The Ethical Implications Of Providing Contraception For Minors From A Nurse Practitioner Perspective

In the United States, twenty six states allow minors, defined as children twelve and older, to consent to contraceptive services; Michigan allows some minors, such as those who are married or have previously been pregnant, to consent; four states have no standing laws or policy (“An Overview” 1-2). The contraceptive access also varies across the country. Some states require comprehensive sexual education and for teens to be able to access contraceptives. Some lean more towards abstinence only education in the hopes teens will steer away from sexual activities. There are also scattered clinics where teens can receive birth control. For many parents, this term conjures up images of teenage sex or pregnancy, which can cause them to ignore its

Healthcare professionals are faced with a multitude of ethical and legal conundrums. Since the introduction of birth control in American history, healthcare professionals have been put in situations to either follow their own moral and ethical beliefs, or choose to follow the law and give healthcare services to those who seek it. A large constituent to the disapproval of contraceptives other than natural family planning, is health professional’s religious beliefs. In addition, Adolescent females who need contraceptives are less likely to seek access to health care providers for these contraceptives in fear of personal information due to their age being released. Through the research provided, cases of pharmacist denial of prescribed or over the counter contraceptives to women have been the majority of conflict in this nation and in others.

There is a growing trend where physicians are choosing different specialties instead of choosing primary care, primarily due to the low reimbursement rate in primary care. According to Iglehart (2014),” the Association of American Medical Colleges (AAMC) still projects a shortage of 130,000 physicians by 2025, split almost equally between primary and specialty care” (para. 1). With this decline comes an answer, an increase in the number of nurse practitioners providing patient care, reported 154,00 in 2012 and growing every year (Iglehart, 2014). This increase in nurse practitioners’ helps fill that gap, allow greater health care access to the community, especially special populations. By gaining access to healthcare were a nurse practitioner is the provider not only with the special population have high quality affordable health care, a trusting long lasting relationship will develop. This relationship will break the barriers of; lack of trust, lack of health care education and discrimination. Nursing is a trusted profession that provides education and care that no other health care professional

As we see in the world today many teens are becoming mothers before they finish high school or before they turn 18. Although some teens are on birth control already many are not because they are afraid to tell their parents which may lead to their parents thinking they are sexually active. Moreover, teens usually find themselves in a professional clinic trying to seek different options of birth control but they are derailed by having parental consent or notification. Many clinics have a policy were teen needs to have parental consent to receive birth control. Many parents feel that teens should be able to make the choice by themselves if they are having sex or just being careful. But the one question many parents are unable to agree upon

A 16-year-old girl visits a birth control clinic and asks to be put on the pill. Since she is a minor, the clinic doctor who writes the prescription for her notifies her parents of the action. As of the year 2016, there are only 26 states that allow minors to obtain contraceptives without parental consent. There are 20 states that allow certain minors to obtain contraceptives without parental consent and those include minors that are married or who have already been pregnant. Four states have no laws on parental consent (Gutimacher Institute, 2016). This ethical controversy leaves room for an open interruption of whether or not minors should need parental consent to gain access to birth control, to apply ethical reasoning to this controversy one must examine the ethical principles of utilitarianism, rights-based, duty-based, justice based, and virtue-based ethics.

As of recently, the approval of the emergency contraceptive Plan B, for the use of girls as young as fifteen years old has stirred up quite some controversy (Belluck, 2013). Those who oppose it cite the diminishing moral values that this would impose on an already increasingly secular society. These individuals believe that having access to such a powerful substance would encourage young girls to engage in sexual promiscuity without any fear of repercussion (Belluck, 2013). However, proponents of this new law argue that giving full access to fifteen year old girls would discourage them from becoming pregnant at such an early age and gives them the opportunity to make wise decisions about their bodies. Aside from the two strongly opposing sides to this dilemma, the actual nature of the dilemma stems from the ease with which these young girls would be able to access the emergency contraceptive drug. Before the new law came into place, the emergency contraceptive was only available through the prescription of a doctor and could only be accessed through a pharmacist (Aleccia, 2013). With the new law, anyone fifteen or older would be able to access and purchase the drug over-the-counter. Granting such access to girls who may at times not be fully aware of the consequences of their actions is the nature of the dilemma.

