In regards with the mentioned case scenario, it may be stated that as per her roles and responsibilities as a nurse, it is important that the advices which are given by Victoria to Stella is based on thorough analysis of her current condition. Collection of information can be done by seeking sources of information which highlight her previous and existing medical records as well as her current health condition (Nursing and Midwifery Council, 2015). One of the basic requirements for Victoria is to check whether the information provided by Stella is authentic or not. Since acting in best interest of any patient is regarded as one of the primary duties of nurses, it is essential that a detailed study concerning her condition is done before finalising on the most suitable healthcare routine for her. Therefore, apart from her medical records, it is also essential that detailed information is obtained concerning her society, family, living conditions and so on, so that the factors responsible for her conditions are properly needed to be evaluated.
Therefore, Victoria needs to ensure that proper interpersonal communication is established with Stella so that she is able to build trust on her and share her details concerning her lifestyles and her relationship with associated people. It is evident from the case study that she might not share a very good relation with her aunt. She is afraid to share information about her relationship as well. It may be stated that her boyfriend as well as her family are the direct stakeholders (Winland-Brown, Lachman, & Swanson, 2015). When her doses of contraception are needed to be given to her, it is essential that her boyfriend also understand the potential effects of the medicines. In addition to this, since she is a minor, it is necessary that as a guardian, her aunt is informed regarding her condition as well. However, with analysis to the given information by the patient, it may be stated that her living condition in her aunt’s place is questionable. Whether it is suitable and safe for her to associate her aunt and her aunt’s boyfriend in this care plan or not is one of the major issues in the scenario.
(a) Code of ethics: In regards with the mentioned issue, it can be seen that even though Stella hints that her aunt’s boyfriend has been abusive towards her, it is also requested from her behalf that she doesn’t convey this information to the doctors who will provide the necessary treatment for contraception. Therefore, it is clear that Victoria is in a standard ethical dilemma. There are various issues which are needed to be followed by her. As per the elements of the code described in ICN code of ethics for nurses, it has been observed that obligates nurses to provide best suitable nursing and care services to the patients. In addition to giving the required professional care, it is also mandatory that human rights, values as well as customs are protected through their acts (Lachman, Swanson & Winland-Brown 2015). Therefore, a holistic approach is needed to be taken to provide substantial care service for Stella. Being a minor it may be stated that she is still regarded belonging from vulnerable group. Hence, protecting her from abuse is one of the primary functions that Victoria may have to consider.
(b) Implication of ethical principles: However, the issue in this case is that Stella does not want to let other individuals know regarding her condition. Thus, as per the principle of code of practice concerning cultural practice and respectful relationship, confidentiality and privacy of the patient should be regarded as an ultimate responsibility (Schmidt & Brown, 2014). In addition to this, it is also needed to be understood that there is a clear case of dilemma since there is a chance of conflict of ethical principles (Council, 2015).
(c) Application of legal principles: In accordance with the four broadly divided ethical principles for nurses in principles of biomedical ethics, it has been observed that the professionals need to maintain autonomy, beneficence, non-maleficence and justice (White, Phakoe & Rispel, 2015). This, according to principles of autonomy, she is required to provide respect to the rights of her patient to make individual choices. She realises that the consequences of the contraception she seeks to obtain is clearly understood by the patient and an informed consent is given. However, the potential risk of abuse from the environment she has been living in is apparent (Paina, Ungureanu & Olsavszky, 2016). Therefore, by considering the principle of autonomy where Stella may want to maintain her privacy, there is a risk that Victoria may violate conditions to act in best interest of Stella and her duty to safeguard Stella from harm which may include physical abuse.
(a) Application of the Code of Conduct: With reference to principle 3 of code of practice for nurses, it is regarded important that effective communication is established between the care seekers and care providers. This would allow them to not only understand the level of health literacy that the patient may have but would also provide them the scope to attend to the necessary requirements (Blackburn et al. 2015). Better bonding between that patients and nurses can be maintained with the free flow of communication. While in the case study it can be seen that Stella possesses standard knowledge considering the sexual health treatment she has been seeking and the potential effects and consequences of the same. Thus, it was easier for Victoria to provide her with guidance and instruction. However, safeguarding patients from bullying and harassment is regarded as a major duty under the said principle as well (Papadopoulos & Ali, 2016).
(b) Analysis of consequences: It is essential that appropriate person-centric approach is being developed in order to provide the most suitable care to Stella. Establishment of two way communication channel is necessary to ensure that Stella is at enough ease to open up to Victoria and share her issues. In addition to this, Victoria can make her feel safe in a protected environment and advice her on the practices and procedures she could take up for ensuring overall safer living conditions (Mallari, Grace & Joseph, 2016).
(c) Decision making: An understanding approach is needed to be maintained that would store faith of Stella on her care provider. Person centred practice would require decision making which is done mutually. Thus, with the help of proper communication and education extended to patients like Stella, obliging by their care concerns would be easier for nurses (Paneque et al. 2016).
(a) Acting upon the decision: In order to ensure that the action plan that is being finalised is able to bring out the best results, it is essential that proper implementation of the same is done. In regards with the mentioned case scenario it can be seen that while the patient has a clear understanding regarding the effects of contraception, nurse predicts that she might be vulnerable to certain physical and mental abuse (Finch, Clarence-Smith & Walsh, 2017). However, the patient is not confident enough to let other individuals know about her condition and plans to move away. In order to protect her patient from the potential harm in her living environment, it is necessary that proper steps are taken by obtaining consent of Stella. It is important that a healthy conversation is initiated from the part of Victoria. She might educate her concerning the prevalent laws and regulations protecting individual rights in most effective manner. In addition to this a friendly body language is necessary to be maintained which would allow Stella to have more confidence on her and tell her he details which may be responsible for her condition.
