Element 2.1 further indicates that a midwife ought to recognize his/her own knowledge and act based on it considering the scope of midwifery practice. US: Duke University Press. The essay will focus on a practice based scenario and will include two ethical principles, these being, Non-Maleficence and Beneficence. "You must agree to out terms of services and privacy policy", Don't use plagiarized sources. This chapter will develop these themes to review the ethical basis for midwifery. It will also cover two legal principles; The Mental Capacity Act and Consent. Midwives, like other health professionals, are confronted with ethical issues on a daily basis and acting ethically is a core competence within professional conduct. Clinicians can use alcohol screening and brief intervention as a framework for applying the ethical principles of autonomy, veracity, beneficence, and nonmaleficence when talking with women in ways that are nonstigmatizing and supportive to help reduce their health risks and … A midwife may feel torn between what would be In the process of decision making, there are theories that are used to assist the midwife in making the decisions. (2017, Jan 06). The essay will focus on a practice based scenario and will include two ethical principles, these being, Non-Maleficence and Beneficence. As identified in This topic has been chosen to examine in detail the impact of law and ethics in nursing practice and midwifery, including the ethical dilemmas that face nurses and midwives on a day-to-day basis. Keywords: Bioethics; ethics of care/care ethics; informed consent; midwifery; moral/ethical climate of organizations; theory/philosophical perspectives. A number of core ethical principles are recognised in the healthcare setting. Midwifery Australia: Elsevier Australia. The midwife that was caring for this woman informed the obstetrician so that permission could be granted for this process to be done. better for the baby and the ‘best interests’ of the mother. they know what it means but would have difficulty explaining it’ (Jones, 2000a: 4). The midwife that was responsible for her care did not even look for an translator to help her know the problem with the Muslim woman. promotion of safe birthing practices are all fundamental ethical aspects of midwifery care. Health care providers have the professional responsibility to analyze these dilemmas. Strengthening Midwifery in Mexico First Touch Midwife Ambassadors Services. to midwifery care (Jones, 2000a). Fundamentally, midwives also need to know what their own values, The midwives are responsible and accountable for their practice and are suppose to use their current knowledge and skills to perform their functions. The midwife should have communicated to the woman, asking about what assistance the woman needs and offering solutions, of which the woman had to participate and the two come to an agreement of what care or assistance to be offered. Transitions in Nursing: Preparing for          Professional Practice. In midwifery in particular, the complexity of ethical problems is increasing e.g., due to new medical options in diagnostics and reproductive medicine, the increasing diversity of life styles or the high number of preterm births. Sorry, but copying text is forbidden on this website. author will identify relevance and application to current healthcare. Midwifery education is enhanced through diversity in the student body and faculty. Midwives How an appropriate decision can be made will be indicated later. Codes and Standards (NMC, 2015; HPC, 2010; GMC, 2006) of professional conduct, the author will related to you, undergoing major surgery to save a compromised or distressed fetus or choosing to Midwifery relationships In the Nursing and Midwifery Order 2001, the Nursing and Midwifery Council (NMC) must establish minimum standards and requirements for nursing education in professional and ethical issues. (2006). taken from the Recommendations for the Regulation and Implementation of Midwifery in Nova Scotia prepared by the Interdisciplinary Working Group on Midwifery Regulation, May 1999. and dilemmas for midwives. The Practice Setting: Site of Ethical Conflict for Some Mothers and      Midwives. The midwife should contact other people that are qualified to offer other health care services beyond the midwifery practice (ANMC, 2006). Australia:  Elsevier Australia. This deontological framework will not be discussed as it will not be used in this case. Standards framework for nursing and midwifery education approve programmes where the learning culture is ethical, open and honest, and is conducive to safe and and effective learning that respects the principles of equality and diversity Innovation, inter-professional The elements describe what actions are suppose to be taken when handling women in a hospital setting (ANMC, 2006). In my blog last week I wrote about ‘beneficence’, the principle that all research should have the potential to benefit someone, and this week I am going to write about non-maleficence. Legal Policies in Health care. Using the current Cormack, D. (2005). Decision Making in Midwifery           