Clancy Cillian, McCawley Niamh, Burke John P, McNamara Deborah
Department of Surgery, Beaumont Hospital, Dublin, Ireland.
Department of Surgery, Beaumont Hospital, Dublin, Ireland.
Surgeon. 2022 Dec;20(6):356-362. doi: 10.1016/j.surge.2021.11.007. Epub 2021 Dec 29.
Establishing healthcare professional's views on optimal consent in complex surgery could guide tailored consent policy, improving the process in challenging scenarios. To date, no studies have established if professionals of differing specialities agree on major aspects of consent in areas such as emergency surgery and cancer surgery.
An anonymous web based survey was distributed to a variety of disciplines in a tertiary referral centre. Questions regarding optimal methods and timing of consent in emergency and cancer surgery were posed. Comparative analyses of quantitative data were performed using chi-squared test.
57 responses were received from doctors and nurses of varying disciplines. Differences were found between doctors of separate specialities and nurses in opinion of optimal timing of consent (p = 0.02), consent validity over time (p < 0.001) and the utility of introducing more specific consent policy (p = 0.01). Almost all respondents agreed that healthcare professionals have differing ideas of what consent is.
This study demonstrates differences in opinion regarding optimal consent for cancer and emergency surgery. Consideration should be given to developing consensus among healthcare professionals regarding what consent for complex surgery constitutes.
了解医疗保健专业人员对复杂手术中最佳知情同意的看法，可为制定量身定制的知情同意政策提供指导，从而改进具有挑战性情况下的知情同意流程。迄今为止，尚无研究确定不同专业的专业人员在急诊手术和癌症手术等领域的知情同意主要方面是否达成一致。
在一家三级转诊中心，对多个学科开展了一项基于网络的匿名调查。提出了有关急诊和癌症手术中知情同意的最佳方法和时机的问题。使用卡方检验对定量数据进行比较分析。
收到了来自不同学科的医生和护士的57份回复。不同专科的医生和护士在知情同意的最佳时机（p = 0.02）、知情同意随时间的有效性（p < 0.001）以及引入更具体的知情同意政策的效用（p = 0.01）方面存在差异。几乎所有受访者都认为，医疗保健专业人员对知情同意的理解各不相同。
本研究表明，在癌症手术和急诊手术的最佳知情同意方面存在意见差异。应考虑就复杂手术的知情同意构成内容在医疗保健专业人员之间达成共识。
