RT Journal Article
SR Electronic
T1 Deferred consent for delivery room studies: the providers’ perspective
JF Archives of Disease in Childhood - Fetal and Neonatal Edition
JO Arch Dis Child Fetal Neonatal Ed
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 310
OP 315
DO 10.1136/archdischild-2019-317280
VO 105
IS 3
A1 den Boer, Maria C
A1 Houtlosser, Mirjam
A1 Foglia, Elizabeth E
A1 Lopriore, Enrico
A1 de Vries, Martine Charlotte
A1 Engberts, Dirk P
A1 te Pas, Arjan B
YR 2020
UL http://fn.bmj.com/content/105/3/310.abstract
AB Objective To gain insight into neonatal care providers’ perceptions of deferred consent for delivery room (DR) studies in actual scenarios.Methods We conducted semistructured interviews with 46 neonatal intensive care unit (NICU) staff members of the Leiden University Medical Center (the Netherlands) and the Hospital of the University of Pennsylvania (USA). At the time interviews were conducted, both NICUs conducted the same DR studies, but differed in their consent approaches. Interviews were audio-recorded, transcribed and analysed using the qualitative data analysis software Atlas.ti V.7.0.Results Although providers reported to regard the prospective consent approach as the most preferable consent approach, they acknowledged that a deferred consent approach is needed for high-quality DR management. However, providers reported concerns about parental autonomy, approaching parents for consent and ethical review of study protocols that include a deferred consent approach. Providers furthermore differed in perceived appropriateness of a deferred consent approach for the studies that were being conducted at their NICUs. Providers with first-hand experience with deferred consent reported positive experiences that they attributed to appropriate communication and timing of approaching parents for consent.Conclusion Insight into providers’ perceptions of deferred consent for DR studies in actual scenarios suggests that a deferred consent approach is considered acceptable, but that actual usage of the approach for DR studies can be improved on.