Ethics Game & Reflective Journal Essay

This journal contains the reflection of the Ethics Game simulation assignment. The purpose of this paper is to describe the steps and mold that I used to answer the ethical questions expectd in two simulation impales The case of the troubled Teen and Policies and Politics. In addition I pull up stakes also discuss how these concepts relate to my oeuvre. The case of the Troubled Teen This case describes the case of an unmarried, 16 year old pregnant patient (RB) admitted to the labor and delivery, attach to by her parents. Parents chose to limit medication citing personal reasons. The primary nurse (YN) is concerned that the bunk may become critical for the patient and unborn baby.The nursing lag is also concerned that the parents may not understand the consequences of their action. The ethical place in this case is how to ensure inviolable delivery of the baby and to provide equal medical care to both mother and baby. The case of Policy and Politics This case describes on e of the ICU patients AT, who is unconscious for few days, was brought to the infirmary by his domestic help partner. YM, his partner was beside him in the ER but he was not allowed to be with the patient after transferring to ICU. The day supervisor CB prevented Yves from chideing AT. Her actions violated current hospital same sex domestic partner policy. The question her is if the rights of the patient and the significant others have been violated here.Decision making stepsI used an organised process to make this ethical decision called the Baird Method, which consists of four steps. Step 1 Identify the issue in the ethical dilemma, and evaluate the evidence. I neediness to be attentive as to gather all data to determine which issue has to be resolved. Step 2 Identify the primary stakeholders. I have to be intelligent and identify the real issue in the case. Step 3 Use my knowledge, be reasonable, fair, and understand my duty, which focus on the equal rights and remember my e ccentric on the impact on stakeholders. Step 4 Develop a situation that has balance and meets the needs of all stakeholders and communicate the decision to everyone involved. Applying these steps to issue of the Troubled teenI gathered all the information from the patients chart, went over the careplan, medical plan and received the bedside verbal write up from the outgoing nurse. She was not given adequate pain medicine nor seen by the physician on call because she/he was attending an emergency elsewhere. The stakeholders in this situation are as follows RB, the patientLB, RBs unborn childRBs parentsShift supervisorYN, RN caring for RBThe ShareholdersApplying these steps to the issue of Policy and Politics First of all here, I have to identify the problem. There are two issues here. One is allowing the domestic partner to visit the patient and the second one is to make sure that the hospital staffs follow the policy of the hospital. The stakeholders areAT, the ICU patientYM, the d omestic partnerStaff nurse, MCB, the shift supervisorAF, the director of nursingThe ShareholdersEthical genus Lens system used that influenced decisionsLens used in Troubled Teen case Using the rights and office lens, I could identify my duties as to assure that the care of the pregnant teen is not compromised and for those who cannot speak for themselves. I want to ensure that there is a safe delivery of the mother and the baby is safe. Result lens considers focus on the results we want in our community and how it contributes to the greater good in our community and to greater number of people. I used the action that tilted towards sensibility because I honored the need in this situation to consider parental wishes and aftercare of mother and baby. In the first situation the rights and responsibility lens was first and foremost in my mind. My duty made me to assure that the care of the patient and her unborn baby was not in danger nor the care was compromised especially when som eone cant speak for themselves.I used the result lens to make the care plans and involve the parents in the care oftheir child and grandchild with the help of chaplain. In the second situation, it focused on the system and allowed me to incorporate what is best for the system and community, however protecting the rights of both. Lens used in the Policies and Politics case In this case the use of relationship lens and reputation lens was used. The relationship lens focuses on the processes that systems need an ethical organization. The ethical lens tries to protect the basic liberties of everyone and this situation the domestic partner is to be treated like either other person. However, the reputation lens focuses on assuring that the hospital protocols are consistently followed and in this situation the partner should be allowed to visit his other partner.How concepts relate to the workplaceIn my workplace I face difficult ethical decisions associated with patient care and the poli cies set forth by the care agencies. This simulation helped me to recognize my own personal values, such as equality, fairness, compassion, which influences my decision in various decisions. This game helped me to examine the decision making process when faced with the difficult situations and how to make the right decision during any dilemma. The process set up in our workplace might not be ethical one for that particular situation but in this scenarios they were not followed blindly, but the best option was picked to solve them. Identifying my personal values and gaining knowledge of the ethical lenses allowed me to minimize necessary conflict at work and deal this instant with the situation.CONCLUSIONEthical issues at work place associated with the patient care can add stress and increased burden on the nurses. The ethical game simulation allowed me to identify the issues and guided me through a systematic approach to solve the dilemma. This exercise helped me to prepare for a situation which will help me to center stress and make a sound judgment. The lenses allowed me to gain knowledge and insight to solve the problems.