An audit and analysis of electro convulsive therapy patient information sheets used in local health districts in New South Wales Australia.

co-design co-production electroconvulsive therapy epistemic injustice ethics in healthcare informed consent mad studies

Journal

International journal of mental health nursing
ISSN: 1447-0349
Titre abrégé: Int J Ment Health Nurs
Pays: Australia
ID NLM: 101140527

Informations de publication

Date de publication:
13 Mar 2024
Historique:
revised: 14 02 2024
received: 09 08 2023
accepted: 28 02 2024
medline: 13 3 2024
pubmed: 13 3 2024
entrez: 13 3 2024
Statut: aheadofprint

Résumé

Electroconvulsive Therapy (ECT) is a widely used psychiatric treatment; however, it remains contentious. It is therefore important that people are provided with accurate and balanced information before consenting to ECT. The aim of this study was to audit and analyse the content and language of ECT information sheets used in local health districts (LHDs) across the state of New South Wales Australia. Descriptive content analysis and evaluative linguistic analysis were used to investigate the information sheets, with findings then considered from a mad studies perspective. Thirteen ECT information sheets were obtained and reviewed, with the audit finding they lacked accuracy and balance. Linguistic tools were used to exaggerate positive outcomes and minimise negative effects. Despite commonalities, the structure and content of the sheets varied considerably. Findings indicate a need for co-design and co-production approaches to developing ECT information sheets. This should occur in genuine partnership with lived experience representatives based on current evidence, using neutral language, and with attention to their intent as part of processes of informed consent and decision making.

Identifiants

pubmed: 38477074
doi: 10.1111/inm.13318
doi:

Types de publication

Journal Article

Langues

eng

Informations de copyright

© 2024 The Authors. International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.

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Auteurs

Timothy Wand (T)

Nursing and Midwifery Research Unit, Wollongong Hospital, University of Wollongong and Illawarra Shoalhaven Local Health District, Wollongong, New South Wales, Australia.

Sophie Isobel (S)

Sydney Local Health District, Camperdown, New South Wales, Australia.
Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.

Holly Kemp (H)

Sydney Local Health District, Camperdown, New South Wales, Australia.

Classifications MeSH