Are predominantly western standards and expectations of informed consent in surgery applicable to all? A qualitative study in a tertiary care hospital in Sri Lanka

BMJ Open
Udagedara Mudiyanselage Jayami Eshana SamaranayakeAnura Sarath Kumara Banagala

Abstract

To identify the different perceptions on informed surgical consent in a group of Sri Lankan patients. A qualitative study was conducted in a single surgical unit at a tertiary care hospital from January to May 2018. The protocol conformed to the Declaration of Helsinki. Patients undergoing elective major surgeries were recruited using initial purposive and later theoretical sampling. In-depth interviews were conducted in their native language based on the grounded theory. Initial codes were generated after analysing the transcripts. Constant comparative method was employed during intermediate and advanced coding. Data collection and analyses were conducted simultaneously, until the saturation of the themes. Finally, advanced coding was used for theoretical integrations. Thirty patients (male:female=12:18) were assessed. The mean age was 41±9 years. Sinhalese predominated (50.0%, n=15). Majority underwent thyroidectomy (36.7%, n=11). The generated theory categorises the process of obtaining informed consent in four phases: initial interaction phase, reasoning phase, convincing phase and decision-making phase. Giving consent for surgery was a dependent role between patient, family members and the surgeon, as opposed to an individ...Continue Reading

References

Mar 19, 1988·British Medical Journal·D J ByrneA Cuschieri
Apr 17, 1980·The New England Journal of Medicine·B R CassilethV March
Jul 16, 1994·BMJ : British Medical Journal·R Gillon
Dec 9, 1996·Archives of Internal Medicine·A Meisel, M Kuczewski
Sep 24, 2004·BJOG : an International Journal of Obstetrics and Gynaecology·Andrea AkkadMarwan Habiba
Feb 4, 2006·BMJ : British Medical Journal·Julian Savulescu
Nov 1, 2003·Sociology of Health & Illness·Oonagh Corrigan
Jan 1, 2008·Journal of Cutaneous and Aesthetic Surgery·K H Satyanarayana Rao
Apr 2, 2010·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Yael SchenkerDean Schillinger
Mar 7, 2012·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Daniel E HallAaron S Fink

❮ Previous
Next ❯

Methods Mentioned

BETA
pancreatectomy

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
Fiona WoodPaul Kinnersley
Journal of Ayub Medical College, Abbottabad : JAMC
Faisal Ghani SiddiquiMohammad Munir Memon
Journal of Advanced Pharmaceutical Technology & Research
Lokesh P NijhawanPrashant B Musmade
© 2022 Meta ULC. All rights reserved