×
Home Current Archive Editorial board
News Contact
Review paper

Patients’ experience regarding informed consent in elective and emergency surgeries

By
Olivera Perić Orcid logo ,
Olivera Perić
Contact Olivera Perić

Department of Gynaecology and Obstetrics, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina

Marinko Mišić ,
Marinko Mišić

Department of Gynaecology and Obstetrics, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina

Dejan Tirić ,
Dejan Tirić

Department of Gynaecology and Obstetrics, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina

Nikolina Penava ,
Nikolina Penava

Department of Gynaecology and Obstetrics, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina

David Bušić ,
David Bušić

School of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina

Vajdana Tomić
Vajdana Tomić

Department of Gynaecology and Obstetrics, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina

Abstract

Aim
To examine whether there are differences in the experience in giving informed consent of patients whose surgery was elective compared to emergency surgery in the same department.
Methods
A prospective cross-sectional study was conducted in the Department of Gynaecology and Obstetrics of University Clinical Hospital Mostar during a 6-month period. The sample of respondents consisted of two groups of patients, 145 with elective surgery and 90 patients with emergency surgery. The study was conducted using an anonymous questionnaire.
Results
Patients in both examined groups were equally satisfied with the procedure of informed consent. Most patients signed the informed consent at the request of a nurse, 195 (83%). During the process of consenting, almost all patients, regardless of whether they had elective or emergency surgery, claimed that they understood the form, which had to be signed, it was important to them, 230 (97.9%), except the patients who had elective surgery, 130 (90.3%), regularly stated that having an opportunity to ask questions was important to them. Respondents with emergency surgery more frequently agreed to sign whatever was in the form, 42 (46.7%).
Conclusion
Patients who had a planned surgery and patients who had an urgent surgery, mostly declare contentment with the use of informed consent although they did not have the same experience about informed consent.

References

1.
Ceković-Vuletić S, Đurđevićn, Kandić-Popović Z, Kecman V, Kljan-Tatić V, Lj K, et al. Institute of Social Sciences; 1998.
2.
Gosić N. Bioethics in vivo. Pergamena; 2005.
3.
Gazdek D. Informed consent in the treatment of opiate addiction. 2011.
4.
Đurđević N. The urrent Legal Problems in Medicine. Belgrade: Institute of Social Sciences; 1996. p. 111–20.
5.
Law on Rights, Obligations and Responsibilities of Patients.
6.
Bevanda M, Čolaković M. Patient’s right to information and consent and the legal consequences of treatment without the patient’s consent. Collected papers of the Law Faculty in Mostar. 2009. p. 196–212.
7.
Turković K. The Patient’s Right to Co-Decide under the Law on Protection of Patients’ Rights.U: Bakran I, Ivanišević G. Patient: The Rights and Obligations. Book of Presentations at 5 th Spring Bioethics Symposium of Croatian Medical Association. Croatian Medical Association. p. 21–33.
8.
Turković K. The right to refuse medical treatment in Republic of Croatia. Medicine. 2008. p. 158–70.
9.
Frković A. Informed Consent in Theory and Practice of Clinical Bioethics. 2004.
10.
Dawes P, Davison P. Informed consent: What do patient want to know? J R Soc Med. 1994. p. 149–52.
11.
El-Wakeel H, Taylor G, Tate J. What do patients really want to know in an informed consent procedure. J Med Ethics. 2006. p. 612–6.
12.
Nikšić D. Testing the position of a doctor of medicine on the need for informed consent ino the Federation of Bosnia and Herzegovina. Sarajevo: Faculty of Medicine. 2009.
13.
Akkad A, Jackson C, Kenyon S, Dixon-Woods, Taub N, Habiba M. Informed consent for elective and emergency surgery: questionnaire study. BJOG. 2004. p. 1133–8.
14.
Proso M. Some legal issues of informed consent in Croatian legislation and practice. Collected Papers of the Law Faculty in Split. 2006. p. 103–4.
15.
Amir M, Rabbani M, Parvez M. Informed consent in elective surgical procedures. J PakMed Assoc. 2009. p. 679–82.
16.
Kirane A, Gaikwad N, Bhingare P, Mule V. Informed" Consent: an audit of Informed Consent of cesarean section evaluating patient education and awareness. J Obstet Gynecol India. 2015. p. 382–5.
17.
Elkadry E, Kenton K, White P, Creech S, Brubaker L. Do mothers remember key events during labor? Am J Obstet Gynecol. 2003. p. 195–200.
18.
Sherlock A, Brownie S. Patients’ recollection and understanding of informed consent: a literature review. ANZ J Surg. 2014. p. 207–10.
19.
Fassassi S, Bianchy Y, Stiefel F, Waeber G. Assessment of the capacity to consent to treatment in patients admitted to acute medical wards. BMC Med Ethics. 2009. p. 15.
20.
Kay R, Sirivardena A. The process of informed consent for urgent abdominal surgery. J Med Ethics. 2001. p. 157–61.
21.
Saunders T, Stein D, Dilger J. Informed consent for labor epidurals: a survey of Society for Obstetric Anesthesia and Perinatology anesthesiologists from the United States. Int J Obstet Anesth. 2006. p. 98–103.
22.
Black J, Cynaam. Issues of consent for regional analgesia in labour: a survey of obstetric anaesthetists. Anaesth Intensive Care. 2006. p. 254–60.
23.
Gerancher J, Grice S, Dewan D, Eisenach J. An evaluation of informed consent prior to epidural analgesia for labor and delivery. Int J Obstet Anesth. 2000. p. 168–73.
24.
Fröhlich S, Tan T, Walsh A, Carey M. Epidural analgesia for labour: maternal knowledge, preferences and informed consent. Ir Med J. 2011. p. 300–2.
25.
Yildirim G, Cetin A, Aksu M, Altiparmak S, Guler N. The effects of the informed consentgiven forcesarean sectionon anxiety and knowledge. Clin Exp Obstet Gynecol. 2014. p. 62–6.

Citation

Authors retain copyright. This work is licensed under a Creative Commons Attribution 4.0 International License. Creative Commons License

 

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.