Health and Social Care

Joe s a registered nurse. He works in an acute medical ward in NHS trust since he qualified a year ago. He works regularly with Annabel, a junior sister, and considers her to be a friend. A month ago, Joe noticed that Annabel had begun to treat everyone in an off-hand way. Joe did not mind for himself but began to worry about the effect on patients. Joe heard Annabel shout at some patients and then one day he found out that Annabel was sedating a confused elderly patient with a history of dementia without a prescription. Joe tried to speak to Joan but Annabel’s only response was that the doctor would prescribe it soon anyway and that she was just giving everyone a bit of peace. A few nights later when this patient got out of bed talking loudly and obviously in a state of confusion, Joe saw Annabel pushing her aggressively back to her bed. She pulled the curtains around the bed, and Joe then heard screams followed by moaning sounds from the patient. The following day one of the doctors that Joe knew from the MDT meeting was visiting the ward and Joe mentioned to him that he was worried that a colleague was being brusque and impatient with patients. The doctor said Joe should report it and told him he could get confidential advice from his trade union or Protect* (https://protect-advice.org.uk/advice-line/). At first, Joe was unsure whether he could talk to his manager, who was very friendly with Annabel and was worried about what would happen if his concerns were unfounded and if other colleagues took sides against him. He liked working there and hoped to stay on the ward for a couple of years. He was concerned to be singled out and be forced to leave his job. After much contemplation, Joe eventually managed to take the right course of action ’’. Question: Consider the current NMC Code 2018, relevant legislation( example- the care Act 2014 and mental capacity Act 2005) policies and guidelines, ethical principles and identify, discuss and analyze the appropriateness of behaviors of the nurses involved in the scenario. Assess using the below questions. 1. Integrate nursing professional values, responsibilities, and accountability during clinical decision making with colleagues and to support individuals’ autonomy and dignity 2. Analyse safe culturally congruent care in relation to moral, ethical, legal, policies, and professional standards using current evidence. 3. Demonstrate the knowledge, skills, and attitudes required to support/lead others confidently and articulate nursing issues within the MDT( multi-disciplinary team) and the public 4. Analyse how existing health and social policies influence resources that impact the delivery of patient care 5. Compare and contrast how legal frameworks, local and national policies identify vulnerable patients within health and social care environments to prevent risks of harm to safeguard them 6. Analyze models designed to identify and support staff develops self-awareness, resilience, self-well-being, and management in their role. You can use these resources Please Harvard referencing. https://improvement.nhs.uk/documents/2169/stakeholder-analysis.pdf https://www.england.nhs.uk/wp-content/uploads/2017/03/ccb-barometer-rep-guide.pdf https://www.hee.nhs.uk/about/our-values/nhs-constitutional-values-hub-0 https://www.nmc.org.uk/standards/code/ https://www.england.nhs.uk/wp-content/uploads/2017/02/adult-pocket-guide.pdf https://protect-advice.org.uk/advice-line/

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