Liz Stokes JD, MA, RN, is the Director of the American Nurses Association Center for Ethics and Human Rights. She completed her BSN at the University of Virginia and worked several years as a critical care nurse. Liz received her Juris Doctor from the University of Richmond and worked as a Consultant for the D.C. Board of Nursing interpreting and conferring professional ethics provisions in nursing. She recently completed her Masters in Bioethics from Loyola University Chicago. Her leadership is also demonstrated through various charitable roles in the health and legal communities. She is a member of The American Association of Nurse Attorneys and serves on the board of the American Society for Bioethics and Humanities Affinity Group for Nursing. Liz also serves as an Associate Editor for the Journal
of Bioethical Inquiry and is an active volunteer with the District of Columbia Bar Association. Liz is
currently an American Academy of Nursing Jonas Health Policy Scholar.
It is well established that the care of pregnant or postpartum women with substance use disorder(SUD) can be a source of work-related stress for clinicians (Maguire, Webb, Passmore, & Cline, 2012). Providers must balance the ethical principle of beneficence, or preventing harm, with fidelity, which requires fairness, truthfulness, and advocacy (ANA, 2015). This can be a challenge for clinician who are in positions where there is a mandatory requirement to report a pregnant woman’s substance use. In these situations, clinicians must be compassionate, truthful, forthcoming and transparent when communicating obligations with patients to maintain trust in the patient-provider relationship. This discussion will provide recommendations for compassionate care for women with SUD including education on mental health, SUD, interpersonal violence, and treatment options (Hill, 2013). As patient advocates, clinicians can be a strong voice for pregnant women with substance use disorder and their unborn babies (Ferszt, Hickey, & Seleyman, 2013).
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