By Karen Cleaver, Janet Webb

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The more likely scenario is that a young person or parent may give expression to their beliefs by refusing to receive care from staff in the groups they hold negative views about, for example, refusing to be cared for by a male nurse, or a black nurse.

This implies that the children’s nurse has the special skills required to nurse children. This is reinforced by the NMC (2005) who state that by virtue of the common foundation programme nurses will have knowledge and skills transferable to a range of care situations and that outside their branch specialism they may ‘act as a care giver, under the supervision of a suitably qualified nurse’. 22 Chapter 3 However, not all emergency departments abide by this recommendation. In a study of all the accident and emergency and minor injuries departments in one UK region it was found that only 18% confirmed that a children’s nurse was on duty all the time (Playfor 2000).

In the case of a non-competent child, this should always be done. The school nurse, or health visitor in the case of pre-school children, also needs to be aware that the vaccine was not administered in case the parents fail to bring the child back and follow-up in the community is needed. Article 9: the right to freedom of thought Related ethical and legal issues: • • Refusal of treatment Spiritual care. Everyone has the right to freedom of thought, conscience and religion; this right includes freedom to change his religion or belief, and freedom, either alone or in community with others and in public or in private, to manifest his religion or belief, in worship, teaching, practice and observance.

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