Assignment: NSGCB 482 Reflection 3

Assignment: NSGCB 482 Reflection 3

Assignment: NSGCB 482 Reflection 3

Once your faculty marks this activity as complete in the gradebook, the Competency Assessment will open for you to submit.

Competency 3

Examine community health strategies used in prevention, emergency preparedness, and disaster management.

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This reflection is comprised of 2 sections, collectively totaling a minimum of 700 words. This activity is meant to help you review concepts in preparation for the competency assessment.

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Reflect on the following in a minimum of 700 words.

Part 1: Ethical Challenges

Read “COVID-19: Ethical Challenges for Nurses” from the University Library.

Based on your own clinical experience, the experience of other students or a trusted health care colleague, or trusted media reports, respond to the following:

In your opinion, what has been the biggest ethical challenge for nurses during the COVID-19 pandemic?

Provide evidence to support your opinion.

Part 2: Disaster Preparedness and Management

Evaluate your community’s or state’s plan for preparedness and disaster management. Answer the following questions:

Does it include provisions for each phase of preparedness and disaster planning?

Does it clearly account for community needs?

Does the plan include evidence of thought beyond the written report?

Is there evidence of a record-keeping system for resources, treatment, and identification of victims?

Are there redundancies built into the plan should one option fail?

Are backup plans in place?

Analyze the plan for addressing mass casualty situations.

Include at least 1 peer-reviewed and 1 evidence-based reference.

Cite your references according to APA guidelines.

Submit your reflection.

Assignment: NSGCB 482 Reflection 3 Sample

Nurses have a professional obligation to ensure that they offer the best levels of patient care to patients to improve their health outcomes, experiences, and overall well-being. Therefore, it is important that nurse professionals have sufficient knowledge regarding the need to follow professional standards and uphold ethical standards when taking care of patients. However, it is important to note that nurses usually face various ethical challenges or ethical dilemmas in their attempts to provide the required or needed patient care to various patient populations (Haarh et al.,2020). One of the cases that brought notable ethical challenges is the coming of the COVID-19 pandemic. The pandemic brought about much confusion as the rates of infections were growing and more death cases were being reported. As such, nurses faced various ethical challenges in their attempt to offer care to patients during the Covid-19 pandemic.


Biggest Ethical Challenge Faced By Nurses

Even though nurses faced various ethical challenges when offering care to patients during the COVID-19 pandemic times, such as the changing relationship with patients and their families, allocation of scarce resources, and safety for nurses, I believe that the biggest challenge was safety for nurses. During the rapid spread of the COVID-19 virus, nurses were expected to offer care services as frontline workers to all patients, which gave rise to ethical concerns. The nurses were required to work under various conditions, which posed a great risk to their health (Morley et al.,2020). During such times, there was confusion regarding the pandemic, which even made it difficult for the nurses to understand the risks to their health and well-being.

The nurses were also faced with various aspects, such as an inadequate understanding of the nature of the COVID-19 virus at that time in terms of how contagious it was, susceptibility profile, transmission mode, and pathophysiology. In addition, there were cases where the nurses could not be provided with adequate personal protective equipment. All of these exposed them to an increased and uncertain risk of contracting the virus, causing an ethical challenge as to whether they should care for the patients in these circumstances or take care of their health (Jia et al.,2021). Indeed, as part of the revised codes of ethics, nurses are expected to promote their safety and health. The same American Nurses Association code of ethics also states that the nurses have a major duty or role of offering the necessary patient care to individuals, families, and communities. However, the COVID-19 pandemic put the nurses at crossroads, making them have ethical challenges.


Haahr, A., Norlyk, A., Martinsen, B., & Dreyer, P. (2020). Nurses experiences of ethical dilemmas: A review. Nursing Ethics, 27(1), 258-272.

Jia, Y., Chen, O., Xiao, Z., Xiao, J., Bian, J., & Jia, H. (2021). Nurses’ ethical challenges caring for people with COVID-19: a qualitative study. Nursing Ethics, 28(1), 33-45.

Morley, G., Grady, C., McCarthy, J., & Ulrich, C. M. (2020). Covid‐19: Ethical challenges for nurses. Hastings Center Report, 50(3), 35–39.

Disaster Preparedness and Management

Disasters usually strike when no one is expecting, which shows why there is a need to always have plans in place to prepare for such disasters. As such, individuals, populations, communities, and authorities should have disaster preparedness and management plans to ensure that they can adequately counter the potential impacts of such disasters. From time to time,  communities and authorities should review their disaster preparedness and management plans to ensure that they make necessary adjustments that enable swift and effective responses (Aruru et al.,2021). It is important to review the disaster preparedness and management of the Westminster community in Carroll County, Maryland.

Inclusion of Provisions For Disaster Planning and Preparedness, Community Needs and Evidence of Thought

The plan is a detailed and comprehensive plan that shows and includes provisions for every phase of preparedness and disaster planning. The plan offers provisions for mitigation, preparedness, response, and recovery. As part of the provisions, the plan offers various important aspects such as notification protocol, keeping updated, sheltering in place, evacuation, and drill procedures. The plan also clearly accounts for the community’s needs, such as how to take care of individuals who need various healthcare supplies (“Carroll County,” 2021). It is not immediately clear if the plan includes evidence of thought beyond the written report; however, a deeper look into the document revealed that the writers included previous disaster experiences in the area and areas of improvement.

Record Keeping, Redundancies And Backup Plans

The plan also has sections indicating the need for record-keeping for resources, treatment, and identification of victims. The plan stresses the need to identify patients who require various treatment modalities and medical supplies as well as the keeping of such records. For example, in the cases of extreme heat, the plan offers options for treatment approaches that can be implemented during disaster mitigation and management. In the case of sunburn, there is a need to use sunburn preparations in the instances of mild cases. However, serious cases would need the intervention of a physician. The plan does not have evidence of redundancies built into the plan should one option fail. However, there are backup plans put in place which can be used. For example, there are various approaches indicated in the plan to be used for the mitigation of various disasters (“Carroll County,” 2021). It is important to have such backup plans since disasters usually come in different ways, magnitudes, and times. Therefore, based on the magnitude and nature of the disaster, various approaches can be used towards the mitigation efforts. From the analysis, the plan has the capacity to address mass casualty situations. For example, it has detailed plans for fires and tornadoes, which, in most cases, claim many lives.


Aruru, M., Truong, H. A., & Clark, S. (2021). Pharmacy Emergency Preparedness and Response (PEPR): A proposed framework for expanding pharmacy professionals’ roles and contributions to emergency preparedness and response during the COVID-19 pandemic and beyond. Research in Social and Administrative Pharmacy, 17(1), 1967-1977.

Carroll County. (2021). Emergency preparedness.

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