Decision-Making and Risk-Assessment in Living Liver Donation: How Informed Is the Informed Consent of Donors? A Qualitative Study

2010 ◽  
Vol 51 (4) ◽  
pp. 312-319 ◽  
Author(s):  
Christina Papachristou ◽  
Walter Marc ◽  
Jeorg Frommer ◽  
Burghard F. Klapp
Author(s):  
Andrea Amorim ◽  
Luis Santos ◽  
Omero Poli-Neto ◽  
Luiz Brito

Objective To analyze the reaction of women after reading the Informed Consent Form (ICF) before undergoing elective gynecological/urogynecological surgeries. Methods A qualitative study with 53 women was conducted between September 2014 and May 2015. The analysis of the content was conducted after a scripted interview was made in a reserved room and transcribed verbatim. We read the ICF once more in front of the patient, and then she was interviewed according to a script of questions about emotions and reactions that occurred about the procedure and her expectations about the intra- and postoperative period. Results The women had a mean age of 52 years, they were multiparous, and most had only a few years of schooling (54.7%). The majority (60.4%) of them had undergone urogynecological surgeries. Hysterectomy and colpoperineoplasty were the most frequent procedures. Ten women had not undergone any previous abdominal surgery. Fear (34.6%) was the feeling that emerged most frequently from the interviews after reading the ICF, followed by indifference (30.8%) and resignation (13.5%). Nine women considered their reaction unexpected after reading the ICF. Three patients did not consider the information contained in the ICF to be sufficient, and 3 had questions about the surgery after reading the document. Conclusion Reading the ICF generates fear in most women; however, they believe this feeling did not interfere in their decision-making process.


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