Informed consent practices by junior medical officers: a cross-sectional study

2016 ◽  
Vol 86 (1-2) ◽  
pp. 10-11
Author(s):  
Nicholas W. S. Smith ◽  
Joseph Overland ◽  
Marcus Wagstaff

Author(s):  
Desirée Mena-Tudela ◽  
Susana Iglesias-Casás ◽  
Víctor Manuel González-Chordá ◽  
María Jesús Valero-Chillerón ◽  
Laura Andreu-Pejó ◽  
...  

Background: Obstetric violence is a worldwide public health problem, which seems greater in Spain. As no studies were found that identify the most representative healthcare professionals, times, and areas involved in obstetric violence, the objective of this work was to study at what time of maternity, with which professionals, and in what areas women identified obstetric violence. Methods: This descriptive, retrospective, and cross-sectional study was performed from January 2018 to June 2019. The main variables were the area (hospital, primary care, both), the time (pregnancy, birth, puerperium), and the professionals attending to women. Results: Our sample comprised 17,541 participants. The area identified with the most obstetric violence for the different studied variables was hospitals. Women identified more obstetric violence at time of birth. Findings such as lack of information and informed consent (74.2%), and criticism of infantile behavior and treatment (87.6%), stood out. The main identified healthcare professionals were midwives and gynecologists, and “other” professionals repeatedly appeared. Conclusions: Having identified the professionals, times, and areas of most obstetric violence in Spain, it seems necessary to reflect on not only the Spanish National Health System’s structure and management but also on healthcare professionals’ training.



2012 ◽  
Vol 2 (1) ◽  
pp. 25 ◽  
Author(s):  
Abhishek Singh ◽  
Anu Bhardwaj ◽  
Rajnish Jindal ◽  
Prassana Mithra ◽  
DR Rajesh ◽  
...  


2020 ◽  
Vol 4 (2) ◽  
pp. 21-30
Author(s):  
Putu indah Budi apsari ◽  
Ni Wayan Winianti ◽  
Heny Arwati ◽  
Yoes Prijatna Dachlan

Soil transmitted helminth (STH) infections is kind of helminth infection which transmitted by contact with warm and moist soil especially affect the farmer. The purpose of this study was to investigate the profile of STH infection and the intensity of STH infection among farmers in Gelgel Village, Klungkung, Bali. The cross sectional study was conducted in Gelgel Village, Klungkung District, Bali and obtained stool and quitionaires from farmers by informed consent. Kato-Katz technique was used to diagnose the STH infection and to determine the intensity of infection based on the number of eggs per gram feces (EPG). Total 162 stool samples were collected from farmers aged 25-80 years, 22 farmers was positive of STH infection and 140 farmers was negative of STH infection. The result showed prevalence of STH infection was 13,5%, single infection of A. lumbricoides was 1.85%, 9.26% of T. trichiura single infection, and 0.61% of Hookworm single infection. The mixed infection was detected that were 1.23% of  A. lumbricoides with T. trichiura, and 0.61% of A. lumbricoides  with Hookworm. STH infection is the health problem among farmer. The farmer must be admitted antihelminthic drugs for preventing and eleminating STH infection.



2020 ◽  
Vol 58 (232) ◽  
Author(s):  
Manish Nath Pant ◽  
Saswat Kumar Jha ◽  
Sauravi Shrestha

Introduction: Left against medical advice is a worldwide phenomenon. Patients leaving against Left against medical advice do not provide the health professionals with legal impunity. A well-informed consent should be present with surety that they are well understood by the patient before they leave. The study was undertaken to study the prevalence of patients that leave against medical advice. Methods: This is a descriptive cross-sectional study done in the emergency department of a tertiary care hospital from 1st February 2020 to 31 July 2020. Ethical approval was taken from the Institutional Review Committee (ref. no. 130120205). The sample size was calculated and the convenient sampling method was used. Data were analyzed in the Statistical Package of the Social Sciences version 22. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of 5834 visits, 332 (5.96%) (4.70-7.22 at 95% Confidence Interval) patients left against medical advice. The mean age was 36.48 years (3 days-91 years) and males 173 (52.3%) were prone to leave than females. Only 50 (15.1%) cases had well-informed consent with complications documented. Hundred (30.5%) patients had wanted to come on follow up the next day in the out-patient department while 41 (12.4%) had to leave because of financial reasons. Only seven (2.9%) of well-oriented patients gave their consent and the remaining 233 (97.1%) were by the kin present. Only 76 (23%) patients were sent home with a well-documented medicine prescription. Conclusions: The proportion of patients who left against medical advice was more than the studies done in a similar setting.



