Reflections on Patient Safety, Communication, and Ethical Practice in Nursing

Abstract
This paper reflects on a critical incident involving a medication error and communication breakdown in an emergency department (ED) setting, highlighting the ethical, clinical, and leadership lessons learned. As an assistant nurse manager (ANM), I explore how this event emphasized the need for effective communication, ongoing education, and active supervision, particularly for new graduate nurses (GNs) navigating high-pressure environments. Drawing from hospital protocols, the American Nurses Association (ANA) Code of Ethics, and a biblical worldview, the discussion focuses on strategies to enhance patient safety through education, simulation exercises, and fostering a collaborative work culture. By addressing these key areas, nurse leaders can create environments that prioritize patient welfare, minimize errors, and uphold the highest standards of ethical practice and compassionate care.

Keywords: Patient safety, communication breakdown, medication error, emergency department, nursing leadership, ethical practice, supervision, new graduate nurses, ANA Code of Ethics, biblical worldview, collaboration, education, simulation training, compassion, patient welfare, healthcare teamwork