Bolado Getachew Nigussie, Ataro Bizuayehu Atnafu, Feleke Mulualem Gete, Gadabo Christian Kebede, Kebamo Tamirat Ersino, Minuta Worku Mimani
Adult Health Nursing, School of Nursing, College of Health Science and Medicine, Wolaita Sodo University, Sodo, Ethiopia.
Pediatrics and Child Health Nursing, School of Nursing, College of Health Science and Medicine, Wolaita Sodo University, Sodo, Ethiopia.
BMC Nurs. 2024 Jan 30;23(1):77. doi: 10.1186/s12912-024-01748-9.
Patients may sign a consent form before the specific treatment is offered for a variety of reasons, including during an outpatient appointment. Healthcare professionals must obtain consent from patients or other legal persons before providing any treatment or performing any procedures. But, little attention has been given to the informed consent process in Ethiopia.
To assess informed consent practice and associated factors among healthcare professionals in Wolaita Zone, Southern Ethiopia public hospitals from January, 2023.
An institutional-based cross-sectional mixed-method study was conducted among 399 healthcare professionals. Simple random sampling and purposive sampling techniques were used to select healthcare professionals for quantitative and qualitative studies respectively. Data for both studies were collected using self-administered questionnaire and key informant interview respectively. EpiDataV4.6 and the Statistical Package for the Social Science was used for entry and analysis of quantitative data. OpenCode software was used for thematic analysis for qualitative data.
339 respondents were included in the study, with a response rate of 94.3%. The good practice of informed consent among the healthcare professionals is 53.1%. There was a significant association between the good practice of informed consent and being male [AOR: 0.003 (95% CI: 0.000-0.017)], working in a comprehensive specialized hospital [AOR: 4.775 (95% CI: 1.45-15.74)] and in-service training [AOR: 0.038 (95% CI: 0.013-0.114)].
More than half of healthcare professionals had good practices for informed consent. However, it is critical to plan and intervene various strategies with the goal of improving knowledge and attitude toward informed consent.
患者可能出于多种原因，包括在门诊预约期间，在接受特定治疗前签署同意书。医疗保健专业人员在提供任何治疗或进行任何程序之前，必须获得患者或其他法定代表人的同意。但是，埃塞俄比亚对知情同意过程的关注很少。
评估2023年1月以来埃塞俄比亚南部沃莱塔地区公立医院医疗保健专业人员的知情同意实践及相关因素。
对399名医疗保健专业人员进行了一项基于机构的横断面混合方法研究。分别采用简单随机抽样和目的抽样技术选择医疗保健专业人员进行定量和定性研究。两项研究的数据分别通过自填问卷和关键信息访谈收集。使用EpiDataV4.6和社会科学统计软件包录入和分析定量数据。使用OpenCode软件对定性数据进行主题分析。
339名受访者纳入研究，回复率为94.3%。医疗保健专业人员中知情同意的良好实践率为53.1%。知情同意的良好实践与男性[AOR：0.003（95%CI：0.000-0.017）]、在综合专科医院工作[AOR：4.775（95%CI：1.45-15.74）]和在职培训[AOR：0.038（95%CI：0.013-0.114）]之间存在显著关联。
超过一半的医疗保健专业人员在知情同意方面有良好实践。然而，至关重要的是规划并干预各种策略，以提高对知情同意的认识和态度。