2021 ◽  
Vol 4 (1) ◽  
pp. 24-30
Author(s):  
Siprianus Abdu ◽  
Jenita Laurensia Saranga' ◽  
Venny Sulu ◽  
Rista Wahyuni

Gadget merupakan barang canggih yang hampir semua orang dapat memilikinya. Gadget yang disertai berbagai macam aplikasi memberikan kemudahan mengakses berbagai hal seperti media berita, jejaring sosial, musik, bermain games, internet, foto-foto, menonton video dan masih banyak lagi yang lainnya. Penggunaan gadget di kalangan mahasiswa menjadi hal biasa, karena hampir semua kebutuhan perkuliahan dapat diakses melalui gadget. Dengan gadget mahasiswa dengan mudah mengakses literatur pengetahuan, musik, bermain games, internet, foto-foto, menonton video, transaksi perkuliahan dan lain-lain. Semua kemudahan tersebut tidak berarti tanpa masalah. Selain hal positif penggunaan gadget dapat berdampak negatif, misalnya penurunan ketajaman penglihatan. Tujuan penelitian ini adalah menganalisis dampak penggunaan gadget terhadap penurunan ketajaman penglihatan. Jenis penelitian adalah kuantitatif observasional analitik dengan desain cross sectional study. Populasi pada penelitian adalah mahasiswa, pengambilan sampel menggunakan teknik Non-Probability Sampling dengan pendekatan Accidental Sampling. Instrumen yang digunakan untuk mengukur variabel independen penggunaan gadget adalah kuesioner sedangkan variabel dependen ketajaman penglihatan menggunakan snellen chart. Pengumpulan data memperhatikan etika penelitian seperti informed consent, anonimity dan confidentiality. Jenis data adalah data primer, data sekunder dan data tersier. Data diolah dengan menggunakan program SPSS for windows versi 21.0 dengan proses editing, coding, processing dan cleaning. Data dianalisis secara univariat dan bivariat. Analisis bivariat menggunakan Uji Statistik Chi Square dengan tingkat signifikansi ?=0,05. Hasil Uji Statistik Chi Square diperoleh p value untuk mata kanan dan kiri masing-masing pkanan = 0,647 dan pkiri = 0,462. Kesimpulannya bahwa penggunaan gadget tidak berdampak signifikan terhadap penurunan ketajaman penglihatan baik pada mata kanan maupun mata kiri.



2019 ◽  
Vol 26 (09) ◽  
pp. 1466-1470
Author(s):  
Shahid Abbas ◽  
Faisal Ali ◽  
Naeem Hameed ◽  
Rehan Riaz ◽  
Ayesha Tariq ◽  
...  

Objectives: To determine the frequency of metabolic syndrome in judicial officers. Study Design: Cross sectional study. Setting: Faisalabad Institute of Cardiology, Faisalabad. Period: January 2015 to December 2016. Materials and Methods: Total 81 judicial officers were enrolled after obtaining informed consent. Officers from age of 29 years to 56 years and of either sex were enrolled in study. FLP, FBS, BP and waist circumference were measured at FIC. Frequency of metabolic syndrome was noted considering diagnostic criteria. Results: Mean age was 40.35 ± 7.40, 88.9% (n=72) were male, 11.1% (n=9) were females, 12.3% (n=10) were diabetic, 87.7% (n=71) were non-diabetic, 2 were known case of ischemic heart disease with one having CABG. Most common parameter out of Metabolic syndrome factors was hypertriglyceridemia 53.1% (n=43). Least common was diabetes (12.3%). Metabolic syndrome was found in 21% (n=17). Only 11.1% female officer (n=1) were found to have Metabolic syndrome whereas 22.2% male (n=16) were having metabolic syndrome. Conclusion: Metabolic syndrome was quiet common in young healthy judicial officers who were not patient of any significant disease mostly having sedentary lifestyle.



2018 ◽  
Vol 25 (06) ◽  
pp. 881-886
Author(s):  
Jeando Khan Daidano ◽  
Nazia Azam Yusfani ◽  
Bilqees Daidano

Objectives: To determine the association of diabetes mellitus in chronic hepatitisC patients. Study Design: Descriptive Cross sectional study. Period: June 2016 to October2017. Setting: Department of Medicine PMCH Nawabshah. Material and Methods: Total 107patients were selected for this study. Informed consent was taken from all the patients, studywas done using questionnaire. Statistical analysis was done by SPSS 15 version. Results:107 patients were enrolled for this study 56 were males 51 were females. Age ranged 48 to 74years, mean age was 52.65+_6.5. Patients selected after blood glucose level anti HCV positiveand PCR positive. Diabetic Foot was present in 33 patients, renal failure noted in 2 patients.Conclusion: HCV infection is major problem in our country, incidence of diabetes in chronichepatitis C patients increases the mortality. We can treat patients early with anti viral drugsfor HCV infection and antidiabetic drugs for Diabetes Mellitus, with counseling morbidity andmortality can be reduced.



