Informed Consent Challenges and Strategies: A Qualitative Study of the Orthodontists’ Perspective

2021 ◽  
Author(s):  
Narjara Conduru Fernandes Moreira ◽  
Louanne Keenan ◽  
Greta Cummings ◽  
Carlos Flores‐Mir
Keyword(s):  
Informed Consent ◽  
Qualitative Study ◽  
Challenges And Strategies

Challenges and Strategies Towards Clinical Leadership Competency: A Qualitative Study

2020 ◽  
Vol 11 (3) ◽  
pp. 223-236
Author(s):  
ali hozni ◽  
mohammad hakkak ◽  
Hojjat Vahdati ◽  
Amir Houshang Nazarpouri
Keyword(s):  
Qualitative Study ◽  
Clinical Leadership ◽  
Leadership Competency ◽  
Challenges And Strategies

scholarly journals Practice of informed consent in Guangdong, China: a qualitative study from the perspective of in-hospital patients

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e020658 ◽  
Author(s):  
Ni Gong ◽  
Yinhua Zhou ◽  
Yu Cheng ◽  
Xiaoqiong Chen ◽  
Xuting Li ◽  
...  
Keyword(s):  
Informed Consent ◽  
Qualitative Study ◽  
Medical Information ◽  
Medical Knowledge ◽  
Information Provision ◽  
Clinical Decision ◽  
Clinical Settings ◽  
Clinical Practices ◽  
Informed Consent Form ◽  
Hospital Patients

ObjectiveThis study aimed to investigate the practice of informed consent in China from the perspective of patients.DesignA qualitative study using in-depth interviews with in-hospital patients focusing on personal experience with informed consent.SettingGuangdong Province, China.Participants71 in-hospital patients in rehabilitation after surgical operations were included.ResultsMedical information is not actively conveyed by doctors nor effectively received by patients. Without complete and understandable information, patients are unable to make an autonomous clinical decision but must sign an informed consent form following the doctor’s medical arrangement. Three barriers to accessing medical information by patients were identified: (1) medical information received by patients was insufficient to support their decision-making, (2) patients lacked medical knowledge to understand the perceptions of doctors and (3) patient–doctor interactions were insufficient in clinical settings.ConclusionsInformed consent is implemented as an administrative procedure at the hospital level in China. However, it has not been embedded in doctors’ clinical practices because, from the perspective of patients, doctors do not fulfil the obligation of medical information provision. As a result, the informed part of informed consent was neglected by individual doctors in China. Reforming medical education, monitoring the process of informed consent in clinical settings and redesigning medical institutional arrangements are pathways to restoring the practice of informed consent and patient-centred models in China.

scholarly journals Challenges and Strategies for Implementing Battlefield Acupuncture in the Veterans Administration: A Qualitative Study of Provider Perspectives

2018 ◽  
Vol 30 (5) ◽  
pp. 252-261 ◽  
Author(s):  
Stephanie L. Taylor ◽  
Karleen Giannitrapani ◽  
Princess E. Ackland ◽  
Jesse Holliday ◽  
Kavitha P. Reddy ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Veterans Administration ◽  
Provider Perspectives ◽  
Challenges And Strategies

scholarly journals Are predominantly western standards and expectations of informed consent in surgery applicable to all? A qualitative study in a tertiary care hospital in Sri Lanka

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e025299
Author(s):  
Udagedara Mudiyanselage Jayami Esha Samaranayake ◽  
Yasith Mathangasinghe ◽  
Anura Sarath Kumara Banagala
Keyword(s):  
Informed Consent ◽  
Qualitative Study ◽  
Tertiary Care Hospital ◽  
Comparative Method ◽  
Tertiary Care ◽  
Lifestyle Changes ◽  
Cultural Norms ◽  
Sri Lankan ◽  
Care Hospital ◽  
Asking Questions

ObjectiveTo identify the different perceptions on informed surgical consent in a group of Sri Lankan patients.MethodsA qualitative study was conducted in a single surgical unit at a tertiary care hospital from January to May 2018. The protocol conformed to the Declaration of Helsinki. Patients undergoing elective major surgeries were recruited using initial purposive and later theoretical sampling. In-depth interviews were conducted in their native language based on the grounded theory. Initial codes were generated after analysing the transcripts. Constant comparative method was employed during intermediate and advanced coding. Data collection and analyses were conducted simultaneously, until the saturation of the themes. Finally, advanced coding was used for theoretical integrations.ResultsThirty patients (male:female=12:18) were assessed. The mean age was 41±9 years. Sinhalese predominated (50.0%, n=15). Majority underwent thyroidectomy (36.7%, n=11). The generated theory categorises the process of obtaining informed consent in four phases: initial interaction phase, reasoning phase, convincing phase and decision-making phase. Giving consent for surgery was a dependent role between patient, family members and the surgeon, as opposed to an individual decision by the patient. Some patients abstained from asking questions from doctors since doctors were ‘busy’, ‘short-tempered’ or ‘stressed out’. Some found nurses to be more approachable than doctors. Patients admitted that having a bystander while obtaining consent would relieve their stress. They needed doctors to emphasise more on postoperative lifestyle changes and preprocedure counselling at the clinic level. To educate patients about their procedure, some suggested leaflets or booklets to be distributed at the clinic before ward admission. The majority disliked watching educational videos because they were ‘scared’ to look at surgical dissections and blood.ConclusionThe informed consent process should include key elements that are non-culture specific along with elements or practices that consider the cultural norms of the society.

