Michael was working as a Registered Nurse when a vaginal examination of a female Aboriginal patient was required. While Michael explained to the woman why the examination was required, he did not ask the woman if she was comfortable with him doing the examination.
The woman was uncomfortable with Michael doing the examination; however she felt that she had no choice. Following this incident, the woman’s family made a complaint to the facility manager about Michael doing the examination, stating that he had not taken her personal and/or cultural considerationsinto account. The facility manager used the NMBA code of conduct to review Michael’s conduct and provided him with direction on providing culturally safe and appropriate care.
While Michael believed that he was providing safe and respectful care for his patient, his conduct fell below that expected in the Code of Conduct for nurses, particularly in that he had made assumptions about what was culturally safe and respectful for his patient, without including the patient in the decision-making about her care.
This case study is based on a case from the Nursing and Midwifery Board of Australia website (NMBA, 2018, www.nursingmidwiferyboard.gov.au)
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