Measuring patient satisfaction with the CT consent process: the COMRADE outcome measure

Rogers, Patrick; Lloyd, Simon; Shetty, Dushyant; Newell, Paul; Gay, David

doi:10.2217/iim.13.56

Cited by 3 publications

(5 citation statements)

References 29 publications

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“…Data were collected using a structured closed-ended questionnaire. The data collection tool was adapted from different studies developed for similar purposes [ 2 , 15 ]. The questionnaires have six parts.…”

Section: Methodsmentioning

confidence: 99%

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Patient satisfaction with surgical informed consent at Jimma Medical Center, Ethiopia

2022

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Background Informed consent is a process in which a healthcare provider obtains permission from an individual prior to surgery. Patient satisfaction with the informed consent process is one of the main indicators of healthcare service quality. This study aimed to assess patient satisfaction with surgical informed consent at Jimma Medical Center, Ethiopia, in 2020. Methods A facility-based cross-sectional study was conducted from April 1 to June 30, 2020, at Jimma Medical Center. Face-to-face interviews were conducted using structured questionnaires. A systematic sampling technique was used to select the study participants. The collected data were coded, entered into Epi data version 3.1, and analyzed using SPSS version 25. Bivariate and multivariate regression analyses were performed to determine the association between patient satisfaction and socio-demographic and facility-related factors. In multivariate regression, predictors with a P-value of < 0.05 were considered statistically significant. Results Totally 372 study participants were interviewed with a response rate of 97.8%. Nearly two-fifths (43%) of patients were satisfied with surgical informed consent. Living in an urban area (AOR: 2.279, 95% CI 1.257–4.131), having current referred history (AOR: 1.856, 95% CI 1.033–3.337), consent form version (AOR: 2.076, 95% CI 1.143–3.773), time spent on the provision of informed consent (AOR: 5.227, 95% CI 2.499–10.936) and having better patient-health providers relationship (AOR: 5.419, 95% CI 3.103–9.464) predictors were positively associated with patient satisfaction. Conclusion Patient satisfaction with the surgical informed consent process was relatively low. Therefore, Health care professionals need to emphasize a way of delivering informed consent, patients' needs and obey a standard informed consent to improve patient satisfaction.

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Section: Methodsmentioning

confidence: 99%

“…Surgical informed consent is one vital part of preoperative care [1][2][3]. Informed consent is the process by which a healthcare provider obtains permission from an individual before delivering therapy, treatment, or surgery [4].…”

Section: Introductionmentioning

confidence: 99%

Patient satisfaction with surgical informed consent at Jimma Medical Center, Ethiopia

2022

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“…Higher scores indicate that the HCP is more satisfied with risk communication and the decision-making of the HCP is more effective [ 20 – 22 ]. COMRADE has been used in SDM studies concerning patients who had chronic diseases and has demonstrated high reliability (Cronbach’s α = .92 ~ .98) [ 19 , 20 , 23 ]. However, COMRADE has not been used for the HCP population; its internal consistency was tested for the first time in this study (Cronbach’s α = .97).…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of end-stage renal disease communication skills training for healthcare personnel: a single-center, single-blind, randomized study

et al. 2022

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Background Given that the consequences of treatment decisions for end-stage renal disease (ESRD) patients are long-term and significant, good communication skills are indispensable for health care personnel (HCP) working in nephrology. However, HCP have busy schedules that make participation in face-to-face courses difficult. Thus, online curricula are a rising trend in medical education. This study aims to examine the effectiveness of online ESRD communication skills training (CST) concerning the truth-telling confidence and shared decision-making (SDM) ability of HCP. Methods For this single-center, single-blind study, 91 participants (nephrologists and nephrology nurses) were randomly assigned to two groups, the intervention group (IG) (n = 45) or the control group (CG) (n = 46), with the IG participating in ESRD CST and the CG receiving regular in-service training. Truth-telling confidence and SDM ability were measured before (T0), 2 weeks after (T1), and 4 weeks after (T2) the intervention. Group differences over the study period were analyzed by generalized estimating equations. Results IG participants exhibited significantly higher truth-telling confidence at T1 than did CG participants (t = 2.833, P = .006, Cohen’s d = 0.59), while there were no significant intergroup differences in the confidence levels of participants in the two groups at T0 and T2. Concerning SDM ability, there were no significant intergroup differences at any of the three time points. However, IG participants had high levels of satisfaction (n = 43, 95%) and were willing to recommend ESRD CST to others (n = 41, 91.1%). Conclusions ESRD CST enhanced short-term truth-telling confidence, though it is unclear whether this was due to CST content or the online delivery. However, during pandemics, when face-to-face training is unsuitable, online CST is an indispensable tool. Future CST intervention studies should carefully design interactive modules and control for method of instruction.

