A 20-year-old girl is brought into the ER by her parents. The parents write on the sign-in sheet that their daughter was caught having sex at her parent’s home with her boyfriend and the parents are demanding that the physician prescribe her the “morning after” pill. What should/can the nurse do? 1. Which of the provisions of the ANA code of ethics supported or violated in the scenario? Choose three provisions and explain why?
In the given scenario, there are several provisions of the American Nurses Association (ANA) Code of Ethics that are relevant. Three provisions that are particularly applicable are provision 1, provision 2, and provision 5.
Provision 1 of the ANA Code of Ethics states that “the nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person.” In this scenario, the nurse should approach the situation with compassion and respect for both the patient and her parents. The nurse should aim to maintain a non-judgmental attitude and provide care based on the patient’s needs and desires, while also considering the legal and ethical implications. This provision supports the idea that the nurse should not impose personal beliefs or moral judgments on the patient, but rather provide care with empathy and value for the patient’s autonomy.
Provision 2 of the ANA Code of Ethics states that “the nurse’s primary commitment is to the patient, whether an individual, family, group, community, or population.” In this case, the nurse’s primary commitment is to the 20-year-old girl who is seeking medical assistance. The nurse should prioritize the well-being of the patient and ensure that her needs are met, while also considering the legal and ethical context. It is important for the nurse to provide accurate information about available options, such as the “morning after” pill, and assist the patient in making an informed decision based on her personal values and beliefs. This provision supports the nurse in providing patient-centered care and advocating for the patient’s best interests.
Provision 5 of the ANA Code of Ethics states that “the nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth.” In this scenario, the nurse has a duty to maintain professional integrity and competence. The nurse should be aware of the ethical, legal, and professional standards related to the provision of contraception to minors, as well as the policies and protocols of the healthcare institution. The nurse should ensure that appropriate documentation is completed, maintain confidentiality, and seek guidance from the healthcare team as needed. This provision emphasizes the nurse’s responsibility to adhere to professional standards and promote the well-being of both the patient and oneself.
In conclusion, the nurse in this scenario can draw on several provisions of the ANA Code of Ethics to guide their actions. Provision 1 supports the importance of providing care with compassion and respect for the patient’s autonomy. Provision 2 highlights the nurse’s commitment to the patient’s well-being and advocating for their best interests. Provision 5 emphasizes the nurse’s responsibility to maintain professional integrity and competence. By considering these provisions, the nurse can navigate the situation effectively and provide appropriate care while respecting the values and wishes of the patient and her parents.