Informed consents: belief, motivation and practice in final year osteopathy students.- An exploratory qualitative study.

Item

Title
Informed consents: belief, motivation and practice in final year osteopathy students.- An exploratory qualitative study.
Author(s)
Doherty, C
Abstract
This dissertation qualitatively explores and interrogates how final year osteopathic students at two osteopathic education institutions in the United Kingdom understand, construct and implement the process of informed consent. This unique research within osteopathy expands the profession's literature and casts a critical eye over a topic that has become increasingly important in the democratisation of healthcare provider and patient relationships. Thematic analysis of narrative generated through semi-structured focus group interviews at two separate osteopathic education institutions: European School of Osteopathy and British College of Osteopathic Medicine. Results_Participants cast practitioners as experts who do not have to share decision making with patients, who are portrayed as being unable to understand osteopathy. Infornled Consent is captured as a monologue process that minimises risk, tacitly undermines patient autonomy and does not discuss alternatives to proposed treatment. Informed consent is portrayed as a liability more than as an asset. Discussion_Informed consent is poorly understood in terms of the underlying ethical theory that underpins it. Participants do not, in the majority, conceive of informed consent as offering options, but as a monologue directed to facilitating practitioner chosen intervention. There is varying fulfilment of legal and professional requirements to obtain informed consent amongst participants with a relationship to patients that is paternalistic in the way it wields power. Conclusion_ There is evidence of strong paternalism in the way that participants are captured discussing informed consent. A greater awareness of the ethical theory of autonomy underlying the process of informed consent may lead to more democratic practitioner patient relationships. The lack of confidence participants have in giving full disclosure may partly stem from the lack of research that osteopathy has engaged in. Because the information is not there to give to patients, the practitioner prefers to not share
Date Accepted
2011
Date Submitted
22.1.2013 16:23:35
Type
osteo_thesis
Language
English
Submitted by:
62
Pub-Identifier
15264
Inst-Identifier
1229
Keywords
Informed consent; Qualitative study; Osteopathy
Recommended
0
Item sets
Thesis

Doherty, C, “Informed consents: belief, motivation and practice in final year osteopathy students.- An exploratory qualitative study.”, Osteopathic Research Web, accessed May 2, 2024, https://www.osteopathicresearch.com/s/orw/item/801