Nursing ethics, economic violence, conjugal violence, patient autonomy, non-maleficence, Code of Ethics for Nurses, Nursing Professionals, Human and Social Sciences
A home nurse faces an ethical dilemma in addressing economic and conjugal violence against a young patient, weighing respect for autonomy against the duty to protect her well-being.
[...] Justice and fairness can also play a role, as I may feel a sense of injustice at the economic violence suffered by the patient and wish to restore some form of fairness in her relationship. Autonomy and respect for the individual are also important values, as a nurse, I recognize that the patient has the right to make her own choices, even if those choices may seem detrimental to her health and well-being. Non-maleficence, which is the duty not to harm my patient, is another central value. In this situation, I must assess whether failing to intervene directly on economic violence could be considered a form of negligence (article 44). [...]
[...] Extracted from the regulatory code I will give, first, two articles, the first, extracted from the Code of Ethics for Nurses and Nursing Professionals, article 1 here states that the nurse or the nurse must help the person whose life is in danger, personally or by obtaining help, by providing the necessary and immediate assistance, unless there is a risk to the nurse or to third parties or another reasonable reason. The second is thearticle 39 who informs that The nurse or nurse must refrain from intervening in the personal affairs of their client on matters that do not fall within their professional competence. However articles and 44 are just as disturbing for the imagined situation. [...]
[...] The economic and conjugal violence will then be addressed, which will destabilize her, but will surely offer her an opportunity to free herself from this harmful situation. Not without short-term perturbation (repayment of debt alone, loss of employment and emotional support from the spouse, depression after the breakup because madame would be attached to this man). The first option respects her current choice but risks perpetuating the violence and its harmful consequences on her mental and physical health. The second option, although potentially perturbing in the short term, could allow her to rebuild on healthier foundations. [...]
[...] Situation experienced My situation experienced would be that of me, a home nurse, visiting a woman in convalescence, between 25 and 30 years old, who is seeking follow-up care. This woman would live with her spouse and be in debt (like more than 20% of young Canadians). Her debt, linked to economic violence by her partner (compulsive buying), threatens her precarious job as a PUBLI-SAC delivery person profession often held by students or those with a low 'diploma' factor) My ethical question is the following: To what extent does my role as a nurse oblige me to address the economic violence that my patient is suffering, knowing that this could compromise her stability but that not doing so could perpetuate a situation detrimental to her overall well-being? » This question highlights the dilemma between, on the one hand, respecting the patient's autonomy (Article which implies that I can respect her choices, even if they seem detrimental. [...]
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