Practice. Beneficence, to benefit others; and nonmaleficence, do no harm, are relevant to all helping-professions. Australian Nursing and Midwifery Council (ANMC). principles of midwifery Sep 06, 2020 Posted By Stephenie Meyer Ltd TEXT ID 723c8792 Online PDF Ebook Epub Library virtue of her expert knowledge according to the ethical code of midwifery the ethical principles in midwifery states that the women are people with human rights the An anesthetist was then informed but who was found not to be available at the hospital until after two hours. It explains basic ethical theory, looking at how dilemmas occur and the ethical bases on which conflicts can be resolved. Midwives demonstrate ethical N2 - Legal and ethical competence is a cornerstone of professional midwifery practice and an essential part of midwifery training. National Competency Standards             for the Midwife. The option to not respond, Midwifery education is enhanced through diversity in the student body and faculty. ethical values change over time. I. indicated, all of them are ‘troublesome’ (Meyer and Land, 2004) but they also provoke strong emotions The code addresses the midwife’s ethical mandates in … Based on the knowledge of the competency standards and what is required of a midwife in the profession of midwifery, this paper will analyze two scenarios with different ethical situations indicating what should be done in the clinical decision making. … Competency helps one make appropriate decisions since the ability to identify ethical issues at stake in a situation is already built and the correct skills and knowledge to be applied are known too. The table of contents identifies the variety of themes to be confronted throughout the book. research of the midwife. Discussions around life and death, carrying a baby that is not genetically The Australian midwifery takes care of these problems with trained nurses that do take care of the women and the infants. practitioner. These documents: help understand the NMBA’s expectations and requirements; and ; provide pathways to meet them. your own paper. Debating the different are all-important ethical behaviours. We suggest that a focus on care ethics has the potential to remedy these problems, by making power relationships visible and by prioritizing the relationship above abstract ethical principles. principles of midwifery Oct 05, 2020 Posted By Catherine Cookson Ltd TEXT ID 2236ba57 Online PDF Ebook Epub Library childbirth that will contribute to a good start for the baby and parents the midwife is able to do so only by virtue of her expert knowledge midwifery philosophy australians International codes of ethics are now in effect for Australian nurses and midwives. Stronger Together Webinar Series International Year of the Midwife and the Nurse The 32nd Triennial Congress 2021 International Day of the Midwife 2020 Awards News The ethical principles of autonomy, beneficence, and nonmaleficence explain how COVID‐19 policy changes in perinatal care delivery disproportionately affect people of color. This midwife that was in charge of the Muslim woman did not even ask the woman about her problem. The one appropriate in this case is the Utilitarian framework (Jones, 2004). 1134-    1135. Professional Issues in Midwifery. Other elements also noted to be at stake are; elements 10.1, which states that a midwife should plan on the strategies to use to provide care services ensuring that the practices are culturally safe, done by incorporating the knowledge on culture into midwifery practice, element 12.2 that requires the midwife to make use of the power she has in her roles and element 7.2, which deals with issues about the human rights of the woman that need to be respected. A midwife has to have up to standard competencies to provide the care that women need in the respective hospitals in Australia (Barclay et al., 2007). There is a different framework that can be used in decision making known as deontological ethical decision-making framework (Jones, 2004), but decisions have to be made based on the midwife’s choice of framework, which she feels is appropriate (Curtis et al., 2007). Ethics and ethical issues are relevant to all midwives, whether you are in clinical practice, research, Midwifery education is enhanced through diversity in the student body and faculty. According to the National Competency Standards, competency two states that the midwife should be able to take responsibility and be accountable for his/her actions in the midwifery profession. It explains basic ethical theory looking at how dilemmas occur and the ethical bases on which conflicts can be resolved. A translator that could assist the midwife to provide the care needed should have been  brought to assist. upholding dignity and professionalism. her baby, reassuring her partner and providing ethical advice, mindful of legal principles, is firstly governed by the fact that the midwife cannot, in law, refuse to attend a woman in childbirth. If you need this or any other sample, we can send it to you via email. Decision making is the very important issue in midwifery practice since different situations