• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

This paper presents a Portfolio of exemplars from nursing practice, which explores the professional role of the nurse as an advocate with adult patients, where ethical dilemmas are central.

Extracts from this document...

Introduction

Portfolio <Student Name> <Institute Name> Date Contents 1. Introduction 3 2- Exemplar 1 -Advocacy 3 3. Exemplar 2 - Empowerment 3 4. Analysis 4 4.1 Professional Issues 4 4.2 Legal Issues 6 4.3 Ethical Dilemma and Decision Making 6 5 - Action Plan 9 References 11 1. Introduction This paper presents a 'Portfolio' of exemplars from nursing practice, which explores the professional role of the nurse as an advocate with adult patients, where ethical dilemmas are central. The paper begins with a brief description of the advocacy and empowerment exemplar, followed by a detailed analysis of the empowerment exemplar with regard to the professional role of the nurse, the legal and the ethical framework. It critically reflects on the issues that pose conflict and the role of the nursing staff who are faced with an ethical dilemma. The ethical decision making model is also applied to the exemplar presented, to gain a better insight into the possible course of action. The portfolio concludes with an action plan that can be implemented based on the reflective analysis. 2- Exemplar 1 -Advocacy Advocacy is defined as : "the process of befriending and where necessary, representing a patient, client, partner or prot�g�, in all matters where the nurse's help is needed in order to protect the rights or promote the interests of that person" (cited by Frizell, 2005) ...read more.

Middle

4.2 Legal Issues The "common law of confidentiality" is not codified in the Act of Parliament but is built on case law where practice has been established by individual judgments and law is not very clear on this issue (NHS Code of Practice, 2003; Hayter, 1997). Judgments establish that confidentiality can be breached 'in the public interest' however it is all dependant on a case-to-case basis. NHS Code of Practice (2003) states that according to the existing regulation, the one situation, in which confidentiality related to HIV positive status of a patient can be breached is for the purpose of treatment or prevention. In this particular exemplar, the reason why the nursing staff need to disclose the information to the boy friend is to ensure "prevention" and perhaps even "treatment" which is in line with the regulation. The UK courts have recognised that some breaches of confidentiality may be allowed if they are in the public interest (Yeoman, 2007). The other situation to consider is where healthcare professionals fail to disclose HIV positive status to boyfriend. In that situation liability could apply as the healthcare staff owe a duty to warn someone of potential risk (Yeoman, 2007) ad protect him from harm (Beauchamp & Childress, 2001). ...read more.

Conclusion

Only after every effort has been made to seek the consent of the patient should the HIV status be disclosed. In case the patient does not give consent despite every effort, the information should still be disclosed in the interest of larger societal good. Step 6 Evaluate Outcomes of Action The ethical dilemma will be resolved if patient's consent is obtained and then HIV status disclosed. If the disclosure occurs against the wishes of the patient it will still be acceptable since it is morally correct and for the larger good to control risk. Mc Manus (2006) suggests that it is acceptable to disclose when the patient poses harm to others. As part of negotiating, the patient could also be asked to seek legal advice. 5 - Action Plan Gathering data - Find out about support groups for such patients - Find out legal advise for such patients - Inform doctor and seek advise - Find out about more such cases and share with patient to open communication and build trust. Identify option - Focus on negotiating with the patient, sharing the implications of her wishes with her, understanding her situation and concerns and helping her to give consent for disclosure - Have her talk to communities of such patients, find community support and develop a relationship to get to know the patient better. ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our University Degree Nursing section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related University Degree Nursing essays

  1. Law and Ethics in Nursing. The aim of this assignment is to reflect ...

    When considering a best interest decision, there are factors that need to be taken into account, the first would be to find the best course of action for the patient and to give the best outcome. The Mental Capacity Act provides a checklist to follow which will take into consideration

  2. This assignment aims to explore communication theories and how the nurse uses communication in ...

    Argyle (1975) believes that non verbal communication can improve the interpersonal relationship which the nurse and the patient form. The function of non verbal communication is assisting speech by reinforcing what has been said verbally by non verbal actions such as raising an eye brow.

  1. The aim of this essay is to critically evaluate the bio-psycho-social perspectives and influences ...

    Pettigrew and Roberts, (2008), believe social loneliness should not be perceived as a negative experience, individuals may value productive time on their own. Loneliness Forbes, (1996), describes is an unwelcome feeling, due to loss, or lack of companionship. Loneliness by description or definition conversely is an objectionable feeling, in which

  2. decision making by a nurse

    The patient's Doppler reading told the nurse that he was suitable for compression therapy. However, the nurse knew that the patient's chronic condition, diabetes, can give abnormal readings due to obesity and old ulcers that may have damaged part of the venous system (www.tiscali.co.uk, 2008).

  1. Discussing a patient with type 2 Diabetes Mellitus.

    Walsh (1998) states that "Models are not set in tablets of stone, but rather are loose frameworks of ideas whose aim is to facilitate care, not to get in the way", (Walsh, 1998, p26-27). Walsh (1998) urges his readers to question any lack of psychological and social dimensions of the

  2. The Role of a Nurse as First Assistant

    Robinson and McIntosh (2002) stated that the analysis, though, showed the first assistant activities were undertaken to some extent by the scrub nurses confirming the working party's initial theory. The audit team also learnt that the degree of involvement of first assistant was far higher than originally thought, and that

  1. To describe why I chose nursing as a career, my goals, ambitions, and my ...

    This can certainly cause problems in the organization because morale is low and staff are forced to work longer hours. Recently, I heard in the media the ongoing problems of the Guam Memorial Hospital and its staff, which includes the pharmacist and nurses.

  2. A Critical Appraisal of a Published Piece of Research Related to Practice. ...

    was justified in her selection of suitable candidates who were all inpatients on the surgical ward. The data was collected by patient observations and interviews whilst on the ward and post discharge in the home. Data for the health care professionals was gathered by interviews immediately following observations of them in practice.

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work