دورية أكاديمية
Patient knowledge of surgical informed consent and shared decision-making process among surgical patients in Ethiopia: a systematic review and meta-analysis.
| العنوان: | Patient knowledge of surgical informed consent and shared decision-making process among surgical patients in Ethiopia: a systematic review and meta-analysis. |
|---|---|
| المؤلفون: | Mihiretu MM; Department of Health System and Management, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, 1145, Ethiopia. mengistum2012@gmail.com., Bekele E; Department of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Ayele K; Department of Health Promotion, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Asmare L; Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Bayou FD; Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Arefaynie M; Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Tsega Y; Department of Health System and Management, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, 1145, Ethiopia., Endawkie A; Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Kebede SD; Department of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Kebede N; Department of Health Promotion, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia. |
| المصدر: | Patient safety in surgery [Patient Saf Surg] 2024 Jan 13; Vol. 18 (1), pp. 2. Date of Electronic Publication: 2024 Jan 13. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101319176 Publication Model: Electronic Cited Medium: Print ISSN: 1754-9493 (Print) Linking ISSN: 17549493 NLM ISO Abbreviation: Patient Saf Surg Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central |
| مستخلص: | Background: Informed consent is one of the safeguarding of the patient in medical practice at different standards such as ethical, legal, and administrative purposes. Patient knowledge and perception of informed consent are one of the priority concerns in surgical procedures. Patient knowledge and perception towards informed consent increased patient satisfaction, feeling high power on their determination, and accountability for the management, and facilitated positive treatment outcomes. Despite this, in Ethiopia, there are small-scale primary studies with inconsistent and inconclusive findings. Therefore, this systematic review and meta-analysis study estimated the pooled prevalence of patient knowledge and perception of informed consent and its determinants in Ethiopia. Methods: We searched major databases such as PubMed, Hinary, MEDLINE, Cochrane Library, EMBASE, Scopus, African Journal Online (AJO), Semantic Scholar, Google Scholar, google, and reference lists. Besides this, University databases in the country were also searched from August 20, 2023, until September 30, 2023,. All published and unpublished studies that report the prevalence of patient knowledge and perception toward informed consent and its associated factors were included. All studies reported in English were included. Studies conducted between January 01, 2015 to September 30, 2023 were included. There are three outcome measurements pooled level of patient knowledge towards informed consent, pooled level of patient perception towards informed consent, and pooled effect that affects patient knowledge of informed consent. Three reviewers (MMM, NK, and YT) independently screened the articles that fulfilled the inclusion criteria to avoid the risk of bias. The studies' quality was appraised using a modified Newcastle-Ottawa Scale (NOS) version. Results: The pooled prevalence of appropriate patient knowledge and perception towards informed consent was 32% (95% CI: 21, 43) and 40% (95% CI: 16, 65) respectively. Having formal education 2.69 (95% CI: 1.18, 6.15) and having a history of signed informed consent before 3.65 (95% CI:1.02,13.11) had a statistically significant association with good patient knowledge towards informed consent. Conclusion: The appropriate patient knowledge and perception of informed consent in Ethiopia is low. Formal education and history of signed informed consent were positive factors for appropriate patient knowledge of informed consent in Ethiopia. Physicians, policymakers, and health facility managers should focus on patients without prior experience with signed informed consent and not have formal education to improve patient knowledge towards informed consent. The protocol was registered at Prospero with number CRD42023445409 and is available from: https://www.crd.york.ac.uk/PROSPERO/#myprospero . (© 2024. The Author(s).) |
| References: | BMJ Open. 2018 Oct 3;8(10):e020658. (PMID: 30287665) J Patient Saf. 2014 Sep;10(3):140-5. (PMID: 24522223) Crit Care Res Pract. 2022 Jul 1;2022:6269921. (PMID: 35813590) BMJ. 2006 Sep 9;333(7567):528. (PMID: 16880192) Jt Comm J Qual Patient Saf. 2018 Jun;44(6):343-352. (PMID: 29793885) BMC Res Notes. 2015 Dec 09;8:765. (PMID: 26653100) Patient Saf Surg. 2022 Aug 31;16(1):29. (PMID: 36045394) East Mediterr Health J. 2014 Oct 12;20(9):569-77. (PMID: 25343470) BMC Med Ethics. 2022 Oct 25;23(1):103. (PMID: 36284338) PLoS One. 2009 Nov 26;4(11):e8073. (PMID: 19956713) Ann Med Surg (Lond). 2021 Dec 22;73:103195. (PMID: 35070280) Patient Saf Surg. 2016 Jun 03;10:15. (PMID: 27274767) Neuro Oncol. 2008 Jun;10(3):348-54. (PMID: 18388256) CMAJ. 2012 Mar 20;184(5):533-40. (PMID: 22392947) Int J Gen Med. 2012;5:269-75. (PMID: 22505825) Patient Saf Surg. 2022 Oct 28;16(1):33. (PMID: 36307856) BMC Med Ethics. 2014 Oct 22;15:77. (PMID: 25339067) BMC Med Ethics. 2017 Feb 2;18(1):6. (PMID: 28148256) Perioper Med (Lond). 2023 Mar 16;12(1):6. (PMID: 36927837) BMC Med Ethics. 2018 May 24;19(1):38. (PMID: 29793471) Trials. 2021 Jan 14;22(1):57. (PMID: 33446265) |
| فهرسة مساهمة: | Keywords: Ethiopia; Factors; Informed consent; Knowledge; Perception; Surgical patients |
| تواريخ الأحداث: | Date Created: 20240113 Latest Revision: 20240116 |
| رمز التحديث: | 20240116 |
| مُعرف محوري في PubMed: | PMC10787976 |
| DOI: | 10.1186/s13037-023-00386-5 |
| PMID: | 38218929 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1754-9493 |
|---|---|
| DOI: | 10.1186/s13037-023-00386-5 |