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Informed consent in oral health care

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dc.contributor.advisor Schuklenk U en
dc.contributor.author Tsotsi NM en
dc.date.accessioned 2016-09-22T11:20:00Z
dc.date.available 2016-09-22T11:20:00Z
dc.date.created 1998 en
dc.date.submitted 2004 en
dc.identifier.uri http://hdl.handle.net/20.500.11892/111980
dc.description.abstract Informed consent and autonomy are the two major ethical principles that define the relationship between the oral health worker and the patient. A patient should be given adequate information on the risks and benefits of the treatment to be undertaken and also alternative treatment options. Informed consent should then be validated by the patient's autonomous decision to choose or decline a particular treatment. Informed consent encourages an interactive and empowering relationship and may also be used as tool to improve the quality of dental care.<br><br> The aim of the study was to investigate how much information dental patients perceived had been given to them by oral health workers about treatment, benefits, risks and management alternatives in order to take decisions and give informed consent about their treatment. The study was conducted at Ann Lasky Nursing College, Johannesburg. The sample size consisted of 173 student nurses in their first, second and third years of training.<br><br> Only students who had had treatment in the past three years were included in the study. A notable finding about this study was that all the 11 official languages were represented as the group's first language reflecting the students' cultural diversity.<br><br> The majority of the respondents were treated by male oral health workers (61%), by dentists (89%) as opposed to dental therapists or oral hygienists and were treated in the private sector (85%) in Gauteng province (84.95%).<br><br> The study indicated that the majority (76%) of the respondents were given information about the treatment to be undertaken. The information appears to have pertained to costs, pain, success, and length of treatment. Most of the respondents suggested that they could explain the treatment done to someone else and (76%) gave both verbal and written consent.<br><br> An important finding was that only 40% of the respondents were told of alternative options available, 47% of the benefits, and 38% of the risks of the treatment. These elements are crucial to autonomous decision making. These findings highlight the need to sensitise oral health workers about the informed consent process. The findings could also have legal implications for the dentists.<br><br> In spite of these findings 76% of the respondents reported that they would go back to the same facility.<br><br> The recommendations are aimed at: a) raising awareness among oral health workers about ethics, especially as it pertains to informed consent in academic institutions and health departments and b) empowering patients about their rights to foil disclosure of information and their role in the decision- making process relating to their treatment. en
dc.language English en
dc.title Informed consent in oral health care en
dc.type Masters degree en
dc.description.degree MPH (Public Health) en

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