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1. Legal and ethical role and Responsibilities of a healthcare system Responding to Domestic Violence against a woman
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The Legal and ethical roles and Responsibilities of a healthcare setting in response to the domestic violence case study that involves Jane are comprehensive. Institutions and healthcare providers have obligations to assure the safety and welfare of their patients, along with adhering to ethical and legal duties. The following determinants indicate the major considerations for this aspect:
Patient Safety
The healthcare system's primary responsibility is to make sure that their patient is protected and safe. In this case, the healthcare providers should consider the immediate threat to her welfare and undertake vital steps to handle any life-threatening injuries (Alhalal, 2020). This involves facilitating proper medical care, including managing her headaches and injury treatment.
Mandatory Reporting
Healthcare professionals sometimes have a legal duty to report domestic violence cases to the authorities. While Jane might not require to report the crime, healthcare providers should carefully consider their obligation to prevent her and any potential harm to her unborn child or to herself. The decision for reporting must be made by consulting with Jane and undertaking the concerns of her best interests and safety.
Support Services and Referrals
The healthcare setting must provide the availability to help services for Jane. This might include referring to organisations that hold expertise in social services agencies, domestic violence, or counselling services (Hegarty et al. 2020). Working with society resources can support and ensure that Jane is facilitated with vital help to address her emotional, social, and safety requirements.
Documentation
Detailed and accurate documentation of the patient's medical history, injuries, and interactions with healthcare providers is significant. This documentation not only facilitates a legal record but also supports the society of care and provides communication among healthcare individuals included in Jane's treatment.
Interdisciplinary Collaboration
Healthcare facilitators must collaborate with other professionals, including psychologists, social workers, and law enforcement agencies, to make sure of a significant response to cases of domestic violence (Sikweyiya et al. 2020). This interdisciplinary attempt facilitates proper interventions, improves patient care, and promotes the well-being and safety of patients.
Education and Training
Healthcare businesses must continue to train and educate their personnel on how to spot, assess, and manage domestic violence incidents. This includes raising healthcare personnel's awareness of available resources, legal requirements, and ethical considerations in order to guarantee that they are sufficiently equipped to respond.
Informed Consent and Confidentiality
Healthcare providers should respect patient autonomy and respect Jane's confidentiality. However, in domestic violence cases, the healthcare setting should balance the obligation to maintain confidentiality with the obligation to protect potential victims and the patient from harm (Rauhaus et al. 2020). Healthcare individuals must engross in honest and open communication with Jane, explaining the impact of Jane's decision not to discuss available support services and report the crime.
In responding to domestic abuse cases like Jane's, the legal and ethical duty of the healthcare system needs a patient-centred strategy that prioritises safety, informed consent, confidentiality, appropriate reporting, and access to support services.
2. Ways a healthcare system may assist in times of life crisis event through the Social Justice Framework
The Social Justice Framework facilitates a lens by which a healthcare setting can handle a life crisis event such as what happened to Jane, who is a victim of domestic violence. This framework puts an emphasis on the principles of fairness, equity, and the pursuit of social change to promote equality and well-being (Vardell & Charbonneau, 2020). The following state several ways through which a healthcare system can help in such circumstances, using the Social Justice Framework:
Education and Awareness
The healthcare setting can promote education and awareness regarding domestic violence among its staff and society as a whole. Training programs can be incorporated to improve understanding of the healthcare professionals regarding the domestic abuse dynamics, its health implications, and accessible resources for support and intervention.
Diversity and Cultural Sensitivity
A socially oriented healthcare system embraces the experiences and diverse backgrounds of its patients (Bright et al. 2020). It thrives to facilitate culturally sensitive care by deploying staff members that reflect the society's diversity and by incorporating practices and identifying and respecting the unique perceptions and requirements of people across different cultural, social, and ethnic backgrounds.
Equitable and Accessible Services
A socially oriented healthcare system makes sure that services are equitable and accessible for all patients, such as those that have experienced domestic abuse. This might involve facilitating significant care that handles social, physical, and emotional aspects of welfare, along with eliminating barriers to access, including financial limitations or language barriers.
