Ethics Game Reflective Journal Essay

Nursing has evolved throughout the years. bygone argon the days that the existence of look at for ge ared towards following the vagabonds of senior members on the profession and initiation of routine procedures. In todays retain, nurses are determine and call for for their reasoning as strong as intellectual skills. The changes in nursing require the desire to be more(prenominal)(prenominal) responsible and contributory to the wellbeing of those that wished care. These changes led to more complex honour up to(p) dilemmas that nurses encounter. This paper aims to submit a rumination on the respect fit Dilemmas presented on the morality high Simulation, the stopping point-making steps taken to send for the honest issues, how the respectable concepts influenced the decisions made, and the application of the ethical concepts to a medical-surgical social social unit.The courting of the Troubled adolescentThis teddy illustrates Rachel Banks a 16 year-old teen wh o got pregnant out of wedlock and presently on her tenth hour of working class on the OB/GYN unit at Seva Medical Center. Shes accompanied by her parents. Rachels parents are instructing the stave nurses to chief(prenominal)tain the trouble oneself medication as punishment for raise upting pregnant before getting married. Since Rachel Banks is a minor, legally, the parents skunk decide for her. The nurses are concerned due to the possible negative health effects that the perspective can cause to Rachel and her unborn baby, Lily. The nurses in addition became alive(predicate) that the parents may not be full educated on the consequences of their decision. In golf club to study an ethical decision on this case, I used the Baird Decision sit which yieldd five frameworks abuse 1 Be attentive, Step 2 Be Intelligent, Step 3 Be Reason fit, Step 4 Be Responsible, and Step 5 Be Reflective (University of Phoenix, 2013).The main issue in this case is how to en indisputable that Rachel and the baby get appropriate and timely medical care. I reviewed the e-mails and communications gathered in order to get a picture of the maculation and see that the best possible resultant arise. Upon taking into custody the main issue of this case, Ive identified that the chief(a) stakeholders includes Rachel Banks, her parents, her unborn child, the staff nurse, and the primary nurse because they go forth be impacted on the decisions made in this situation. After citeing the main issue and the primary stakeholders, using the responsibilitys/responsibilities lense I was able to identify that my obligations and duties includes providing the best possible care to Rachel Banks and her unborn child, not to accommodate parents who are harming their child, and also support my staffs professional improvement.On the results lens, I was able to recognize what would create the greatest safe(p) for the greatest number of stakeholders which was to involve the nurses and the pa rents in assessing need for medication intervention and also provide information for aftercare support and grooming. I remember that the decision made on this scenario earns both the persevering and her family. By involving the parents in the assessment of Rachels medical needs, departure is alleviated and thus, creates a prescribed outcome.The Case of the Policies and PoliticsThis case is about Alain Trottier, a persevering brought in the emergency agency by his house servant partner, Yves. Alain was admitted to the ICU unit and has been unconscious. The day- shift supervisory program, Carlotta Baldwin is preventing Yves from seeing the patient of and refuses provide information regarding the patient because he is not an actual family member. However, according to the hospital policy, domestic partners are to be hardened as married couples for the purposes of access and, most importantly, when it must(prenominal) be determined who can list medical decisions for a patien t unavailing to give their own consent. My duty as the nurse taking care of Alain is to identify the critical issue in this situation which is the equal manipulation and access of alert partners at Seva Medical Center as equal to those of straight couples. Upon identifying this as the main issue, it is easier to analyze the problem. Again, the following stakeholders were identified Alain Trottier (patient), Yves (domestic partner), Carlotta Baldwin, RN (shift supervisor), Amelia Flinch (Director of Nursing), the shareholders of the hospital, and lastly, I the staff nurse taking care of Alain.This scenario has led to the designation of relationship lens. The relationship lens focuses on the community. The main concern of this lens is to provide basic liberties to all people (University of Phoenix, 2013). The 3 even outs represented in this case were right to participate in decision-making for an unconscious family member, right to wee hospital policy regarding enfolding by fa mily members implemented, and right to be assured that your interpretation of hospital policy is inaccurate. I cogitate that these rights are the major portion of this lens because it focuses on the patient, family, and healthcare providers. Upon understanding the basic rights related to this situation, the following actions such(prenominal)(prenominal) as educating all employees with hospital policies, establishing a taskforce to make sure that the policies are range into practice and conducting yearly audits to make sure that the policies are implemented.These actions will ensure that the patient will benefit greatly on the policies placed on the facility. Lastly, the reputation lens discusses the virtues important for leadership core competencies such as managing diversity, problem-solving, self- hunch overledge, decision quality and fairness. These determine are important because of the overall positive effect that it can bring to the patient and the facility. My final deci sion in this case is to note on Alains graph that Yves is to be given access and treated as family.Speak to Carlotta about my decision and let my supervisor know. I believe that this decision has no risk. This decision has present that I am fully conditioned on the hospital policies and also implementing what I know for the benefit of my patient. By insure equal access will probable improve the hospitals office in the community. Lastly, by informing Carlotta Baldwin and the supervisor know of the decision can be a message that further education is needed for all employees to be more aware and knowledgeable of the hospital policies.Ethical Dilemma at a Medical-Surgical wholeIve been working as a RN at a medical-surgical unit for almost a year now. I salve consider myself as a novice nurse and I have that I havent been undefended to a lot of ethical dilemmas. However, I believe that pain management or providing pain relief can be an ethical dilemma for any nurse. The ethical i ssue is this can we as nurses undertreat a patients pain because we are concerned about the repercussions or because we know that the patient is addicted to the medication.I believe when challenging situations like this arise, I need to be conscious of my own biases and make evidence-based decisions that can provide optimal treatment to the patient. By not being judgmental, I can fully assess what would benefit my patient greatly and include him/her on the treatment plan- giving autonomy. By including the patient I can also slack the harm because I will have a better understanding of what will work best for my patient, and lastly, by prevent my biases I will be able to treat my patients pain in a non-discriminating way possible.As nurses continues to encounter complex ethical dilemmas as the profession and society gears forward, we must still go back on the home of nursing in accordance to the care of Florence Nightingale nurses are missioners of health sacred to the advancemen t of human welfare.ReferencesUniversity of Phoenix. (2013). Ethics Game Simulation Multimedia. Retrieved from University of Phoenix, HCS478 website.