scholarly journals Incorporating a quiz into informed consent processes: Qualitative study of participants' reactions

2007 ◽  
Vol 6 (1) ◽  
Author(s):  
Sassy Molyneux ◽  
Caroline Gikonyo ◽  
Vicki Marsh ◽  
Philip Bejon
Keyword(s):  
Informed Consent ◽  
Qualitative Study

A Qualitative Research Study to Understand Post-Transfusion Well-Being in Patients with Myelodysplastic Syndromes

Blood ◽  
2015 ◽  
Vol 126 (23) ◽  
pp. 4446-4446 ◽  
Author(s):  
Naushin S. Sholapur ◽  
Shannon Lane ◽  
Christopher M Hillis ◽  
Mark A. Crowther ◽  
Brian Leber ◽  
...  
Keyword(s):  
Informed Consent ◽  
Side Effects ◽  
Qualitative Study ◽  
Board Of Directors ◽  
Well Being ◽  
Advisory Committees ◽  
Coding Scheme ◽  
Participant Experience ◽  
Rbc Transfusion

Abstract INTRODUCTION Patients with myelodysplastic syndrome (MDS) frequently receive red blood cell (RBC) transfusions to alleviate symptoms of fatigue and improve well-being, yet their experiences of transfusion have not been previously characterized. The aim of this qualitative study was to explore the changes in well-being that patients with MDS experience with RBC transfusion and hence, to inform the selection of Quality of Life (QoL) tools for future studies in this transfused patient population. METHODS: An applied qualitative approach was used for the study. Adult patients with MDS receiving chronic RBC transfusions at two hematology/oncology outpatient clinics between August 1, 2013 and March 31, 2014 were invited to participate in a 10-20 minute semi-structured interview. Patients were excluded if they could not provide informed consent. Interviews elicited information pertaining to: side effects and benefits of transfusion therapy; the patient's experience of anemia and fatigue prior to, during, and after transfusion; and the impact of transfusion on their QoL. Interviews were recorded, transcribed, and analyzed using QSR's NVivo 10 software. Standard techniques of qualitative content analysis were used. Two researchers independently reviewed all transcripts to identify and develop codes to categorize information from the interviews. The coding scheme was applied to the interview information, compared for agreement with discrepancies resolved and refined using consensus. The final version of the coding scheme was applied to all transcripts by one researcher. Informational content of the data within each code were reviewed and interpreted to form summative statements. Statements were grouped, organized and summarized under 3 major themes: participant experience of fatigue, impact of RBC transfusion, and side effects of transfusion. The study was approved by the local research ethics board and informed consent was obtained from all participants. RESULTS: 12/16 (75%) of patients approached consented to participant in the study (median age: 77; IQR, 72, 80 years; 2 female). Participant experience of fatigue: All participants reported experiencing fatigue, which significantly impacted their activities of daily living. Severity of fatigue prior to transfusion varied between participants, and for two participants' levels of fatigue also varied between transfusions. Impact of RBC transfusion: Time to recovery from fatigue varied between participants, ranging an improvement noted during the transfusion to 24 hours post-transfusion. Although transfusion did not alleviate symptoms of fatigue completely, participants reported improved appetite and decreased lethargy. One participant reported having a better frame of mind post-transfusion. Effect of transfusion on symptom relief varied between participants, ranging from several days to three weeks. Side effects of transfusion: Four participants reported side effects accompanying some transfusions, which included: confusion described as "heaviness in the head", headache, rise in temperature, itchiness/rash, epistaxis, and/or lightheadedness. Side effects were short-lived and not severe. In addition to the patient derived findings reported above, we identified 4 challenges to performing this qualitative study in the MDS population: MDS affects an aging population with several comorbidities, which may further compromise well-being; patients live sedentary lifestyles, which may impede their ability to assess subtle changes in well-being; caregiver presence during the interview can impact the patient perspective; and, the timing of interviews can affect the quality of data depending on the participant's level of fatigue. CONCLUSION: Results of this study reveal that the experiences of patients who receive RBC transfusion are diverse and are not consistent between consecutive transfusion episodes. Considering the findings, an appropriate QoL tool for use in this population should be short and quick to complete, disease specific, have an emphasis on fatigue and should have a short recall period to capture transient changes in well-being. Disclosures Leber: Celgene Canada: Honoraria, Membership on an entity's Board of Directors or advisory committees; Novartis Canada: Honoraria, Membership on an entity's Board of Directors or advisory committees.

scholarly journals Enhancing communication, informed consent and recruitment in a paediatric urgent care surgical trial: a qualitative study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Frances C. Sherratt ◽  
Lucy Beasant ◽  
Esther M. Crawley ◽  
Nigel J. Hall ◽  
Bridget Young
Keyword(s):  
Informed Consent ◽  
Qualitative Study ◽  
Urgent Care ◽  
Surgical Trial
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