WEEK 1 – OB WARD
Situation:
During my shift, a patient’s visitor asked me about the patient’s laboratory results and
condition while the patient was not present.
Ethical Issue:
Confidentiality vs. family/visitor involvement.
Ethical Principle Applied:
Confidentiality – Respecting the patient’s right to privacy.
What I Did:
I politely explained that I could not disclose the patient’s laboratory results without the
patient’s consent and referred the visitor to the nurse in charge.
Reflection:
I learned that patient information must always be kept confidential, even when visitors or
family members request it.
WEEK 2 – OB WARD
Situation:
During my shift, I observed a postpartum patient practicing improper breastfeeding
technique, which could affect the baby’s feeding.
Ethical Issue:
Patient autonomy vs. health education.
Ethical Principle Applied:
Beneficence – Promoting the health and well-being of both mother and baby.
What I Did:
I politely guided the mother on the correct breastfeeding technique and encouraged her to
try it, while respecting her comfort and willingness to learn.
Reflection:
I learned that nurses play an important role in educating patients to promote proper care
while still respecting their preferences.
WEEK 3 – GENERAL WARD
Situation:
A patient refused to take medication because he said he was already feeling better.
Ethical Issue:
Patient autonomy vs. treatment compliance.
Ethical Principle Applied:
Autonomy – Respecting the patient’s decision.
What I Did:
I informed the patient about the importance of completing the medication and reported the
refusal to the nurse.
Reflection:
I learned that patient decisions must be respected, but proper education is still necessary.
WEEK 4 – GENERAL WARD
Situation:
A patient complained of pain but it was not yet time for the next medication dose.
Ethical Issue:
Pain management vs. medication protocol.
Ethical Principle Applied:
Beneficence – Acting in the patient’s best interest.
What I Did:
I assessed the pain and reported it to the nurse for further intervention.
Reflection:
I realized that advocating for the patient is an important role of a nurse.
WEEK 5 – DELIVERY ROOM (DR)
Situation:
I observed a patient in labor (labor watch) who appeared anxious about the process.
Ethical Issue:
Providing emotional support vs. observing clinical duties.
Ethical Principle Applied:
Beneficence – Promoting the patient’s well-being.
What I Did:
I monitored the patient’s condition under the nurse’s guidance, offered reassurance, and
explained in simple words what was happening during labor while staying calm and supportive.
Reflection:
I realized that even as a student observing labor, providing emotional support is important.
Being attentive and empathetic helps reduce the patient’s anxiety and contributes to safe care.
WEEK 6 – DELIVERY ROOM (DR)
Situation:
During my shift, I observed a postpartum patient who was having difficulty breastfeeding her
newborn. She seemed anxious and frustrated because the baby was not latching properly.
Ethical Issue:
Providing support vs. respecting patient autonomy.
Ethical Principle Applied:
Beneficence – Promoting the patient’s well-being.
What I Did:
I stayed with the patient under the nurse’s guidance, encouraged her, and offered tips she
could try, while making sure not to force any techniques.
Reflection:
I realized that even small actions like providing encouragement and guidance can greatly
reduce a patient’s anxiety. Supporting the patient emotionally and physically helps promote
confidence in caring for her newborn and shows that nursing care goes beyond just performing
tasks.
WEEK 7 – GENERAL WARD
Situation:
A patient appeared confused about the instructions given for discharge.
Ethical Issue:
Understanding vs. informed decision-making.
Ethical Principle Applied:
Veracity – Providing clear and truthful information.
What I Did:
I helped explain the discharge instructions in a simple way and clarified questions.
Reflection:
I learned that clear communication ensures patient safety even after discharge.
GENERAL REFLECTION
During my clinical exposure in the OB Ward, General Ward, and Delivery Room, I
encountered different ethical situations that helped me understand the importance of nursing
principles in real patient care. I learned that patient confidentiality must always be respected,
even with family or visitors asking for information. I also realized that promoting proper care,
such as guiding breastfeeding or explaining discharge instructions, requires balancing education
with respect for patient autonomy. Observing labor and supporting postpartum patients showed
me that emotional care is just as important as physical care. Overall, these experiences helped
me develop patience, empathy, and responsibility, and prepared me to handle ethical challenges
thoughtfully in my future nursing practice.