Addressing Macro Perspectives Of Societal Influences In
Relation To Teenage Pregnancy By The Professional Through The Nursing Profession Essay, Research Paper
ADDRESSING MACRO PRESPECTIVES OF SOCIETIAL INFLUENCES IN RELATION TO TEENAGE PREGNANCY BY THE PROFESSIONAL THROUGH THE NURSING PROFESSION
? As your actions are informed by your consciousness of values, your thought and your thoughts are shaped and changed by your experiences with those actions ( Chinn, 1995, P. 3 ) . ?
As a nursing professional, turn toing the cause and non the symptoms of social concerns in relation to teenage gestation would be the ideal. In order for a profession to arouse passage in this or any aggregative, it is of import for that profession to correlate those macro positions, which influence hapless life style picks and how these picks may be approached in a wellness publicity position. It is the purpose of this thesis to associate current statistical information, some social factors involved in the increased Numberss of teenage gestation, and the nursing deductions to this issue.
Despite instruction about birth control and the negative intensions in respects to reproduction in the stripling, the figure of adolescent gestations in the United States are really important. Harmonizing to the National Campaign to Prevent Teenage Pregnancy that about one million teenage misss between the ages of 15 and 19 get pregnant each twelvemonth in the
United States and that about 80 per centum ( 80 % ) of these gestations are to single teens. Move than one half of adolescent gestations end in birth and fewer teens choose abortion or acceptance. In the United States, adolescent gestations contribute to at least $ 7 billion in cost and the United States is ranked as holding the highest rate of adolescent gestation in the industrialised universe ( 1998 ) .
It has been noted that the educational success is significantly restrained by teenage gestation for both the adolescent and her kid. Jane Manlove states that less than tierce of teens that begin households before the age of 18 of all time complete high school and about 50 per centum ( 50 % ) of adolescent female parents that had quit school did so before going pregnant and the other half dropped out after going pregnant. Children of adolescent parents frequently do worse in school and are 50 per centum ( 50 % ) more likely to reiterate a class ( 1998 ) .
With these statistics, the nursing professional turn toing a macro position to the issue would necessitate to look at what are some of the influences, which increase teenage gestation, specifically social parts. Harmonizing to Nola Pender that wellness publicity involves schemes related to an single life style and personal picks made in a societal context that have a strong influence over one? s ain wellness outlooks ( 1996 ) . Keeping this ideal in head and looking at
some countries which may be addressed are the higher Numberss of teenage gestation linked to deficiency of instruction, self esteem uncertainnesss, deficiency of entree to the wellness attention bringing system, relationships force per unit areas, and entree to medical ejections of unwanted gestations.
Looking at schemes to better deficiency of instruction foremost, nurses should acquire involved in the political sphere to develop and promote referendums in legislative policies to acquire the needful instruction to the mark population. This should be accomplished at the local, province, and national degrees to embrace that macro position. Nursing professionals must keep that professional position by showing themselves as an advocator for those sums in order to be recognized as an entity in support of their demands.
School nursing is another locale where the community needs should be assessed and addressed. Harmonizing to Jennifer Frost and Jacqueline Darroch that school based plans geared towards the sexual instruction of teens provide a natural research lab for efforts to alter adolescent behavior and attempts to document alteration. Students are a confined audience for the intercession and can normally be re-interviewed one or more old ages after the intercession without excessively much trouble ( 1995 ) . This research
country may supply valuable information, which may be passed on to verify the demand for this sum.
The 2nd social influence to be addressed pertains to that of self-esteem uncertainnesss. Many immature females have reported the principles behind their gestations at such a immature age to be related to a deficiency of self-pride. Lack of self-pride have been related to feeling of being unloved by household members or important others, lower status composites, misconstruing the female/male teenage function related to parentage, and a agency of being in control of fortunes they have non been able to command in their ain lives.
In a survey conducted by Cynthia Connelly, she determined that low self-esteem factors were present prior to gestation and one time the adolescent became pregnant, self-esteem was heightened ( 1998 ) . Although this survey was limited to obtaining informations during the gestational period of the sample group, it indicates an country in which the nursing professional may develop appropriate and effectual curative intercessions. Lois Bolden and Barbara Williams found in a survey of a measuring of self-pride in pregnant adolescents that consideration of the self-pride of pregnant adolescents will heighten the nurses & # 8217 ; appraisal and intercession with this vulnerable population ( 1995 ) . Nursing demands to convey approximately more research to find
what specific intercessions provide the best consequences to turn to the social influences on these self-esteem considerations, every bit good as the familial deduction, which impress adolescents in determination devising.
Third, when pur
actioning the nursing deductions which apply to the deficiency of entree to the health care bringing system, the political sphere is an effectual agencies to raise alterations in the organisations which direct and govern the handiness to specific sums. Harmonizing to Ellen-Marie Whelan that community-based nursing can maximise primary attention and that deficiency of entree to healthcare usage fewer wellness services and have worse wellness results ( 1995 ) . School nursing, household planning centres, and advanced nurse practicians may garner information to back up the demand of this sum. Nursing research could assist to act upon where the community has a demand for an addition in health care installations, organisations, and/or support.
Forth, the issue of relationship force per unit areas may besides be looked at from a nursing position. The passage from stripling to grownup is seeking to state the least and with small or no information to warrant the feelings during this developmental phase, function confusion is extremely likely. The male desires to be a adult male and all that this entails, and visas versa for the female. Sandra Hewell and Janet Andrews province that
striplings? trouble in determination devising and be given to hold a personal fabrication that protects them from negative events. This fable interferes with the stripling? s ability to believe in the long term and avoid hazardous behavior ( 1996 ) .
Geting out into the community to show information related to instruction would be ideal for the nursing professional. Again, school nurses should do themselves accessible to this age group to hold their demands met. Healthcare organisations can be made cognizant of the demand in communities to turn to these factors and to promote wellness publicity and bar at all developmental age degrees.
Finally, the issue of medical intervention in respect to unwanted teenage gestations is a het subject and there are two basic positions, that is: for or against. But one should see adolescent gestation on the macro degree. For the nursing professional, this means persons should understand that this peculiar subject is a symptom to a much greater status, and that being adolescent gestation. Persons need to understand the social influences, which have created the gestation in the first topographic point, that being many of the same issues antecedently addressed ( i.e. deficiency of instruction, self-esteem uncertainnesss, deficiency of entree to the health care bringing system, and relationship force per unit areas ) .
In decision, with the big statistical Numberss indicating to teenage gestation, the nursing professional could do an impact by turn toing those social influences at the macro degree. Harmonizing to Ann Tomey and Martha Alligood that nursing in Betty Newman? s systems theoretical account is concerned with the whole individual, intending all the variables impacting an persons response to emphasize and that the health professional every bit good as the client? s perceptual experience must be assessed ( 1998 ) . One should maintain in head the end of Healthy People 2000/2010 and develop a agency to advance wellness life style for teens, every bit good as the persons who have entree to the health care system through acute/chronic wellness changes. Adolescents are an aggregative non to be forgotten by the nursing professional and there are many spheres in which adolescents demands may be turn toing. Promote instruction in the places, in the schools, in the communities, in the authorities, and in the health care system. Make non be soundless.
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