NSQHS Standard 2 Analysis

Slide 1: Core Actions for Clinical Governance and Rights

The foundation for its partnering with consumers starts with clinical governance systems that support partnering with consumers policies and risk mitigation strategies. Such systems ensure to incorporate consumer partnerships in the clinical practice of healthcare organizations, while at the same time, ensuring quality by monitoring and evaluating continuously. The implementation of healthcare rights involves at the same time making the Australian Charter of the Healthcare Rights available to all patients, establishing sound informed consent processes and acknowledging patients’ decision-making capacity. Substitute decision makers are appropriately substituted when needed and patient autonomy is protected within ethical standards of care delivery.

Slide 2: Partnership Development and Communication

Partnerships in healthcare need to be active in shared decision-making processes, in which patients or their reps play a role in developing plans of care and setting treatment goals. These partnerships are supported, and tools are provided to healthcare professionals to help them successfully build these partnerships. The communication strategies are chosen to satisfy different consumer needs like ‘Translation Services’ and ‘Accessible health information.’ Patient information materials are developed with consumer input and clinicians provide appropriate information at each care stage. This comprehensive approach to communication before and after healthcare delivery ensures clarity both before and after healthcare delivery, helping patients understand, engage and interact with providers.

Slide 3: Organizational Integration and Special Populations

Consumer perspectives must be integrated across all levels of governance and service design in healthcare organizations. These processes are properly orientated, supported and educated so that the consumers participating in these processes receive meaningful contribution. Particular attention is paid to partnerships with Aboriginal and Torres Strait Islander communities; culturally safe frameworks and adaptations of resources to meet their unique healthcare needs. The workforce training is based on consumer views, ensuring that healthcare professionals understand and respect patient views, so that care delivery is more patient centred in all services.

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Slide 4: Key Elements Across All Actions

The NSQHS Standard 2 emphasizes three crucial elements across all actions: Communication excellence, quality improvement and patient centered focus. Communication excellence demands clear, accessible information delivery; patient centered care means shared decision making at all levels; and considering cultural and linguistic needs. Quality improvement is about ongoing monitoring and regular system updates because of consumer feedback. Together, these elements also provide the foundation for a healthcare system that is responsive to the needs of the consumer and yet meets the highest of standards of care delivery.

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Slide 5: Transition to Practice Example 1

The integration of cultural safety and communication actions by nurses in the management of diabetes care for an elderly Chinese woman include using interpreter services and advising a culturally appropriate dietary advice. Consistent with the cultural importance of family in decision making, family involvement is encouraged in care planning. To be sure care products meet cultural and personal preferences, regular feedback is collected. However, this approach shows how incorporating a range of Standard 2 actions results in a whole of care strategy that achieves the better delivery of healthcare whilst respecting cultural values. The implementation adopts evidence-based practices for culturally sensitive diabetes management.

Slide 6: Transition to Practice Example 2

An example of integrated informed consent and discharge planning actions is the provision of post-surgical care. Young adults who need complex wound care are processed through detailed consent processes that the nurses implement, and nurses develop comprehensive discharge plans for these patients with patient input. Collaboratively educational materials are created to make sure that the patient’s level of understanding and preferences are met. Follow up care coordination supports the involvement of the patient in decisions about ongoing care needs. The actions of this example demonstrate how patient engagement and communication in Standard 2 improve patient outcomes.

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Slide 7: Summary

Implementation of NSQHS Standard 2 has a significant impact on delivering healthcare by improving patient safety, satisfaction and clinical outcomes. Factors of success are strong organizational commitment, continuous staff education and evaluation, and active consumer involvement. These elements come together to result in a fully responsive healthcare system that delivers high quality care without losing sight of consumer needs. The standard integrates a holistic approach to effectively embed consumer partnerships throughout all aspects of the provision of healthcare, including individual care and system level decisions.

Slide 8: References

Australian Commission on Safety and Quality in Health Care (2024) Partnering with consumers standard, Partnering with Consumers Standard | Australian Commission on Safety and Quality in Health Care. https://www.safetyandquality.gov.au/standards/nsqhs-standards/partnering-consumers-standard 

Australian Commission on Safety and Quality in Health Care. (2021). Informed consent in health care. https://www.safetyandquality.gov.au/publications-and-resources/resource-library/informed-consent-health-care

Cooper, Z., Cleary, S., Stelmach, W., & Zheng, Z. (2023). Patient engagement in perioperative settings: A mixed method systematic review. Journal of clinical nursing, 32(17-18), 5865–5885. https://doi.org/10.1111/jocn.16709

González-Rivas, J. P., Pavlovska, I., Polcrova, A., Nieto-Martínez, R., & Mechanick, J. I. (2023). Transcultural lifestyle medicine in type 2 diabetes care: narrative review of the literature. American journal of lifestyle medicine, 17(4), 518-559. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328213/

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