(b) Devising the care plan: Appropriate measures can be taken accordingly to protect the patient from physical and mental abuse (Adhikari & Melia, 2015). Stella can be convinced regarding the steps that the doctors and other professionals might take to suit her situation the best. Additionally, policies which would allow her to continue with obtaining healthcare services can also be discussed with her. Thus, a mutual decision concerning the suitable action plan can be undertaken for overall healthy and safe life of the patient with regards to ethical and legal practice.
(c) Communication: In addition to this, a strategy may be also adopted which would require the aunt or her boyfriend to be associated with the care plan. The probable care planning can be relayed to the patient’s family members and/or the acting guardian so as to keep the communication intact and to avoid any sort of gaps in the healthcare settings.
(d) Documentation: The care plan devised on Stella can be made visible on her clinical record book so that if need arises; it can be referred for future endeavours by doctors of the same organization or of different healthcare institute. Documenting the healthcare plan would eventually make the entire treatment regimen transparent and free from loopholes.
With the help of the undertaken action plan, it will be easier for the nurses like Victoria to ensure that the chances of ethical dilemma and other issues are met in most suitable manner. Since, it is the duty of the nurse to consider decisions of patients, at the same time, it is primary duty to look after ad according to best interest of the patient, with detection of risk of abuse, it is necessary that these underlying dilemmas are dealt in a professional manner (Bell, 2015). Therefore, with the help of person centric approaches and effective communication, a detailed analysis of the varied factors associated with current condition of the patient can be determined. In addition to this, it may also be stated that the chances of risks and hazards for the patients can be significantly reduced as well. Being able to establish a healthy and substantial relationship with the patients may be regarded as the key to effective professional performances. In addition to this, if it is still difficult to deal with the ethical dilemma, obtaining proper support from experienced professionals and following their guidance can be regarded as most suitable solution (Council, 2015).
Reference List:
Adhikari, R., & Melia, K. M. (2015). The (mis) management of migrant nurses in the UK: a sociological study. Journal of nursing management, 23(3), 359-367.
Bell, L. (2015). Code of ethics for nurses with interpretive statements.
Blackburn, M., Stathi, A., Keogh, E., & Eccleston, C. (2015). Raising the topic of weight in general practice: perspectives of GPs and primary care nurses. BMJ open, 5(8), e008546.
Council, N. M. (2015). The code: professional standards of practice and behaviour for nurses and midwives. London: NMC.
Finch, A., Clarence-Smith, B., & Walsh, C. (2017). Nurses’ and midwives’ revalidation preparation experiences at one NHS trust. Nursing Management (2014+), 24(5), 23.
Lachman, V. D., Swanson, E. O. C., & Winland-Brown, J. (2015). The New’Code of Ethics for Nurses with Interpretative Statements'(2015): Practical Clinical Application, Part II. Medsurg Nursing, 24(5), 363.
Mallari, M. S. N., Grace, M., & Joseph, D. (2016). Ethical frameworks for decision-making in nursing practice and research: An integrative review.
Nursing and Midwifery Council (Great Britain). (2015). The Code: Professional standards of practice and behaviour for nurses and midwives. NMC.
Paina, L., Ungureanu, M., & Olsavszky, V. (2016). Implementing the Code of Practice on International Recruitment in Romania–exploring the current state of implementation and what Romania is doing to retain its domestic health workforce. Human resources for health, 14(1), 22.
Paneque, M., Moldovan, R., Cordier, C., Serra-Juhé, C., Feroce, I., Lambert, D., … & Skirton, H. (2016). Development of a registration system for genetic counsellors and nurses in health-care services in Europe. European Journal of Human Genetics, 24(3), 312.
Papadopoulos, I., & Ali, S. (2016). Measuring compassion in nurses and other healthcare professionals: An integrative review. Nurse education in practice, 16(1), 133-139.
Schmidt, N. A., & Brown, J. M. (2014). Evidence-based practice for nurses. Jones & Bartlett Publishers.
White, J., Phakoe, M., & Rispel, L. C. (2015). ‘Practice what you preach’: Nurses’ perspectives on the Code of Ethics and Service Pledge in five South African hospitals. Global health action, 8(1), 26341.
Winland-Brown, J., Lachman, V. D., & Swanson, E. O. C. (2015). The new’Code of ethics for nurses with interpretive statements'(2015): Practical clinical application, Part I. Medsurg Nursing, 24(4), 268.
Essay Writing Service Features
Our Experience
No matter how complex your assignment is, we can find the right professional for your specific task. Contact Essay is an essay writing company that hires only the smartest minds to help you with your projects. Our expertise allows us to provide students with high-quality academic writing, editing & proofreading services.
Free Features
Free revision policy
$10Free bibliography & reference
$8Free title page
$8Free formatting
$8How Our Essay Writing Service Works
First, you will need to complete an order form. It's not difficult but, in case there is anything you find not to be clear, you may always call us so that we can guide you through it. On the order form, you will need to include some basic information concerning your order: subject, topic, number of pages, etc. We also encourage our clients to upload any relevant information or sources that will help.
Complete the order form
Once we have all the information and instructions that we need, we select the most suitable writer for your assignment. While everything seems to be clear, the writer, who has complete knowledge of the subject, may need clarification from you. It is at that point that you would receive a call or email from us.
Writer’s assignment
As soon as the writer has finished, it will be delivered both to the website and to your email address so that you will not miss it. If your deadline is close at hand, we will place a call to you to make sure that you receive the paper on time.
Completing the order and download