Question

Select a current example of a population that is oppressed by life experiences or factors in the environment. Here are some populations from which to choose: Children caught in abusive homes

4. How does the Code of Ethics guide the nurse in mobilizing forces to address this social issue?

Answer 1

Nurses must always stress human rights protection and uphold the values and ethics of the profession. All nurses advocate for human rights of patients, colleagues, and communities.

Nurses are in a unique and valuable position to identify abuse, neglect and families who are at risk for

abuse or neglect. Children who have been harmed or who are at risk for harm are most frequently

recognized by professionals who come into close or regular contact with children outside the family

setting, and nurses frequently occupy such positions.

The most common source of abuse reports is the public school. School nurses and teachers

recognize clinical and behavioral changes that could signify problems for the child. When abuse and

trauma occur, most families eventually will seek medical assistance. Nurses in emergency rooms and

other clinic settings are in positions to see evidence of trauma that is distinguishable from accidental injury.

Consider the nature of the injury, the caretaker’s

explanation, the child’s developmental level, and evidence of other injuries (past or present) before determining if there is a basis for suspicion. Document all findings in the child’s medical record in a

factual and objective way.

Your facility has procedures for reporting suspected abuse. If you do not make the report directly,

make sure someone has reported and do not be talked out of your “reasonable suspicion of abuse.”

Report it.

The reporting process starts with a phone call to the police or to CPS. Mandated reporters must use

special forms to report suspected child abuse to the referral agency.

Professional medical personnel may need to submit additional documentation in cases of child abuse.

These special documents provide agencies with detailed medical information. Physicians or

practitioners who conduct medical examinations for evidence of sexual assault also have additional

documentation to complete, wherein the patient consents to be examined.