Bachelor of Nursing I Assignment

Running head: BACHELOR OF NURSING
BACHELOR OF NURSING
Name of the student:
Name of the university:
Author note:

BACHELOR OF NURSING1
Case scenario 1: Mia Masterson
Ethical and legal issues:
In the clinical setting, nursing professionals are obliged to provide safe and responsive
care to each patient so that legal and ethical duty can be fulfilled. Therefore, a common practice
in this area is to involve in professional practice which can comply with the NMBA code of
ethics such as beneficence, accountability, justice, and non-maleficence
(Nursingmidwiferyboard.gov.au, 2019). The case study highlighted an ethical dilemma between
beneficence and autonomy. While prioritizing the consent of parents of the child regarding
vaccination will enable the nurse to respect the autonomy, not providing vaccination to Mia
according to the standardized medical law will hinder the registered nurse to comply with
nursing ethics beneficence (Baxter, Clothier & Perrett, 2018). Hence, both ethical principle is
required to consider a registered nurse. As the case study highlighted that routine vaccination
was not given to Mia, not providing immunization will breach the Child Protection Act 1999
(Www.legislation.qld.gov.au., 2020).
Legislation and policy that will inform the scope of practice
In Australia, children and young persons (care and protection) act 1988, Child Protection
Act 1999 and Children care and Protection Act 2004 are three acts legislated by state and federal
government of Australia in collaboration with the policymakers for the safety of children
(Aifs.gov.au., 2020). Immunization is considered as one such right of the child and the act
mandate parental involvement in the care process for the child under 14 which will further
inform nurse regarding shared decision making and effective practice. National Health Act 1953
is one such act that provides rights to the children of Australia to receive certain vaccination

BACHELOR OF NURSING2
and Public Health Act 1991 mandate the documentation of health status of each child when they
will seek care (Www.legislation.qld.gov.au., 2020). Apart from these legislations, registered
nurses can use the National Immunization Strategy for Australia 2019–2024 as policy guidance
to inform the decision making (Www.health.gov.au., 2020).
Appropriate action:
The case study highlighted the intense fear of David and fear due to past incidence
experienced by the niece which contributed to false perception regarding immunization. At this
juncture, for altering the belief and involving with the active practice, the appropriate action will
be providing literacy so that ethical issues such as beneficence and autonomy can be resolved
(Forbes et al., 2016). Therefore, nursing professionals are required to communicate through
active listening which can address the concern of the parents and establish a therapeutic
relationship. The health literacy will involve herd immunity, the advantage of immunity and how
it will reduce the harm. It will alter the perception and improve ethical practice.
Holistic family and person-centred care:
In this context, holistic patient and family-centred care will involve providing health
literacy to the parents for altering perception so that children's rights can be protected. The active
professional practice in this area is to respect the autonomy of the parents through informed
consent (Cheng et al., 2015). The vaccination procedure will be conducted after that according to
the Children and Young Persons (Care and Protection) Act 1998 and the National Health Act
1953 (Forbes et al., 2016).