Nursing is the role to provide quality care to the patients and the nurses must abide by the code of conduct to provide quality services. The purpose of the assignment is to discuss a nurse's roles in providing fair and equal treatment to patients. Subsections discuss the nursing practices of Indigenous Australians and to discuss the New Zealand Maori midwives cultural safety practices. While treating the patients, the nurses should give equal treatment and care to all the patients and it is important to maintain the highest moral and maintain the ethical standards (Suhonen, et al, 2018). Within Australia, nurse practice has been guided by the ANMC Code of ethics and it is important to follow the code of conduct, attain the standards of practice and also follow the professional boundaries (Council, 2002). The nurses, when practicing within Australia, have to follow the Australian charter of healthcare rights (ACHR) which are the guiding principles to provide quality care to all the patients. Within New Zealand, it is the Nursing Council of New Zealand that provides opportunities for registered nurses to practice in a diverse range of nursing practice areas and gaining experience with many people (Schmidt, 2018).
Nurses must obligate and provide support of equal treatment to provide better care during the time of stressful human rights protection. The nurses need to obligate and provide professional values and also the ethics code of conduct. The nurses also have to ensure, while providing quality services to the patients, the nurses are not compromising over the specific code of actions. A nurse’s duty is to protect and encourage human rights to be adopted within every practice and setting. Nurses also must obligate within the framework of the ethical obligations, support dignity, equal treatment, and the basic fundamental human rights within the professional nursing practice (Clot-Faybesse et al, 2017).
In accordance with the ANMC code of ethics, nurses need to respect and be respectful for the dignity, worth, attain a unique attribute to provide them equal treatment. The duty of nurses is not to provide discriminatory services, be unethical, and overcome any bias or prejudice. The statement of the codes of conduct is to provide ethical frameworks, hold respect to the patient's decision, take informed consent, and to provide the fair and justice equal treatment (Council, 2002).
Patients/clients are humans and they have certain rights to be obligated with. For nurses practicing in Australia, they should treat and obligate the same code of practices, whether the patients are Indigenous or non- Indigenous. The patients also hold the right to be treated fairly, with dignity and respect, it can be a patient of any age, gender, or be of any background of the ethnic origin, sexual orientation, or the economic status that can hold any belief (or non-believers). The duty of the nurse while providing quality care is to provide the patient with the right care, not to harm, insult, or be engaged in the malpractices that could lead to compromised results and outcomes while treating the patients with different illnesses or disabilities (Carr, 2017). The nurses also encourage the patients to be in their care, to make informed decisions, and to provide the future course of the outcomes. The nurses should also inform the patients of their rights such as whether to accept the treatment or decline the care along with offering the treatment. The nurses are abided by the duties, standards, and the code of practice, to provide the necessary course of treatment while treating the patients. The nurses also have the moral obligations to abide by the framework of the equality, diversity, and rights that can focus on the three elements which the inclusion abiding by taint-discriminatory practice; and even is ensuring to preserve people’s dignity (Carr, 2018). The nurses to gain a better skill set and to ensure they are abiding by the ethical code of conduct also get training.
Cultural safety is the framework to provide effective nursing practices to the person or family who belongs from different cultures as a background from a different person or family. The philosophy, mentions that New Zealand Maori Midwives practices, should avoid any unnecessary violation of the cultural practice and to provide a clear direction on improving one own image and even correcting one own cultural identity for the particular person or family (Golden, 2018). Cultural safety has been segregated into four principles. While the first principle is to improve health status, to focus on the well-being, the second principle is focused on the delivery of health services (Doutrich, 2012). The next is the differences experienced on how to be treated and to accept such differences, and lastly to understand obligations within the health services and to provide better care for the individuals and families (Keckeis, 2020).
As per the principle 1, the cultural safety is the framework to improve the health status along with achieving the wellbeing of New Zealanders that can be applied to every relationship, to attain the better positive health, to achieve the better wellbeing outcomes. The principle is also obligated to accept the beliefs and practices of the other and overcome any differences faced due to the age or generation, experiencing the gender, or the sexual orientation, etc.
The framework of cultural safety also aims to provide the delivery of health services that could help the staff to abide by 1) by accepting the power relationship that exists in between the service provider along with the people in the service. It is the way, through which the health care provider accepts and also works alongside the careful process of the institutional and personal analysis aimed at developing the power relationships; 2) to empower the service users. People also have to express the perceived risk or safety. Such as, if the nurses are feeling the benefits of service that has been intrusive and serious intervention; 3) to prepare in accordance to the health care providers and aim to provide the diversity that can be achieved within the cultural reality and how one can differ from the others 4) by understanding the practice of health care. The practices are the framework to provide the tasks. The nurses also need to experience the strengths in a manner to which the service can define as safe.
