scholarly journals Information Disclosure and the Completeness of Informed Consent for Caesarean Section Patients at PKU Muhammadiyah Gamping Hospital, Yogyakarta

2021 ◽  
Vol 4 (1) ◽  
pp. 1-7
Author(s):  
Ratna Prahesti
Keyword(s):  
Informed Consent ◽  
Caesarean Section ◽  
Information Disclosure

scholarly journals Health workers’ perspectives on informed consent for caesarean section in Southern Malawi

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Wouter Bakker ◽  
Siem Zethof ◽  
Felix Nansongole ◽  
Kelvin Kilowe ◽  
Jos van Roosmalen ◽  
...  
Keyword(s):  
Informed Consent ◽  
Caesarean Section ◽  
Health Workers ◽  
Group Discussion ◽  
Legal Protection ◽  
Analytical Framework ◽  
Structured Interviews ◽  
Middle Income ◽  
Partial Disclosure ◽  
Labour Pains

Abstract Objective Informed consent is a prerequisite for caesarean section, the commonest surgical procedure in low- and middle-income settings, but not always acquired to an appropriate extent. Exploring perceptions of health care workers may aid in improving clinical practice around informed consent. We aim to explore health workers’ beliefs and experiences related to principles and practice of informed consent. Methods Qualitative study conducted between January and June 2018 in a rural 150-bed mission hospital in Southern Malawi. Clinical observations, semi-structured interviews and a focus group discussion were used to collect data. Participants were 22 clinical officers, nurse-midwives and midwifery students involved in maternity care. Data were analysed to identify themes and construct an analytical framework. Results Definition and purpose of informed consent revolved around providing information, respecting women’s autonomy and achieving legal protection. Due to fear of blame and litigation, health workers preferred written consent. Written consent requires active participation by the consenting individual and was perceived to transfer liability to that person. A woman’s refusal to provide written informed consent may pose a dilemma for the health worker between doing good and respecting autonomy. To prevent such refusal, health workers said to only partially disclose surgical risks in order to minimize women's anxiety. Commonly perceived barriers to obtain a fully informed consent were labour pains, language barriers, women’s lack of education and their dependency on others to make decisions. Conclusions Health workers are familiar with the principles around informed consent and aware of its advantages, but fear of blame and litigation, partial disclosure of risks and barriers to communication hamper the process of obtaining informed consent. Findings can be used to develop interventions to improve the informed consent process.

scholarly journals Informed consent to clinical research in India: A private law remedy

2020 ◽  
Vol 20 (3) ◽  
pp. 256-283
Author(s):  
Himani Bhakuni
Keyword(s):  
United States ◽  
Informed Consent ◽  
Clinical Research ◽  
Information Disclosure ◽  
Common Law ◽  
Case Law ◽  
The United States ◽  
Private Law ◽  
Patient Relationship ◽  
Treatment Context

There is a well-established common law doctrine for ascertaining information disclosure in informed consent claims within the treatment context that governs the doctor–patient relationship. But there is no such doctrine in clinical research governing the researcher–participant relationship in India. India, however, is not exceptional in this regard. Common law countries like the United States and Canada at most have sparse, non-systematised, criteria for such cases; arguably, a doctrine for research is at its nascent stage. But the adequacy of the existing criteria for settling informed consent claims in research has hardly ever been discussed. Furthermore, a specific discussion on the applicability of this ‘nascent doctrine’ to India is non-existent. This article discusses both. The article examines case law from India and other common law jurisdictions that hint at developments in this area. It suggests that Indian courts need to move abreast with other jurisdictions to better protect India’s patients and research participants.

scholarly journals Exploration of coping strategies among bereaved young adults using six-part story method (6PSM)

2021 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Merikan Aren ◽  
Venessha Sambasivan
Keyword(s):  
Young Adults ◽  
Content Analysis ◽  
Informed Consent ◽  
Data Collection ◽  
Coping Strategies ◽  
Information Disclosure ◽  
Snowball Sampling ◽  
Social Imagination ◽  
Ethics Of Research ◽  
Counselling Approach

