Tahir Shaila, Ghafoor Farkhanda, Nusarat Shaheena, Khan Amanullah
Fatima Memorial Hospital, College of Medicine & Dentistry. Lahore.
J Med Ethics Hist Med. 2009 Nov 24;2:20. Print 2009.
Informed Consent concept has been recognized in all patient care fields. The contents and wordings of the informed consent are still being debated and experimented. Dental care services have considered the role of informed consent since 1980's, after some legal claims of malpractices.
A cross-sectional analytic study was undertaken involving 375 senior dental students and fresh graduates in their house job. A self-administered questionnaire explored their knowledge, attitude and practices regarding the need and importance of informed consent in dental services. The study instrument was designed keeping in view the content of courses in dental education and international standards. The questionnaire was pre-tested on a small group for assessing the suitability and validity of the responses.
The data was entered in SPSS version 16 and cross-tabulated through it. Most of the respondents (87%) were aware of the concept of informed consent, 6.9% considered it unnecessary and 21.9% were not practicing it. Invasiveness of dental procedure was found to be directly related to the need of including informed consent. Major justification for presence of informed consent was to protect the dentist from any legal proceedings.
Dental professionals were aware about the informed consent as a step, but were unaware about its precise significance, content application and practice.
知情同意概念在所有患者护理领域均已得到认可。知情同意的内容和措辞仍在争论和试验中。自20世纪80年代以来,在一些医疗事故法律索赔事件之后,牙科护理服务开始考虑知情同意的作用。
开展了一项横断面分析研究,纳入了375名牙科高年级学生和正在进行住院医师培训的应届毕业生。一份自填式问卷探讨了他们对牙科服务中知情同意的必要性和重要性的知识、态度和实践情况。研究工具的设计考虑了牙科教育课程的内容和国际标准。该问卷在一小群人身上进行了预测试,以评估回答的适用性和有效性。
数据录入SPSS 16版并通过其进行交叉制表。大多数受访者(87%)知晓知情同意概念,6.9%认为其不必要,21.9%未践行。发现牙科操作的侵入性与纳入知情同意的必要性直接相关。存在知情同意的主要理由是保护牙医免受任何法律诉讼。
牙科专业人员知晓知情同意这一步骤,但不了解其确切意义、内容应用和实践。