Adherence to Informed Consent Standards in Shiraz Hospitals: Matrons Perspective

Document Type: Original Article

Authors

1 Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran

2 Department of Community Medicine, Golestan University of Medical Sciences, Gorgan, Iran

3 Department of Community Medicine, Shiraz Nephrourology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Background
Informed consent is an important part of the patients’ rights and hospitals are assigned to obtain informed consent before any diagnostic or therapeutic procedures. Obtaining an informed consent enables patients to accept or reject their care or treatments and prevent future contentions among patients and medical staff.
 
Methods
This survey was carried out during 2011-2. We assessed adherence of 33 Shiraz hospitals (governmental and non-governmental) to informed consent standards defined by Joint Commission International (JCI) Accreditation, USA. The questionnaire was designed using the Delphi method and then filled out by hospital matrons. We calculated valid percent frequency for each part of the questionnaire and compared these frequencies in governmental and nongovernmental hospitals using analytical statistics.
 
Results
Considering 63% of the hospitals that filled out the questionnaire, no statistically significant difference was observed between the governmental and non-governmental hospitals in adherence to informed consent standards.
 
Conclusion
This study shows a relatively acceptable adherence to standards about informed consent in Shiraz hospitals but the implementation seems not to be as satisfactory.

Keywords

Main Subjects


  1. Bottrell MM, Alpert H, Fischbach RL, Emanuel LL. Hospital Informed Consent for Procedures Forms. Arch Surg 2000; 135; 26-33.
  2. Guide for writing a Research Protocol for research involving human participation [Internet]. Available: http://www.who.int/rpc/research_ethics/guide_rp/en/index.html
  3. Hall JK, Boswell MV. Ethics, Law, and Pain Management as a Patient Right. Pain Physician 2009; 12; 499-506.
  4. Iranian Center for Research of Medical Ethics and History [homepage on the Internet]. Iranian Patient Rights 2004. Available From: http://mehr.tums.ac.ir/Default.aspx?lang=en
  5. Joint Commission International (JCI). Joint Commission International Accreditation Standards for Hospitals. 3rd edition. Oak Brook: JCI; 2008. p. 71-93.
  6. Khodayari R, Tourani S, Qaderi A, Salehi M, Jafari H. [Capabilities assessing of teaching hospitals in Iran University of medical sciences in attracting medical tourists according to JCI patient-oriented standards]. Journal of Hospital 2011; 9: 51-6. [In Persian]
  7. Ahmadi M, Khoshgam M, Mohammadpoor A. [Comparative study of the Ministry of Health standards for hospitals with Joint Commission International hospital accreditation standards]. Hakim Research Journal 2007; 10: 45-52. [In Persian]
  8. Jukic M, Kvolik S, Kardum G, Kozina S, TomicJuraga A. Knowledge and practices of obtaining informed consent for medical procedures among specialist physicians: questionnaire study in 6 Croatian hospitals. Croat Med J 2009; 50: 567-74.
  9. Mirbagher Ajorpaz N, Heidari S, Ranjbar N, Afshar M. Assessment Rate of Being Conscious and Quality of Informed Consent Process in inpatients Undergoing Surgery in Selected Hospitals of Isfahan in 2009. Qom University of Medical Sciences Journal  2011; 3: 53-60. [In Persian]
  10. Skulmoski GJ, Hartman FT, Krahn J. The Delphi Method for Graduate Research. Journal of Information Technology Education 2007; 6: 1-21.
  11. Amini M, Moosavi S, Mohammadnejad S. The informatory of the inpatients’ informed consent: a survey in selected hospitals. Iranian Journal of Medical Ethics and History of Medicine 2009; 2: 61-70.
  12. Sheikhtaheri A, Farzandipour M. [Quality of Informed Consent Process and Factors Affecting it among Patients Undergoing Surgery, an Empirical Study in Hospitals of Kashan, Iran]. Hakim Research Journal 2009; 10: 33-41. [In Persian]
  13. Ogundrin TO, Adebamowo CA. Surgeons’ opinions and practice of informed consent in Nigeria. J Med Ethics 2010; 36: 741-5. doi: 10.1136/jme.2010.037440
  1. Taylor KM, Kelner M. Informed consent: the physicians’ perspective. Soc Sci Med 1987; 24: 135-43. doi: 10.1016/0277-9536(87)90246-2