Legal Ethical Nursing Situation Essay Example | Topics and Well Written Essays - 2000 words

Legal Ethical Nursing Situation - Essay Example (Scott, 2000) Practice sisters in GP group practices who often do the actual disease notification are not the ones to receive the statutory payment. Senior HIV/AIDS discharge co-coordinators (nurses) and research nurses have been employed with part of their job defined in terms which are normally part of the doctor's role. Needless to say, they are paid less than doctors. There is generally a lack of recognition and concern for the dilemmas nurses are faced with in this field. Although the ethical codes of both the medical and nursing professions are not at odds on these matters, the actual practice is. In fact, the nursing code in particular is quite advanced and very clear, but the conflicts and power struggles which still exist between medicine and nursing make it very difficult for nurses-advocates of the patients-to live by the letter and spirit of their code. Not only does the individual nurse suffer in this situation, but any decent nurse is forced into defending the rights of the patient in opposition to the quality of the data collected. This is not an argument against nurses entering the field of epidemiology, but rather an argument for bringing the rights of the individual patient and the public aims of epidemiology and health policy together. Nurses are often in the best position to identify these problems and should be listened to. (De Selincourt, 2000) Literature Review/ Case Study A young woman, Amanda, is pregnant. She attends the antenatal clinic, where a midwife takes her health history and runs a series of tests, such as blood, urine and blood pressure. She is counseled by the midwife on, among other things, the implications of human immuno-deficiency virus (HIV) and of being tested for it. Although the midwife has no reason to believe that Amanda has been exposed to HIV, she offers her an HIV test. Amanda declines, as there seems to be no need for one. She is also aware of the difficulties in obtaining a mortgage if she has this test. The blood sample taken by the midwife is sent to a laboratory for analysis for hemoglobin content, rubella antibodies, and syphilis. At the same time a small amount of blood from this sample is placed in an unnamed test tube which is then sent to a central laboratory to be tested for HIV. The midwife is completely unaware that this has occurred so cannot inform Amanda. The next time that Amanda visits the antenatal clinic the other blood results are returned to her and, as they are normal, she continues with her pregnancy uneventfully. Unknown to her the anonymous blood sample has been tested and found to be HIV antibody positive and this is recorded at the national surveillance centre, where data on HIV and acquired immuno-deficiency syndrome (AIDS) and other infectious diseases are collected. The information accompanying this sample includes Amanda's age range (i.e. between 35 and 40 years), her gender and the geographical origin of the sample. In this case the epidemiologist will not have information about the means by which HIV was contracted. The data will provide information about the trends of HIV among pregnant women who attend antenatal clinics over a five-year period. Amanda's pregnancy

Friedrich List Essay Example | Topics and Well Written Essays - 2500 words

Friedrich List - Essay Example 6). List claims that his theory of â€Å"National System† is based on historical empiricism. Therefore, though he agrees with the Classical School of Economy on the point that global free marketplaces are desirable, he seems to be concerned about the monopolist influence of the strongest economy on the countries of weaker economy. Merely one century after the industrial revolution had began to force the European nations to seek for newer and cheaper sources of raw materials in order to feed their ever booming mills and factories, List foretold the economic imperialism of the technological industry-based economies of the world. Therefore, the prerequisite for a country’s participation in the global free marketplace, as List suggests, is to reach the level of the leading nation. It may seem that List is advocating for such criteria of participation in the global free marketplace, which will mostly impossible for the countries of weaker economies to fulfill. On the surface level, it seems that there must be some nations who will never be able to attain the level of the leading nations. ... Throughout his whole life, List had sought for individuality. This tendency provoked him to adopt his father’s business of tannery. Instead, he joined the post of a clerk in the public service and later he became the under-secretary in a ministerial department in 1816. Subsequently he became a professor of political administration at the University of Tubigen and a deputy to the Wurttemberg Chamber where he strongly raised his voice for administrative reforms (Henderson, 1983, pp. 4-5). His rebellion against the administrative conventions at the Wurttemberg Chamber earned him ten months’ imprisonment in the Jail of Asperg. In 1824, h escaped from the imprisonment and immigrates to America where he gathered experiences as a landholder from farming which inspired him to look deep into the economic infrastructure of a country. Furthermore, he claimed that Alexander Hamilton’s works inspired him a lot to view the economy of a country as a ‘National Systemâ€⠄¢. Indeed, during his stay in Germany, his experience with the arbitrary bureaucratic political system assisted him to perceive the political dimension of economy and the importance of the political system’s role in people economic welfare of the common people who are not directly attached to politics (Henderson, 1983, pp. 13-15). For List, â€Å"the nation is the most important link between the individual and mankind† (â€Å"Frederick List†, 1968, pars. 6). This of concept of List about the indispensability of politics from economy later became realized more by Henry Clay’s â€Å"American System†. During his stay in Pennsylvania in America, he wrote â€Å"Outlines of a New System of Political Economy† and published it 1827. In this pamphlet, he