Intensive care patients' evaluations of the informed consent process.
This study examines the informed consent process from the perspective of intensive care patients. Using the largest single-method database of patient-derived information in the United States, we systematically outlined and tested several key factors that influence patient evaluations of the intensive care unit (ICU) informed consent process. Measures of information, understanding, and decision-making involvement were found to predict overall patient satisfaction and patient loyalty intentions. Specific actions supportive of ICU informed consent, such as giving patients information on advance directives, patient's rights, and organ donation, resulted in significantly higher patient evaluation scores with large effect sizes. This research suggests that the effectiveness of the informed consent process in the ICU from the patient's perspective can be measured and evaluated and that ICU patients place a high value on the elements of the informed consent process.
Clark
Paul Alexander
PA
Health Management Academy, Alexandria, VA 22314, USA. paul@hmacademy.com
D000328:Adult; D000368:Aged; D001294:Attitude to Health; D032882:Comprehension; D003422:Critical Care / Q000458:organization & administration / Q000523:psychology*; D018864:Cultural Diversity; D003657:Decision Making; D005260:Female; D006801:Humans; D007258:Informed Consent / Q000331:legislation & jurisprudence / Q000523:psychology* / Q000592:standards; D007297:Inpatients / Q000331:legislation & jurisprudence / Q000523:psychology*; D016014:Linear Models; D008297:Male; D016743:Mental Competency; D008875:Middle Aged; D015999:Multivariate Analysis; D015404:Nursing Methodology Research; D010353:Patient Education as Topic; D028701:Patient Rights; D012189:Retrospective Studies; D012660:Semantics; D012959:Socioeconomic Factors; D014342:Truth Disclosure; D014481:United States