Reference no: EM133914237

Case Scenario

You are a primary care nurse working in a small community health centre. Many of the clients you see are families with school age children. One part of your role is to facilitate weekly wellness sessions that the centre hosts. This initiative was initially created to help the health centre staff build relationships with the community where historically relationships had been strained. The community began to trust the health centre staff, and you were then able to engage with community members more and offer targeted health teaching. Attendance at these weekly wellness sessions has been a huge success and has strengthened the once strained relationship. Influential members of the community frequently attend, and there has been an overall increase in the number of folks who access annual health screening services offered at the clinic (e.g., Pap smears, blood pressure checks, well-baby care, etc.).

Over the past year and a half, due to various COVID-related closures, the wellness sessions were moved to an online format. This was difficult for both staff and community members. However, with the availability of COVID vaccinations and a safe outdoor venue, the wellness sessions have resumed in person in the park across the street from the health centre. This has allowed people to gather safely, and turnout has been excellent. As one of the primary care nurses, you are very proud of the outreach work you have been able to do at these sessions and in the ongoing relationship-building and trust you have developed with various community members.

In their regular team discussions, the health centre staff recently identified a concern around low vaccination rates and increased incidence of COVID across the community. Given that the wellness sessions are well attended and often include influential community members, these sessions were identified as an excellent place to offer pop-up vaccination clinics in the hopes of increasing overall vaccination rates, particularly in children twelve (12) years of age and older. You arrive at today's wellness session and walk over to greet a group of parents talking off to the side. They turn to you and ask what you think about the vaccine clinics "taking over" the wellness sessions. Many parents seem upset and anxious. One parent steps forward and asks how the health centre can possibly advocate for the use of this new vaccine in anyone. This same parent turns to you and asks, "How can YOU support this practice as a nurse, let alone believe it is appropriate for our children?"

How one would respond to the parent's concern.

1. How can a nurse use persona, Health care and Societal values to add the parent's concern.

2. Using the document titled CNO Practice Standard: Professional Standards, Revised 2002 (2018), select one (1) of the standards (Accountability, Continuing Competence, Ethics, Knowledge, Knowledge Application, Leadership, Relationships), that would influence the nurse's response and give a rationale to support the choice made including two (2) indicators as exemplars.

3. A relational understanding of nursing obligations supports the nurse to discern the most appropriate action in a complex situation. Explain the intrapersonal, interpersonal and contextual factors that influence the nurse's response.

4. Using the 5Cs identity and discussion one strategy that one can use in this situation considering the "commit to work across difference"