DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20180277

The relationship between knowledge and perception of patients regarding informed consent in surgical procedures in Rwanda

Felix Mbonera, Geldine Chironda

Abstract


Background: Lack of patient’s knowledge on surgical informed consent increase the likelihood of a patient safety incident, patient anxiety and result in postoperative dissatisfaction. The aim of the study was to examine the relationship between knowledge and perception of patients regarding informed consent process for surgical procedures.

Methods: A descriptive correlation design was conducted. Using Probability Stratified sampling technique, a sample size of 147 surgical patients was selected. Data was collected using an interview schedule and analyzed using descriptive and inferential statistics.

Results: Eighty-three per cent (83%) had low knowledge, 12% moderate and only 5% had high level of knowledge. Twenty-three per cent (23%) had low perception, 50% moderate and 31% had high level of perception towards informed consent for surgical procedures. A weak significant positive correlation [(r = 0.487), (-1≤ r ≤1), p<0.00)] between patient’s knowledge and perception towards informed consent for surgical procedures was found with knowledge contributing variance 23.7% (R Square=0.237).

Conclusions: This study revealed that the patient’s knowledge towards informed consent for surgical procedures is limited and their perception towards informed consent is poor. Therefore, there is need to devise strategies that increases the knowledge levels of patients so that they will be able to positively alter their perceptions towards informed consent of surgical procedures.


Keywords


Informed consent process, Knowledge, Perceptions, Surgical procedures

Full Text:

PDF

References


Aasa A, Hovbäck M, Berterö CM. The importance of preoperative information for patient participation in colorectal surgery care. J Clin Nur. 2013;22(1112):1604-12.

Leclercq WK, Keulers BJ, Houterman S, Veerman M, Legemaate J, Scheltinga MR. A survey of the current practice of the informed consent process in general surgery in the Netherlands. Patient safety Surgery. 2013;7(1):4.

Faghanipour S, Joolaee S, Sobhani M. Surgical informed consent in Iran-how much is it informed?. Nursing ethics. 2014;21(3):314-22.

Hammami MM, Al-Gaai EA, Al-Jawarneh Y, Amer H, Hammami MB, Eissa A, et al. Patients’ perceived purpose of clinical informed consent: Mill’s individual autonomy model is preferred. BMC medical ethics. 2014;15(1):2.

Sulaiman AI, Ayyuba R, Diggol IG, Haruna IU. Knowledge, attitude and perception of patients towards informed consent in obstetric surgical procedures at Aminu Kano Teaching Hospital. Nig J Basic Clinical Sci. 2015;12(1):45.

Ochieng J, Buwembo W, Munabi I, Ibingira C, Kiryowa H, Nzarubara G, et al. Informed consent in clinical practice: patients’ experiences and perspectives following surgery. BMC Research Notes. 2015;8(1):765.

El-Nasser GA, Mohamed N. Patient satisfaction with preoperative care and its relationship with patient characteristics. Medical J Cairo Uni. 2013;81(2).

Rajesh DR, Abhishek S, Mukul C, Gaurav SP, Venkteshan M, Anu B. Patient’s Awareness, Attitude, Understanding and Perceptions towards Legal Nature of Informed Consent. J Indian Acad Forensic Med. 2013;35(1).

Lorenzen B, Melby CE, Earles B. Using principles of health literacy to enhance the informed consent process. AORN J. 2008;88(1):23-9.

Mercurio P, Ellis AS, Schoettker PJ, Stone R, Lenk MA, Ryckman FC. Using improvement science methods to increase accuracy of surgical consents. AORN J. 2014;100(1):42-53.

Agu KA, Obi EI, Eze BI, Okenwa WO. Attitude towards informed consent practice in a developing country: a community-based assessment of the role of educational status. BMC Med Ethics. 2014;15(1):77.

Polit DF, Beck CT. Designing and conducting quantitative studies to generate evidence for nursing. Nursing research. 2012:226.

Roberts P, Priest H, Traynor M. Reliability and validity in research. Nursing standard. 2006;20(44):41-5.

Araoye MO. Research methodology with statistics for health and social sciences. Ilorin: Nathadex Publisher. 2003;115(9).

Mugenda OM. Research methods: Quantitative and qualitative approaches. African Centre for Technology Studies; 1999.

Siddiqui FG, Shaikh JM, Memon MM. An audit of informed consent in surgical patients at a university hospital. J Ayub Med Coll Abbottabad. 2010;22(1):133-5.

Olaboyede, O, Musliudin, K, Oladeni, A. Pre-operative written consent in Nigeria: How informed are our patients?. 2013;4(8):307-10.