Doctors' perspectives of informed consent for non-emergency surgical procedures

A qualitative interview study

Fiona Wood*, Sean Michael Martin, Andrew Carson-Stevens, Glyn Elwyn, Elizabeth Precious, Paul Kinnersley

*Corresponding author for this work

Research output: Contribution to journalArticle

16 Citations (Scopus)
7 Downloads (Pure)

Abstract

Background: The need to involve patients more in decisions about their care, the ethical imperative and concerns about ligation and complaints has highlighted the issue of informed consent and how it is obtained. In order for a patient to make an informed decision about their treatment, they need appropriate discussion of the risks and benefits of the treatment. Objectives: To explore doctors' perspectives of gaining informed consent for routine surgical procedures. Design: Qualitative study using semi-structured interviews selected by purposive sampling. Data were analysed thematically. Setting and Participants: Twenty doctors in two teaching hospitals in the UK. Results: Doctors described that while consent could be taken over a series of consultations, it was common for consent to be taken immediately prior to surgery. Juniors were often taking consent when they were unfamiliar with the procedure. Doctors used a range of communication techniques to inform patients about the procedure and its risks including quantifying risks, personalizing risk, simplification of language and use of drawings. Barriers to effective consent taking were reported to be shortage of time, clinician inexperience and patients' reluctance to be involved. Discussion and Conclusion: Current consent processes do not appear to be ideal for many doctors. In particular, junior doctors are often not confident taking consent for surgical procedures and require more support to undertake this task. This might include written information for junior staff, observation by senior colleagues when undertaking the task and ward-based communication skills teaching on consent taking.

Original languageEnglish
Pages (from-to)751-761
Number of pages11
JournalHealth Expectations
Volume19
Issue number3
DOIs
Publication statusPublished - 1 Jun 2016
Externally publishedYes

Bibliographical note

Copyright the Publisher 2014. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • Health care professionals
  • Informed consent
  • Qualitative research
  • Risk communication
  • Surgery

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