Can we make informed consent forms more informative?

Foglia, Elizabeth E.

doi:10.1136/archdischild-2017-314126

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…These forms should be modified so that their readability is equal to that presented by the general and sports press that is considered “normal” on the INFLESZ scale [ 10 , 29 ]. To improve the readability of these forms, they should be made shorter, use short sentences, highlight the most important information, use text boxes, and even add illustrations [ 38 , 39 ].…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the need to modify the format and language used in these forms to adapt them to patients becomes essential in the case of older patients or those with a low cultural level. These adaptations would make it possible to motivate patients to decide to read them and would facilitate their comprehension by guaranteeing their freedom of choice [ 20 , 29 , 38 , 39 ].…”

Section: Discussionmentioning

confidence: 99%

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Readability and Comprehension of Anesthesia Informed Consent Forms in a Spanish County Hospital: An Observational Study

García-Álvarez,

García-Sánchez

2024

Nursing Reports

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(1) Background: The wording of informed consent forms could hinder their comprehension and hinder patients’ autonomous choice. The objective of this study was to analyze the readability and comprehension of anesthesia informed consent forms in a Spanish county hospital. (2) Methods: Descriptive and cross-sectional study carried out on patients who were going to undergo anesthetic techniques. The readability of the forms was analyzed using the INFLESZ tool and their subjective comprehension using an ad hoc questionnaire. (3) Results: The analyzed forms presented a “somewhat difficult” legibility. A total of 44.2% of the patients decided not to read the form, mainly because they had previously undergone surgery with the same anesthetic technique. The language used in the forms was considered inadequate by 49.5% of the patients and 53.3% did not comprehend it in its entirety. A statistically significant negative correlation of age and INFLESZ readability score with the overall questionnaire score was found. A statistically significant association was observed as a function of age and educational level with the different criteria of the questionnaire. (4) Conclusions: The anesthesia informed consent forms presented low readability with limited comprehension. It would be necessary to improve their wording to favor comprehension and to guarantee patients’ freedom of choice.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Readability and Comprehension of Anesthesia Informed Consent Forms in a Spanish County Hospital: An Observational Study

García-Álvarez,

García-Sánchez

2024

Nursing Reports

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“…In nearly all healthcare systems in Western countries, obtaining informed consent is a necessary and fundamental requirement in medical activities and for the proper recognition of patients. [1] Although there are numerous applicable ways of expressing and obtaining informed consent, the underlying principle remains the respect of a person's autonomy and right to define his or her objectives and make decisions so as to achieve those objectives [2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Is the Italian consent to transfusion really informed? A medico-legal analysis between old ghosts and new evidence

Bolcato

Salvia

Rodriguez

et al. 2020

Transfusion and Apheresis Science

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Promoting informed consent in a children's hospital in Tabriz, Iran: a best practice implementation project

Kabiri

Hajebrahimi

Alizadeh

et al. 2019

JBI Database of Systematic Reviews and Implementation Reports

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Introduction: Informed consent is a continuous and dynamic process. It is a crucial part of healthcare procedures that becomes more complex in a pediatric clinical practice, where parents must make decisions for their children. Objectives: The aim of this implementation project was to evaluate the current practice and implement the best practice related to obtaining informed consent in a children's hospital in Tabriz, Iran. Methods: A clinical audit was undertaken using the JBI Practical Application of Clinical Evidence System (JBI PACES) tool. Five audit criteria representing the best-practice recommendations for informed consent were used. A baseline audit was conducted, followed by the implementation of multiple strategies. The project was finalized with a follow-up audit to determine change in practice. Results: The compliance rate of all criteria improved from baseline to follow-up audit. Criteria 1 (obtaining informed consent prior to all nursing procedures) and 5 (provision of information related to the necessity of the treatment) reached 97% compliance in the follow-up cycle. Criterion 4 (provision of information related to the nature and effect of the treatment) achieved 74% compliance. Both criteria 2 and 3 (provision of information related to alternative treatments and consequences of refusing treatment) reached 57% in the follow-up cycle. To improve compliance, meetings were organized with the heads of departments, nurses and residents regarding informed consent. Also, staff were encouraged to report cases where informed consent was not obtained. Conclusion: The audit results indicated an improvement in obtaining informed consent in the included departments. The interventions that were employed can facilitate the implementation of evidence into clinical practice.

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Can we make informed consent forms more informative?

Cited by 3 publications

References 5 publications

Readability and Comprehension of Anesthesia Informed Consent Forms in a Spanish County Hospital: An Observational Study

Readability and Comprehension of Anesthesia Informed Consent Forms in a Spanish County Hospital: An Observational Study

Is the Italian consent to transfusion really informed? A medico-legal analysis between old ghosts and new evidence

Promoting informed consent in a children's hospital in Tabriz, Iran: a best practice implementation project

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