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Importance of confidentiality in healthcare
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A family is not always able to be involved in the plan of care. In my current role as a nurse it is more common for families not to be involved in the patient’s services. Similar to the scenario you discussed, there are those situations where family needs to be involved in the plan or decision, but it is more the exception versus the norm in my current clinical setting. Mckee, Rubin, Campos and O’Sullivan (2011) discuss issues that physicians face with providing services to adolescents from allowing time alone during the visit to seeing the adolescents unaccompanied. Confidentiality is a struggle the more complicated the situation becomes such as a teenager that is pregnant (Mckee, Rubin, Campos, & O’Sullivan, 2011). We service many teenagers
Confidentiality is a major topic within care environments. When it comes to deciding what information is shared and who it is shared amongst can be difficult. Confidential information, is information that is ‘not to be told to anyone’ (The Open University, 2015, p. 58). Information that is sensitive or not publicly known is confidential, also if information is given by a person who is in a setting where confidentially is expected then that information should remain private and not shared with others. It can be very difficult for a staff member to find the balance between knowing what information is confidential and appropriate information that needs to be shared between the staff team.
Involvement of the family is a big part of the collaboration and also with patient-centered care. Family at that moment may have in site information that the patient isn’t sharing
Also, the whole family needs to come to term with the health condition, make change in priorities and schedule, and keep the family. For example, it can be much more stressful for a young or a newly married couple because they may have more experience to overcome life's difficulties. As a result, as with individual maturation, family development can be delayed or even revert to a previous level of functioning (Hockenberry, p 762.) Therefore, health care providers need to apply family development theory while planning care for a child and family with chronic health condition. Indeed, family centered care should be a part of that intervention. Parents and family members have huge and comprehensive caregiving responsibilities for their chronically ill child at home or at hospital. Moreover, the main goal taking care of chronic ill child is to “minimize the progression of the disease and maximize the child’s physical, cognitive, psychological potential” (Hockenberry, p 763). Therefore, it is essential to family being part of the child care to give highest quality of care. On the other hand, we are as a part of the health care provider need to give attention to all
In the modern era, the use of computer technology is very important. Back in the day people only used handwriting on the pieces of paper to save all documents, either in general documents or medical records. Now this medical field is using a computer to kept all medical records or other personnel info. Patient's records may be maintained on databases, so that quick searches can be made. But, even if the computer is very important, the facility must remain always in control all the information they store in a computer. This is because to avoid individuals who do not have a right to the patient's information.
Including family members in the care of the patient helps them cope better with the patient’s illness and helps them plan ongoing care when the patient goes home. Gaining both the trust of the patient and family can help the health care team get any details that may have been missed on admission, such as medications the patient takes, or special diet, or spiritual needs. Also, the family may provide pertinent information that the patient may not have divulged to the nurse. Encouraging the patient and family to voice their concerns will help implement a safe plan of action.
In an interview with a staff nurse (S.N), the main problem within patient communication included lack of patient’s (and family) involvement/willingness in planning cares. The staff nurse emphasized how “Patients often feel overwhelmed and do not want to participate. But, it is important for patients to be involved in their care for better outcomes” (S.N., personal communication, February 5, 2014). The staff nurse’s statement is supported by Evans (2013) whom remarked “better-informed patients avoid unnecessary care and frustration”.
There is much debate about how psychiatric patients should be cared for and treated. Especially in an in patient setting, many healthcare providers will choose to care for mentally ill patients in their own way. Patients who are mentally ill have restrictions on certain aspects of their care such as access to certain things along with the environment they are in. Although confidentiality is important and should be maintained in all aspects of medical care, I do think that psychiatric patients should have the same have the opportunity to keep as much information confidential as they wish. Given the circumstances there are reasons to breach that confidentiality in mentally ill patients in order to keep the patient safe and out of harms way.
There is a great importance and focus in modelling a contemporary nurse. The framework for improving this focus is accountability with three main areas: professional, ethical, legal. They all cross over and interlink with each other in many of the topics that are raised within the profession. The approach of the framework were inevitable to reduces to blame and defensive nursing attitude. This attitude can lead to nurses believing accountability is the same as blaming a professional however it is conversely nurses making decisions for individuals and engaging to improve better health outcomes. The topic around this contemporary approach is confidentiality and broken into the principles of the approach.
