Ethics Game Reflective Journal Essay

Nursing has evolved throughout the socio-economic classs. Gone be the years that the existence of nursing ge ared towards following the orders of senior members on the work and initiation of routine procedures. In todays nursing, hold ups are determine and pauperismed for their reasoning as well as intellectual skills. The changes in nursing require the desire to be more responsible and contributive to the wellbeing of those that needed care. These changes led to more complex honorcapable dilemmas that lactates encounter. This news report aims to provide a reflection on the Ethical predicaments presented on the ethical motive Game wile, the purpose-making steps taken to address the ethical materialisations, how the ethical concepts influenced the conclusivenesss claim, and the practise of the ethical concepts to a medical-surgical unit.The Case of the Troubled TeenThis case illustrates Rachel Banks a 16 year-old teenager who got expectant out of wedlock and currentl y on her tenth hour of labor on the OB/GYN unit at Seva Medical Center. Shes accompanied by her parents. Rachels parents are instructing the mental faculty nurses to withhold the pain medication as punishment for getting pregnant before getting espouse. Since Rachel Banks is a minor, leg aloney, the parents female genitals decide for her. The nurses are refer due to the possible detrimental health effects that the stance female genitals cause to Rachel and her unborn baby, Lily. The nurses excessively became aware that the parents may not be in full educated on the consequences of their last. In order to make an ethical decision on this case, I used the Baird Decision Model which provided volt frameworks blackguard 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 chief(prenominal) relinquish in this case is how to tell that Rachel and the baby get appropriate and timely medica l care. I reviewed the e-mails and communications gathered in order to get a picture of the situation and see that the best possible solution arise. Upon reason the main issue of this case, Ive identified that the primary stakeholders includes Rachel Banks, her parents, her unborn child, the rung nurse, and the primary nurse because they leave behind be impacted on the decisions made in this situation. subsequently identifying the main issue and the primary stakeholders, using the practiceds/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 control 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 superior good for the greatest number of stakeholders which was to involve the nurses and the parents in assessing need for medication intervention and also provide information for aftercare support and education. I believe that the decision made on this scenario benefits both the affected role and her family. By involving the parents in the assessment of Rachels medical needs, conflict is alleviated and thus, creates a positive outcome.The Case of the Policies and regimeThis case is about Alain Trottier, a enduring brought in the emergency board by his domestic partner, Yves. Alain was admitted to the ICU 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, match to the infirmary insurance policy, domestic partners are to be treated as married couples for the purposes of access and, most importantly, when it must be determined who can make medical decisions for a patient unable to give their own consent. My handicraft as the nurse taking care of Alain is to identify t he critical issue in this situation which is the exist word and access 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 hospital, and lastly, I the staff nurse taking care of Alain.This scenario has led to the identification of kindred lens. The relationship lens focuses on the community. The main concern of this lens is to provide sanctioned liberties to all people (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 hospital policy regarding participation by family members implemented, and right to be informed that your interpretation of hospital policy is inacc urate. 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(prenominal)(prenominal) 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 go out ensure that the patient will benefit greatly on the policies displace on the facility. Lastly, the reputation lens discusses the virtues important for leadership core competencies such as managing diversity, problem-solving, self-knowledge, decision quality and fairness. These values are important because of the boilers suit positive effect that it can bring to the patient and the facility. My final decision in this case is to note on Alains chart that Yves is to be given access and treated as family.Speak t o Carlotta about 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 placement 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 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 management or providing pain relief can be an ethical dilemma for all nurse. The ethical issue 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 hang 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 way 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 accordance to the mission of Florence Nightingale nurses are missioners of health dedicated to the advancement of human welfare.ReferencesUniversity of Phoenix. (2013). Ethics Game Simulation Multimedia. R etrieved from University of Phoenix, HCS478 website.