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reflection on ethical decision making
confidentiality and privacy in healthcare
confidentiality and privacy in healthcare
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Ethical dilemmas are presented to people nearly every day. Ethics is the discipline of dealing with good and bad and with moral duty and obligation (Unknown, 2011). When an ethical decision arises, many times it is not in a black or white area that can be selected. Usually, an ethical issue is in a grey area where what one person feels is right may be what another person feels is wrong. While in this grey area one must come to a conclusion using various additional sources. These sources can include: justice, or fairness; autonomy, the freedom to choose; beneficence, preventing or removing harm or doing or promoting good; nonbeneficence, doing no harm; veracity, telling the truth, and last but not least their morals and values, or their beliefs that guide their right or wrong behavior.
In the case study that will be discussed throughout this essay a nurse was working for a two physician practice. The physicians decided to end their working relationship and the nurse was assigned the task of photocopying the charts of the physician who was relocating. In order to complete the assignment, the nurse decided to come in on a Saturday, when the office was closed, with her children aged eleven and thirteen, to assist her. One of the physicians had also stated he would pay the children for their assistance in photo copying the charts. When the second physician came in the office and saw what was occurring, he stopped the children from photocopying the charts. He then contacted the board of nursing and filed a complaint for violation of patients’ medical confidentiality against the nurse in the office. In turn, the board of nursing brought disciplinary action against the nurse. She in turn filed a lawsuit. Ethical issues to evaluate and...
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...Works Cited
Edwards, M.A., K. (2008). Confidentiality. Ethics in Medicine, retrieved from http://depts.washington.edu/bioethx/topics/confiden.html
Hanson, W. (2011). Making ethical decisions: introduction. Josephson Institute Center for Ethics. Retrieved from http://josephsoninstitute.org/MED/index.html
Unknown. (2011). Merriam-webster dictionary. Retrieved March 14, 2011, from http://www.merriam-webster.com/
Unknown. (2007). Nursing practice act, nursing peer review act, nurse licensure compact, & advanced practice registered nurse compact. Retrieved from http://www.bon.state.tx.us/nursinglaw/pdfs/npa2007.pdf
Unknown. U.S. Department of Health and Human Services. Office of Civil Rights. (2011). Your health information is protected by federal law. Washington, DC: Retrieved from http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html
Healthcare ethics is defined as a system of moral principles that guide healthcare workers in making choices regarding medical care. At its core lies our attitudes regarding our personal rights and obligations we have to others. When an unprecedented situation comes into play, we rely on medical ethics to help determine an outcome that would be the best case scenario for all involved. In order to appropriately review this case study, we must first identify the key stakeholders, the ethical principles, policy implications at the federal, state, and local levels, financial implications, and a viable resolution for the situation.
According to McGonigle and Matrian (2014), ethical decision making is a systematic process that refers to making informed choices pertaining to ethical dilemmas using a set of established standards to differentiate right from wrong. Ethical dilemmas tend to occur when moral issues, that is society’s opinion of what is right and wrong, raises questions that cannot be answered using clearly defined rules, facts, or authoritative views (McGonigle & Matrian, 2014, p. 71). Fortunately, ethical decision making frameworks can be used as a guide to assist clinicians to reach a rational and justifiable decision (McGonigle & Matrian, 2014). In the case study presented, the Ethical Model for Ethical Decision Making will be applied to analyze an ethical dilemma and to synthesize information obtained using problem-solving, critical-thinking, and decision-making skills in order to reach a justifiable decision (McGonigle 2000; McGonigle & Matrian, 2014).
