Idenitfy and consider the ethical principles that were evident in the situation and how these principles were adhered to or violated.

Purpose: The purpose of the reflective journal is to give the student the opportunity to develop reflection of self, therapeutic use of self, and reflection of relationship, assessment skills and therapeutic communication with another person. The student may use the following formats for reflection (paper is to be written in one of these formats only):
Johns’ Model of Reflection
Carper’s Ways of Knowing
Sister Roach’s Six C’s of Caring
Boud’s Model of Reflection
Reflective Journal Prompt for the week:
Discuss a legal or ethical issue you have discovered during a mental health nursing simulation experience this semester. Idenitfy and consider the ethical principles that were evident in the situation and how these principles were adhered to or violated. What did you learn from this experience & how will it impact your practice? Utilize one of the models of reflection (above) to frame your response.
(In the vitrual simulation, the patient Linda Waterfall is a Native American woman who was diagnosed with an aggressive form of breast cancer after a biopsy just a few days ago. She stated that her family lives far away and that they wanted her to come home to meet with the tribal healers before scheduling the surgery. She did not do that and instead took the first available date for the surgery. She’s been a little nervous, and while getting checked in, she mentioned that she has not been sleeping well. She shared that her mother died of complications of surgery. She also said she’s worried about the cancer and very unhappy about losing her breast. But she felt that the healthcare team would be upset with her, if she doesn’t follow through with the procedure. So, she is going to go through the surgey without the medication pouch from the tribal healer, even though she doesn’t want too.)

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