EMS Provider Attitudes and Perceptions of Enrolling Patients without Consent in Prehospital Emergency Research. Prehosp Emerg Care 2016;20(1):22-7
Date
08/14/2015Pubmed ID
26270331DOI
10.3109/10903127.2015.1051679Scopus ID
2-s2.0-84953348672 (requires institutional sign-in at Scopus site) 4 CitationsAbstract
The purpose of this study was to evaluate the attitudes and opinions of a broad population of EMS providers on enrolling patients in research without consent. A survey was conducted in 2010 of all EMS providers who participated in the National Registry of Emergency Medical Technicians (NREMT) reregistration process, which included half of all registered providers. Each reregistration packet included our optional survey, which had nine 6-point Likert scale questions concerning their opinion of research studies without consent as well as 8 demographic questions. Responses were collapsed to agree and disagree and then analyzed using descriptive statistics with 99% confidence intervals. A total of 65,993 EMS providers received the survey and 23,832 (36%) participated. Most respondents agreed (98.4%, 99%CI: 98.2-98.6) that EMS research is important, but only 30.9% (99%CI: 30.1-31.6) agreed with enrolling patients without their consent when it is important to learn about a new treatment. Only 46.6% (99%Cl: 45.7-47.4) were personally willing to be enrolled in a study without their consent. A majority (68.5% [99%Cl: 67.7-69.3]) of respondents believed that EMS providers should have the individual right to refuse to enroll patients in EMS research. While the majority of respondents agreed that EMS research is important, considerably less agree with enrolling patients without consent and less than half would be willing to be enrolled in a study without their consent. Prior to starting an Exception from Informed Consent (EFIC) study, researchers should discuss with EMS providers their perceptions of enrolling patients without consent and address their concerns.
Author List
Jasti J, Fernandez AR, Schmidt TA, Lerner EBAuthor
Jamie Jasti in the CTSI department at Medical College of Wisconsin - CTSIMESH terms used to index this publication - Major topics in bold
AdultAttitude of Health Personnel
Biomedical Research
Emergency Medical Technicians
Female
Humans
Informed Consent
Male
Registries
Research Subjects
Surveys and Questionnaires
United States