Egyptian patients'/guardians' experiences and perception about clinical informed consent and its purpose: Cross sectional study.

<h4>Background</h4>Informed consent (IC) is a healthcare standard emphasizing the meaning of human dignity as clarified in the Universal Declaration of Human Rights. Data about IC practices in Egypt is insufficient. This study aimed to assess the Egyptian patients'/guardians' e...

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Autores principales: Ammal M Metwally, Hala A Amer, Hend I Salama, Safaa I Abd El Hady, Raefa R Alam, Ahmed Aboulghate, Hanan A Mohamed, Hanan M Badran, Amal A Saadallah, Marwa M El-Sonbaty, Eman Eltahlawy, Walaa Saad, Amira Mohsen, Ghada A Abdel-Latif, Asmaa M Fathy, Amal I Hassanain, Abdelmoneim Eldali
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Publicado: Public Library of Science (PLoS) 2021
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Acceso en línea:https://doaj.org/article/48433617db824c52a846cbdd8d62a5a4
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spelling oai:doaj.org-article:48433617db824c52a846cbdd8d62a5a42021-12-02T20:15:49ZEgyptian patients'/guardians' experiences and perception about clinical informed consent and its purpose: Cross sectional study.1932-620310.1371/journal.pone.0252996https://doaj.org/article/48433617db824c52a846cbdd8d62a5a42021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252996https://doaj.org/toc/1932-6203<h4>Background</h4>Informed consent (IC) is a healthcare standard emphasizing the meaning of human dignity as clarified in the Universal Declaration of Human Rights. Data about IC practices in Egypt is insufficient. This study aimed to assess the Egyptian patients'/guardians' experiences about IC and their expectations about its practices' purposes in general and according to the type of the healthcare facility.<h4>Methods</h4>Self-administered questionnaire was carried out for 1092 participants who had undergone or were scheduled to a procedure requiring an IC at three studied types for Egyptian health care facilities. Ten statements were ranked twice by the participants to reflect their perception of IC purpose as per what is currently practiced and what they believe should be practiced.<h4>Results</h4>IC implementation varies significantly (p<0.05) across the health care facilities in Egypt. The percentage of its implementation at the non-governmental facilities, governmental facilities, and university hospital was 85.9%, 77.8%, and 63.8 respectively. The first three ranked purposes of the current IC practices were: "Helping patient/guardian decide (64.9%)", "Documenting patient's/guardian's decision (59.3%)", and "Having shared decision (57.3%)". The perceived purposes of IC to be practiced were: "Informing the patient/guardian (68.4%)", "Making sure patient/guardian understand (65.3%)" and "Documenting patients/guardians decisions (65.1%)". "Being a meaningless routine" was reported by the majority to be ranked as a low purpose for IC current and preferred practices.<h4>Conclusion</h4>The practice of IC is common within the Egyptian medical community. Participants believe that information disclosure "Making sure patients understand" has to help in IC decision making and its main purpose. However, unfortunately, this is not perceived as a current purpose of IC. There was consensus agreement that documenting the patient's/guardian's decision and informing the patient/guardian are perceived as both important current and preferred purposes for IC practices.Ammal M MetwallyHala A AmerHend I SalamaSafaa I Abd El HadyRaefa R AlamAhmed AboulghateHanan A MohamedHanan M BadranAmal A SaadallahMarwa M El-SonbatyEman EltahlawyWalaa SaadAmira MohsenGhada A Abdel-LatifAsmaa M FathyAmal I HassanainAbdelmoneim EldaliPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252996 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Ammal M Metwally
Hala A Amer
Hend I Salama
Safaa I Abd El Hady
Raefa R Alam
Ahmed Aboulghate
Hanan A Mohamed
Hanan M Badran
Amal A Saadallah
Marwa M El-Sonbaty
Eman Eltahlawy
Walaa Saad
Amira Mohsen
Ghada A Abdel-Latif
Asmaa M Fathy
Amal I Hassanain
Abdelmoneim Eldali
Egyptian patients'/guardians' experiences and perception about clinical informed consent and its purpose: Cross sectional study.
description <h4>Background</h4>Informed consent (IC) is a healthcare standard emphasizing the meaning of human dignity as clarified in the Universal Declaration of Human Rights. Data about IC practices in Egypt is insufficient. This study aimed to assess the Egyptian patients'/guardians' experiences about IC and their expectations about its practices' purposes in general and according to the type of the healthcare facility.<h4>Methods</h4>Self-administered questionnaire was carried out for 1092 participants who had undergone or were scheduled to a procedure requiring an IC at three studied types for Egyptian health care facilities. Ten statements were ranked twice by the participants to reflect their perception of IC purpose as per what is currently practiced and what they believe should be practiced.<h4>Results</h4>IC implementation varies significantly (p<0.05) across the health care facilities in Egypt. The percentage of its implementation at the non-governmental facilities, governmental facilities, and university hospital was 85.9%, 77.8%, and 63.8 respectively. The first three ranked purposes of the current IC practices were: "Helping patient/guardian decide (64.9%)", "Documenting patient's/guardian's decision (59.3%)", and "Having shared decision (57.3%)". The perceived purposes of IC to be practiced were: "Informing the patient/guardian (68.4%)", "Making sure patient/guardian understand (65.3%)" and "Documenting patients/guardians decisions (65.1%)". "Being a meaningless routine" was reported by the majority to be ranked as a low purpose for IC current and preferred practices.<h4>Conclusion</h4>The practice of IC is common within the Egyptian medical community. Participants believe that information disclosure "Making sure patients understand" has to help in IC decision making and its main purpose. However, unfortunately, this is not perceived as a current purpose of IC. There was consensus agreement that documenting the patient's/guardian's decision and informing the patient/guardian are perceived as both important current and preferred purposes for IC practices.
format article
author Ammal M Metwally
Hala A Amer
Hend I Salama
Safaa I Abd El Hady
Raefa R Alam
Ahmed Aboulghate
Hanan A Mohamed
Hanan M Badran
Amal A Saadallah
Marwa M El-Sonbaty
Eman Eltahlawy
Walaa Saad
Amira Mohsen
Ghada A Abdel-Latif
Asmaa M Fathy
Amal I Hassanain
Abdelmoneim Eldali
author_facet Ammal M Metwally
Hala A Amer
Hend I Salama
Safaa I Abd El Hady
Raefa R Alam
Ahmed Aboulghate
Hanan A Mohamed
Hanan M Badran
Amal A Saadallah
Marwa M El-Sonbaty
Eman Eltahlawy
Walaa Saad
Amira Mohsen
Ghada A Abdel-Latif
Asmaa M Fathy
Amal I Hassanain
Abdelmoneim Eldali
author_sort Ammal M Metwally
title Egyptian patients'/guardians' experiences and perception about clinical informed consent and its purpose: Cross sectional study.
title_short Egyptian patients'/guardians' experiences and perception about clinical informed consent and its purpose: Cross sectional study.
title_full Egyptian patients'/guardians' experiences and perception about clinical informed consent and its purpose: Cross sectional study.
title_fullStr Egyptian patients'/guardians' experiences and perception about clinical informed consent and its purpose: Cross sectional study.
title_full_unstemmed Egyptian patients'/guardians' experiences and perception about clinical informed consent and its purpose: Cross sectional study.
title_sort egyptian patients'/guardians' experiences and perception about clinical informed consent and its purpose: cross sectional study.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/48433617db824c52a846cbdd8d62a5a4
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