How much do emergency healthcare workers know about capacity and consent?
OBJECTIVE
To assess knowledge of capacity and consent among emergency healthcare workers.


METHODS
A cross-sectional survey with a structured questionnaire.


METHODS
86 questionnaires were distributed and completed by 42 accident and emergency doctors, 21 accident and emergency nurses, and 23 emergency ambulance staff. Correct answers on assessing capacity to consent to or refuse treatment were given by 67% of the doctors and 10% of the nurses, but by none of the ambulance workers. 15% of all respondents wrongly believed that an adult who is found to have capacity can lawfully be treated against his or her will.


CONCLUSIONS
The results of this study indicate that emergency healthcare workers do not have adequate knowledge about how to assess capacity and treat people who either refuse treatment or lack capacity. It shows a need for further training among doctors, nurses and ambulance staff working in the emergency setting.
Evans
Katharine
K
Emergency Department, Royal Cornwall Hospital, Truro, Cornwall, UK. kateevans1@hotmail.com
Warner
James
J
Jackson
Elizabeth
E
D000328:Adult; D003430:Cross-Sectional Studies; D004634:Emergency Medical Technicians / Q000706:statistics & numerical data*; D004635:Emergency Medicine / Q000706:statistics & numerical data*; D016529:Emergency Nursing / Q000706:statistics & numerical data*; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007258:Informed Consent; D016743:Mental Competency; D011364:Professional Practice / Q000706:statistics & numerical data; D006113:United Kingdom