Presence of chaperones during pelvic examinations in southeast Nigeria: Women′s opinions, attitude, and preferences

Nkwo, PO; Chigbu, Chibuike O.; Nweze, Sochimaobi; Okoro, OS; Ajah, LO

doi:10.4103/1119-3077.116889

Cited by 6 publications

(4 citation statements)

References 13 publications

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“…This information will be important to female clinicians who have traditionally less frequently offered a chaperone during breast examinations. 6 8 11 12 This study, as others, 12 – 14 demonstrates that women are more likely to decline the offer of a chaperone when the examining clinician is female; 61.45% declined a chaperone offered by a female clinician compared to 3.82% declining if the clinician was male. The reverse of this is that nearly 40% of women will still choose a chaperone even with a female clinician.…”

Section: Discussionsupporting

confidence: 51%

The importance of a medical chaperone: a quality improvement study exploring the use of a note stamp in a tertiary breast surgery unit

et al. 2015

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ObjectivesThe project aim was to determine current use and documentation of medical chaperones within a major breast service unit. It explored ways of improving adherence to professional guidelines concerning chaperones.SettingThe single centre quality improvement project was completed in a tertiary breast service unit in North West London. It was a three-stage project with initial audit in October 2013, 1st postintervention cycle in November 2013 and 2nd postintervention cycle in October 2014.ParticipantsIn each study cycle, data were collected from entries in clinic notes until at least 155 encounters with documented clinical examination were analysed. All notes were of female patients.Interventions(1) Intervention 1st cycle: presentation and discussion of chaperone guidelines alongside reminder posters and introduction of note stamp. (2) Intervention 2nd cycle: note stamp alone.Primary and secondary outcome measuresDocumentation of chaperone offer, documentation of patient preference regarding chaperone, identifier (name or signature) of chaperone present and gender of examining clinician.ResultsIn the 1st postintervention cycle, 69.95% documentation of chaperone offer was recorded, p<0.001, CI (59.04% to 80.76%). This result was replicated in the 2nd postintervention cycle a year later with 74.86% documentation of chaperone offer recorded, p<0.001, CI (66.41% to 83.31%). The 4.91% difference was insignificant; p=0.294, CI (14.03% to 4.21%).ConclusionsThe authors suggest that a proforma approach to medical chaperones is an effective means of ensuring adherence to best practice guidelines. A stamp, or similar, that can be embedded into documentation structure is an effective example of such an approach. Improved documentation allows any problems with adherence to guidelines to be more easily identified, helping to ensure the safeguarding of patients and staff involved in intimate examinations.

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Section: Discussionsupporting

confidence: 51%

The importance of a medical chaperone: a quality improvement study exploring the use of a note stamp in a tertiary breast surgery unit

et al. 2015

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“…concerning pelvic examinations in south-east, Nigeria, it was revealed that 51.7% of the women in the study preferred to be examined by a female doctor. [24] The percentage that preferred a male sonologist (8.8%) in our study is higher than the 1.7% observed by Atalabi et al . [13] Similarly, a study conducted among seven male and nine female physicians in a group family medicine practice in Montreal, Que Canada, suggested that being a male primary care physician remains associated with lower rate of cervical cancer screening.…”

Section: Discussioncontrasting

confidence: 83%

Intimate patient examinations: The awareness, acceptance and practice preference of transvaginal ultrasound scan among women in a South-southern State of Nigeria

Akintomide

Obasi

2019

J Family Med Prim Care

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Background: Transvaginal ultrasound scan (TVS) is a relatively new routine intimate examination in Nigeria carried out only in fertility clinics, specialist radio-diagnostic centres and a few public hospitals. It is a procedure, which many patients find intrusive and may result in anxiety. The gender of the practitioner and the presence of a third person in the room may influence patient's acceptance to undergo the procedure. Centres offering this service do not routinely ask for the patient's opinion, which negates the patient-centred care principle. The aim of this study is to assess women's awareness, acceptance and practice preference of TVS to get their opinion about the preferred gender of sonologist and presence of a third person during the procedure in comparison to other intimate examinations. Materials and Methods: It is a questionnaire-based prospective survey involving women referred for various indications to the radiology department of a Navy Hospital in south-southern Nigeria for 1 month. Results: We recruited 204 women. Although only 20.6% knew about TVS, 98.5% accepted to undergo TVS. Forty-six percent were indifferent about the gender of the sonologist, while 45% and 9% preferred a female and a male, respectively. About 50.3% wanted a third person in the room during the TVS and majority preferred their husbands (44.7%) to a chaperone (35.8%). Conclusion: The awareness of TVS is low, but it enjoys wide acceptance. Patient's preference for practitioner's gender and chaperone use are variable similar to findings from other intimate examinations, so consent should be sought before the procedure.

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“…Additionally, previous published studies on the use of chaperone in Nigeria have focused exclusively either on assessing the opinions, attitude, and preferences of women to the presence of chaperones during pelvic examinations or attitudes of a particular medical discipline such as gynaecologist or general practitioners to medical chaperoning [3,11,12]. In one of these studies, scarcity of personnel to serve as chaperones is the greatest challenge to the implementation of this policy.…”

Section: Volume 2 | Issuementioning

confidence: 99%

“…Despite this trend, the frequency of chaperone use has generally remained low especially in Nigeria [3,11]. This may be because; as yet the Nigerian Code of Medical Council does not have a policy on mandatory chaperone use in medical consultation [11].…”

mentioning

confidence: 99%

Attitudes of Physicians to the Policy of Mandatory Use of Chaperone in Clinical Practice

Onyiaorah¹,

Gu²,

Kc³

et al. 2016

Journal of Gynecology Research

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Presence of chaperones during pelvic examinations in southeast Nigeria: Women′s opinions, attitude, and preferences

Cited by 6 publications

References 13 publications

The importance of a medical chaperone: a quality improvement study exploring the use of a note stamp in a tertiary breast surgery unit

The importance of a medical chaperone: a quality improvement study exploring the use of a note stamp in a tertiary breast surgery unit

Intimate patient examinations: The awareness, acceptance and practice preference of transvaginal ultrasound scan among women in a South-southern State of Nigeria

Attitudes of Physicians to the Policy of Mandatory Use of Chaperone in Clinical Practice

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