The challenges for nurses communicating with and gaining valid consent from adults with intellectual disabilities within the accident and emergency care service

Abstract

All nurses need to have a greater awareness of learning disability, how to increase opportunities for effective communication and be very familiar with the issue and guidelines relating to consent, to ensure that people with learning disabilities have choice, control and are more active in decision making regarding their health.

Providing support for decision making to adults with intellectual disability: Perspectives of family members and workers in disability support services

“…Ferguson, Jarrett, andTerras (2011) and Pilnick, Clegg, Murphy, and Almack (2010) reported how supporters actively shaped decisions to reduce risk or ensure an outcome they perceived to be in the best interests of the person with intellectual disability. The negative impact of staff with inadequate communication skills, knowledge of the impact of intellectual disability, or awareness of their own values was evident in a number of studies (Antaki et al, 2009;Ferguson et al, 2011;Sowney & Barr, 2007). Such factors were compounded by risk averse organisational management (Hawkins, Redley, & Holland, 2011) or the pressured nature of some environments in which decisions have to be made (Bigby et al, 2011;Sowney & Barr, 2007).…”

“…The negative impact of staff with inadequate communication skills, knowledge of the impact of intellectual disability, or awareness of their own values was evident in a number of studies (Antaki et al, 2009;Ferguson et al, 2011;Sowney & Barr, 2007). Such factors were compounded by risk averse organisational management (Hawkins, Redley, & Holland, 2011) or the pressured nature of some environments in which decisions have to be made (Bigby et al, 2011;Sowney & Barr, 2007). In particular, one UK study illustrated the poor outcomes of relying on checklists as a resource for support workers to support decision making when they are inadequately trained in reflective practice and unaware of the influence of their own preferences and values (Dunn et al, 2010).…”

Training and developing staff in general hospitals: intellectual disability liaison nurses and the RAID model

“…Confidence in communicating with people with intellectual disabilities is crucial for its proper application (Sowney and Barr, 2007).…”

The Nurse's Role and Responsibilities in Informed Consent: Review

“…Bu sürecin mekanizmaları genellikle hemşirenin onam formu üzerinde hastanın imzasını almasını gerektirse de, hemşire-nin birincil önceliği otonom karar verme süreci için gerekli olan tüm ölçütlerin karşılanmasını sağ-lamaktır. 5,22,23 Hemşirelerin aydınlatılmış onam süreçlerinde yaşadığı diğer bir sorun ise hastalara doktoru tarafından aydınlatılmış onam formu imzalatılırken hemşirelerin tanık olarak bulunması ve formu imzalamalarıdır. Hemşirelerin tanık olarak formu imzalaması birtakım sorumluluğu da beraberinde getirmektedir.…”