Informed consent in gynecologic surgery

被引:2
|
作者
Overcarsh, Patricia [1 ]
Arvizo, Cynthia [1 ]
Harvey, Lara [1 ]
机构
[1] Vanderbilt Univ, Med Ctr, Dept Obstet & Gynecol, 1161 21st Ave South,B-1100 Med Ctr North, Nashville, TN 37232 USA
关键词
informed consent; patient autonomy; shared decision-making; CAPACITY;
D O I
10.1097/GCO.0000000000000550
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Purpose of review Informed consent is frequently used interchangeably with obtaining a signature on a form. This oversimplification shifts the value from the process of informed consent to the documentation. This review focuses on the recommended components of the consent process, barriers encountered, factors influencing patient satisfaction, attempts to improve the consent practice, and considerations in special populations. Recent findings The process of informed consent is key to promoting shared decision-making and patient autonomy. Several barriers exist to providing optimal consent including time constraints as well as educational, cultural, and language barriers. Innovative approaches such as audiovisual aids show promise in overcoming barriers and improving the consent process. Summary Patients seek expertise and knowledge to aid in making decisions that align with their care goals. Providers have an obligation to provide individualized and accessible counseling. Ongoing research is needed to optimize this process.
引用
收藏
页码:240 / 244
页数:5
相关论文
共 50 条
  • [41] Bariatric Surgery: Beyond Informed Consent
    Nieves-Khouw, Fe
    Welton, Robert
    Muchow, Nadja
    BARIATRIC NURSING AND SURGICAL PATIENT CARE, 2009, 4 (03): : 191 - 202
  • [42] Informed consent for surgery: risk discussion and documentation
    Hanson, Melissa
    Pitt, Dennis
    CANADIAN JOURNAL OF SURGERY, 2017, 60 (01) : 69 - 70
  • [43] Mnemonic That Corroborates Informed Consent in Oculoplastic Surgery
    Ing, Edsel B.
    OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY, 2014, 30 (01): : 83 - 83
  • [44] INFORMED CONSENT TO ELECTIVE SURGERY - THE THERAPEUTIC VALUE
    WALLACE, LM
    SOCIAL SCIENCE & MEDICINE, 1986, 22 (01) : 29 - 33
  • [45] The informed consent process in urgent abdominal surgery
    Kay, R
    Siriwardena, AK
    BRITISH JOURNAL OF SURGERY, 1998, 85 : 75 - 75
  • [46] Failure to obtain informed consent for breast surgery
    不详
    NEW ZEALAND MEDICAL JOURNAL, 1997, 110 (1052) : 363 - 363
  • [47] Informed consent issues in the conduct of bariatric surgery
    Raper, Steven E.
    Sarwer, David B.
    SURGERY FOR OBESITY AND RELATED DISEASES, 2008, 4 (01) : 60 - 68
  • [48] Informed patient consent for resident participation in surgery
    MacDonald, IM
    Hillson, T
    CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE, 2005, 40 (06): : 690 - 690
  • [49] Informed consent for emergency surgery in infants and children
    Nwomeh, BC
    Waller, AL
    Caniano, DA
    Kelleher, KJ
    JOURNAL OF PEDIATRIC SURGERY, 2005, 40 (08) : 1320 - 1325
  • [50] Publication bias in surgery: Implications for informed consent
    Syin, Dora
    Woreta, Tinsay
    Chang, David C.
    Cameron, John L.
    Pronovost, Peter J.
    Makary, Martin A.
    JOURNAL OF SURGICAL RESEARCH, 2007, 143 (01) : 88 - 93