Within the perioperative environment it is essential that the patient is at the focus of their individual care, and unless their capacity to make decisions for themselves has been compromised, for example due to diminished capacity their autonomy to make their own decisions has to be respected. Ethically adults no matter what age must be presumed to be an autonomous person unless stated otherwise. Woodhead and Fudge (2011). The Department of Health (1998) (DOH), defines clinical governance as being;
‘A framework through which organisations are accountable for continuously improving the quality of services and safe-guarding high standards of care by creating an environment in which clinical care will flourish’.
Clinical governance is centred …show more content…
Even if the patient has given consent, he/she still has the right to refuse all treatment. If deemed competent, morally and ethically the patient can not be stopped from leaving. However it is important to provide a significance to the procedure without cohercing the patient into the procedure and this would not be true or informed consent, Department of Health (2009). The HCPC (2012) addresses that even introducing yourself as a student is necessary, ensuring the patient is comfortable with a student performing a task clinical or otherwise. Fully informed patient consent will consist of the following, the correct terminology, language, understanding and capacity.
Capacity- In paediatric patient, a patient with learning difficulties or those suffering from a brain injury, unconsciousness or any other impairment, then best interests of the patient must be considered. The UK Mental Capacity Act 2005, is a single test to determine if the patient may give consent.
Within healthcare there are three different consent forms, most patients (over 16, and under 16 with Gillick competence) have capacity and therefore sign consent form number one, however in cases where there is diminished capacity or no capacity then consent form four is used, NHS Wales, …show more content…
Johns (2000) and Dewey (1993) describe reflection as a process of using your own experiences, focusing on the event, outcomes, understanding of what has been done and what could have been done. Although reflection is generally centred on the negatives of an incident, it should be used an appraisal tool for staff, abilities, management and for areas of improvement.
The choice for using John model (2000) is because it allows for self-reflection and examination of clinical incidents and how this may contribute to a change or improvements in practice, Leeds Beckett University (2015). The Johns model also examines past experiences and how this affects reflection, Nottingham University, (2016).This model is based on five features;
Description, reflection, influencing factors, what could have been done better? Learning (empirics, ethics, aesthetics, personal), AFPP (2011).
As a student ODP, I found this experience challenging, however I learnt a great
‘A framework through which organisations are accountable for continuously improving the quality of services and safe-guarding high standards of care by creating an environment in which clinical care will flourish’.
Clinical governance is centred …show more content…
Even if the patient has given consent, he/she still has the right to refuse all treatment. If deemed competent, morally and ethically the patient can not be stopped from leaving. However it is important to provide a significance to the procedure without cohercing the patient into the procedure and this would not be true or informed consent, Department of Health (2009). The HCPC (2012) addresses that even introducing yourself as a student is necessary, ensuring the patient is comfortable with a student performing a task clinical or otherwise. Fully informed patient consent will consist of the following, the correct terminology, language, understanding and capacity.
Capacity- In paediatric patient, a patient with learning difficulties or those suffering from a brain injury, unconsciousness or any other impairment, then best interests of the patient must be considered. The UK Mental Capacity Act 2005, is a single test to determine if the patient may give consent.
Within healthcare there are three different consent forms, most patients (over 16, and under 16 with Gillick competence) have capacity and therefore sign consent form number one, however in cases where there is diminished capacity or no capacity then consent form four is used, NHS Wales, …show more content…
Johns (2000) and Dewey (1993) describe reflection as a process of using your own experiences, focusing on the event, outcomes, understanding of what has been done and what could have been done. Although reflection is generally centred on the negatives of an incident, it should be used an appraisal tool for staff, abilities, management and for areas of improvement.
The choice for using John model (2000) is because it allows for self-reflection and examination of clinical incidents and how this may contribute to a change or improvements in practice, Leeds Beckett University (2015). The Johns model also examines past experiences and how this affects reflection, Nottingham University, (2016).This model is based on five features;
Description, reflection, influencing factors, what could have been done better? Learning (empirics, ethics, aesthetics, personal), AFPP (2011).
As a student ODP, I found this experience challenging, however I learnt a great