Introduction were on previously), and go onto a child


Within this document, I shall be discussing
the professional values that underpin nursing practice, I shall be
demonstrating my knowledge of the role of nursing during physically being
within that environment and be explaining the importance of family centered
care.  I will be using the department of
health 6c’s and applying them to the care I saw that was provided by myself,
and provided by my mentor and evaluating us both and other professionals that I
was around whilst caring for the children in my specific case.

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The 6c’s include, care, compassion,
competence, communication, courage and commitment. The 6c’s were made through
the compassion in practice. The 6cs are used in many different health
professions such as, nursing, midwifery etc. within my placement, I went to a
child protection conference and I feel that the 6c’s will best be used for this
because, simply put, the different health professions were not focusing on
helping the children. I will expand more on this further within the document.

All the 6cs are all equally important and
crucial to be able for health professionals to provide person centered care,
and they use the 6cs to ensure that the care provided, is the best that nurses
can provide. I personally feel that bringing out the 6cs, showed that some
health professionals are not doing their job, and the 6cs should be second
nature to them. They should have had to bring out the 6cs since that should be
health professionals nature to ensure that they meet those 6cs.

Within this case study that I shall be
discussing, no real names shall be used, they will be changed, or I will
identify the individuals in a different way e.g. ages etc. this is also in line
with the NMC code “Respect people’s right to privacy and confidentiality.” (Council, 2015)

My case study is, myself and my mentor
attended a child protection conference with other health professionals, for two
young girls, one with the age of 9 and the other with the age of 3. The reason
for that meeting was to decide if the children should come off a child in need
program (which they were on previously), and go onto a child protection
program. The reason was because, they have a mother who is addicted to alcohol
and who is abusing the two girls physically and mentally.

Main body

The 6c’s were first introduced due to many
high cases from individuals stating that, the quality of care within England
was concerning and that Health professionals were lacking within certain areas
such as, care. So, the department of health came up with a new strategy, and
claimed it as the “compassion in practice”. This strategy had included the 6Cs,
and was finalized and released completely within 2016. “the 6Cs are a set of
values for all health and social care staff.” (Lesley Baillie, 2017)

care, compassion and competence

Care is the center of the health
professional organizations, and the care that we provide to individuals even as
practice nurses does help the individual, and help improve the community’s
health also. Care defines nurses and defines their work. Treating them well and
with respect etc.

Compassion relates on how we provide our
care through relationships, based on empathy, dignity and respect, and can also
be seen on how individuals perceive their care.

Competence relates to all individuals in
health caring roles need to understand a person’s health and social needs, to
be able to deliver the best care and treatments based on evidence and research.

The NMC code also states that healthcare
professionals must, prioritise people, practice effectively, preserve safety,
promote professionalism and trust. (Council, 2015)

When observing the individuals that
attended the child protection conference, how they provided care, compassion
and competence, I was rather shocked by what I observed, the social worker and
police officer, I didn’t see them try to provide any kind of care or compassion
for the two vulnerable young girls suffering from their mother.

These two professionals, they were just
focusing on the mother and how to help for her addictions and help her, but
they did not focus on the children, who need the most care of all. the mother
has been into prison a good three times, and the older girl has contacted
police many times, claiming “when mummy is drunk she locks me and my sister in
the cupboard with the lights off.” Its stated within the UNICEF legal framework
that “Children must not be separated from their parents against their will
unless it is in their best interests (for example, if a parent is hurting or
neglecting a child). Children whose parents have separated have the right to
stay in contact with both parents, unless this could cause them harm.” (UNICEF)

These professionals know that if nothing
changes, that both the young girls will have health problems, one professional
claimed that the older girl is already beginning to harm herself, and the
younger is already beginning to think that what is happening to her is normal,
even thought it is not. They did not have any competence in relation to this
case, its clear that the girls need support on their health, but no one is
doing anything for them.

The only individuals that I saw were trying
their best to try and support the children were my mentor and the children’s
teachers, they did their absolute best to try and help the children, they put
the best interests of the child first, they also followed article three of
UNICEF classed as the best interests of the child, “The best interests of the
child must be a top priority in all decisions and actions that affect
children.” (UNICEF)  My mentor also followed effectively within the
NMC code to preserve safety. “Act without delay if you believe that there is a
risk to patient safety or public protection” (NMC, 2015)

The 6Cs are also crucial for family
centered care, for family centered care to work, the 6Cs are used by health
care professionals to be able to work with different families to be able to
provide the best family centered care, the health professionals must be caring
to the family, compassionate, competent, must be committed to helping the
family, have courage to brig us serious issues and be able to communicate well
with the family, with both adults and children alike.