To apply the cultural application in the broad sense: 1) to understand the inequalities within health care, including the education, and obligate the employment along with the societal interactions to overcome the inequalities faced due to health, education, and obligating the framework of employment and society; 2) to understand the cause and effect of the relationship as a result of personal experience depending on using the psychological services; 3) to accept the legitimacy of difference and also focus on the diversity in human behavior and on the social structure; 4) to accept the attitudes and belief and to abide by the acts; 5) to abide by the quality improvement in service delivery and abiding by the consumer rights (Lyckhage, 2018).
The principle is to focus on the 1) the impacts faced by the health care that has to bear his/her own culture, have similar experiences due to the history and as the response experienced. 2) challenges faced when determining the power and relationship in health care institutions and to overcome biasedness; 3) to balance the power relationships within the practices of health care and to provide the effective services 4) to prepare the health care providers and to overcome any unnecessary conflict existing in between the culture and abide by the theory of intuitions and practices (Muhawish, 2019).
Social determinants of health are referred to the conditions in which individuals are provided support to born, grow, live, wage, and work. Each health inequality can be due to the socioeconomic status, education, and can be due to the neighborhood, physical environment, employment, due to the social support networks, along with experiencing the inequalities in health care (Lyckhage, 2018). When understanding the differences and inequalities, it is important to understand the social determinants of health which is to improve health and even reduce the differences found in health disparities. The main aim of the health care is to provide the better quality services to health and also overcome any challenge that can lead to the uneven health outcomes that can be due to the many factors, that can be underlying health behaviors, can be a cause to the social and environmental factors and can be due to the health care. As such there would be no differences in contributions to such factors, but majorly distinguishing health behaviors like smoking, diet, exercise, and to provide the social and economic factors which are to achieve the health outcomes and to shaper up the individuals’ health behaviors. Such as, the children who are born to the parents that have attended the high school would be more likely to support the environment to overcome the barriers of safety, exposed garbage along with experiencing the substandard housing. The social determinants are the obligation of the past problems that can determine the current and the future. At every stage of evidence, the stress and the other factors can affect the health across the lifespan, experiencing the environmental factors and can lead to multi-generational impacts. It is important to overcome the health inequality and health disparities that can be a problematic concern in social and economic disadvantages (Keckeis, 2018).
Nurses while understanding the differences existing in between patient’s backgrounds and while treating them, have to obligate the framework of the ethical and just practice of nursing and to provide better sustainable working practices (Keckeis, 2020). The nurses also have to follow the standards of care to provide the professional practices within the environment and rights of nurses that can provide the practice along with the moral context of nursing. Nurses can also strengthen their practices within the environments and overcome any possible negativity over the quality of care. Due to the professional organization, the nurses always have to exercise their nursing values (Keckeis, 2018). And pay close attention to human rights violations. The role of the nurses is also to understand the health inequality due to the social determinants of health and to provide the proper care to the patients, by acknowledging the differences and providing the necessary care which is fair, justice, and equal. Nurses also have to abide by the framework of ethics and promote health policy to increase the quality of care. The concept of equality is applied in the different interpretations and it is also connected with the concept of equity, justice, fairness, along with human rights. The role of the nurses is to ensure, to provide the ideal, equality, and justice all the instances of taking appropriate decisions. The healthcare outcomes when promoting equality, also justify the equal distribution of resources (like PPE or the equipment or any other tools). The nurses should follow the ethical and deontological mandates and it should go beyond good intentions or any unwary thoughts to exercise the principle in practice obligated with the reality of modern health systems.
To conclude, nurses’ initial predisposition is to equate with all the just and to provide fair treatment in an equal manner; but as every individual has a different starting point, it is important to understand the different needs of the patients. The nurses duty is to protect and encourage equality of the patient’s rights to be adopted within every practice and setting. The nurses should not discriminate on the basis of the gender, class or sex, while treating a patient. The nurses should also make the patient know their rights such as whether to accept the treatment or decline the care along with offering the treatment. The nurses also have to understand the different prospects that can render rationing decisions that can be complex and be uncertain. Equality has to be an acceptable practice and should be avoided with any discriminative practices within the rationing of the nursing care rationing, and be provided with the consistent way, despite the unethical issues or facing he complexities.
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