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“…The data collection measurement tool was adapted from different literatures developed for similar purpose (4,12). The body questioners have six parts.…”

Section: Data Collection Measurement Toolmentioning

confidence: 99%

“…The process of informed consent contains more than signing a prescribed form. It involves basic elements including the nature of the procedure; reasonable of operation, alternatives to the proposed intervention; the relevant risks, bene ts and uncertainties with sharing a satisfactory amount of information to the consenting individual, addressing their concerns, fears, questions and discussing possible outcomes (3,4). However, the habitual informed consent form content of information didn't consider the patients' needs and right (5).…”

Section: Introductionmentioning

confidence: 99%

Satisfaction of Surgical Informed Consent and Associated Factors Among Women Undergone Obstetric and Gynecologic Surgery at Jimma Medical Center, Jimma, Oromia Region, Ethiopia 2020.

Biyazin¹,

Taye²,

Belay³

2020

Preprint

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Background: Informed consent is a process in which a healthcare provider obtains permission from an individual before delivering a certain health intervention. Patient satisfaction towards informed consent process is one main indicator of patient experience on health care services and mirror image of quality health care. The objective of this study was to assess the level of women satisfaction towards surgical informed consent and its associated factors at Jimma Medical Center, Ethiopia, 2020.Method: Facility based cross-sectional study was conducted from April 1 to May30, 2020 at Jimma Medical Center. A total of 372 surgical patients were selected using a systematic random sampling method. The collected data was coded, entered into Epi data version 3.1 and analyzed using SPSS version 25. Bivariate and multivariate regression was carrying out to determine the association between outcome variable and independent variable. Result: A total of 372 study participants were interviewed and giving a response rate of 97.8 %. Of this majority respondents were 167(44.9%) between 28-37 years old, married 310(83.3%), Urban residence 242 (65.1%) and housewife 168 (45%). Patients’ satisfaction towards surgical informed consent was 43%. Multivariate logistic regression analysis showed that residence (AOR: 2.279, 95% CI: 1.257-4.131), current referred history (AOR: 1.856, 95% CI: 1.033-3.337), language of the written consent form (AOR: 2.076, 95% CI: 1.143-3.773), time taken for informed consent provision (AOR: 5.227, 95% CI: 2.499-10.936) and patient to health provider relationship (AOR: 5.419, 95% CI: 3.103-9.464) were positively associated with patient satisfaction.Conclusion: In this study, the level of patient satisfaction towards surgical informed consent process was relatively low compared with previous studies. Health care professionals need to give emphasize on way of delivering informed consent, patients’ need and obey a standard informed consent process with evidence based practice to improve patient satisfaction.

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Measuring patient satisfaction with the CT consent process: the COMRADE outcome measure

Cited by 3 publications

References 29 publications

Patient satisfaction with surgical informed consent at Jimma Medical Center, Ethiopia

Patient satisfaction with surgical informed consent at Jimma Medical Center, Ethiopia

Effectiveness of end-stage renal disease communication skills training for healthcare personnel: a single-center, single-blind, randomized study

Satisfaction of Surgical Informed Consent and Associated Factors Among Women Undergone Obstetric and Gynecologic Surgery at Jimma Medical Center, Jimma, Oromia Region, Ethiopia 2020.

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