Knowledge of informed consent in surgical services

Authors

  • Verónica Castillo Pérez Especialista de Segundo Grado en Anestesia y Reanimación. Master en Longevidad Satisfactoria. Hospital Clínico-quirúrgico Dr. León Cuervo Rubio. Profesora Auxiliar. Pinar del Río.
  • Pedro Ricardo Hernández Campo Hospital Clínico Quirúrgico "Dr. León Cuervo Rubio. Pinar del Río.
  • Maribel Correa Torrez Especialista de Segundo Grado en Anestesia y Reanimación. Master en Urgencias Médicas. Hospital Clínico-Quirúrgico "Dr. León Cuervo Rubio". Profesora Auxiliar. Pinar del Río.
  • Esther Quintana Especialista de Primer Grado en Anestesia y Reanimación. Master en Longevidad Satisfactoria. Hospital Clínico-Quirúrgico "Dr. León Cuervo Rubio". Instructora. Pinar del Río.

Keywords:

Informed consent, Personal autonomy, Medical ethics.

Abstract

Introduction: current knowledge of informed consent constitutes an essential element of doctor-patient relationship.
Objective: to identify knowledge of informed consent in the members of surgical services and in patients who underwent surgeries during the period of investigation.
Method: a study was conducted in the surgical services at “Dr. Leon Cuervo Rubio” University General Hospital, Pinar del Rio from January to March 2012; surgery, anesthesiology personnel and patients operated on during the period were polled. The target group involved 73 doctors and 253 patients, with a sample of 45 doctors and the same number of nursing personnel along with 220 patients.
Results: incomplete knowledge of patients regarding informed consent was observed, the majority of surgeons and nurses had no knowledge of informed consent, and its application was not correct, though they had taken training courses on the topic.
Conclusions: the recognition of patient’s autonomy and the process allowed a change in doctor-patient relationship concerning surgical practice. Together with the deepening on bioethical principles and their application, plus the search of useful responses towards the bioethical problems is necessary in this service, since doctor-patient relationship and the safety offered to the patients are important to support the surgical procedure.

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References

1. Da Costa Miranda V, Becerra de Souza Frade A, Thauamturgo Lera A, Antonangelo A, Veiga D, Brunetti Karina, et al. How consent without knowing. Rev Assoc Med Bras[internet] 2009[cited 3 ago 2008]; 55(3): 328-334. Available from: http://www.scielo.br/scielo.php?pid=S0104-42302009000300028&script=sci_arttext&tlng=es

2. Luna Vázquez L, Valiente Duany M, Espinosa Martínez E, Goderich Lalán JM Cumplimiento de los principios de la bioética por el personal de enfermería. Rev Cubana Enfermer [serie en Internet]. 2004 [clted 3 ago 2008], 20(2): [aprox. 8p]. Available from: http://scielo.sld.cu/sclelo.php?script=sci-arttext&pid=S0864-03192004000200009&lng=es&nrm=iso&tlng=es.

3. Martínez Sánchez R. La necesidad de utilizar el consentimiento Informado en proyectos de investigación. Boletín Epidemiológico IPK. 2007; 17(1).

4. Rivero-Serrano O, Durante-Montiel I. Ética en la medicina actual. Gac Med Mex[internet] 2008[citado agosto 2010]; 144(4): 279-283. Disponible en: http://www.medigraphic.com/pdfs/gaceta/gm-2008/gm084a.pdf

5. Colt Quadrelli S, Henri G, Lyons G, Cohen D. Respect for autonomy: How much do patients want to know in order to make decisions? Medicina (B Aires)2008; 68(3): 198-204.

6. Sanabria MC, Muñoz G, Vargas CI. Humanos: Ética en Investigación; Mala Conducta Científica; Consentimiento Informado. Biomedica 2009; 29(1): 61-72.

