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‘Hobson’s choice’: a qualitative study of consent in acute surgery
OBJECTIVES: The study aimed to understand through qualitative research what patients considered material in their decision to consent to an acute surgical intervention. PARTICIPANTS, SETTING AND INTERVENTION: The patients selected aged between 18 and 90, having been admitted to a major trauma centre...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7545640/ https://www.ncbi.nlm.nih.gov/pubmed/33033090 http://dx.doi.org/10.1136/bmjopen-2020-037657 |
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author | Howard, Anthony Webster, Jonathan Quinton, Naomi Giannoudis, Peter V |
author_facet | Howard, Anthony Webster, Jonathan Quinton, Naomi Giannoudis, Peter V |
author_sort | Howard, Anthony |
collection | PubMed |
description | OBJECTIVES: The study aimed to understand through qualitative research what patients considered material in their decision to consent to an acute surgical intervention. PARTICIPANTS, SETTING AND INTERVENTION: The patients selected aged between 18 and 90, having been admitted to a major trauma centre to undergo an acute surgical intervention within 14 days of injury, where English was their first language. Data saturation point was reached after 21 patients had been recruited. Data collection and analysis were conducted simultaneously, through interviews undertaken immediately prior to surgery. The data were coded using NVIVO V.12 software. RESULTS: The key theme that originated from the data analysis was patients were unable to identify any individual risk that would modify their decision-making process around giving consent. The patient’s previous experience and the experience of others around them were a further theme. Patients sensed that there were no non-operative options for their injuries. CONCLUSION: This is the first study investigating what patient considered a material risk in the consent process. Patients in this study did attribute significance to past experiences of friends and family as material, prompting us to suggest that the surgeon asks about these experiences as part of the consent process. Concern about functional recovery was important to patients but insufficient to stop them from consenting to surgery, thus could not be classified as material risk. |
format | Online Article Text |
id | pubmed-7545640 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-75456402020-10-19 ‘Hobson’s choice’: a qualitative study of consent in acute surgery Howard, Anthony Webster, Jonathan Quinton, Naomi Giannoudis, Peter V BMJ Open Surgery OBJECTIVES: The study aimed to understand through qualitative research what patients considered material in their decision to consent to an acute surgical intervention. PARTICIPANTS, SETTING AND INTERVENTION: The patients selected aged between 18 and 90, having been admitted to a major trauma centre to undergo an acute surgical intervention within 14 days of injury, where English was their first language. Data saturation point was reached after 21 patients had been recruited. Data collection and analysis were conducted simultaneously, through interviews undertaken immediately prior to surgery. The data were coded using NVIVO V.12 software. RESULTS: The key theme that originated from the data analysis was patients were unable to identify any individual risk that would modify their decision-making process around giving consent. The patient’s previous experience and the experience of others around them were a further theme. Patients sensed that there were no non-operative options for their injuries. CONCLUSION: This is the first study investigating what patient considered a material risk in the consent process. Patients in this study did attribute significance to past experiences of friends and family as material, prompting us to suggest that the surgeon asks about these experiences as part of the consent process. Concern about functional recovery was important to patients but insufficient to stop them from consenting to surgery, thus could not be classified as material risk. BMJ Publishing Group 2020-10-08 /pmc/articles/PMC7545640/ /pubmed/33033090 http://dx.doi.org/10.1136/bmjopen-2020-037657 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Surgery Howard, Anthony Webster, Jonathan Quinton, Naomi Giannoudis, Peter V ‘Hobson’s choice’: a qualitative study of consent in acute surgery |
title | ‘Hobson’s choice’: a qualitative study of consent in acute surgery |
title_full | ‘Hobson’s choice’: a qualitative study of consent in acute surgery |
title_fullStr | ‘Hobson’s choice’: a qualitative study of consent in acute surgery |
title_full_unstemmed | ‘Hobson’s choice’: a qualitative study of consent in acute surgery |
title_short | ‘Hobson’s choice’: a qualitative study of consent in acute surgery |
title_sort | ‘hobson’s choice’: a qualitative study of consent in acute surgery |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7545640/ https://www.ncbi.nlm.nih.gov/pubmed/33033090 http://dx.doi.org/10.1136/bmjopen-2020-037657 |
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