Every individual in the world deserves to enjoy health and wellness. Maintaining or achieving proper health needs enables individuals to be productive at work and leisure. Traditionally, many people have had barriers obtaining adequate healthcare due to economic constraints or personal inconveniences. Despite impressive technological advances in medicine, the challenge of delivering quality healthcare to the Americans continues to be debated amongst the nation’s political and healthcare leaders. The aging baby-boomers and the increased number of uninsured people add to the equation of population growth which results in limited access to primary healthcare for the entire public. On the

There is an increasing demand for nurse practitioners, which makes this a crucial period in the development of their practice and profession. Nurse practitioners must face increased opportunity and continuing opposition towards independent practice all while defining their role in health care delivery and establishing their connections. The practice of nurse practitioners still varies widely across the states. These inconsistencies make it difficult for nurse practitioners as well as patients when practice

Imagine siting in a doctor’s office with your mom and the doctor comes in and ask “are you sexually active”? It’s a question every girl hates and a nightmare, now you’re asked if you want birth control you want to say yes to be safe but your mom says no, this happened to me my mom made the choice for me and I became pregnant. Some parents know that their child is responsible enough to make their own decision, so if teens are making the decision to have sex without consent it should be the same when it comes to protecting themselves. Teens should have access to birth control without a parent consent because they have human rights, they need to be safe from pregnancy and other life changing decisions.

Parents must be included in their children’s decisions because parents can influence their children in a significant way. For instance, parental consent laws reduce the minor abortion rate by 19 percent (qtd. in Davis). “A 2008 study done by Michael J. New, Ph.D. shows that parental involvement laws reduce the abortion rate among 17 years old by 18.3 percent, among 16 years old by 14.3 percent, and among 15 years old by 8.6 percent” (qtd. in Davis). These statistics show that the states that require parental involvement laws the abortion rates decline greatly. Sometimes, teens want to have an abortion because they are afraid of their parents. However, if the law requires minors to inform their parents about their pregnancy and the possibility of an abortion, their parents will be able to help them. If a teen does not inform her parents about her being pregnant, this teen will never know if her parents would have been supportive and guide her through this difficult process.

The role that nurse practitioner (NP) plays within the increasing complex health care system is a constant changing role with the Consensus Model and the introduction of the Affordable Care Act in 2010. The scope of the nurse practitioner (NP) includes the care of the young, the old, the sick and the well. The educational needs of a nurse practitioner vary greatly from that of a Registered Nurse (RN), in the amount of education as well as the focus of the education. NPs provide coordinated primary care with the use of comprehensive health histories and physical examinations, diagnosing and treating acute and chronic illnesses, the management of medications and therapies, ordering and interpreting tests results, and educating and

Within the pro-choice world there are many issues that are discussed like abortion, the instant where life begins and the use of contraceptives. This article will focus on not only the issue of using of contraceptives, but specifically the distribution of oral contraceptives (“the pill”) to teenage girls without their parent’s consent.

Taking a stance on women’s right and allowing the privilege of freedom or control of our own bodies has been a tough battle for a long period. Let’s consider the fact that with the generation of today’s socio-economic level teens are far more advanced with technology, driving, media, as well as within the work force. The implementation of birth control has already taken in stances educationally. For instance, in middle school and junior high curriculum is the sexually education and home economic courses. The courses provide teens with knowledge of encounters with sex, pregnancy, as well as birth control. Thus, stating introducing teens to emergency contraceptives such as plan b would not be considered non-age appropriate. Plan B is an emergency

Today, sexually active teenagers can get contraceptives to protect themselves from unplanned pregnancies or sexual diseases without a parent’s permission. In some states federal lawmakers have taken away the ability for teens to protect themselves, they want to prevent sexually active teenagers from getting birth control and condoms unless they get parents permission. Preventing teens from getting contraceptives unless they tell a parent will not stop them from having sex. It will drive them away from the services they need to protect themselves, leading to higher rates of unplanned pregnancies and sexually transmitted diseases

Although it is not currently required for minors to have parental consent to access birth control, some states, such as Maryland and Florida, have begun introducing legislation that would alter these circumstances. In context of a legal lens, a minor should be able to access birth control without parental consent, beginning at the age of sixteen, due to the implications of personal sovereignty, particularly in UN charters and declarations, current laws regarding parental and minor consent in medical procedures, and the legal definition of the capability of consent.