Practice integrity : advocacy, ethics and legal issues

Fraser, Jennifer (2008) Practice integrity : advocacy, ethics and legal issues. In Barnes, Margaret I. & Rowe, Jennifer A. (Eds.) Child, Youth and Family Health : Strengthening Communities. Elsevier Australia, Marrickville, N.S.W.

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Reading this chapter will help you to:
Explore the role of advocacy in nursing children, young people and their families.
Understand the obligation to advocate for children, young people and their families.
Consider the relationship between advocacy, ethics, and lawful practice.
Analyse ethical frameworks for nursing practice.
Recognise the relevance of the United Nation’s Declaration of the Rights of the Child to nursing practice.
Analyse clinical cases to integrate knowledge of advocacy for children, young people and their families.
Critically analyse the nursing responsibilities and priorities within practice relating to families at risk, children’s rights and child protection legislation.

<A> Introduction

Nurses working in paediatric, child, and youth health settings operate within a framework that is informed by lawful scope of practice, and ethical standards. This chapter presents a review of the nurse’s role as advocate for children, young people and families, and examines this role across the landscape of children’s and youth health services.
While nursing shares the role of patient advocate with a number of other health professions, it is notable that nursing has included advocacy in its scope of practice as a fundamental role since the mid 1990’s (Mallik & Rafferty 2000). The International Council of Nurses (ICN 2006) lists advocacy as a ‘key nursing role’ and commitment is expressed through professional codes of conduct set at the domestic level (ANMC 2002, NZNA 1995). The ICN code of ethics for nurses is relevant to nursing practice in both Australia and New Zealand (2006). There are four primary components guiding standards of conduct for nurses:
Nurses and People
Nurses and Practice
Nurses and the Profession
Nurses and co-workers
(ICN 2006)
That is, nurses are responsible for acting as advocates for the needs and welfare of patients, for the profession of nursing, and for the interests of colleagues in nursing. Nevertheless, ambiguous interpretations of the concept of patient advocacy continue to pose a number of problems for nurses in practice. Hence, an overview of what advocacy means for nurses working specifically with children, young people and their families is necessary.

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ID Code: 20372
Item Type: Book Chapter
Additional URLs:
Keywords: Human Rights, Child Rights and Advocacy, Decision-making frameworks, Ethical decision making, Informed consent in research, Child protection and legislation, Therapeutic relationships and advocacy, Child protection in the therapeutic relationship
ISBN: 9780729537995
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Midwifery (111006)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Nursing not elsewhere classified (111099)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Nursing
Copyright Owner: Copyright 2008 Elsevier Australia
Deposited On: 07 May 2009 22:04
Last Modified: 09 Jun 2010 13:38

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