In the core of family Centered Care is the
understanding that the young persons family provides a source of strength and
support, while ensuring that its in the child’s best interests. Family can be
anyone who is important to the child, and must see the changing of structure of
families in society. (Alan Glasper, 2015)

Although there are some barriers to
effective family centered care such as, the two young girls in my case study,
going through such traumatic events and other children going through similar
situations “Childhood trauma has been associated with mental and physical
health problems throughout life, including conditions such as asthma, attention
deficit problems, and obesity, as well as developmental, behavioral, and social
delays.” (NICE) that’s why its
crucial to be able to identify situations like these to be able to provide the
best family centered care.

commitment, courage and communication

Commitment relates to committing to
patients and populations is a cornerstone on what health professionals do.
Nurses and other specific health professionals must build on the commitment to
be able to improve the care and experience of the patients, to be able to give
them an image and vison for all the social care challenges ahead. (NHS)

Courage enables us to be able to do the
correct thing for individuals we provide care to, we encourage individuals
(patient or employee) to speak up when they are concerned about something, and
for them to have the personal strength and vision to embrace new ways of
working. (Cummings)

Communication is the main part to be able
to provide successful caring relationships and to be able to work effectively
within a team environment. Listening is crucial and is possibly the main key to
a good workplace environment, with benefits for patients and staff alike. (Cummings)

When applying commitment, courage and
communication to my case study there was couple of individuals that I feel did
not follow these, or even tried to follow them. Such as, during the conference,
with the different professionals, not all of them were listening to each other
regarding communication and courage. For example, my mentor was trying to build
up courage to be able to ask about what will occur with the children if nothing
changes, however, no one cared to listen or answer her, even though communication
is crucial for effective care especially in children and family centered care. In
the RCN (royal college of nursing) principles of nursing practice “Nurses and
nursing staff are at the heart of the communication process: they assess,
record and report on treatment and care, handle information sensitively and
confidentially, deal with complaints effectively, and are conscientious in
reporting the things they are concerned about.” (RCN) (Alan Glasper, 2015)

Relating to commitment, it was clear that
there were some people who claimed they were committed to help support the
children, they appeared to do something else and try to help support the
mother. They claimed they wanted to help the girls, but it was clear that they
only focused on the mother. On the other hand, my mentor and the other health
professionals kept on focusing on the main concern and that was the children,
and trying to find the best way to help them.

There is a theory that I believe if used
effectively, will be able to help the two young girls in my case and help the
health professionals provide effective nursing care. This is the comfort theory
and was developed by Katherine Kolcaba in the 1990s. I feel this is best linked
with my case because, what these two girls have experienced, they haven’t had
much comfort with their mother just fear, so I think this would be the best for
nurses and other family members to use with these girls because, this is
something that is crucially needed by every individuals and if they have gone
through neglect, and abuse from their mother, then they will crucially need
some sort of comfort.

Comfort is the experience of being
strengthened by having needs for relief, ease and transcendence. Relief is the
state of having a certain comfort need met, ease is the state of calm or
contentment and transcendence is the state which and individual can rise above
problems of pain. Any aspect of the patient, family or other surroundings that can
be manipulated by a nurse, or even loved ones to enhance comfort. (Kolcaba, 2011)

The two young girls would have probably
tried many times with their mother, but it may not have worked well, so then
health care professionals, would be able to identify comfort needs for these
girls, come up with specific comfort measures and assets outcomes to support
enhanced comfort. If these girls have individuals follow the comfort theory,
and provide the girls with comfort then I’m sure they would feel if anything
much more relieved, from being deprived of these essential stimuli when they
were younger.


In conclusion, after reflecting on my case
study and looking at different aspects on the situation, I can see that during
the conference, when some professionals were not agreeing or communicating with
each other, I understand now that there will always be different views on
different situations. The individuals who were focusing on the mother instead
of the children may have thought they were putting the best interests of the
child first by helping the mum, to be able to help them and possibly receive comfort
from the mum.

However, from my view and the history of
the mother being inside and out of prison, and the history with neglecting her
children and abusing them physically and mentally, unless the children are
taken somewhere safer, even with other family members that put the kids first
and provide them with the 6Cs, and what they need that they didn’t receive from
their mother.