Rohan P, Keane K, Nason G J, Caulfield R H
Department of Plastic Surgery, Mater Misericordiae University Hospital, Dublin 7
Department of Urology, Mater Misericordiae University Hospital, Dublin 7
Ir Med J. 2018 Apr 19;111(4):734.
Aims Consent is an integral component to any medical procedure involving a competent patient, a communicating doctor, and transfer of information about the procedure. The aim of this study was to assess interns’ experience of the consent process. Methods An online questionnaire was distributed to interns in Ireland questioning their role in the consent process within six months of starting as an intern. Results One hundred and seventy-one interns (89.1%) had consented a patient for a procedure during their first intern rotation. One hundred and forty-three (83.6%) reported their supervisors did not explain the procedure to the intern prior to consent. One hundred and fifty-eight (92.4%) respondents consented for a procedure which they had not witnessed before. Sixty (35.1%) of interns reported that they have obtained signed consent without fully discussing the procedure and the associated risks. Conclusion The most junior members of a team are independently consenting patients on a regular basis without the appropriate level of knowledge.
目的 同意是任何涉及有行为能力的患者、具备沟通能力的医生以及有关该医疗程序信息传递的医疗程序的一个不可或缺的组成部分。本研究的目的是评估实习医生在同意过程中的体验。方法 向爱尔兰的实习医生发放了一份在线问卷，询问他们在开始实习后的六个月内在同意过程中所扮演的角色。结果 171名实习医生（89.1%）在其首次实习轮转期间为患者的一项医疗程序进行了同意。143名（83.6%）报告称其上级在同意之前未向实习医生解释该医疗程序。158名（92.4%）受访者为他们之前未目睹过的一项医疗程序进行了同意。60名（35.1%）实习医生报告称他们在未充分讨论该医疗程序及其相关风险的情况下获得了签署的同意书。结论 团队中最年轻的成员经常在没有适当知识水平的情况下独立为患者进行同意。
