The National Safety and Quality Health Services (NSQHS) are employed to increase the overall quality of the health care services and to provide comprehensive protection to the health care service users. The NSQHS provides evidence based improvement strategies in order to satisfy the requirement of the healthcare organisations. There are 10 different standards proposed by NSQHS. Out of the 10 standards, 2nd standard deals with partnering with consumers. There are 9 different bifurcations under standard 2 of NSQHS. The following report aims to analyse the 2.4 action mentioned under the criteria of “partnering with patients in their own care” which highlights “Consulting consumers on patient information distributed by the organization”. The critique of the selected resource will help to understand whether it is successful in satisfying the criteria of 2.4.
As per the 2.4 action of standard 2, it is important that the healthcare organisation consult with the service users and their family members in the domain of sharing of the important health-related information. According to NSQHS (2018), it is important that the healthcare organisation ensure that the sharing of the information is undertaken under upon informed consent. This informed consent must be designed with proper legislation and best available practices. Thus the healthcare organisation must formulate proper protocol in order to implemented informed consent in a comprehensive manner. According to Faden, Beauchamp and Kass (2014), Informed consent forms can be defined as short but informative document that helps to patient to gain extensive knowledge about the pros and cons of treatment. Nishimura et al. (2013), knowing the therapy process in detail helps the patient to take active part in decision-making process and this signifies the importance of the informed consent. The informed consent mainly upholds the principle of autonomy which highlights that patients have equal rights to provide final decision in the domain of commencement of the therapy. It also provides the onus to the patient to select the family members with whom the patient is comfortable in sharing his information and medical health progress (Nishimura et al. 2013).
During my placement under the mental healthcare nursing unit, I had to make use consent form before providing Cariprazine medication to the patient. According to Neill et al. (2016), Cariprazine is an atypical antipsychotic medication that is used for treating schizophrenia or mixed episodes of bipolar disorders. NHS Foundation Trust (2018) highlighted that proper restriction and monitoring are required to be undertaken while prescribing Cariprazine medication as it is associated with several complications along with additional side effects that might hamper the health-related quality of life and the patients. Hence, whenever, there was a need to initiate Cariprazine medication therapy, I have to consent from my patient while discussing the detail the intended progress of the therapy and unintended side effects associated with it. The main aim of the informed consent was to read the agreement regarding the importance of complying with the treatment procedure and then complying with the effective monitoring of the vital signs after taking the medication (Cordasco 2013). This action also helps to fulfil the values of the patient-centred care, via enabling the patient to participate in the informed decision while considering all the preference while deciding the final treatment for themselves (Cordasco 2013). Taking informed consent also assist to respect the dignity and human rights while providing care to the patient. As per the rule of the patient-centred care, it is imperative that the patient receive adequate information about the choices along with the prevailing risk while taking proper decision regarding the treatment (Cordasco 2013).
According to the standard 2 of NSQHS, leaders of the healthcare organizations must implement systems in order to support partnering with the patients and their carers in order to improve the safety and quality of care. The main intent of this standard is to create a healthcare service that is responsive towards the needs and the inputs of the patients and their carers. This standard helps in providing framework for active partnership with the consumers by the health care organizations. This active framework of partnering helps in the generation of person-centred care approach. According to Spatz, Krumholz and Moulton (2016), patient centred care is dependent on effective partnership with the patients, their family members and the healthcare service providers. This effective partnership helps in the development of the therapeutic relationships based on the pillar of respect, dignity, collaboration and participation. This active participation and collaboration helps in understanding the patient’s perspective in the care plan and therapeutic relationship enables the patients to share their needs in the therapy plan in details with the nursing professionals through active interaction. This overall interactive process helps in development of the person-cantered care plan.
The resource of the informed consent for Cariprazine medication is devised via stating all intended be benefits and unintended side effects of the therapy and this it can be said that the informed consent is in accordance with the guidelines of the Medicine and Healthcare Products Regulatory Authority (NHS Foundation and Trust 2018). According to Tamariz et al. (2013) a complete informed consent is the one that notifies all the risk and extra precautions that are required to be followed while administering the medication. In accordance with the requirement, the informed consent for Cariprazine highlighted all the details of the medications like side effects, immediate side-effects and tenure of monitoring. Thus the document of informed consent is preset to the patient will provide a detailed information of the patient about the proposed therapy plan in relation to that particular medication. However, the resource of informed consent alone cannot fulfil the action 2.4 of standard 2. The compliance of informed consent in a healthcare organization is required to be monitored in order to figure out whether the resource is meeting all the requirement of 2.4.
During my placement in the mental health ward, I was notified about importance to abiding the informed consent while providing medication as per the regulations of the Informed Consent Trials Subjects (2018). I was also notified that informed consent is designed as the legislations and regulatory requirements and only written a approval from the patient over the consent form provides validity of the overall approach of the informed consent.
