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PubMed · 16471007

Complications within consent.

Priscilla Alderson
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Abstract

The consent process is intended to protect patients, prevent complaint and litigation, and help practitioners to be accountable, to justify their decisions, and to inform and involve patients/parents in their health care. Medico-legal guidance poses uncertainties and dilemmas that can undermine these aims and deter some practitioners from informing and involving patients/parents in decision making. Greater recognition of contradictions and limitations in the guidance on consent could assist practitioners and patients/parents in their shared decision making.

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CommunicationEnglandHumansInfant, NewbornIntensive Care Units, NeonatalInterviews as TopicParental ConsentParentsPatient Care TeamProfessional-Patient RelationsEmpirical ApproachProfessional Patient RelationshipJournal Article

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Priscilla Alderson. Complications within consent.. https://pubmed.ncbi.nlm.nih.gov/16471007/

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Information-sharing among couples considering multifetal pregnancy reduction.

OBJECTIVE: To determine the information-sharing strategies of couples considering fetal reduction, and the impact of these strategies on the chances of encountering hostility in their social networks. DESIGN: Cross-sectional design of semistructured qualitative interviews, coded with respect to sharing strategies and level of personally directed hostility encountered. SETTING: Multiple Pregnancy Management Program, Comprehensive Genetics, New York, New York. PATIENT(S) AND INTERVENTION(S): Fifty women and their partners who were making a first visit to our maternal-fetal management facility, in order to consider the possibility of multifetal reduction as a pregnancy-management strategy. MAIN OUTCOME MEASURE(S): Development of information-sharing strategies, and the chances of encountering personally directed hostility regarding multifetal reduction associated with more and less selective strategies. RESULT(S): Four information-sharing strategies emerged from the analysis. Two of these strategies were relatively open (extended network, and both parents). Two other strategies were relatively selective (qualified family and friends, and defended relationship). The selective strategies were significantly less likely to encounter to encounter personally directed hostility (odds ratio, 3.88; 95% confidence intervals, 0.87-17.30). CONCLUSION(S): Selective sharing of information for couples considering multifetal prgnancy reduction is a potentially useful strategy for moderating potentially stressful relationships in their social networks. Clinics should find a way of integrating the discussion of selective sharing into their clinic's cultural repertoire of patient-support services.

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