Authors : Jadranka Brljak .Zagreb,Gizela Jakupčević-Split
Jayne Tillett UK
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Providing informed consent to patients can
be defined as the ability to make the decision
based on sufficient knowledge and
information.
To be able to agree or disagree to have the
procedure.
Providing informed consent requires written
and verbal information throughout the
patient pathway.
The multicentre study was put together to
look at the different practice .
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To discuss through the multicentre study how
the nursing team understand how to provide
informed consent to patients.
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Centres were asked if they would take part in the
study. An explanation of the study was given to
the staff and they were asked if they were happy
to take part.
The questionnaire was a tick the box and asked
for some explanations, all questionnaires were
anonymous
The questionnaire was designed with open and
closed questions for all grades of the endoscopy
team to be involved with the patient care to
complete
A series of 15 questions to explore theory to
practice, protocols and training needs
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A total of 17 questionnaires were
completed.
There was a high return of the questionnaires
and the answers provided a good knowledge
of theory to practice and an understanding of
informed consent .
16
14
12
10
8
6
4
2
0
doctor, nurse
doctor and
phycian,patient all the medical
,patient and
nurse who
and legal team
relatives
perform the
procedure
team
12
10
8
6
4
2
0
Doctor
nurse
family
interpreter
12
10
8
6
4
2
0
arrival at
hospital
outpatient dept
family dr
first
conversation
with physican
8
7
6
5
4
3
2
1
0
Procedure room
before the
procedure
in outpatient
admission area
16
14
12
10
8
6
4
2
0
patient has the
find out the
policy for
speak to dr of pt
right to refuse
reason
withdrawal of
concerns
consent
10
9
8
7
6
5
4
3
2
1
0
information sent telephone call telephone a few
in post
day before
days before
letter about
procedure and
phone call
before
20
18
16
14
12
10
8
6
4
2
0
patient gets
pt phones if
preop
patient fully
date and time of unable to attend information sent informed about
procedure
to pt
procedure
18
16
14
12
10
8
6
4
2
0
POST OPERATIVE HAS HOSPITAL
PHONE CALL
NUMBER
Category 3
16
14
12
10
8
6
4
2
0
Patient feedback
Patient
Questionaires
/Audit
Column1
improve patient
preparation
5
7
improve
communication
between hosp
improve
5
6
5
communication btw
dept and Drs
we are providing a
good service
better communications
with relatives and
family
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Communication between departments and
other hospital could improve patient care,
both verbal and non verbal
Also the type of information provided should
be similar
The signing of the consent form
How soon should the patient have the
information and date for the procedure.
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The aim of this study was to look at how
informed consent is implemented into the
patient pathway and the nurses
understanding how informed consent is
achieved
This study was well received by the nursing
teams and a high level of knowledge about
informed consent.
The managers in the department were very
pleased with the underpinning knowledge of
the nursing teams
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Informed consent is a process to ensure the
patient has an understanding of the
procedure, the risk and complications.
To provide sufficient information about the
procedure and chance to ask questions.
The nurses are the valuable members of the
team involved with informed consent.