ممیزی بالینی اخذ رضایت آگاهانه در بیمارستان کودکان تبریز
Promoting informed consent in a children's hospital in Tabriz, Iran a best practice implementation project
نویسندگان: ندا کبیری , سکینه حاج ابراهیمی , گیسو علیزاده ء بی پناه , سولماز عظیم زاده , امین طالب پور , نیره فرج زاده مغانجوقی
کلمات کلیدی: Best practice; clinical audit; evidence-based practice; informed consent
نشریه: 0 , 12 , 17 , 2019
| نویسنده ثبت کننده مقاله |
ندا کبیری |
| مرحله جاری مقاله |
تایید نهایی |
| دانشکده/مرکز مربوطه |
مرکز تحقیقات پزشکی مبتنی بر شواهد EBM |
| کد مقاله |
70265 |
| عنوان فارسی مقاله |
ممیزی بالینی اخذ رضایت آگاهانه در بیمارستان کودکان تبریز |
| عنوان لاتین مقاله |
Promoting informed consent in a children's hospital in Tabriz, Iran a best practice implementation project |
| ناشر |
6 |
| آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ |
بلی |
| عنوان نشریه (خارج از لیست فوق) |
JBI database of systematic reviews and implementation reports |
| نوع مقاله |
Original Article |
| نحوه ایندکس شدن مقاله |
ایندکس شده سطح دو – Medline |
| آدرس لینک مقاله/ همایش در شبکه اینترنت |
|
| 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 followup
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. |
| نام فایل |
تاریخ درج فایل |
اندازه فایل |
دانلود |
| Promoting_informed_consent_in_a_children_s.15.pdf | 1398/10/23 | 467327 | دانلود |