Before implementation of the protocol, all the nursing professionals were given a detailed protocol of the informed consent and a short session was taken in order to explain the importance of the informed consent. While working under hospital settings, I found that all the staffs are complying with the regulations of informed consent and using necessary communication skills in order to helping the patients to understand the importance of the informed consent especially from the culturally and linguistically diverse population (CALD). According to Australian Commission on Safety and Quality in Health Care (ACSQHC), training process helps the nursing professionals to comply with the best practice while getting engaged in the practice of informed consent.
While reflecting on my own experience in using informed consent form, I would highlight that in spite of training and proper education, I had faced trouble in comprehensive implementation of informed consent. The reason is, the patient was unsure in taking the right decision and the family members who was appointed by the patient to provide consent on his behalf was not present. However, I was aware that the administration of the drug is crucial of the recovery of the patient. However, I faced dilemma in understanding whether the ethical principle of beneficence is required to be followed at this point of time. Grady (2015) highlighted that this is one of the ethical concern of the informed consent.
Conclusion
Thus from the above discussion, it can be concluded that informed consent is crucial in the domain of person-centred care. The evaluation of resources and the process employed to implement informed consent highlighted that training along with written legal approval are best procedure to complete action 2.4. In future, all the challenges experienced during the execution of the process should be evaluated in advance and proper training must be provided to the nursing professionals to increase the patient care experience.
References
Australian Commission on Safety and Quality in Health Care (ACSQHC) 2017, National Safety and Quality Health Services Standards, ACSQHC, Sydney, NSW, viewed 7th October 2018, < https://www.safetyandquality.gov.au/wp-content/uploads/2017/12/National-Safety-and-Quality-Health-Service-Standards-second-edition.pdf>.
Cordasco, K.M., 2013. Obtaining informed consent from patients: Brief update review. Making health care safer II: An updated critical analysis of the evidence for patient safety practices, (211).
Faden, R.R., Beauchamp, T.L. and Kass, N.E., 2014. Informed consent, comparative effectiveness, and learning health care. N Engl J Med, 370(8), pp.766-768.
Grady, C., 2015. Enduring and emerging challenges of informed consent. New England Journal of Medicine, 372(9), pp.855-862.
ICH 2018, Informed Consent of Trial Subjects, Viewed on 7th October 2018, https://ichgcp.net/48-informed-consent-of-trial-subjects
National Safety and Quality Health Service Standards 2018, Sharing decisions and planning care. [online] Viewed 6th October 2018, Available at: https://www.nationalstandards.safetyandquality.gov.au/2.-partnering-consumers/partnering-patients-their-own-care/sharing-decisions-and-planning-care
Neill, J.C., Grayson, B., Kiss, B., Gyertyán, I., Ferguson, P. and Adham, N., 2016. Effects of cariprazine, a novel antipsychotic, on cognitive deficit and negative symptoms in a rodent model of schizophrenia symptomatology. European Neuropsychopharmacology, 26(1), pp.3-14.
NHS Foundation Trust 2018, Procedure and Guidance for the use of Clozapine, viewed 7th October 2018< https://www.sussexpartnership.nhs.uk/sites/default/files/documents/clozapine_full_guide_trust_v22_-_1011_321_2.pdf
Nishimura, A., Carey, J., Erwin, P.J., Tilburt, J.C., Murad, M.H. and McCormick, J.B., 2013. Improving understanding in the research informed consent process: a systematic review of 54 interventions tested in randomized control trials. BMC medical ethics, 14(1), p.28.
Spatz, E.S., Krumholz, H.M. and Moulton, B.W., 2016. The new era of informed consent: getting to a reasonable-patient standard through shared decision making. Jama, 315(19), pp.2063-2064.
Tamariz, L., Palacio, A., Robert, M. and Marcus, E.N., 2013. Improving the informed consent process for research subjects with low literacy: a systematic review. Journal of general internal medicine, 28(1), pp.121-126.
Essay Writing Service Features
Our Experience
No matter how complex your assignment is, we can find the right professional for your specific task. Contact Essay is an essay writing company that hires only the smartest minds to help you with your projects. Our expertise allows us to provide students with high-quality academic writing, editing & proofreading services.
Free Features
Free revision policy
$10Free bibliography & reference
$8Free title page
$8Free formatting
$8How Our Essay Writing Service Works
First, you will need to complete an order form. It's not difficult but, in case there is anything you find not to be clear, you may always call us so that we can guide you through it. On the order form, you will need to include some basic information concerning your order: subject, topic, number of pages, etc. We also encourage our clients to upload any relevant information or sources that will help.
Complete the order form
Once we have all the information and instructions that we need, we select the most suitable writer for your assignment. While everything seems to be clear, the writer, who has complete knowledge of the subject, may need clarification from you. It is at that point that you would receive a call or email from us.
Writer’s assignment
As soon as the writer has finished, it will be delivered both to the website and to your email address so that you will not miss it. If your deadline is close at hand, we will place a call to you to make sure that you receive the paper on time.
Completing the order and download