Home About Us Writing a Scientific Article Author's Instruction Contact us



/  /    MRJMMS Home   /   /    About MRJMMS    /  /    Submit Manuscripts    /  /      Call For Articles      / /     Editorial Board     / /    Archive     / /    Author's Guide  /  /


July 2017 Vol. 5 No.7

Other viewing option

• Full text
Reprint (PDF) (197 KB)

Search Pubmed for articles by:

Alazmi SF

Other links:
PubMed Citation
Related articles in PubMed



Merit Research Journal of Medicine and Medical Sciences (ISSN: 2354-323X) Vol. 5(7) pp. 342-348, July, 2017 

Copyright © 2017 Merit Research Journals

Original Research Article

Influence of educational status of hospitalized patients on knowledge of and attitudes towards informed consent during clinical practice in Kuwait


Dr. Saadoun Faris Alazmi


Department of Medical Records, College of Health Sciences, Public Authority for Applied Education and Training (PAAET), Kuwait

E mail: drsaadoun@yahoo.com

Accepted July 08, 2017




Informed consent during clinical practice is an essential component of comprehensive medical care and is a requirement that should be sought all the time the doctor interacts with the patients, though very challenging when it comes to implementation. Since the magnitude and frequency of surgery related risk are higher in a resource-limited setting, informed consent for surgery in such settings should be more comprehensive. Studies indicated that educational status is related to the desire to patient attitude and readiness to be involved in decisions concerning one’s healthcare with respect to informed consent. The purpose of this study is to explore the influence of educational status on knowledge and attitudes towards the practice of informed consent in Kuwaiti hospitals. A cross-sectional survey was conducted from January to June 2016 in both public and private hospitals of Kuwait. A random sample of 910 patients admitted to hospitals selected was asked to participate in the study. Data was collected by using pilot-tested structured self-administered questionnaires on awareness and attitudes towards ethical and legal aspects of informed consent as well as perceived needs for knowledge related to these issues. The questionnaires were distributed to hospitalized patients in different surgical disciplines after obtaining their verbal consent. The statistical analyses of this study were performed using SPSS 21.0 package program. Out of the patients selected, 805 were enrolled (response rate 88.5%). Men respondents comprised 48.3% and women were 51.7%. More than 72.6%were aged below 40 years and 73.4%were married. The level of education was significantly associated with informed consent decisions. As compared to lower literacy patients; a higher proportion of patients with above secondary education (76.4%) believed that informed consent was a legal requirement. Moreover, significantly higher proportion of patients with above secondary education (87.9%) understood that there are risks involved in having the operation. However, level of education did not significantly influence thoughts that signing the consent meant waving their rights to any compensation nor that consent form was to protect the patient’s rights. Patients with above secondary education were significantly more felt need for knowledge about the indication for the surgery (96.2%), what will be done during the operation (91.5%), information about post-operative care (90.4%), after how many days should resume work (91.5%), chance of successful results of the operation (90.1%), any special precaution have to be taken after the operation (90.7%), and the final decision that should be taken after discussion of Pros and Cons of the treatment (89.3%). The desire to be involved in decision-making with respect to inform consent is not related to educational status however great need of knowledge about the informed consent practice increased with level of educational attainment. There is a need to improve communication between doctors and patients, a number of suggestions, including the need for a detailed explanation for the patient by the doctor about their disease conditions and surgery circumstances were suggested.

Keywords: Informed consent, Educational status, Knowledge, Attitude.






Merit Research Journals© 2017 || Advertisement | Privacy policy.