Ethics Game Reflective Journal Essay

Nursing has evolved passim the socio-economic classs. Gone argon the days that the origination of nursing geared towards followers the orders of superior members on the profession and initiation of modus operandi procedures. In todays nursing, nurses are valued and needed for their reasoning as well as intellectual skills. The changes in nursing require the desire to be more responsible and contributory to the benefit of those that needed maintenance. These changes direct to more obscure respectable dilemmas that nurses encounter. This paper aims to provide a reflection on the Ethical Dilemmas presented on the morals Game Simulation, the conclusion-making steps interpreted to address the honorable distinguishs, how the ethical concepts influenced the finalitys do, and the application of the ethical concepts to a medical examination-surgical whole.The Case of the trouble TeenThis aspect illustrates Rachel Banks a 16 year-old teenager who got pregnant out of congl utination and currently on her tenth minute of labor on the OB/GYN unit at Seva Medical middle. Shes attended by her parents. Rachels parents are instructing the faculty nurses to withhold the painful sensation medication as punishment for getting pregnant in the beginning getting married. Since Rachel Banks is a minor, legally, the parents kitty learn for her. The nurses are concerned due to the accomplishable detrimental wellness effects that the fact washstand cause to Rachel and her unhatched foil, Lily. The nurses as well became aware that the parents may not be fully educated on the consequences of their decision. In order to pull out an ethical decision on this case, I used the Baird ratiocination Model which provided five frameworks tone 1 Be attentive, Step 2 Be Intelligent, Step 3 Be Reasonable, Step 4 Be Responsible, and Step 5 Be Reflective (University of Phoenix, 2013).The main come to the fore in this case is how to go through that Rachel and the baby get appropriate and timely medical care. I reviewed the e-mails and communications gathered in order to get a designate of the situation and see that the best manageable solution arise. Upon mind the main exhaust of this case, Ive identify that the primary stakeholders take ons Rachel Banks, her parents, her unborn child, the rung nurse, and the primary nurse because they entrust be impacted on the decisions do in this situation. After identifying the main issue and the primary stakeholders, using the rights/responsibilities electron lense I was able to identify that my obligations and duties includes providing the best contingent care to Rachel Banks and her unborn child, not to take hold parents who are harming their child, and as well hold out my staffs professional improvement.On the results lens, I was able to recognize what would create the greatest good for the greatest number of stakeholders which was to select the nurses and the parents in valuateing need f or medication interference and overly provide information for aftercare support and education. I believe that the decision made on this scenario benefits both the patient of role and her family. By involving the parents in the assessment of Rachels medical needs, conflict is alleviated and thus, creates a overconfident outcome.The Case of the Policies and PoliticsThis case is al approximately Alain Trottier, a patient brought in the catch room by his domestic partner, Yves. Alain was admitted to the intensive care unit unit and has been unconscious. The day- shift supervisor, Carlotta Baldwin is preventing Yves from seeing the patient and refuses provide information regarding the patient because he is not an actual family member. However, according to the infirmary polity, domestic partners are to be tempered as married couples for the purposes of glide slope and, most importantly, when it essential be determined who jackpot make medical decisions for a patient unable to g ive their have got consent. My art as the nurse taking care of Alain is to identify the critical issue in this situation which is the equal treatment and bother of gay 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 infirmary, and lastly, I the staff nurse taking care of Alain.This scenario has led to the identification of relationship lens. The relationship lens focuses on the community. The main concern of this lens is to provide basic liberties to all battalion (University of Phoenix, 2013). The three rights represented in this case were right to participate in decision-making for an unconscious family member, right to have infirmary policy regarding participation by family me mbers implemented, and right to be informed that your interpretation of hospital policy is inaccurate. I believe that these rights are the major component 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 as educating all employees with hospital policies, establishing a taskforce to make sure that the policies are put into practice and conducting yearly audits to make sure that the policies are implemented.These actions get out ensure that the patient ordain benefit greatly on the policies placed on the facility. Lastly, the reputation lens discusses the virtues important for leadership nitty-gritty competencies such as managing diversity, problem-solving, self-knowledge, decision feature and fairness. These values are important because of the boilers suit positive effect that it can suffer to the patient and the facility. My final decision in this case i s to note on Alains chart that Yves is to be given access and treated as family.Speak to Carlotta roughly my decision and let my supervisor know. I believe that this decision has no risk. This decision has demonstrated that I am fully knowledgeable on the hospital policies and also implementing what I know for the benefit of my patient. By assuring equal access will likely improve the hospitals status in the community. Lastly, by making known Carlotta Baldwin and the supervisor know of the decision can be a message that still education is needed for all employees to be more aware and knowledgeable of the hospital policies.Ethical Dilemma at a Medical-Surgical UnitIve been working as a RN at a medical-surgical unit for almost a year now. I still consider myself as a novice nurse and I feel that I havent been exposed to a lot of ethical dilemmas. However, I believe that pain trouble or providing pain relief can be an ethical dilemma for every nurse. The ethical issue is this can w e 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 best treatment to the patient. By not existence 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 decrease the harm because I will have a better understanding of what will work best for my patient, and lastly, by hindering my biases I will be able to treat my patients pain in a non-discriminating counselling possible.As nurses continues to encounter complex ethical dilemmas as the profession and society gears forward, we must still go back on the foundation of nursing in abidance to the mission of Florence Nightingale nurses are missioners of health dedicated to the advanc ement of human welfare.ReferencesUniversity of Phoenix. (2013). Ethics Game Simulation Multimedia. Retrieved from University of Phoenix, HCS478 website.