患者和医疗保健专业人员对手术前知情同意程序障碍和潜在解决方案的看法,2021年:质量研究
Tadese Negash1, Diriba Teshome1, Efrem Fenta1
1Department of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Patient preference and adherence
|September 25, 2023
概括
患者和医疗保健专业人员在知情同意方面面临障碍,包括沟通问题和时间限制. 解决这些挑战对于改善手术知情同意过程至关重要.
科学领域:
- 医学伦理 医学伦理
- 患者沟通 患者沟通
- 进行手术的同意.
背景情况:
- 经知情同意讨论是根据个体患者的需要,手术条件和目标进行的.
- 目前关于患者和医疗保健专业人员对知情同意过程的看法的信息有限.
研究的目的:
- 从患者和医疗保健专业人士的角度探索知情同意过程中存在的障碍.
- 确定潜在的解决方案,以加强知情同意程序.
主要方法:
- 使用聚焦小组讨论和深入采访进行定性研究.
- 参与者包括接受选择性手术的患者,麻醉师和外科医生.
- 为了选择参与者,采用了有目的的抽样.
主要成果:
- 患者确定的障碍:不充分的程序解释,家庭的影响,恐惧 (手术,停电),讨论时间不足,家庭参与受限.
- 医疗保健专业人士的障碍:患者理解问题,讨论时间有限,表格设计不佳,患者意识低,拒绝恐惧,诊断信息不足,医学术语,文档不足,道德困境支持差距.
结论:
- 患者和医疗保健专业人员都认识到,在知情同意过程中存在重大,可解决的障碍.
- 建议针对医疗保健专业人员,教育工作者和医疗保健系统,以改善知情同意实践.
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