Author(s):  
Desirée Mena-Tudela ◽  
Susana Iglesias-Casás ◽  
Víctor Manuel González-Chordá ◽  
Águeda Cervera-Gasch ◽  
Laura Andreu-Pejó ◽  
...  

The decentralization of health systems can have direct repercussions on maternity care. Some inequalities can be noted in outcomes, like neonatal and child mortality in Spain. This study aimed to make the presence of obstetric violence in Spain visible as an interterritorial equity criterion. A descriptive, restrospective and cross-sectional study was conducted between January 2018 and June 2019. The sample comprised 17,541 questionnaires, which represented all Spanish Autonomous Communities. Of our sample, 38.3% perceived having suffered obstetric violence; 44.4% perceived that they had undergone unnecessary and/or painful procedures, of whom 83.4% were not requested to provide informed consent. The mean satisfaction with the attention women received obtained 6.94 points in the general sample and 4.85 points for those women who viewed themselves as victims of obstetric violence. Spain seems to have a serious problem with public health and respecting human rights in obstetric violence. Offering information to women and requesting their informed consent are barely practiced in the healthcare system, so it is necessary to profoundly reflect on obstetric practices with, and request informed consent from, women in Spain.



2020 ◽  
Vol 3 (1) ◽  
pp. 16-24
Author(s):  
Siprianus Abdu ◽  
Anita Sampe

Tujuan penelitian adalah dianalisisnya faktor determinan yang paling berhubungan dengan kepatuhan perawat dalam melaksanakan perawatan luka sesuai SOP. Jenis penelitian kuantitatif dengan pendekatan observasional analitik. Rancangan penelitian cross sectional study. Penelitian dilaksanakan di RS Stella Maris Makassar pada bulan Februari 2018. Sampel penelitian ini adalah perawat pelaksana yang berjumlah 57 orang, dengan teknik pengambilan sampel probability sampling pendekatan proportionate stratified random sampling. Instrumen penelitian berupa kuesioner. Pendekatan etika penelitian seperti informed consent, anonymity, confidentiality, benefit, justice. Data diolah dengan proses editing, coding, entry, tabulatting, cleaning, dianalisis secara univariat, bivariat dan multivariat. Secara bivariat hasil penelitian adalah ada hubungan usia, tingkat pendidikan, masa kerja, pengetahuan dengan kepatuhan perawat dalam melaksanakan perawatan luka sesuai SOP dan tidak ada hubungan jenis kelamin dan sikap dengan kepatuhan perawat dalam melaksanakan perawatan luka sesuai SOP. Secara multivariat variabel bebas yang paling dominan menjadi prediktor terhadap kepatuhan perawat dalam melaksanakan perawatan luka sesuai SOP adalah pengetahuan, dengan nilai OR=4, yang bermakna bahwa perawat yang memiliki pengetahuan yang baik mempunyai kecenderungan 4 kali lebih besar untuk patuh dalam melaksanakan perawatan luka sesuai SOP. Probabilitas kepatuhan perawat dalam melaksanakan perawatan luka sesuai SOP karena ketiga variabel yakni pengetahuan, tingkat pendidikan dan usia sebesar 98,2%.  



2020 ◽  
Author(s):  
Tadese Tamire Negash ◽  
Aragaw Tesfaw

Abstract Background : Informed consent is a body of shared decision making process and voluntary authorization of patients to receive medical or surgical intervention. There are limited studies conducted so far to examine the practice of informed consent in Ethiopia. The aim of the study was to assess the practice of informed consent for surgery and Anesthesia from patients’ perspective.Method: An institutional-based cross-sectional study was conducted from March to May 2019. The data were collected using an interviewer-administered structured questionnaire and entered and analyzed using Microsoft Excel and SPSS version 23.Results: A total of 139 patients were interviewed in this study. Most 42(30.2%) of patients were in the age group of 29-38 years. The majority 74(53.2%) of the population were females and most 85 (61.2%) were from a rural residence. Nearly half 68 (48.9%) of the patients were informed of the benefits of the surgical procedure and 78(56.1%) of the patients were informed on the type of anesthesia to be administered while 65 (46.8% ) were not informed on any complications related to the anesthesia. About 66 (47.5%) of the patients interviewed were informed on alternatives to the surgery done. Of these patients, 39(59%) were not informed of any benefits and possible risks associated with the alternative modes of treatment. More than half 75 (54%) of the patients reported as they were understood the information provided during the pre-operative counseling and about 114 (82%) of the patients interviewed satisfied with the current process of obtaining informed consent.Conclusions and recommendation: The current practice of obtaining informed consent addressed only certain aspects of the informed consent component which reflects that patients were inadequately informed on complications related to surgery and anesthesia, alternative forms of treatment and their risks and benefits.



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