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评估提供者对使用标准化视觉辅助工具进行儿童阑尾切除术知情同意的满意度。

An assessment of provider satisfaction with the use of a standardized visual aid for informed consent for appendectomy in children.

机构信息

Michael E. DeBakey Department of Surgery, Division of Pediatric Surgery, Texas Children's Hospital, Houston, TX.

Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX.

出版信息

J Pediatr Surg. 2020 May;55(5):913-916. doi: 10.1016/j.jpedsurg.2020.01.044. Epub 2020 Feb 1.

Abstract

PURPOSE

We previously validated a visual aid for the use in the consent process for an appendectomy showing improved parental satisfaction and understanding. In this study, we evaluated provider satisfaction and perceived value of using the visual aid.

METHODS

An IRB approved survey was developed assessing provider experience with use of the visual aid. This was distributed and analyzed via Research Electronic Data Capture (RedCap) Database.

RESULTS

We administered 58 surveys (45% response rate). Participants included faculty (n = 2), fellows (n = 1), residents (n = 6), and physician assistants (n = 17). The visual aid was used >10 times by 50% of providers. The most common reason for not using the visual aid was not remembering it was available. Nearly half (40%) did not feel the visual aid added any time. 9/20 (45%) felt it added a small amount of time. Slightly over half of providers (52%) felt using the visual aid significantly increased family ability to give informed consent and made the consenting process easier for both providers and families.

CONCLUSION

Using a visual aid in consenting families for appendectomy does not add significant time and subjectively improves the process for providers and increases provider perception of parental understanding.

LEVEL OF EVIDENCE

Cost effectiveness, Level IV.

摘要

目的

我们之前验证了一种用于阑尾切除术同意过程的视觉辅助工具,可以提高家长的满意度和理解度。在这项研究中,我们评估了使用视觉辅助工具的提供者的满意度和感知价值。

方法

开发了一项经 IRB 批准的调查,评估提供者使用视觉辅助工具的经验。通过 Research Electronic Data Capture(REDCap)数据库进行了分发和分析。

结果

我们管理了 58 份调查(45%的回复率)。参与者包括教师(n=2)、研究员(n=1)、住院医师(n=6)和医师助理(n=17)。50%的提供者使用视觉辅助工具的次数超过 10 次。不使用视觉辅助工具的最常见原因是不记得它可用。近一半(40%)的人认为它没有增加任何时间。9/20(45%)的人认为它增加了少量时间。略多于一半的提供者(52%)认为使用视觉辅助工具显著提高了家庭知情同意的能力,使提供者和家庭双方的同意过程更加容易。

结论

在阑尾切除术的同意过程中使用视觉辅助工具不会显著增加时间,并且主观上改善了提供者的过程,并增加了提供者对家长理解的感知。

证据水平

成本效益,四级。

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