Women’s experience of the consent process in a randomised controlled trial of emergency treatment for postpartum haemorrhage.

Purvis, Charlotte Amanda 2017. Women’s experience of the consent process in a randomised controlled trial of emergency treatment for postpartum haemorrhage. ClinPsy Thesis, Cardiff University. Item availability restricted.

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Abstract

This thesis has been written in the format of three papers: a systematic review, empirical study and a critical reflection. Paper 1 presents a systematic review and thematic synthesis which explores patients lived experience of consenting to research during a life-threatening emergency. Four studies met the inclusion criteria. Themes highlighted the importance of communication, the patient-professional relationship and decision-making paradigms in increasing patient’s confidence in emergency medicine research and their role in the consent process. Further implications for clinical and research practice are discussed. Paper 2 presents a qualitative study that aimed to explore women’s experiences and views on the acceptability of consenting to a randomised controlled trial for the treatment of postpartum haemorrhage. 14 women and their partners were interviewed. Framework analysis was used to interpret the data and four central themes emerged highlighting the influence of individual and systemic factors on women’s comfort with the overall consent process. Women’s views of the acceptability of consenting to research during a postpartum haemorrhage are contingent on both individual and systemic factors. An understanding of these factors can inform future research protocols but also clinical practice. Improvements to future obstetric consent strategies are discussed. Paper 3 presents a critical reflection on the process of conducting the thesis and therefore it is not intended for publication. The implications of the research for clinical practice and the relevance to and role of clinical psychology in research, emergency medicine and obstetric care are discussed. Reflections on personal and professional development are also discussed.

Item Type:	Thesis (DClinPsy)
Date Type:	Completion
Status:	Unpublished
Schools:	Psychology
Date of First Compliant Deposit:	1 March 2018
Date of Acceptance:	28 February 2018
Last Modified:	04 Nov 2021 16:54
URI:	https://orca.cardiff.ac.uk/id/eprint/109637

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