Overview of Standard 9 in Health Care-Free-Samples for Students

Question: Review the Australian Commission on Safety and Quality in Health Care Standard. Answer: Introduction The current study focuses upon the applications of standards within a health and care setting for catering to the diverse requirements of the health and care service users. The main aims behind the application of the standards are to provide immediate and appropriate responses to the users of health care services. For the current chapter standard 9 of the Australian Commission on safety and quality in healthcare have been taken into consideration. The module mainly addresses the concept of clinical deterioration in acute healthcare. The chapter also takes into consideration a number of other factors such as the affectivity of the guidelines stated in the standard 9. It also focuses upon the need to implement effective communication strategies for providing relevant care and support services to the care users. Overview of standard 9 in health care The standard 9 was developed and endorsed by the Australian health ministry as an acceptable approach for recognizing and responding to the clinical deterioration in Australia. In this respect, much of the guidelines stated in the standard 9 have been taken from a comprehensive Guide to support Implementation of the national consensus statement, published by the Australian commission in 2011 (Boyd et al. 2014). The standard applies to diverse group of patients including children, adolescents, and babies, surgical and maternity patients. The implementation of the standard 9 requires that large and tertiary referral centres be established in the community hospitals of small districts (Bischoff et al. 2013). Criterion for reviewing the assessment The establishment of the standard 9 for responding to the deterioration in the Australian clinical standards can be established through a number of criterion such as: Establishment of the recognition and response systems ("Resources to implement the NSQHS Standards | Safety and Quality", 2017) Recognising the care needs of the patients suffering from deterioration in health Timely response being provided to the patients in need of the support services Developing a proactive and interactive communication interface with the support users ("Resources to implement the NSQHS Standards | Safety and Quality", 2017) In this regard, the criterions of establishing effective communication with the patient and the carers have been evaluated for the establishment of the standard 9 guidelines. The communication forms a very important aspect of providing effective responses to the management of deterioration of clinical health standards. As commented by Bucknall et al. (2016), the current health care systems in Australia have identified a lack in the communication policies and strategies for comprehending the requirements of the support users ("Resources to implement the NSQHS Standards | Safety and Quality", 2017) . However, the gap arises due to inability of the health care team in understanding the concern of the patients. As argued by See et al. (2014), most of the times the patients have been seen to communicate about the deteriorating standards within the health care system to their respective carers. However, as argued by Khandelwal et al. (2015), lack of support and educational skills in the he althcare team about the standards and the signs of clinical deterioration depicted by the patient and their carers can act as deterrence. In this context, the communication aspect of the standard 9 states that in case of service dissatisfaction the patient and their respective carers can ask for plausible interventions of the healthcare team. The patients can escalate their concerns to the healthcare team. The healthcare team then accesses the situation accordingly and provides relevant support measures to the patient. In this respect, maintaining effective patient clinical records can be helpful in catering to the diverse needs of the patients. Strategies for implementing the required standards A number of strategies can be undertaken for implementing the required standards such as developing methods for easy access of the healthcare team by the patients, their respective carers and families in addressing issues related to clinical deterioration. As commented by Liaw et al. (2016), advance care plans can be designed by involving the patients, family members and their respective carers. This further supports the concept of informed decision making by providing the support users with more autonomy. Additionally, documentation of advance care helps in improving the service standards further (Johnson May, 2015). The patients should be provided with sufficient knowledge regarding the escalation procedure of clinical deterioration. Analysing practices adopted in current workplace and providing suitable solutions Working as a practising nurse in a healthcare setup one needs to apply a number of different practise methods for meeting with the service demands and the needs of the support users. I have been working as practising as a nurse for the Nightingale hospital and have been attending to the diverse care needs of the patients. In this context, incorporation of bell services beside the bedside of the patients had been very effective in my current organization. However, most of the times, the patients had been found to be hovering in confusion regarding appropriate time of ringing the bell (Phua et al. 2015). Therefore, there is a need to educate the patients regarding their sole rights and privileges in achieving the optimum care services. For the purpose of which sufficient information needs to be provided to the patients regarding the escalation process. One of the major hindrances offered in meeting the concerns of the patients are lack of sufficient skills in the health care professional for understanding the care needs and demands of the service users. As mentioned by Stayt et al. (2015), language often becomes a barrier in addressing the diverse support care needs of the patients. A health care set up often deals with a number of patients from diverse cultural and linguistically different backgrounds (CALD). Thus, maintaining a transparent communication often becomes a limitation in