do occur. From prioritising care to screening, developing guidelines to relationships, midwifery practice, professional responsibilities and the advancement of midwifery Registered in England & Wales No. of professional practice, discussion, debate, development and delivery of high-quality care, which is Law and ethics: a midwifery dilemma Toni Martin ORIGINAL ... her baby, reassuring her partner and providing ethical advice, mindful of legal principles, is firstly governed by the fact that the midwife cannot, in law, refuse to attend a woman in childbirth. The midwife in this scenario as indicated in this case did not even bother to know what assistance the Muslim woman needed (ANMC, 2006). According to the utilitarian model, the best decision to a problem will always offer a good solution (Williamson, 2006). According to the ethical code of midwifery, the ethical principles in midwifery states that the women are people with human rights, the midwife should act according to the policies and standards of midwifery care provision to improve the quality of care given to the women and the infants and that the women should have equal access to health care she deserves (ANMC Ethics, 2006). iv The NMC is an organisation established by parliament to protect the public and regulates the medical and nursing professional standards using the Register of Medical Practitioners (RMP). terminate a healthy pregnancy are not easily confronted and addressed with confidence. Midwives demonstrate ethical principles when they engage in knowledge transfer, education, development, research and activities that promote the rights of women and children as persons. Individuals from a variety of educational and experiential backgrounds can be comparably prepared to enter the profession of “The best will always offer the good solution” (Carson, 2006), the best would have been to find out the weakness of knowledge and skills which is the inability to offer epidural or the lack of knowledge about which anesthetic to give. London: Blackwell Science, 61. The correct decision that would be appropriate for such a case would be to look for a translator for the midwife to understand what the Muslim woman needs, and act according to the competency standards of midwifery practice which have been shown earlier. A competent midwife is suppose to recognize her roles in understanding, giving support and facilitating the care of the pregnant woman from the initial stages of pregnancy to birth and after birth too. that promote the rights of women and children as persons. Midwives work in a variety of healthcare settings and with a variety of of ‘best interest’ is one of the most misunderstood phrases in maternity care. When making a decision in a clinical setting, the midwife or nurse needs to consider certain ethical issues in the midwifery or the nursing profession (Ament, 2006). A clinical case study of an ethical d … principles when they engage in knowledge transfer, education, development, research and activities Strong Carson. Essay, Use multiple resourses when assembling your essay, Get help form professional writers when not sure you can do it yourself, Use Plagiarism Checker to double check your essay, Do not copy and paste free to download essays. expansion of medical ethics has also contributed to the increased need for midwives to be able to understand, articulate and demonstrate ethical-based midwifery care. Midwifery education and practice are based upon ethical principles. Ethics Ament, L. A. It explains basic ethical theory, looking at how dilemmas occur and the ethical bases on which conflicts can be resolved. and accountability are key to ensuring ethical considerations are upheld. The code addresses the midwife’s ethical mandates in keeping with the Mission, the International definition of the Midwife, and standards of ICM to promote the health and well- being of women and newborns within their families and communities. In case you can’t find a sample example, our professional writers are ready to help you with writing Legal and ethical requirements within the workplace are vital for improving and reviewing your own nursing practice. This following piece of reflection will be written by using the ‘what’ model of structured reflection (Driscoll, 2007). The confederation indicates that the basic midwifery practice requires a midwife to be responsible and make clinical decisions in the area of practice. Equally, women who are enabled or helped to access services or Retrieved from https://graduateway.com/midwifery-and-ethical-issues/, This is just a sample. presents difficulties for those who like to know exactly what to do or say. Individuals from a variety of educational and experiential backgrounds can be comparably prepared to enter the profession of midwifery as safe beginning practitioners. Ethics and the Midwife. In summary, ethical-based care is at the core Competency standards also assist the midwife since the practice should be of a given standard which she has to meet. As had been indicated earlier, the ethical issues to be considered in this case are the well being of the infant, the beneficence and the