Preoperative consenting adequacy among adult elective surgery patients in Dar es Salaam regional referral hospitals: A Hospital-based cross-sectional study
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Date
2023
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Hubert Kairuki Memorial University
Abstract
Objective: To assess the adequacy of preoperative consenting among adult patients
who have undergone elective surgeries at three Dar es Salaam public regional referral
hospitals from March to May 2023.
Design & Methods: An analytical cross – sectional study was conducted at Dar es
Salaam public regional referral hospitals. The target population was all patients who
have undergone elective surgeries at the three hospitals namely; Amana hospital,
Mwananyamala hospital and Temeke hospital. The proportional random sampling
method was used to get the minimum sample size. A Chi-Square test was the main
method used for analysis. Unless otherwise specified an alpha level of 5 percent was
used to disprove type I error in findings. Each subject was asked for written informed
consent before being enrolled in the study.
Results: the study recruited and analyzed 384 adult participants at Public regional
referral hospitals of Dar es Salaam. Male: female ratio = 1.1:1. Adequacy of pre –
surgical consenting in the studied hospital was 15.1%. Patient’s level of education (x²
= 19.627, DF = 6, p = 0.003) and Cadre of the practitioner guiding consenting process
(x² = 58.000, DF = 4, p < 0.001) were statistically significantly associated with pre-
surgical consenting adequacy. Most hospital informed consent forms were
inappropriately documented (x² = 13.611, DF = 4, p = 0.009)
Conclusion: Pre-surgical informed consent was observed to be in low frequency in this
study population. Patient’s level of education and the cadre of the practitioner guiding
consenting process were significant factors affecting pre – surgical informed consent
among study popul
Description
A Dissertation submitted in partial fulfillment of the requirements
for the award of the degree of Master Of Medicine In General
Surgery Of Hubert Kairuki Memorial University
Keywords
Informed consent, Dar es Salaam, Tanzania
Citation
George,Daniel.,2023.Preoperative consenting adequacy among adult elective surgery patients in Dar es Salaam regional referral hospitals: A Hospital-based cross-sectional study.HKMU