7. Aguilera-Guzmán RM, Mondragón Barrios L, Icaza Medina-Mora ME. Consideraciones éticas en intervenciones comunitarias: la pertinencia del consentimiento informado. Salud Ment (Mexico City) 2008; 31(2): 129-138. Disponible en: http://www.scielo.org.mx/scielo.php?pid=S0185-33252008000200007&script=sci_arttext&tlng=pt

8. Gonzalves de Lima S, Alburquerque Gonzalves de Lima T, Araripe de Macedo L, Pompeu Barros de Oliveira Sa M, Marcela de Lima V, Ferreira Gomes RA, et al. Ethics in research with human beings: from knowledge to practice. Arq. Bras Cardiol[internet] 2010[cited oct-2010]; 95(3): 289-294. Available from: http://www.scielo.br/scielo.php?pid=S0066-782X2010001300003&script=sci_arttext&tlng=es

9. Silva Hernández CA. La autonomía, la integridad y el consentimiento informado Su importancia en ética médica. Rev Hosp Psiquiátrico de la Habana [serie en Internet].2005 [cited 3 ago 2008], 2(2): [aprox. 7p]. Disponible en: http://www.revistahph.sld.cu

10. Komatsu Braga Massarollo MC, Kurcgant P,Prado Fernandes MF. Comité de ética en Investigación de la escuela de enfermería de la Universidad de Sao Paulo: experiencia de los primeros seis años de funcionamiento. Rev Esc Enferm USP[Internet] 2009[citado oct. 2011];43(2): 1303-1307. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342009000600027&lng=es

11. Oliva Linares JE, Bosch Salado C, Carballo Martínez R, Fernández-Brito Rodríguez JE. El consentimiento informado, una necesidad de la investigación clínica en seres humanos. Rev Cubana Invest Biomed[Internet]. 2001[citado oct. 2011], 20(2)150-8. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-03002001000200011&lng=es.

12. Viada González CE, Ballagas Flores C, Blanco López Y. Ética en la investigación con poblaciones especiales. Rev Cubana lnvest Biomed[Internet]. 2007[citado oct. 2011]; 20(2):140-9. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-03002001000200010&lng=es.

13. Amaro Cano M. ¿Qué saben nuestros médicos de la ética en la investigación científica? Rev Cubana Invest Biomed. 2006, 25(3):13-18. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-03002006000300001&lng=es.

14. White C, Rosoff AJ, LeBlang TR. Informed consent to medical and surgical treatment. In: ACLM: Legal Medicine. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2007: chap 33.

15. Vasconcellos-Silva PR, Travassos de Lima N. Dialectica de la autonomia de los equilibrios en conflitos entre pacientes e cirurganos oncologicos. Rev Saude Publica [Internet].2009[citado oct. 2011]; 43(5): 839-845. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102009000500013&lng=es.

16. Ares Valdés Y, del Campo Abad R, García Sierra JC, Chou Rodríguez A, Fernández García RA. El consentimiento Informado en cirugía. Arch Cir Gen Dig [serie en Internet] 2005 [cited 12 ene 2009], 8: [aprox. 5 p] Avaidable from: http://ciruges.com/revista/2005/18/2005-08-08.htm.

17. Godinho Adriano Marteleto, Lanziotti Lívia Hallack, Morais Bruno Salome de. Termo de consentimento informado: a visão dos advogados e tribunais. Rev. Bras. Anestesiol. [revista en la Internet]. 2010 Abr [citado 2012 Ene 22]; 60(2): 207-211. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942010000200014&lng=es.

18. Castellanos Arcís ML, López Fernández JM, Caballé Ferreiras M, García Alderete H. El consentimiento informado; una acción imprescindible en la investigación médica. Rev Cubana Estomatol [revista en la Internet]. 2009 Mar [citado 2012 Ene 22]; 46(1): Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75072009000100007&lng=es.

19. Pentón García V, Véliz Äguila Z, Prado Lemus B, Herrera Ledys M. Ethics and Bioethics. Bases for Informed Consent in Orthodontics. MediSur [revista en la Internet]. 2009 Dic [citado 2013 Ene 22]; 7(6): 42-51. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-897X2009000600008&lng=es.

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Published

2013-02-08

How to Cite

1.
Castillo Pérez V, Hernández Campo PR, Correa Torrez M, Quintana E. Knowledge of informed consent in surgical services. Rev Ciencias Médicas [Internet]. 2013 Feb. 8 [cited 2025 Aug. 30];17(1):26-35. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/601

Issue

Vol. 17 No. 1 (2013)

Section

ORIGINAL ARTICLES

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