Day 1 : Poster Presentations (Theme: Patient Safety)

Event Title

Perception & barriers regarding self-signed & relative signed informed consent

Presenter Information

Firdous Jahan, Aga Khan University

Location

Auditorium Pond Side

Start Date

26-1-2013 10:30 AM

Abstract

Background: Informed consent is the process by which a fully informed patient can participate in choices about him/her health care. Informed consent should be given by the patient or next of kin voluntarily without coercion and for reasons that could be understood by the patient /next of kin in the light of relevant information highlighting the need for diagnostic/treatment, procedure, possible risks involved in the proposed procedure and alternative course of treatment.

Methodology: Cross sectional study conducted in Aga Khan University Hospital Karachi, Pakistan. The patients identified through simple random sampling patient who has his/her first day of stay in ward after surgery. The data double entered on epi data version 3.1 and analysis performed on SPSS version 16.

Result: Overall, out of the 400 study participants 233 (58.3%) signed the consent form while other relatives 167 (41.7%) signed the surgical consent form on behalf of the patient. Perceived barriers found to be associated with not understanding/signing the consent form includes, language barrier (AOR=4.6, 95%CI: 1.9-5.2), medical terminologies used (AOR=2.7, 95%CI: 1.1-6.7), time allocated was not enough (AOR=3.8, 95%CI: 2.8-4.7), cultural/traditional reasons (AOR=1.5, 95% CI: 1.1-3.5) and being less educated were the associated perceived barrier.

Conclusion: This comparative study shows different perception of patient and their relatives signing a consent form. Participants signed the surgical consent form themselves reported the importance of this document as compare to relatives who signed the form on their behalf.

Key words: Consent, barrier, perception regarding consent ERC No. 1605-FM ERC 2010

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Jan 26th, 10:30 AM Jan 26th, 12:00 PM

Perception & barriers regarding self-signed & relative signed informed consent

Auditorium Pond Side

Background: Informed consent is the process by which a fully informed patient can participate in choices about him/her health care. Informed consent should be given by the patient or next of kin voluntarily without coercion and for reasons that could be understood by the patient /next of kin in the light of relevant information highlighting the need for diagnostic/treatment, procedure, possible risks involved in the proposed procedure and alternative course of treatment.

Methodology: Cross sectional study conducted in Aga Khan University Hospital Karachi, Pakistan. The patients identified through simple random sampling patient who has his/her first day of stay in ward after surgery. The data double entered on epi data version 3.1 and analysis performed on SPSS version 16.

Result: Overall, out of the 400 study participants 233 (58.3%) signed the consent form while other relatives 167 (41.7%) signed the surgical consent form on behalf of the patient. Perceived barriers found to be associated with not understanding/signing the consent form includes, language barrier (AOR=4.6, 95%CI: 1.9-5.2), medical terminologies used (AOR=2.7, 95%CI: 1.1-6.7), time allocated was not enough (AOR=3.8, 95%CI: 2.8-4.7), cultural/traditional reasons (AOR=1.5, 95% CI: 1.1-3.5) and being less educated were the associated perceived barrier.

Conclusion: This comparative study shows different perception of patient and their relatives signing a consent form. Participants signed the surgical consent form themselves reported the importance of this document as compare to relatives who signed the form on their behalf.

Key words: Consent, barrier, perception regarding consent ERC No. 1605-FM ERC 2010