this context. Strategies applied to address the key tasks of selected criterion In my current workplace, I had been subjected to diverse measures and Patient care policies. However, the efficacy of the policies varies from person to person and upon the care channel through which it is mediated. In this respect, a number of policies had been applied within my current organization. One of the chosen methods, which had been most effective in meeting the requirements of the support users, is encouraging the participation of the support users in the process of decision-making. Thus, the incorporation of informed decision making had been found to be an effective tool for the health care professionals in understanding the deterioration issues faced by the support users. I think maintaining clear documentation and consent policies as per the treatment plans would help in meeting transparency in the care and support services. This further helps in avoiding any forms of conflict or disagreement as per decision making between the patient and the health care team. I think e stablishment of the Medical Emergency Team (MET) calls helped in providing rapid response to an intensive care unit patient. Thus, the inculcation of the MET helps in reducing in-hospital deaths along with timely provision of medical intervention to patients experiencing serious health deterioration. Evaluating the effectiveness of implemented strategies The strategies have been successful in meeting the health and care requirements of the support users receiving care services from the Nightingale group of hospitals. I think the formation of the MET group have been useful in meeting the emergency care requirements of the hospital. It has also helped in reducing death due to some of the unavoidable incidents such as acute cardiac arrest. I also think maintaining clear documentation and logbooks can help in designing an effective care regimen in the handling and management of similar cases. Additionally data collection and conducting surveys about the current satisfaction levels of the patients receiving care services from the hospital can help in improving the standards of the services (Larcher et al. 2015). The collected data can be used to design relevant and important policies. Conclusion Working as a practising nurse i need to analyse the effectiveness of strategies implemented within my current organization. However, through my study and detailed analysis, I have realized that lack of clear communication and policy documentation can often hinder the objective satisfaction of my current organization. Additionally, division of the emergency and trauma care workforce into small and effective medical emergency team would help in catering to the diverse needs of the patients. However, for the successful implementation of the desired changes there is a huge amount of dependency on the infrastructural support. Thus, additional support and funds available from the government could be a huge progress in the following respect. Additionally, encouraging sufficient participation of the patients, carers and their respective families within the care structure can help in meeting the service demands. Additionally, provision of sufficient training to the health care team along with inculcation of interpreter services can help in meeting the desired objectives References Bischoff, K. E., Sudore, R., Miao, Y., Boscardin, W. J., Smith, A. K. (2013). Advance care planning and the quality of end?of?life care in older adults.Journal of the American Geriatrics Society,61(2), 209-214. Boyd, L., Sheen, J. (2014). The national safety and quality health service standards requirements for orientation and induction within Australian Healthcare: A review of the literature.Asia Pacific journal of health management,9(3), 31-37. Bucknall, T. K., Forbes, H., Phillips, N. M., Hewitt, N. A., Cooper, S., Bogossian, F. (2016). An analysis of nursing students decision?making in teams during simulations of acute patient deterioration.Journal of advanced nursing,72(10), 2482-2494. Johnson, M. J., May, C. R. (2015). Promoting professional behaviour change in healthcare: what interventions work, and why? A theory-led overview of systematic reviews.BMJ open,5(9), e008592. Khandelwal, N., Kross, E. K., Engelberg, R. A., Coe, N. B., Long, A. C., Curtis, J. R. (2015). Estimating the effect of palliative care interventions and advance care planning on ICU utilization: a systematic review.Critical care medicine,43(5), 1102. Larcher, V., Craig, F., Bhogal, K., Wilkinson, D., Brierley, J. (2015). Making decisions to limit treatment in life-limiting and life-threatening conditions in children: a framework for practice.Archives of disease in childhood,100(Suppl 2), s1-s23. Liaw, S. Y., Wong, L. F., Lim, E. Y. P., Ang, S. B. L., Mujumdar, S., Ho, J. T. Y., ... Ang, E. N. K. (2016). Effectiveness of a web-based simulation in improving nurses workplace practice with deteriorating ward patients: A pre-and postintervention study.Journal of medical Internet research,18(2). Phua, J., Joynt, G. M., Nishimura, M., Deng, Y., Myatra, S. N., Chan, Y. H., ... Wahjuprajitno, B. (2015). Withholding and withdrawal of life-sustaining treatments in intensive care units in Asia.JAMA internal medicine,175(3), 363-371. Resources to implement the NSQHS Standards | Safety and Quality. (2017). Safetyandquality.gov.au. Retrieved 24 August 2017, from https://www.safetyandquality.gov.au/our-work/assessment-to-the-nsqhs-standards/resources-to-implement-the-nsqhs-standards/ See, M. T. A., Chan, W. C. S., Huggan, P. J., Tay, Y. K., Liaw, S. Y. (2014). Effectiveness of a patient education intervention in enhancing the self-efficacy of hospitalized patients to recognize and report acute deteriorating conditions.Patient education and counseling,97(1), 122-127. Stayt, L. C., Merriman, C., Ricketts, B., Morton, S., Simpson, T. (2015). Recognizing and managing a deteriorating patient: a randomized controlled trial investigating the effectiveness of clinical simulation in improving clinical performance in undergraduate nursing students.Journal of advanced nursing,71(11), 2563-2574. Young, T., Rohwer, A., Volmink, J., Clarke, M. (2014). What are the effects of teaching evidence-based health care (EBHC)? Overview of systematic reviews.PloS one,9(1), e86706.