Category: Ethics

Needle Exchange Program Reflection

Prior to the Needle Exchange Program Lecture last Thursday, I did not have any preconceived notions about the program. I did not have any preconceived thoughts because I truly did not realize a program that helped people who are struggling with IV drug use find safe supplies existed. I was surprised and very grateful for the amount of work and care the volunteers and workers at the Needle Exchange did to provide to these individuals. Allowing individuals within this population to have a safe handling of medication, new needles, and Narcan can help resolve many health disparities within this population.

Some patients that use IV drugs may receive Hepatitis B or C and other contractable diseases. They also have a likelihood of overdosing due to too much medication. Through this clinic providing new needles and supplies, as well as Narcan, to individuals within this population the risk of health disparities lowers. Some individuals also struggle with receiving healthcare so receiving education and safe supplies can become very difficult. Through this program, these individuals can receive education and safe supplies that they need to safely handle the medication and needles. These are many useful things that I can apply to my future nursing practice. I will provide the resources of the Needle Exchange Program and education on safe handling and Narcan to my patients so they can safely handle these medications.

Human Trafficking Lecture Reflection

Prior to the lecture on Human Trafficking, my pre-existing thoughts were mostly based on sex trafficking. I knew there were different forms other than sex trafficking but through the news and social media, I was more aware of sex trafficking. I also was aware of labor work but very native to it still being super prominent today. I had pre-existing thoughts that traffickers considered the person being trafficked as their “property”, but I thought the individuals being trafficked were being paid. I also had a pre-existing thought that every single person that was being trafficked did not know the person trafficking them. On the news, most of the stories stem from women being captured outside of stores or walking on the streets. I was extremely fortunate to be able to listen to the lecture on human trafficking and learn more.

After listening to the lecture on Human trafficking, a lot of my pre-existing assumptions and thoughts were changed. I was shocked to learn that many individuals know their traffickers before being forced into labor. My pre-existing thought that many did not know their traffickers was changed. It saddened me to hear that oftentimes people are forced into trafficking due to drugs or seeking asylum in the United States. My pre-existing thought that sex trafficking was a huge part of the trafficking ring was correct, but I was surprised to learn that human labor is still a huge problem today. Lastly, I never considered that the trafficked person was not being paid at all. After the lecturer talked about the person barely making $5 and then the price of rent, food, and living plus hospital bills, etc., it occurred to me that some individuals, if not all, would never be able to pay off their debts. Trafficking is a huge scheme that I never realized until listening to the lecture on Thursday. I am grateful for being able to learn more about human trafficking and how to monitor for it in the hospital

In the lecture on Thursday, we discussed ways to help determine if someone in the hospital was being used in the form of trafficking and how to help them. In the future, I will bring this knowledge forward and use it if I am ever in the need to do so. I will also be aware of individuals in my hospital especially if there is an individual trained in caring for patients that have been trafficked. I will also understand that the compassion and care that I will bring to all my patients must be extremely apparent when caring for someone that may be involved in a trafficking situation. I know that my care needs to be very thorough because many individuals struggle to open up to someone. Lastly, I know I must accurately document the situation so other individuals caring for the patient understand the situation and provide more help. I am glad I became more aware of human trafficking through this lecture as well as how to provide the best care for individuals in this situation at the hospital.

Disaster Nursing Reflection

When the question of what the nurse’s primary roles are during a disaster comes into question, it can be very hard to reflect on what the nurse should do. It can be difficult because, during a terrible situation, a nurse must decide which patients need more care than others. A nurse’s primary roles include knowing the EOP or Emergency Operations Plan and implementing it during a situation. A nurse must know which patients to care for and which require immediate attention. If the nurse is in the hospital when the disaster occurs, they must know who the medical command and triage officer is, this will help the nurse understand their assignment and help the most patients. Nurses must also be aware of the emergency codes at their hospitals to be fully prepared for any disaster that may happen while they are working. During a mass causality event, a nurse must be able to detect a patient’s problem as red, yellow, green, white, or black. After the nurse understands what each patent is tagged as they can care for the most critical patients first. The priorities in any disaster event are to be fast with your care, assess the patient for a pulse, limit treatment to only what the patient needs to survive, maintain the airway, and control bleeding. As a nurse, the priorities during a disaster are to be fast and provide the best care possible for the greatest number of patients.

            In the event of a disaster, nurses may struggle with ethical codes between saving the patient or saving themselves. This topic can be extremely difficult to discuss because the main goal of a nurse is to provide the best care for their patients. I believe that as a nurse, in the event of a natural and man-made disaster, you should prioritize the patients if you are safe and unharmed. If you’re unable to provide the best care to your patients because you have been injured, then it is the nurse’s duty to care for himself or herself. In my opinion, nurses should always prioritize their patients unless they are injured and cannot provide adequate care to their patients.

Ethical Considerations for EBP

After completing all ethical assignments, my understanding of the nurse’s contribution to ethical conduct of research and implementation of research has not changed dramatically. Ethical conduct of research and implementation of research are so important in nursing because there is a potential you will be basing your care on this research. I knew it was important for a nurse to thoroughly check the ethical conduct of a research paper because it will be used to care for patients. Due to this, I believe my understanding has grown but has not changed dramatically.


It is also very important for nurses to know the historical evolution and principles of research ethics. Understanding historical events such as The Tuskegee Study is important so something like that will never happen in the future. In Miss Evers’ Boys, it showed how problematic and ethically wrong The Tuskegee Study was. It is a very good movie for nurses to watch to understand how important ethics is for their patients. Nurses should know the historical lack of research and ethics in studies so, in the future, they can provide better ethics for populations that need medical care.


After finishing the course objectives, I feel as though I am very capable of participating in the ethical conduct of research, quality improvement, and evidence-based practice initiatives. When I become a nurse, I plan to use these course objectives to help initiate evidence-based practices with my team as well as participate in ethical conduct and quality improvement to further better my care of individuals. This course has given me the key fundamentals to continue to make ethical conduct, quality improvement, and evidence-based practices better for the future.

Assumptions

My assumption about the nurse’s role in ethics regarding evidence implementation and generation before completing all the research ethics assignments was that nurses use a lot of evidence to complete care, so they need to make sure that the evidence they receive is accurate and ethical for the patient. The nurse needs to make sure the resources they have been peer-reviewed and monitored for things like plagiarism. I assumed that nurses found their evidence and made sure it was ethical before presenting it to others. I think nurses contribute to the ethical conduct of research and implementation of research findings by working with a team to make sure the articles and evidence that is being found are accurate and peer-reviewed. I think nurses play a pivotal role in making sure the evidence being provided is ethical.

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