The purpose of this research was to explore the coping strategies among bereaved young adults using Six-Part Story Method (6PSM). More specifically, this study was meant to identify the strengths of coping using 6PSM and the suitability of 6PSM among young adults in counselling approach. Counselling session was adapted as a medium for data collection with the aid of 6PSM as an intervention technique. Purposive sampling and snowball sampling was used to identify the most suitable participants to contribute in this study. The ethics of research and counselling such as anonymity, confidentiality, information disclosure, and the acquisition of informed consent were followed strictly throughout this research. The data collected was then analyzed using content analysis by categorizing the data into themes that present in the BASICPh model introduced by Mooli Lahad (Belief, Affect, Social, Imagination, Cognitive, and Physical)  Other than that, this study had also showed that themes such as belief, affect, and social are highly used among young adults as a way of dealing with bereavement. Not only that, this study had also found that the process of completing 6PSM enables an individual to express themselves in a way that synchronizes with the BASICPh model of coping. Based on the findings, this study would like to implicate that the coping strategies of bereaved young adults falls under the themes of belief, affect, and social. In addition, it also implicated that 6PSM is suitable to be used as an intervention in counselling young adults.

scholarly journals Multimedia in improving informed consent for caesarean section: A randomised controlled trial

2020 ◽  
Vol 60 (5) ◽  
pp. 683-689
Author(s):  
Alice Truong ◽  
Lenore Ellett ◽  
Lauren Hicks ◽  
Gabrielle Pell ◽  
Susan P. Walker
Keyword(s):  
Informed Consent ◽  
Randomised Controlled Trial ◽  
Caesarean Section ◽  
Controlled Trial ◽  
Randomised Controlled

scholarly journals Researchers’ views on, and experiences with, the requirement to obtain informed consent in research involving human participants: a qualitative study

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Antonia Xu ◽  
Melissa Therese Baysari ◽  
Sophie Lena Stocker ◽  
Liang Joo Leow ◽  
Richard Osborne Day ◽  
...  
Keyword(s):  
Informed Consent ◽  
Research Ethics ◽  
Information Disclosure ◽  
Ethics Committees ◽  
Structured Interviews ◽  
Worst Case ◽  
Human Research Ethics ◽  
Written Information ◽  
Human Participants ◽  
The Relationship

Abstract Background Informed consent is often cited as the “cornerstone” of research ethics. Its intent is that participants enter research voluntarily, with an understanding of what their participation entails. Despite agreement on the necessity to obtain informed consent in research, opinions vary on the threshold of disclosure necessary and the best method to obtain consent. We aimed to investigate Australian researchers’ views on, and their experiences with, obtaining informed consent. Methods Semi-structured interviews were conducted with 23 researchers from NSW institutions, working in various fields of research. Interviews were analysed and coded to identify themes. Results Researchers reported that consent involved information disclosure, understanding and a voluntary decision. They emphasised the variability of consent interactions, which were dependent on potential participants’ abilities and interests, study complexity and context. All researchers reported providing written information to potential participants, yet questioned the readability and utility of this information. The majority reported using signed consent forms to ‘operationalise’ consent and reported little awareness of, and lack of support in implementing more dynamic informed consent procedures, such as verbal informed consent, that was fit for the purposes of their studies. Views on Human Research Ethics Committees (HRECs) varied. Some reported inconsistent, arduous inputs on the information form and consent process. Others expressed reliance on HRECs for guidance, viewing them as institutional safeguards. Conclusions This study highlights the importance of transparent relationships, both between researchers and participants, and between researchers and HRECs. Where the relationship with study participants was reported as more robust, researchers felt that they were better able to ensure participants made better, more informed decisions. Where the relationship with HRECs was reported as more robust, researchers were more likely to view them as institutional safeguards, rather than as bureaucratic hindrances. Conscientious and mindful researchers are paramount to ensuring the procedure accommodates individual requirements. This study advocates that when designing ethical informed consent practices, researchers should be integrated as autonomous players with a positive input on the process, rather than, in the worst case, predatory recruiters to be curtailed by information forms and oversight.

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