PubMed · 11210990
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V Barbour. 2001-02-03. Retaining trust.. https://doi.org/10.1016/s0140-6736(00)03636-9
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AIM: This study was designed to determine the adequacy of the informed consent process from the patient's perspective and in the light of published standards. METHODS: A pre-operative survey questionnaire was filled in during an interview with 77 patients before an elective general surgery operation. Forty two (58%) of the patients also completed a post-operative postal questionnaire. RESULTS: The results show that there is a need for more specific information (including the nature of the planned operation, the alternatives and complications) to be given by the senior doctor undertaking the procedure and before the patient is admitted to hospital. This study has highlighted the importance of confirming that the patient considers that they understand and are fully satisfied with the information provided, and that they have been able to ask questions without any sense of pressure. CONCLUSIONS: In giving voice to our patients' views on the adequacy of the informed consent process, this study has identified where improvements could be made in this important aspect of patient care.
AIM: This paper reports the findings of a qualitative research project that investigated: how Maori talk about health; Maori health; and Maori experiences of interacting with both mainstream and Maori providers of healthcare. METHODS: Twenty eight self-identified Maori were recruited from urban, marae-based healthcare services. Rich descriptions of commonly occurring themes were used to examine participants' experiences, explanations and ideas. RESULTS: Twelve themes provide an overview of how Maori health is conceptualised, the importance of 'traditional' concepts, the experiences of Maori within mainstream healthcare, and Maori health promotion mechanisms. CONCLUSIONS: Providing holistic healthcare to Maori in a respectful and collaborative way will provide opportunities for health professionals to have a positive impact on the health of individuals, their whanau and, in turn, their communities, hapu and Iwi.