NSG/456: Practicing Nurses’ Guide to Research Outcomes Management Discussion Subject: Knowledgeable Assent

Provide a minimum of 175 words in response to the following, using at least one reference.

Teshia F. Post: Hold and Class with Professor Mac,

• By confirming that a person is of sound mind, I may ascertain whether or not they are able and capable of granting consent. I would need to confirm the identity of the person, possibly by checking the name, birth date, and any other identifying details like the patient’s medical record number. Next, I would confirm that he or she is cognizant of the person, place, time, and date. NSG/456: Practicing Nurses’ Guide to Research Outcomes Management Discussion Subject: Knowledgeable Assent.
• After they pass all of that, I would ask them to tell me about the test or procedure they are taking part in and whether they are aware of the advantages and risks of doing the study. Additionally, I would enquire as to whether the person is aware that they have the right to discontinue or withdraw their consent at any moment.
• In order to make sure that the team finishing the research is aware of all research findings, I would also let the person know about any new information that has come to my attention and ask that they notify the team or myself of any negative reactions, no matter how minor or unimportant they may seem to them. I would feel at ease confirming consent after I could verify the information. NSG/456: Practicing Nurses’ Guide to Research Outcomes Management Discussion Subject: Knowledgeable Assent.

Reference
Ezekiel J. Emanuel, MD, PhD; David Wendler, PhD, and Christine Grady, PhD. “What Makes Clinical Research Ethical? ” Journal of the American Medical Association, Vol. 283, No. 20, May 24, 2000, pp. 2701-2711.Bottom of Form

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Professor Mac Hold answers Teshia:

Teshia

• If a customer or patient understands what is being asked of them, everything you have mentioned in your response is relevant to stabilizing the situation. It is crucial to have a patient repeat back what the doctor or surgeon has stated since only then can you accurately gauge how much of an understanding they have. The teach back method is an additional useful technique. As a nurse, what level of understanding of a technique or research study is necessary to respond to inquiries from patients?

Reference
Talevski, J., Shee, A.W., & Rasmussen, B. (2020). Teach-back: A systematic review of implementation and impacts. Plos one, 15(4), https://doi.org/10.1371/journal.pone.0231350

Reaction to Professor Mac Hold and Teshia

• It is imperative that nurses verify that patients comprehend study permission forms and all of the information contained therein. As Teshia pointed out, nurses can use the opportunity to confirm that a patient understands all the information on the form before they sign it by asking them a question about it. Common topics of discussion and confirmation between the nurse and the patient usually center on how the study will directly impact the patient, including the duration of the study, its risk factors, and more.
• But as Teshia pointed out, it’s crucial to make sure the patient understands that they can withdraw their consent at any point throughout the study and to notify the researchers of any negative reactions. By providing this information and asking the patient about specifics, the nurse can further ascertain whether the patient is fully aware of the research project and has the knowledge necessary to confidently sign the form (Axson et al., 2019). Likewise, Professor Mac Hold has pointed out that the teach-back approach is an additional technique that can facilitate this process. NSG/456: Practicing Nurses’ Guide to Research Outcomes Management Discussion Subject: Knowledgeable Assent.
• In essence, the teach-back method consists of the patient conveying information back to the provider after the provider has explained it to them (Klingbeil & Gibson, 2018). If the patient understood everything that was said, the information that was repeated back to the clinician would be correct and comprehensive. This basically assists the healthcare provider in determining whether the patient is capable of making informed decisions based on critical clinical information, such as that contained in a research consent form, surgical information, discharge information, educational resources, and more (Klingbeil & Gibson, 2018).
• Furthermore, as Professor Mac Hold pointed out, when nurses participate in information gathering processes like research studies, patients may have issues about the clinical information that is covered. Because of this, it is essential that nurses have a comprehensive understanding of the process or study in order to appropriately respond to inquiries from patients (Kelley et al., 2013). NSG/456: Practicing Nurses’ Guide to Research Outcomes Management Discussion Subject: Knowledgeable Assent.
• While nurses might not need to be well-versed in every aspect of a procedure or research study, it is crucial that they have a general understanding of these topics (including side effects, risk factors, duration, recovery time, and more) in order to respond to patients’ inquiries in a clear and accurate manner (Kelley et al., 2013). This can help the patient feel more comfortable throughout the surgery or research study by ensuring that the nurse is well-prepared for the inquiries and concerns from the patient.

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References

Axson, S. A., Giordano, N. A., Hermann, R. M., & Ulrich, C. M. (2019). Evaluating nurse understanding and participation in the informed consent process. Nursing ethics, 26(4), 1050–1061. https://doi.org/10.1177/0969733017740175

Kelley, T., Docherty, S., & Brandon, D. (2013). Information needed to support knowing the patient. ANS. Advances in nursing science, 36(4), 351–363. https://doi.org/10.1097/ANS.0000000000000006

Klingbeil, C., & Gibson, C. (2018). The Teach Back Project: A System-wide Evidence Based Practice Implementation. Journal of pediatric nursing, 42, 81–85. https://doi.org/10.1016/j.pedn.2018.06.002