Authors : Jadranka Brljak .Zagreb,Gizela Jakupčević-Split Jayne Tillett UK Providing informed consent to patients can be defined as the ability to make the decision based on sufficient knowledge and information. To be able to agree or disagree to have the procedure. Providing informed consent requires written and verbal information throughout the patient pathway. The multicentre study was put together to look at the different practice . To discuss through the multicentre study how the nursing team understand how to provide informed consent to patients. Centres were asked if they would take part in the study. An explanation of the study was given to the staff and they were asked if they were happy to take part. The questionnaire was a tick the box and asked for some explanations, all questionnaires were anonymous The questionnaire was designed with open and closed questions for all grades of the endoscopy team to be involved with the patient care to complete A series of 15 questions to explore theory to practice, protocols and training needs A total of 17 questionnaires were completed. There was a high return of the questionnaires and the answers provided a good knowledge of theory to practice and an understanding of informed consent . 16 14 12 10 8 6 4 2 0 doctor, nurse doctor and phycian,patient all the medical ,patient and nurse who and legal team relatives perform the procedure team 12 10 8 6 4 2 0 Doctor nurse family interpreter 12 10 8 6 4 2 0 arrival at hospital outpatient dept family dr first conversation with physican 8 7 6 5 4 3 2 1 0 Procedure room before the procedure in outpatient admission area 16 14 12 10 8 6 4 2 0 patient has the find out the policy for speak to dr of pt right to refuse reason withdrawal of concerns consent 10 9 8 7 6 5 4 3 2 1 0 information sent telephone call telephone a few in post day before days before letter about procedure and phone call before 20 18 16 14 12 10 8 6 4 2 0 patient gets pt phones if preop patient fully date and time of unable to attend information sent informed about procedure to pt procedure 18 16 14 12 10 8 6 4 2 0 POST OPERATIVE HAS HOSPITAL PHONE CALL NUMBER Category 3 16 14 12 10 8 6 4 2 0 Patient feedback Patient Questionaires /Audit Column1 improve patient preparation 5 7 improve communication between hosp improve 5 6 5 communication btw dept and Drs we are providing a good service better communications with relatives and family Communication between departments and other hospital could improve patient care, both verbal and non verbal Also the type of information provided should be similar The signing of the consent form How soon should the patient have the information and date for the procedure. The aim of this study was to look at how informed consent is implemented into the patient pathway and the nurses understanding how informed consent is achieved This study was well received by the nursing teams and a high level of knowledge about informed consent. The managers in the department were very pleased with the underpinning knowledge of the nursing teams Informed consent is a process to ensure the patient has an understanding of the procedure, the risk and complications. To provide sufficient information about the procedure and chance to ask questions. The nurses are the valuable members of the team involved with informed consent.