Support and Advocacy
The healthcare setting can facilitate an advocate for victims like Jane by actively helping and promoting policies that handle domestic violence, both within the healthcare sector and at a community level (Sharma & Borah, 2020). This can involve societal organisations' collaboration, awareness organisations' participation and advocating for legal prevention for victims.
Trauma-Informed Care
A socially oriented healthcare system identifies the trauma experienced by people who have been domestic violence victims. Incorporating trauma-informed care attempts can support healthcare facilitators generate a supportive and safe environment, declining re-traumatisation and promoting healing. This includes awareness of potential triggers, facilitating proper resources and referrals for trauma-oriented support, and deploying active listening skills.
Collaborative Partnerships
Healthcare systems can develop collaborative relationships with community organisations, shelters, legal services, and law enforcement agencies to provide a comprehensive network of aid for persons facing domestic abuse (Van Gelder et al. 2020). These organisations can ensure a coordinated reaction, share information, and provide victims with holistic care and support if they work together.
Research and Evaluation
A socially equitable healthcare system performs constant study and evaluation to improve its response to domestic abuse (Eisner & Nivette, 2020). This could entail investigating the efficacy of projects, identifying service gaps, and developing evidence-based practices that correspond to social justice objectives.
Adopting the Social Justice Framework allows a healthcare system to play a critical role in aiding persons like Jane who are victims of domestic violence. Through the above-mentioned ways, healthcare systems benefit in breaking the domestic abuse cycle, fostering equality and the welfare of those individuals that are affected by domestic violence.
3. Delineation and critical analysis of the role and responsibilities of the healthcare professionals during the life crisis event
For the roles and responsibilities as healthcare professional during Jane's life crisis event, it is relatable to address the Sendai framework for Disaster Risk Reduction 2015-2030. This framework facilitates a significant approach to disaster risk reduction involving the management of health risks during such life crisis event (Carrington et al. 2021). The following aspects encapsulate how the framework can inform the responsibilities as a healthcare professional in Jane's case:
Understanding and Assessing Risks
The Sendai framework empahsises the vital responsibility is to undertake a significant assessment of the physical and mental well-being of Jane. This involves evaluating Jane's injuries, documenting the findings accurately, and performing a comprehensive medical assessment (Malik & Sanders, 2021). Detailed documentation is important to facilitate an objective record of Jane's condition, which might be crucial for legal purposes, coordination with other professionals, and future care planning.
Integrating Risk Reduction into Healthcare Practices
Another important role is to facilitate interventions and immediate medical care to handle Jane's immediate physical requirements that result from the domestic abuse incident. This can include pain management, wound care, monitoring Jane's crucial signs, and handling potential head injuries. Making sure that Jane's stabilisation and safety are paramount.
Building Resilience and Recovery
Healthcare individuals have an obligation to facilitate counselling and emotional support during Jane's life crisis event (Austin et al. 2021). This involves developing empathetic and safe surroundings, providing proper psychological interventions, actively listening to Jane's experiences, and validating Jane's emotions. This back can support Jane's recovery process from Jane's trauma, build resilience, and cope with emotional distress.
Enhancing Early Warning Systems
The Sendai Framework states the conducting an safety assessment is vital to make sure that the immediate and upcoming welfare of Jane and their unborn child (Grubaugh & Bernard, 2022). As a healthcare professional, it is crucial to collaborate with Jane to examine their danger level, recognise any safety threats, and create a safety plan that might include securing shelter, connecting Jane with proper community resources, as well as informing law enforcement.
Engaging communities
The framework identifies the multidimensional requirements of Jane, it is necessary to refer Jane to proper services and coordinate Jane's care. This might include collaboration with mental health professionals, social workers, legal services, domestic violence counsellors, and substance abuse counsellors to make sure that Jane receives holistic care and help tailored to Jane's specific situations.
Advocacy
Advocacy is a vital responsibility of healthcare individuals in circumstances of domestic abuse. This involves ensuring Jane's rights are respected, acting as a voice for Jane, and advocating for Jane's welfare and safety within the healthcare setting and the wider society (Philip & Cherian, 2020). Advocacy might include liaising with community organisations, legal authorities, and policymakers to handle systemic issues relevant to domestic abuse and help necessary changes.
