Informed Consent for Blood Transfusion: Physicians' Perceptive at a Tertiary Healthcare Hospital Informed consent for blood trasfusion

Main Article Content

EI Obi
https://orcid.org/0000-0002-6797-9853
C Diete-spiff
KE Belema

Abstract

Blood transfusion have the potential to save lives and frequently provide considerable benefits, but it has associated risks. Notwithstanding, the process of obtaining permission for blood transfusion may not be done satisfactorily. The study was carried out to evaluate physicians' opinion, attitude and practice of the transfusion consent process at Federal Medical Centre, Yenagoa, Bayelsa State, Nigeria. Physicians from distinct departments were beckoned to fill out an unidentified questionnaire on transfusion consent. A total of 141 physicians replied to the study. More than 90% of the participants acknowledged the significance of the transfusion consent process. An aggregate of 123 (87.2) participants had prescribed blood, out of which 119 (84) obtained informed consent before blood transfusion.  The advantages and hazards of blood transfusion was interpreted routinely by 108(90.8) and 81(68.1) of the study participants, respectively. Contrarily, a lower proportion of the participants 56(47.1) explained the available options to blood transfusion. The likelihood to decline consent after receiving education on blood transfusion was the most identified limitations to the practice of informed consent in transfusion at the studied institution. This study demonstrates decisive perspective of the evaluated physicians on the value of transfusion consent. Nonetheless, strategies should be set up to ensure that options to blood transfusion are included systematically in the transfusion consent process.

Metrics

Metrics Loading ...

Article Details

How to Cite
1.
Obi E, Diete-spiff C, Belema K. Informed Consent for Blood Transfusion: Physicians’ Perceptive at a Tertiary Healthcare Hospital: Informed consent for blood trasfusion. Wes J Med Biomed Sci [Internet]. 2020 Nov. 30 [cited 2024 Apr. 25];1(2):164-9. Available from: https://wjmbs.com.ng/index.php/wjmbs/article/view/18
Section
Original Article
Author Biographies

EI Obi, Federal Medical Centre, Yenagoa, Bayelsa state, Nigeria

Department of Haematology

C Diete-spiff, Federal Medical Centre, Yenagoa, Bayelsa state, Nigeria

Department of Haematology

KE Belema, Federal Medical Centre, Yenagoa, Bayelsa state, Nigeria

Department of Haematology

References

Gbobo PI, Oke-Chinda M. An Analysis of the Doctrine of Informed Consent in Nigeria's Health Care Services. Journal of Law, Policy and Globalization. 2018;69:15 -25.

Williams FG. Consent for transfusion.BMJ. 1997;315(7105):380-1Farrell A, Brazier M. Patients should consent to blood transfusion. BMJ. 2010 341:539-541.

Vossoughi SR, Macauley R, Sazama K, Fung MK. Attitudes, Practices, and Training on Informed Consent for Transfusions and Procedures. Am J Clin Pathol 2015;144:315-321.

Al-Riyami AZ, Al-Ghafri N, Zia F, Al-Huneini M, Al-Rawas AH, Jose S, Daar S, Al-Khabori M, Al-Sabti H. First Implementation of Transfusion Consent Policy in Oman: Audit of compliance from a tertiary care university hospital. Sultan Qaboos Univ Med J. 2016;16(3):e293–e297. doi:10.18295/squmj.2016.16.03.005.

Al-Riyami AZ, Al-Marshoodi I, Zia1 F, Al-Huneini M, Al-Rawas AH, Jose S, Daar S, Al-Khabori M, Al-Sabti H. Transfusion Consent in Oman: Physicians' Perception at a Tertiary Care University Hospital. Oman Medical Journal. 2016;31(4):253–257.

Documenting a transfusion: how well is it done? Rock G, Berger R, Filion D, Touche D, Neurath D, Wells G, Elsaadany S, Afzal M. Transfusion. 2007 Apr; 47(4):568-72.

Informed consent for blood transfusion: a regional hospital survey. Eisenstaedt RS, Glanz K, Smith DG, Derstine. Transfusion. 1993 Jul; 33(7):558-61.

Consent to transfusion: patients' and healthcare professionals' attitudes towards the provision of blood transfusion information. Davis R, Vincent C, Sud A, Noel S, Moss R, Asgheddi M, Abdur-Rahman I, Murphy M. Transfus Med. 2012 Jun; 22(3):167-72.

Ogundiran TO, Adebamowo CA. Surgeons' opinions and practice of informed consent in Nigeria. J Med Ethics. 2010;36(12):741–745. doi:10.1136/jme.2010.037440.

Chima SC. "Because I want to be informed, to be part of the decision-making": Patients' insights on informed consent practices by healthcare professionals in South Africa. Niger J Clin Pract. 2015;18:S46-S56.

Orkuma JA, Ayia ON. Ethico-legal aspects of hospital-based blood transfusion practice; implications of professional negligence to medical practitioners: a review. Int J Med Biomed Res 2014;3(3):219-235.

Sazama K. Practical issues in informed consent for transfusion. American Journal of Clinical Pathology. 1997. 107(4 suppl 1):S72.

Appelbaum PS. Assessment of patients' competence to consent to treatment. N Engl J Med. 2007;357(18):1834-1840.

Beauchamp TL. Informed consent: its history, meaning and present challeges. Camb Q Healthc Ethics. 2011;20(4):515-523.

Bester J, Cole CM,Kodish E. The limits of informed consent for an overwhelmed patient: Clinicians' role in protecting patients and preventing overwhelm. AMA J Ethics. 2016;18(9):869-886.

Court EL, Robinson JA, Hocken DB. Informed consent and patient understanding of blood transfusion. Transfus Med. 2011;21(3):183-189.