Informed Consent in Hospitals: A Model for Implementing Bioethical Principles and Legal Protection for Patients
Abstract:
Informed consent is part of the health care process
that health workers must carry out in treating patients with elective
conditions. Hospitals must provide patients with complete, clear, and
understandable information. However, in many cases, patients are not given
adequate information before signing the informed consent form. This study aims
to obtain empirical facts on the application of informed consent with invasive
measures in X hospital. This research was conducted in a class-D private
hospital in Central Java Province, Indonesia. This qualitative research with an
analytical descriptive research type. The authors conducted direct observation,
semi-structured interviews with informants consisting of health workers and
hospital medical personnel, and undercover in-depth interviews with patients
and health workers in the hospital. Medical record data and semi-structured
interviews show that the hospital has properly implemented informed consent. The
authors conducted triangulation of data obtained from interviews, medical
records, direct observation without disclosing the researchers’ identity, as
well as undercover interviews with health workers and patients at the hospital.
Data triangulation and observation results showed that X Hospital failed to
correctly carry out informed consent. It was found that there were still many
instances where the implementation of informed consent was not by the
bioethical principles of autonomy and legal protection for patients in X
hospital.
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