Gaining consent is essential in healthcare practice because it is a legal and ethical value (Welsh Assembly Government [WAG], 2015). Obtaining consent is an ethical requirement because it enables respect for the patient’s autonomy as it includes them in part of the decision-making process (McHale, 2013a). Valid consent must be gained before any action on the capable patient regarding treatment, personal care or investigation (Tidy, 2016). The National Health Service [NHS], 2016) outlines consent as permission given by the patient to the clinician before receiving any medical investigation irrespective of the technique type. Taylor (2013), agrees and adds that consent is a patient’s right to make informed choices regarding their care and treatment. …show more content…
The absence of dignity enables a person to feel devalued, uncomfortable and uncontrollable, which refers to the inability of decision making (RCN, 2008b). WAG (2003b) explains that respect is a fundamental of care and is extremely important when providing care, particularly in personal care, examination or caring for terminally ill patients. The Equality and Human Rights Commission (2014) state that human rights are based on factors such as dignity and respect. In article 8 of the Human Rights Act (1998) it stresses that respect must be given to people by maintaining dignity. In Conclusion, based on literature within the above analysis it is evident that gaining consent from a patient before any procedure, investigation or care task is a legal, ethical requirement. Similarly, it is essential to understand the reasons of why communication is significant in nursing. Also, there are many formats of communication to use with patients, and it is vital to determine which form is correct. Dignity and respect also play a fundamental part of nursing, and the absence of this permits patients to feel devalued and …show more content…
Reflection involves methods of “reflection on and in action”. Reflection is used in practice to assist with factors, such as NMC Revalidation, support and enhance safe practice, improve skills and knowledge and enable professional development. Reflection is significant in practice because nurses are accountable for their patient’s specific requirements. There are numerous skills required for reflection to work, which are known as self-awareness, description, critical analysis, synthesis, and evaluation. The reflection process is carried out through many different models of reflection, for example, Gibbs (1988) Model, which is used as a guide to examine the critical incident. In healthcare, consent is a legal and ethical value and must be obtained from the competent patient before any form of procedure by forms of written, verbal or implied. The patient must have full capacity and be fully aware of the procedure and understand if there are any risks involved. If a procedure is given without consent, this can lead to prosecution. The Mental Capacity Act (2005) rules decisions for patients who cannot consent, and therefore the patient would nominate somebody as their “power of attorney”. There are many forms of communication of which is a transfer of information between people; a
This type of consent today is at most unfair, how is someone supposed to understand an endless amount of material that they know nothing about . Who is going to even read those 40 pages ? Most people will just sign and not go through the hassle of understanding , and the doctors should keep that in mind when asking the patient for permission . There are some that also say that the patient should understand and it’s their problem if they don’t. This point is easily unrealistic , because it is suggesting what basic knowledge of every person should have, which reveals that it’s more opinion than
Establishing trust is very important, and providing a patient with a consent form will make them feel respected. Also providing the patient with an informed consent form will make them worry less about what will happen. The informed consent form must have what will happen during this research and the role the tissue or the patient plays into everything. This will make patients worry less and take some of the stress away from them. Due to the patients knowing exactly what will happen the stress and worry will go down because they voluntarily signed the form.
However, the process is certainly not perfect. Many patients do not fully understand what exactly it is they’re signing. Nonetheless, physicians must explain to patients to the best of their abilities. Informed consent is a vital process. Although most people are willing to help with research that will positively contribute to the future of medicine, a majority would be appalled to discover
However, the lack of informed consent has raised ethical concerns and led to the establishment of guidelines for obtaining consent in medical research. Today health care providers have a responsibility to obtain informed consent from patients before conducting any medical
With the type of service that I work for the way that consent is obtained is through communication with the individuals care manager or funder who will complete an individual assessment, gain consent to share information with our service/ staff and will then forward this on to our service. Once we have received the referral with consent we will then arrange a date for a full assessment which will either be a face to face or telephone assessment where we will then discuss with the individual about consent, why we require consent and who information will be shared with. We will also explain that there are different levels of consent such as partial consent, this will be used for information relating to emergencies or to update family members
Informed consent must never be assumed. On the other side of the spectrum, informed refusal is the patient's right to deny any of the services recommended. From a legal standpoint, it is important to always document informed consent and refusal to avoid any legal
For instance, the practitioners are obligated to constantly inform the participants about plans that pertains to interventions (Reamer, 1987). In addition, it is essential for informed consent to include the following: “What is done, the reasons for doing it, clients must be capable of providing consent, they must have the right to refuse or withdraw consent, and their decisions must be based on adequate information” (Kirk & Wakefield, 1997, p. 275). One of the most dehumanizing incidents that occur is the researchers prohibit the participants’ self-determination. For example, the men were compliant with receiving treatment and to be examined by the physicians.
Reflecting on this clinical practice has been unquestionably beneficial to me. It is helped me ascertain further information about dignity and the importance of it. It has also allowed me to evaluate the care I give and develop personally and professionally. Using the Gibbs (1988) reflective framework has enabled me to look at all aspects of the clinical practice and gain essential information relating the maintenance of dignity. I have found this assignment of reflecting extremely interesting and have enjoyed learning new things about myself and the care I give in clinical practice.
Informed consent. A.2.b. Types of information needed. A.4.a. Avoiding harm.
INFROMED CONSENT ARE PATIENTS TRULY INFORMED??? Informed consent gives a competent patient the freewill to make his decisions about his health after getting informed adequately about the procedure, its alternatives, pros &cons and uncertainties related the procedure and its alternatives. Above all the patient’s consent must be voluntary and without any kind of pressure whatsoever. There are few fundamental question
The professional values that I have chosen to reflect on is consent. Using Driscoll (2007) model of reflection which is components circle involves three events: what? So what? Now what? A reflection account will focus on my experience of working in the surgical ward.
Relevant legal and ethical considerations, focusing on the 4 main ethical principles and how each of these apply to this case using research evidence. Focusing on the ethical theory of Beauchamp and Childress, it is considered one of the most fundamental elements for beginning a discussion in the Not for resuscitation (NFR) debate. (Fornari, 2015). The four main ethical principles, autonomy, non-maleficence, beneficence and justice hold the grounding block for issues of this nature. End of life care is an imperative characteristic of acute stroke nursing, as stroke mortality rates remain high, regardless of enhancements in the health care industry.
The Term reflection can have many meanings to many people. Reflection can carry meanings that range from the idea of professionals engaging in solitary introspection to that of engaging in deep meaningful conversations with others. But for this assignment I will focus on; what is refection in the clinical setting, why it is important for health care professionals to reflect and where the ideology of reflection came from. I will also provide a personal experience of reflection during my time in the clinical setting that helped me to come up with a solution to a challenging situation. WHAT IS REFLECTION?
In early 1970s nursing started to move away from routines and rituals towards research-based practice (James and Clarke 1994). Reflection is a broad and complex process (Kenzi-Sampson 2005) therefore there is not a set single definition (Jarvis 1992). According to Reid (1993, p.305) reflection can be defined as a “process of reviewing an experience of practice to describe, analyze, evaluate and so inform learning about practice”. The question is why do we need reflective practice. This essay will try to
Patients have a right to complain about the doctor's refusal to the Management. Provision of Treatment requires patient’s choice and informed consent. Even if a patient has signed a general consent clause, the patient can still refuse medical treatment or procedures. However, in exceptional or emergency situations a doctor may be legally justified in performing surgery or providing treatment without the patient's consent. The patient should be competent and capable of making such a decision to give a consent.