Knowledge and practice of informed consent by physiotherapists and therapy assistants in KwaZulu-Natal Province, South Africa

South African Journal of Physiotherapy

 
 
Field Value
 
Title Knowledge and practice of informed consent by physiotherapists and therapy assistants in KwaZulu-Natal Province, South Africa
 
Creator Aderibigbe, Kayode S. Chima, Sylvester C.
 
Subject Physiotherapy; Informed Consent; Clinical Practice; Public Health; Hospitals; South Africa physiotherapy; informed consent; knowledge; clinical practice; public health; South Africa
Description Background: Informed consent is a doctrinal prerequisite in accordance with the National Health Act 2003 and professional ethical guidelines. Current regulations stipulate that healthcare professionals obtain informed consent from patients prior to treatment. Misconduct charges relating to inadequate information disclosure have been recorded against South African physiotherapists.Objectives: This study evaluated knowledge and barriers to informed consent practice among physiotherapists and assistants at Ethekwini District public health institutions.Methods: This cross-sectional study utilised self-administered questionnaires. Statistical Package for Social Sciences was used to analyse variables. Significance level and attitude correlation was determined using chi-squared tests, Pearson’s correlation and Spearman’s coefficient.Results: Forty-nine respondents (43 physiotherapists, 3 technicians, 3 assistants) completed this study. Mean age and professional experience of respondents were 38 and 14 years, respectively. The majority were female (93%); 56% spent 5 to 10 min obtaining informed consent, mostly verbally (89%); while 47% correctly identified age of consent to routine treatment (12 years). Information provided to patients by respondents included treatment benefits (100%), common risks (81%) and ‘all material risks’ (31%). Fifty per cent of respondents showed positive attitudes to informed consent.Conclusions: Some practising physiotherapists and assistants in KwaZulu-Natal public healthcare institutions had only partial knowledge of informed consent regulations and local laws. Barriers to informed consent included language and excessive workload.Clinical implications: Patient-centred care is quality healthcare, and adequate informed consent knowledge improves clinical outcomes, respects patients’ dignity and autonomy. Continued professional education on healthcare law and ethics should be provided to practising physiotherapists and assistants.
 
Publisher AOSIS
 
Contributor College of Health Sciences, University of KwaZulu-Natal Scholarship for Masters Students KZN-DOH — Clinical and academic staff at University of KwaZulu- Natal Physiotherapy department Mrs. NM Nkwanyana (Biostatistician, CHS,UKZN) for statistical support
Date 2019-08-12
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Cross-sectional quantitative survey
Format text/html application/epub+zip application/xml application/pdf
Identifier 10.4102/sajp.v75i1.1330
 
Source South African Journal of Physiotherapy; Vol 75, No 1 (2019); 10 pages 2410-8219 0379-6175
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajp.co.za/index.php/sajp/article/view/1330/1793 https://sajp.co.za/index.php/sajp/article/view/1330/1792 https://sajp.co.za/index.php/sajp/article/view/1330/1794 https://sajp.co.za/index.php/sajp/article/view/1330/1791
 
Coverage KwaZulu-Natal; South Africa; Africa Contemporary Mean 38; 96% female, Africans
Rights Copyright (c) 2019 Kayode S. Aderibigbe, Sylvester C. Chima https://creativecommons.org/licenses/by/4.0
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