Achieving good‐quality consent: review of literature, case law and guidance
Background Informed consent is an integral part of clinical practice. There is widespread agreement amongst health professionals that obtaining procedural consent needs to move away from a unidirectional transfer of information to a process of supporting patients in making informed, self‐determined...
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2020-10-01
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Online Access: | https://doi.org/10.1002/bjs5.50306 |
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doaj-c9bc45efaf6641d7b5410d0bd3ce92312021-04-02T18:04:57ZengOxford University PressBJS Open2474-98422020-10-014575776310.1002/bjs5.50306Achieving good‐quality consent: review of literature, case law and guidanceP. Normahani0V. Sounderajah1W. Harrop‐Griffiths2A. Chukwuemeka3N. S. Peters4N. J. Standfield5M. Collins6U. Jaffer7Imperial Vascular Unit London UKImperial Vascular Unit London UKAnaesthetic Department London UKDepartment of Cardiothoracic Surgery London UKConnected Care Bureau Imperial College NHS Healthcare Trust London UKImperial Vascular Unit London UKLondon Borough of Hounslow Council London UKImperial Vascular Unit London UKBackground Informed consent is an integral part of clinical practice. There is widespread agreement amongst health professionals that obtaining procedural consent needs to move away from a unidirectional transfer of information to a process of supporting patients in making informed, self‐determined decisions. This review aimed to identify processes and measures that warrant consideration when engaging in consent‐based discussions with competent patients undergoing elective procedures. Methods Formal written guidance from the General Medical Council and Royal College of Surgeons of England, in addition to peer‐reviewed literature and case law, was considered in the formulation of this review. Results A framework for obtaining consent is presented that is informed by the key tenets of shared decision‐making (SDM), a model that advocates the contribution of both the clinician and patient to the decision‐making process through emphasis on patient participation, analysis of empirical evidence, and effective information exchange. Moreover, areas of contention are highlighted in which further guidance and research are necessary for improved enhancement of the consent process. Conclusion This SDM‐centric framework provides structure, detail and suggestions for achieving meaningful consent.https://doi.org/10.1002/bjs5.50306 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
P. Normahani V. Sounderajah W. Harrop‐Griffiths A. Chukwuemeka N. S. Peters N. J. Standfield M. Collins U. Jaffer |
spellingShingle |
P. Normahani V. Sounderajah W. Harrop‐Griffiths A. Chukwuemeka N. S. Peters N. J. Standfield M. Collins U. Jaffer Achieving good‐quality consent: review of literature, case law and guidance BJS Open |
author_facet |
P. Normahani V. Sounderajah W. Harrop‐Griffiths A. Chukwuemeka N. S. Peters N. J. Standfield M. Collins U. Jaffer |
author_sort |
P. Normahani |
title |
Achieving good‐quality consent: review of literature, case law and guidance |
title_short |
Achieving good‐quality consent: review of literature, case law and guidance |
title_full |
Achieving good‐quality consent: review of literature, case law and guidance |
title_fullStr |
Achieving good‐quality consent: review of literature, case law and guidance |
title_full_unstemmed |
Achieving good‐quality consent: review of literature, case law and guidance |
title_sort |
achieving good‐quality consent: review of literature, case law and guidance |
publisher |
Oxford University Press |
series |
BJS Open |
issn |
2474-9842 |
publishDate |
2020-10-01 |
description |
Background Informed consent is an integral part of clinical practice. There is widespread agreement amongst health professionals that obtaining procedural consent needs to move away from a unidirectional transfer of information to a process of supporting patients in making informed, self‐determined decisions. This review aimed to identify processes and measures that warrant consideration when engaging in consent‐based discussions with competent patients undergoing elective procedures. Methods Formal written guidance from the General Medical Council and Royal College of Surgeons of England, in addition to peer‐reviewed literature and case law, was considered in the formulation of this review. Results A framework for obtaining consent is presented that is informed by the key tenets of shared decision‐making (SDM), a model that advocates the contribution of both the clinician and patient to the decision‐making process through emphasis on patient participation, analysis of empirical evidence, and effective information exchange. Moreover, areas of contention are highlighted in which further guidance and research are necessary for improved enhancement of the consent process. Conclusion This SDM‐centric framework provides structure, detail and suggestions for achieving meaningful consent. |
url |
https://doi.org/10.1002/bjs5.50306 |
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