Informed Consent from a Historical, Societal, Ethical, Legal, and Practical Perspective

Jameson, Lee M; AlTarawneh, Sandra

doi:10.1111/jopr.13493

Cited by 1 publication

(3 citation statements)

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“…Variations in the type of consent used for fixed prosthodontics may result from a variety of factors, including competing healthcare demands, time, or the differing legal standards for informed consent in different countries or strictness of enforcement [ 2 , 35 , 36 ]. For example, in Uganda, the guidelines regarding informed are not specific; the patient’s charter broadly states that consent may be verbal, implied, or written with no specific guidelines for different dental procedures [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…The process of informed consent is both an ethical and legal requirement in dental practice [ 1 – 3 ]. Informed consent is fundamental to the care, treatment, and management of dental patients [ 2 , 4 ]. Informed consent has been defined as the process of communication between a patient and healthcare provider that results in the patient’s authorization or agreement to undergo a specific medical intervention [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, there are gross variations in the proportions of dental professionals who obtain written consent ranging from 11 to 63.7% among the participants studied [ 21 , 22 , 24 , 26 – 28 ]. The informed consent practices may be influenced by cultural contexts, differing legal standards for informed consent disclosure, and the working environment, including patient-dentist-related factors [ 1 , 2 , 29 ].…”

Section: Introductionmentioning

confidence: 99%

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Dentists’ perspectives, practices, and factors associated with informed consent process for fixed prosthodontic treatment: a cross-sectional study of kampala metropolitan area, Uganda

Ndagire,

Barugahare,

Naidoo

et al. 2024

BMC Oral Health

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Background Dentists have a legal and ethical obligation to obtain informed consent from patients before carrying out treatment. In Uganda, the process of obtaining informed consent in dentistry is not well documented. The aim of the present study was to determine dentists’ perspectives and practices regarding informed consent to fixed prosthodontic treatment (FPT) in Kampala Metropolitan, Uganda. Methods A quantitative cross-sectional study was conducted among 153 dentists from July to September 2023. Data were collected using a semi-structured self-administered questionnaire that included both closed- and open-ended questions. The questionnaire included items on participants’ sociodemographic information, perspectives, and practices about informed consent for FPT. Perspectives were rated using ten items on a five-point Likert scale. The minimum possible total score was 10, and the maximum possible score was 50. Descriptive statistics and Poisson regression were used to summarize and analyze the quantitative data, and the significance level was set at p < 0.05. Open-ended items were analyzed using content analysis. Results The majority (83.9%) of the participants were general dentists with working experience ranging from 1 to 38 years and a median of 8 years. The majority were familiar with the concept of informed consent and had positive perspectives regarding its use for FPT. The mean score for perspectives was 39.27 (SD, 5.42). However, there were variations in the practices of the dentists. More than three-quarters (87.6%) reported that they always obtained the patient’s informed consent before FPT. Less than a third (29.4%) obtained written consent for FPT. About half of the dentists provided information regarding the procedure, benefits, and risks of treatment during the consent process. Bivariate analysis showed that the use of written consent for FPT was significantly (p < 0.05) associated with having a work experience of more than 10 years and having had training involving informed consent after undergraduate studies. Conclusion The present study provides baseline data regarding perspectives and practices regarding informed consent for FPT among dentists in Uganda. It is recommended that regular training courses be developed to highlight the importance of improved informed consent practices for patient protection and to instruct dentists about obtaining valid informed consent. There is a need for future research to streamline guidelines for the informed consent process in dental care in Uganda.

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Section: Discussionmentioning

confidence: 99%