Division of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.
Am J Surg. 2021 Aug;222(2):272-280. doi: 10.1016/j.amjsurg.2021.01.009. Epub 2021 Jan 13.
Critical perspectives on the informed consent process for inguinal hernia surgery are lacking.
We conducted focus group interviews of patients who have undergone inguinal hernia surgery and nurses/medical assistants. Individual phone interviews were also conducted with surgeons sampled from the International Hernia Collaboration. Interviews were transcribed for coding and qualitative thematic analysis performed using NVivo 12 Plus. Themes were compiled to develop a decision aid.
Sixteen patients, 6 support staff members, and 12 surgeons participated. Multiple themes were identified. Patients, nurses, and medical assistants identified barriers to asking questions in the current clinic setup, patient stress, and time constraints, while surgeons identified strategies to implement decision aids. All participants agreed that decision aids improve the informed consent process.
Key stakeholders identified barriers to the informed consent process and provided input on necessary components of a decision aid. Opportunities exist to address these barriers and improve the consent process.
腹股沟疝手术知情同意过程的批判性观点尚缺乏。
我们对接受过腹股沟疝手术的患者以及护士/医疗助理进行了焦点小组访谈。还对从国际疝协作组织中抽取的外科医生进行了单独的电话访谈。对访谈进行了转录，以便使用 NVivo 12 Plus 进行编码和定性主题分析。汇总主题以制定决策辅助工具。
16 名患者、6 名支持人员和 12 名外科医生参加了研究。确定了多个主题。患者、护士和医疗助理确定了当前诊所设置、患者压力和时间限制下提问的障碍，而外科医生则确定了实施决策辅助工具的策略。所有参与者都认为决策辅助工具可以改善知情同意过程。
主要利益相关者确定了知情同意过程中的障碍，并为决策辅助工具的必要组成部分提供了意见。有机会解决这些障碍并改善同意过程。