... Health Information Privacy For Consumers. Retrieved April 22, 2009, from U. S. Department of Health and Human Services: http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html
In everyday experience one is likely to encounter ethical dilemmas. This paper presents one framework for working through any given dilemma. I have chosen to integrate three theories from Ruggerio Vicent, Bernard Lonergan and Robert Kegan. When making a deceison you must collabrate different views to come to a one conclusion. Ruggerio factors in different aspects that will take effect. Depending on which order of conciousness you are in by Kegan we can closely compare this with Ruggerio's theories also. As I continue I will closely describe the three theories with Kegan and how this will compare with Lonerga's theory combining the three. While Family,
The Texas Board of Nursing,(2009). Nursing practice act. Nursing peer review, nurse licensure compact, & advanced practice registered nurse compact. Austin, TX
People have opinions and ideas when it comes to ethical dilemmas. There are many examples: The debate on abortion, the trolley problem, and moral absolutism, to name just a few. In all of these examples it appears that emotion and feelings will, at some point, override an important ethical decision that needs to be made. An important factor of an ethical dilemma is how and when it might appear. Some dilemma's, like the debate on abortion, can appear in a way that there is time to talk through all options and available ethical concepts. In this type of dilemma it is possible to see how moral rules and ethical theories can be discussed and a decision made through compromise. In contrast, when a situation that poses dire ethical consequences calls for a moral action there must be a solution that is grounded in moral principle and that can be accessed quickly and efficiently producing the most desirable results. The principal that would seem the best candidate in these situations is consequentialism.
The Texas Board of Nursing,(2009). Nursing practice act. Nursing peer review, nurse licensure compact, & advanced practice registered nurse compact. Austin, TX
U.S. Department of Health and Human Services, Office for Civil Rights (2003). Summary of the hipaa privacy rule Washington, DC: Retrieved from http://www.hhs.gov/ocr/privacy/hipaa/understanding/summary/privacysummary.pdf
May, T., & Aulisio, M.. (2009). Personal morality and professional obligations: rights of conscience and informed consent. Perspectives in biology and medicine,
Nurses in Texas based their practice on the Texas Nursing Practice Act (NPA) by following their rules and regulations about the nurse scope of practice, which is determined by the nurse’s education, training and competency. The nurse scope of practice provides the legal boundaries for nursing practices in order to protect the safety of the people from Texas (Westrick, 2013, p. 24). Nurses are required to have a nursing degree from a Texas nursing programs approved by the Texas Board of Nursing (BON), and a current nursing license in Texas (BON, 2013b).
Many ethical dilemmas are philosophical in nature, an ethical issue can be described as a problem with no clear resolution. In order to solve the issue or dilemma a consensus between the parties involved must be reached. There are several reasons to come to an agreement over an ethical dilemma, it is the basis for all aspects of personal and professional dealings. Each one of us is part of a civilized society and as such it is our responsibility to be rational, honest and loyal in our dealings with others. (Alakavuklar, 2012) states that individuals make decisions for different situations in business life involving various ethical dilemmas. Each time either consciously or unconsciously individuals may follow some ethical approaches
Slosar, J. P. (2004). Ethical decisions in health care. Health Progress. pp. 38-43. Retrieved from http://www.chausa.org/publications/health-progress/article/january-february-2004/ethical-decisions-in-health-care
Everyone in this world has experienced an ethical dilemma in different situations and this may arise between one or more individuals. Ethical dilemma is a situation where people have to make complex decisions and are influenced based on personal interest, social environment or norms, and religious beliefs (“Strategic Leadership”, n.d.). The leaders and managers in the company should set guidelines to ensure employees are aware and have a better chance to solve and make ethical decisions. Employees are also responsible in understanding their ethical obligations in order to maintain a positive work environment. The purpose of this case study is to identify the dilemma and analyze different decisions to find ways on how a person should act
McGee, Glenn and Arthur L. Caplan. "Medical Ethics." Microsoft® Encarta® 98 Encyclopedia. © 1993-1997: Microsoft Corporation. CD-ROM.
Making good ethical decisions requires a trained sensitivity to ethical issues and a practiced method for exploring the ethical aspects of a decision and weighing the considerations that should impact our choice of a course of action. Having a method for ethical decision making is absolutely essential. When practiced regularly, the method becomes so familiar that we work through it automatically without consulting the specific steps.