Reflection Assignment

Reflection Assignment

This week, reflect on ethical principles and your understanding of ethical decision-making frameworks as they have evolved over the course of your RN-BSN program at WCU. Identify specific ethical standards and moral conduct codes. How does your academic work support evidence of meeting the following?

Essential VIII: Professionalism and Professional Values

  • Outcome #1: Demonstrate the professional standards of moral, ethical, and legal conduct.

Review your past academic work, evaluate your effectiveness at meeting this program essential, and ponder the impact that this proficiency will have on your future.

Identify how you met the essential by referring to the assignment(s) specifically in your response. Additionally, reflect on and make connections between your academic experience and real-world applications.

Showcase your academic work related to this essential and these outcomes in your ePortfolio and directly reference it in your reflection response.

Recommended: Refer to work you completed for NURS 521 Ethics in Heath Care and NURS 510 Policy, Organization, and Financing of Health Care, as well as other courses, to gather academic examples and evidence of having met this essential.

Your reflection should be 1-1/2 to 2 pages and APA formatted. Reference and cite any sources you use.

Ethics in Healthcare

November 2, 2019
















Florence Nightengale said, “It may seem a strange principle to enunciate as the very first requirement in a hospital that it should do no harm” (1863). The reasons I chose to respond to this story are because I remember when there was an occurrence in a hospital near where I live in which a doctor operated on the wrong leg of a patient and because I was shocked that it was actually a true story. Integrity is living up to one’s own moral standards and character. The fundamental ethical principles in nursing are autonomy, nonmaleficence, beneficence, and justice. Medical professionals are seen as the some of the most trusted professionals today and are trusted with the lives of our patients every day. The physician discussed in the story made an error, which is part of being human. Where he lost all of his integrity is when he chose to continue on with the operation after a mistake was made and then continued to lie to the parents of his patient about the mistake until more than a year later. In the video, there is a safety expert that states, “Health care has far too little accountability for results … . All the pressures are on the side of production; that’s how you get paid.” He added that increased pressure to quickly turn over operating rooms has trumped patient safety, increasing the chance of error.

It is my opinion that there should be criminal charges considered based on the fact that the physician lied to the family. Their son suffered damages that were extremely severe due to the actions of the physician that could have possibly been alleviated if they weren’t kept a secret for so long after the fact.

In my clinical setting, integrity as it is missed in this story is by holding a “time-out” prior to any procedure to ensure that the patient, procedure, site, etc. are correct. Integrity is also maintained by advocating for patients. By owning up to near misses if they happen and ensuring that my practice does not put my patient in harm’s way no matter what.


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