In health care, there are many different approaches throughout the field of nursing. When considering the field of family nursing, there are four different approaches to caring for patients. This paper will discuss the different approaches along with a scenario that covers that approach. The approaches that will be discussed include family as a context, family as a client, family as a system, and family as a component to society. Each of these scenarios are approach differently within the field of nursing.
Pediatric Rights: Denying and Accepting Care as a Minor Bethania Custodio University of Maryland School of Nursing Description of the Problem and Ethical Issues The issue of minors and their legal rights within the health care system has been a topic of debate for many years. This can be a very delicate issue in which many often ask: who, of the individuals involved, should be provided what information; what type of care can be provided or refused; and who has the final say, the child, guardian or the doctor? Parents, minors, and too often healthcare providers, are not clear as to what kinds of medical decisions a person that is considered a minor can make regarding their health care.
A family comprises of collection individuals that interacts together and those who are connected by blood, marriage, living together, or adoption who interdependently execute significant purposes thereby accomplishing anticipated roles. Significant family tasks comprise practices and standards engaged on wellbeing. Family health practices, whether effective or ineffective, include events accomplished by persons or families as a whole to promote health and prevent disease (Edelman, 2014). Nursing process is the vital fundamental practices for the registered nurse in order to provide and deliver universal holistic patient-focused care. Nurse applies a logical, systematic and dynamic approach to gather and evaluate information about patients,
It should be noted that the term “family-centered care,” is replaced with the term “patient- and family-centered care,” to more explicitly capture the importance of engaging the family and the patient in a developmentally supportive manner as essential members of the health care team. Patient- and family-centered care in pediatrics is based on the understanding that the family is the child’s primary source of strength and support and that the child’s and family’s perspectives and information are important in clinical decision-making. Practitioners of patient- and family-centered care are keenly aware that positive health care experiences in provider/family partnerships can enhance parents’ confidence in their roles and, over time, increase the competence of children and young adults to take responsibility for their own health care, particularly in anticipation of the transition to adult service
The relationship between a doctor and patient is one based on mutual trust. In order for the doctor to diagnose correctly, he/she must assume as well as trust that the patient has disclosed all relevant facts to his or her condition. Likewise, the patient must trust that the doctor will not disclose the information that has been given to him or her. The concept of confidentiality is as old as medical practice yet surprisingly defining confidentiality in a medical context is still proving difficult. It is perhaps obvious that confidentiality would involve an implied promise from the doctor not to ‘disclose voluntarily medical information gained in the course of his relationship with a particular patient’ .
Maintaining confidentiality is one of the fundamental components every health care professional must follow. It is both a legal and ethical responsibility of a health professional to understand the importance of maintaining client confidentiality. Learning to establish a balance between maintaining personal protection and administering efficient health care can be a difficult task. According to the New Zealand Code of Ethics, Confidentiality is applied to any ‘written or spoken information, or of observed body language, acquired through privileged access.’
Our law enforcement officials have a duty to protect citizens as well as discourage crimes from taking place. Our health care officials also have a duty to provide the best care possible to those who need it. Often enough, there have been many cases where both parties have come in contrast with each other on different levels of professionalism. The ultimate debate arises when doctors and law enforcement take into account the respect and privacy of patients. One of the issues that will be discussed in the paper focuses on the importance of doctors having to report gunshot wounds to the police. Many issues of ethics and morality come into play when judging which party is in favor. In our opinion, we believe that physicians should report patients that come in with gunshot wounds for reasons of discouraging criminal acts, protecting our society, and preventing future violence from taking place. This paper will explore the many moral, ethical and legal responsibilities of a physician, and analyze why it is important for them to report gunshot wounds to the police. Contrary to the Code of Ethics of Physicians and the Medical Act, we believe there is a pressing issue for public concern that is being strongly overlooked in this matter. We will explore the areas of human rights, professional secrecy, civil responsibilities, as well as patient consent in order to justify our claim.