Monitoring and Evaluation
Healthcare individuals must facilitate follow-up and ongoing monitoring to review Jane's progress, handle any emerging psychological or physical concerns, and adapt the treatment plan accordingly. Regular monitoring appointments facilitate an opportunity to assess Jane's safety plan, evaluate the effectiveness of the interventions, and facilitate ongoing help during the recovery process of Jane.
References
- Alhalal, E. (2020). Nurses' knowledge, attitudes and preparedness to manage women with intimate partner violence. International nursing review, 67(2), 265-274. DOI: 10.1111/inr.12584
- Austin, E. J., Blacker, A., & Kalia, I. (2021). “Watching the tsunami come”: A case study of female healthcare provider experiences during the COVID?19 pandemic. Applied Psychology: Health and Well?Being, 13(4), 781-797. DOI: 10.1111/aphw.12269
- Bright, C. F., Burton, C., & Kosky, M. (2020). Considerations of the impacts of COVID-19 on domestic violence in the United States. Social Sciences & Humanities Open, 2(1), 100069. DOI: 10.1016/j.ssaho.2020.100069
- Carrington, M. A., Ranse, J., & Hammad, K. (2021). The impact of disasters on emergency department resources: review against the Sendai framework for disaster risk reduction 2015–2030. Australasian emergency care, 24(1), 55-60. DOI: 10.1016/j.auec.2020.09.003
- Eisner, M. A. N. U. E. L., & Nivette, A. (2020). Violence and the pandemic. Urgent Questions for Research. HFG Research and Policy in Brief. DOI: 10.1016/S0140-6736(20)30736-4.
- Grubaugh, M., & Bernard, N. (2022). Shaping the nursing profession postpandemic through reconstructed leadership practices. Nursing Administration Quarterly, 46(2), 125-136. DOI: 10.1097/NAQ.0000000000000514
- Hegarty, K., McKibbin, G., Hameed, M., Koziol-McLain, J., Feder, G., Tarzia, L., & Hooker, L. (2020). Health practitioners' readiness to address domestic violence and abuse: a qualitative meta-synthesis. PLoS one, 15(6), e0234067. DOI: 10.1371/journal.pone.0234067
- Malik, A., & Sanders, K. (2021). Managing human resources during a global crisis: A multilevel perspective. British Journal of Management, 10, 1-19. DOI: 10.1111/1467-8551.12484
- Philip, J., & Cherian, V. (2020). Factors affecting the psychological well-being of health care workers during an epidemic: a thematic review. Indian Journal of Psychological Medicine, 42(4), 323-333. DOI: 10.1177/0253717620934095
- Rauhaus, B. M., Sibila, D., & Johnson, A. F. (2020). Addressing the increase of domestic violence and abuse during the COVID-19 pandemic: A need for empathy, care, and social equity in collaborative planning and responses. The American Review of Public Administration, 50(6-7), 668-674. DOI: 10.1177/0275074020942079
- Sharma, A., & Borah, S. B. (2020). Covid-19 and domestic violence: an indirect path to social and economic crisis. Journal of family violence, 1-7. DOI: 10.1007/s10896-020-00188-8
- Sikweyiya, Y., Addo-Lartey, A. A., Alangea, D. O., Dako-Gyeke, P., Chirwa, E. D., Coker-Appiah, D., ... & Jewkes, R. (2020). Patriarchy and gender-inequitable attitudes as drivers of intimate partner violence against women in the central region of Ghana. BMC public health, 20, 1-11. DOI: 10.1186/s12889-020-08825-z
- Van Gelder, N., Peterman, A., Potts, A., O'Donnell, M., Thompson, K., Shah, N., & Oertelt-Prigione, S. (2020). COVID-19: Reducing the risk of infection might increase the risk of intimate partner violence. EClinicalMedicine, 21. DOI: 10.1016/j.eclinm.2020.100348
- Vardell, E., & Charbonneau, D. H. (2020). Applying a health justice framework to examine health and social justice in LIS course offerings. In Roles and responsibilities of libraries in increasing consumer health literacy and reducing health disparities (Vol. 47, pp. 83-100). Emerald Publishing Limited. DOI: 10.1108/S0065-283020200000047004
