INCREASING HEALTHCARE WORKER COMPLIANCE ON INFORMED CONSENT: A SYSTEMATIC REVIEW
Roshynta Linggar Andatu, Arlina Dewi
Master of Hospital Management, Postgraduate Studies, Universitas Muhammadiyah Yogyakarta
Abstract
Background: Informed consent is an ethical and legal obligation to perform invasive procedure, given by the healthcare worker to the patient or family, part of patient safety implementation. Objective: To identify and describe qualitatively on how to increase healthcare worker compliance on informed consent. Methods: Systematic searches of the literature were conducted using the major database, PubMed, by typing keywords (example compliance, healthcare worker, doctors, informed consent, agreement) which published from 2015 to January 2019. We summarized and analyzed the factors, intervention, and approach that can be used to increase healthcare worker compliance on informed consent. Results: We identified 25 systematic review journals from 2015 to 2019. Most of the studies were in hospitals and the population consisted of doctors, dentists, nurses, and pharmacists. Factors that influence the compliance of healthcare worker in implementing informed consent include self-confidence, habits, knowledge, ability, gender, age, empathy, workload, socio-cultural, and health system. The interventions that can improve the compliance of healthcare worker in implementing of informed consent, in terms of education combined with audits and feedback, remind each other between healthcare worker, psychological interventions, attitudes and behaviour, compare pre and post, and monitoring. Conclusions: Healthcare worker compliance on informed consent influenced by socio-culture, workload, gender, knowledge, and ability. To improve compliance, it is necessary to conduct audits, feedback and improve cognitive behavior.
Keywords: Compliance, healthcare worker, informed consent
Topic: International Symposium of Engineering, Technology, and Health Sciences