Evidence map›Paper›PMID 34394330›Full record

ArticleAfrican health sciences2021

Knowledge and practices of seeking informed consent for medical examinations and procedures by health workers in the Democratic Republic of Congo.

Doudou Nzaumvila, Patrick Ntotolo, Indiran Govender, Philip Lukanu, Jd Landu Niati, Didier Sanduku, Tombo Bongongo

Open access · diamondAbstract read
In one paragraph

Article in African health sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Self-Rated Competence of Ugandan Healthcare Workers to Obtain Informed Consent for Autopsy.The American journal of tropical medicine and hygiene · 2024
    Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 3 countries.

Doudou NzaumvilaSefako Makgotho Health Sciences University.
Patrick NtotoloUniversite Protestante du Congo.
Indiran GovenderUniversity of Pretoria, Department of Family Medicine.
Philip LukanuUniversite Protestante du Congo.
Jd Landu NiatiSanru.
Didier SandukuSanru.
Tombo BongongoSefako Makgotho Health Sciences University.
SANE Mental Health Charity · GBSefako Makgatho Health Sciences University · ZAUniversité Protestante au Congo · CD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInformed consent (IC) is linked to the ethical principle of respecting patient autonomy, respect for human rights and ethical practice, while in many countries it is a standard procedure. Anecdotally, it should be noted that in the Democratic Republic of Congo (DRC) in many instances ICs are not obtained systematically. To date, no research appears to have been conducted on this matter. This study aimed to assess the knowledge and practice of obtaining IC from patients among health care providers (HCP) in the DRC.

methodsThis was a cross-sectional study, with a convenient sampling of 422 participants. Data from the questions were collected on an imported Microsoft Excel spreadsheet for review at INSTAT.TM The authors set IC's accurate knowledge and practice at 80% or higher. The Fisher Exact test was used to compare categorical association results, and a p-value < 0.05 was considered statistically significant.

resultsResults showed that giving information in detail to patients on their medical condition was associated with formal training on medical ethics and IC (p: 0.0028; OR: 1.894; CI: 1.246 to 2.881), which was also associated with answering the patient's questions in detail (p: 0.0035; OR: 1.852; CI: 1.236 to 2.774). About 127(30.09 %) of participants scored 80% or higher. Extracurricular training was associated with withholding information from patients, up to 27 times more than other factors (p< 0.0001; OR: 27.042; CI: 13.628 to 53.657). when it comes to get IC, HCP with many years of practice scored better than others, in one of the question the odd ratio was closer to 7 (p< 0.0001; OR: 6.713; CI: 4.352 to 10.356). Only 47(11.14%) of the participants scored 80% or more of the questions about practice of IC.

conclusionFor a variety of reasons, knowledge and practice of IC among HCPs was very low. A common programme for the country as part of formal training might lead to an improvement. In addition, patients' education on IC should be displayed in waiting areas at all medical centres.

Indexed as

Ethics, MedicalHealth Knowledge, Attitudes, PracticeAdolescentAdultAgedAged, 80 and overAttitude of Health PersonnelCross-Sectional StudiesDemocratic Republic of the CongoFemaleHealth PersonnelHuman RightsHumansInformed ConsentMaleMiddle AgedInformed consentmedical examinationsprocedures by health workers in the Democratic Republic of Congo

Identifiers

PMID34394330
PMCPMC8356577
OpenAlexW3155397394

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.