphasis should be placed on practice by providing training courses and disseminating correct practice.

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Section: Discussionmentioning

confidence: 81%

Radiographers’ knowledge and attitude toward informed consent

Alshamrani

2023

Acta bioeth.

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“…This work queries whether there are resources to draw upon within the tradition of qualitative research for help in dealing with ethical aspects of the research or if these resources should be sought elsewhere; in research with young people, this may include multidisciplinary intervention that is ethically complex in relation to issues of both informed consent and (limited) confidentiality. For example, in a systematic review of professionals' perspectives on informed consent and confidentiality in work with young people, Thannhauser et al (2021) found that there is widespread inconsistency in ethical decision-making amongst practitioners, sometimes related to a fundamental difference in how the concepts of confidentiality and informed consent are understood. However, when researchers fail to ensure that informed consent is understood by young people, they risk compromising potentially trusting relationships when they encounter an ethical dilemma that they feel needs to be reported.…”

Section: Procedural Ethics and Informed Consentmentioning

confidence: 99%

Researching Sensitive Topics With Children and Young People: Ethical Practice and Blurry Boundaries

Ellis,

Hickle,

Warrington

2023

International Journal of Qualitative Methods

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Despite representing a vast and global concern, the narratives of children who experience child sexual exploitation (CSE) and access associated services are marginalised within research. As an outcome, relatively little is known about how children cope with the impact and consequences of their experiences. This paper draws together methodological insights from researchers reflecting upon three distinct pieces of qualitative fieldwork conducted with children and young people considered ‘vulnerable’ to, and ‘at risk of’, CSE. In doing so, we seek to recognise the challenges encountered when conducting research with vulnerable populations and explore the ‘blurry boundaries’ that researchers tread in order to balance competing power dynamics. This paper will discuss potential safeguarding concerns that arise when conducting sensitive research and will share our experiences of supporting young people to take part in research around child sexual exploitation. We will reflect upon the research process to highlight some of the strategies adopted to enable young people to engage in data collection safely. We consider the dynamic ethical practices that take place in the moment of research encounters, alongside the framework of procedural ethics, to conclude that both are fundamental to enable meaningful participation in research.

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Non-disclosing youth: a cross sectional study to understand why young people do not disclose suicidal thoughts to their mental health professional

et al. 2022

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Background Prevalence of suicidal ideation increases rapidly in adolescence, and many choose not to seek help and disclose their ideation. Young people who do disclose suicidal ideation, prefer to do so with peers and family compared to mental health professionals, who are best placed to provide evidence-based treatment. This study aimed to identify key factors associated with young people’s decision to, or not to disclose suicidal thoughts to their mental health practitioner. Methods A community-based sample of young Australians (16 - 25 years), who had experienced suicidal ideation and engaged with a mental health professional, completed an online questionnaire (N=513) which assessed demographic characteristics, severity of depression, anxiety, psychological distress, and suicidal ideation, lifetime suicide attempts, exposure to suicide loss, personal suicide stigma, prioritisation of mental health issues, and therapeutic alliance. Logistic regression analyses were used to identify factors associated with disclosure. Results Though the full sample had engaged in therapy, 39% had never disclosed suicidal ideation to their clinician. Those who had disclosed were more likely to report greater therapeutic alliance (OR=1.04, 95% CI=1.02–1.06), personal suicide stigma (OR=1.04, 95% CI=1.01–1.06), prioritisation of suicidal ideation (OR=.24, 95% CI=0.14-0.42), and lifetime history of suicide attempt (OR=.32, 95% CI=0.18-0.57). The most common reason for not disclosing was concern that it would not remain confidential. Conclusion These findings provide new insights into why young people may not seek help by disclosing suicidal ideation, despite having access to a mental health professional, and establish evidence to inform practice decisions and the development of prevention strategies to support young people for suicide.

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Informed Consent, Confidentiality, and Practitioner Disclosure in Therapeutic Work with Youth: A Systematic Review of Practitioners’ Perspectives

Cited by 6 publications

References 44 publications

Radiographers’ knowledge and attitude toward informed consent

Radiographers’ knowledge and attitude toward informed consent

Researching Sensitive Topics With Children and Young People: Ethical Practice and Blurry Boundaries

Non-disclosing youth: a cross sectional study to understand why young people do not disclose suicidal thoughts to their mental health professional

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Informed Consent, Confidentiality, and Practitioner Disclosure in Therapeutic Work with Youth: A Systematic Review of Practitioners’ Perspectives

Cited by 6 publications

References 44 publications

Radiographers&#8217; knowledge and attitude toward informed consent

Radiographers&#8217; knowledge and attitude toward informed consent

Researching Sensitive Topics With Children and Young People: Ethical Practice and Blurry Boundaries

Non-disclosing youth: a cross sectional study to understand why young people do not disclose suicidal thoughts to their mental health professional

Contact Info

Product

Resources

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Radiographers’ knowledge and attitude toward informed consent

Radiographers’ knowledge and attitude toward informed consent