Alemayehu BA1*, Worku TT2, Sendeku FW1, Nibret AB1 and Tessfaye EA3
1Department of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, Ethiopia 2Department of Obstetrics and Gynecology, College of Medicine and Health Sciences, Ethiopia 3Department of Nursing, College of Medicine and Health Sciences, Wachamo University, EthiopiaFulltext PDF
Background: Informed consent is the process of communication between a patient and health-care provider that results in the patient’s authorization/agreement to undergo a specific medical/surgical intervention. The practice of surgical informed consent among health care providers was considered as poor and the health care workers did not meet the minimum standards yet. Objective: This study was aimed to assess practice and factors associated with informed consent process for major surgical procedures among health-care workers in Wachemo University, Nigist Eleni Mohamed Memorial comprehensive specialized Hospital, Hosanna Southern Ethiopia. Materials and Methods: Institutional-based cross-sectional study was conducted among 422 health care workers from 09th August to 21st, 2022. The data were collected by systematic random sampling technique, entered into a computer using Epi data 3.5, and analyzed using Statistical Package of Social Sciences version 25.0. Bivariate and multivariable logistic regression analyses were done to estimate the crude and adjusted odds ratio with a confidence interval of 95% and a P-value of less than 0.05 considered statistically significant. Results: In this study 53.9% (95% CI; 48.3-58.4) had good surgical informed consent practice. Being age between 31-35 years (AOR=2.392; 95% CI: 1.33-14.467), no language barrier in communication with patients (AOR=2.011; 95% CI: 1.848-8.511), availability of policy/regulation that support surgical informed consent process (AOR=3.201; 95% CI: 1.102-9.298), spending more time 21 to 30 min on consent process (AOR=5.006; 95% CI: 1.659-15.100), patients with history of previous surgery (AOR=3.141; 95% CI: (1.435-6.876), having good knowledge (AOR=3.931; 95% CI: 1.799- 8.591) and favorable attitude (AOR=5.690; 95% CI: 2.729-11.862) were significantly and positively associated with good informed consent practice. Conclusion: The surgical informed consent practice was inadequate/low. Age, language, availability of policy/regulation, time spent on consent process, history of previous surgery, having good knowledge and favorable attitude were significant factors.
Health-care workers; Major surgeries; Surgical informed consent; Practice
Alemayehu BA, Worku TT, Sendeku FW, Nibret AB, Tessfaye EA. Practice and Factors Associated with Preoperative Informed Consent for Major Surgical Procedures among Health-Care Workers, in Wachemo University, Nigist Eleni Mohammed Memorial Comprehensive Specialized Hospital, Hosanna Southern Ethiopia, Facility Based Cross-Sectional Study. Int J Fam Med Prim Care. 2023; 4(1): 1069..