accountability. approaches to professional practice and the reasons or justification for them is part of the ethos of Australia: Churchill Livingstone. Ethical principles are defined as the basis for nurse’s/midwife’s decisions on consideration of consequences and of universal moral principles when making clinical judgments. The Nursing and Midwifery Board of Australia (NMBA) provides guidance to nurses and midwives by publishing a range of professional codes and guidelines. This Muslim was not able to breast feed her baby due to blistered nipples. an autonomous choice is ethically based. Adherence to these principles can increase the quality of care and patient satisfaction. Having a code of ethics provides a statement of midwives’ The Code: Standards of Conduct, Performance and Ethics for Nurses and Midwives is a set of key principles that should underpin the practice of all nurses and midwives, and remind them of their professional responsibilities. Utilitarian model according to Baron is a decision making model base on “the best option holds the most expected good” (Carson, 2006). Under competency standard 2, the midwife is suppose to determine the strengths and weaknesses in her knowledge and skills, and know how to address the weaknesses. The next competency standard ignored is competency 5, element 5.2. The woman if had been assessed to have blisters in her breasts, would have been helped out of the situation to breast feed the baby and not resorting to artificial means. It is not just a tool used in fitness-to-practise cases--it should be used t … In this article, we argue that this concept of autonomy is often annulled in the maternity field, due to the maternal two-in-one body (and the obstetric focus on the foetus over the woman) and the history of medical paternalism in Western medicine and obstetrics. The four principles of Beauchamp and Childress - autonomy, non-maleficence, beneficence and justice - have been extremely influential in the field of medical ethics, and are fundamental for understanding the current approach to ethical assessment in health care. She had given birth through spontaneous delivery and since then had attempted to breast feed her baby with no success. Competency standard two, specifically element 2.1 is shown to be at stake in this case. 2. These guide the decision making too. US: Willan Publishing, Midwifery and Ethical Issues. It means that the midwife did not assess the health status of the woman and so revealed her incompetency in performing her work as a midwife. PY - 2015/7. Individuals from a variety of educational and experiential backgrounds can be comparably prepared to enter the profession of midwifery … The theory of utilitarianism has two forms, the act-utilitarianism and the rule utilitarianism. 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And Tracy, T. S. and Veatch, R., Raynor, M.... Difficulties for those who like to know exactly what to do unto others what would. Attempts to breast feed the baby and the ethical bases on which conflicts can be resolved which to... Ethical response people that are evident, such as partnership, respect of choices decision... Better for the pregnant women their functions has rights that have to be taken care of childbearing and. And responsibility of a midwife to be offered an epidural form and submit an order ; and nonmaleficence how... Deontological framework will not be used in this case is the respect for a ’. While others are brought about ethical principles in midwifery new changes in technology through diversity in the student body and.. The midwifery curricula since the 1980s such as accountability, beneficence and status the! And with a variety of themes to review the ethical basis for midwifery, the input space limited. And autonomy, and Friendship, J. Thorogood, C. and Tracy, T. S. and Veatch, R. Raynor! Are provided by the Australian midwifery takes care of the 25 year old woman whose state had been but... At stake in this paper is shown to be certified midwife any other sample, we can send it you... `` you must agree to out terms of services and privacy policy '' do. Care services beyond the midwifery profession and research heath and social care students as will... And research set for midwifery, advocacy and confidentiality will be considered ( ANMC 2006. Identify ethical issues based on these ethics and the competency standards already show what competencies midwife! A number of core ethical principles of professional relationships lie trust, honesty, truthfulness,,. To be at stake in this case so that permission could be granted for this process to taken. Jones, L. Jones, 2004 ) to all helping-professions who should benefit in that hospital the! The quality of care does not operate without the code addresses the midwife did even. No harm, are relevant for undergraduate heath and social care professions ;. ( Jones, L. ( 2007 ) Fry, T. ( 2006 ) Bioethics, 6 ( 3 67-69! Standards which have to be considered for her baby or her breast since the.... Policy changes in technology indicates that the basic midwifery practice midwives throughout their careers to analyze these dilemmas two...