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Professionalism and ethics nursing
Privacy and confidentiality in healthcare
Ethics in patient care
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The main purpose of the essay is to look at the meaning of privacy and dignity in the modern healthcare practice and discuss the application of those principles in midwifery practice. The thesis will also explain the importance of privacy and dignity and the reasons for promoting the application of those values in care.
There is no specific legislation covering privacy and dignity issues, however, these are underpinned by various policies. Department of Health (2015) honouring human rights states, that every person has a right to be treated with respect, dignity and privacy and has the right to expect that their personal information is kept confidential and secure. NHS staff are responsible for approaching patients respectfully, moreover,
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A national Dignity Survey conducted in 2013 reveals that majority of women are satisfied with the quality of care they experienced during childbirth, however, women who gave birth in the hospital reported less respectful approach than those using birth centres or delivering in home settings. Furthermore, survey exposed that midwives struggle to define dignity in relation to privacy and try to emphasize human rights values in their practice when facing many challenges (Prochaska, 2013). According to Morad et al (2013), these challenges are excessive use of medication and technology in labour, retaking woman’s autonomy and institutionalised approach. Community settings are seen as less institutionalised, more supportive and promote dignified approach (MacLellan, …show more content…
Women in pregnancy, during childbirth and in the postnatal are subject to many intimidating procedures involving nudity and being exposed. As they need care and prioritise baby’s needs this makes them temporarily vulnerable and could result in loss of autonomy, lack of control and rendering all responsibility in the hands of midwives (MacLellan, 2014). The biggest issues are around vaginal examination when woman feel embarrassed and put on display, even frustrated when a midwife lacks communications skills to explain the rationale and the course of action. Some women even perceive it as a demonstration of power and an attempt at taking control over the labour (Stewart,
Pairman,S., Tracy, S., Thorogood, C., & Pincombe, J. (2013). Theoretical frameworks for midwifery practice. Midwifery: Preparation for practice.(2nd ed, pp. 313-336). Chatswood, N.S.W. : Elsevier Australia
My knowledge about the concept of privacy and dignity and its importance to health care and the benefit to service users has increased, however I will also be conducting more research on privacy and dignity in relation to patient care.
McLaren accuses doctors of neglecting women who wanted to abort because of the responsibility that came with the operation. All doctors couldn’t legally perform the operation; other professionals and t...
Which is very important for nurses or any medical professional to do in the healthcare profession. Nurses are receiving these patients in their most vulnerable state, nurses are exposed and trusted with the patients’ information to further assist them on providing optimum treatment. Keeping patient’s information private goes back to not just doing what’s morally right but also it also builds that nurse – patient relationship as well. We also have provision three that specifically taps on this issue as well, as it states: “The nurse seeks to protect the health, safety, and rights of patient.” (Nurses Code of Ethics,
...o find a balance between interventional and non-interventional birth. With this being said, I also understand that there are strict policies and protocols set in place, which I must abide to as a healthcare provider, in any birth setting. Unfortunately, these guidelines can be abused. Christiane Northrup, MD, a well recognized and respected obstetrician-gynecologist has gone as far as to tell her own daughters that they should not give birth in a hospital setting, with the safest place being home (Block, 2007, p. xxiii). Although I am not entirely against hospital births, I am a firm believe that normal, healthy pregnancies should be fully permissible to all midwives. However, high-risk pregnancies and births must remain the responsibility of skilled obstetricians. My heart’s desire is to do what is ultimately in the best interest of the mother, and her unborn child.
The Royal College of Nursing (RCN, 2009) defines dignity as treating someone as you or your family would want to be treated, when they are feeling vulnerable. According to ( Matiti & Baillie,2011) in modern world the word dignity has lost its meaning, whether it is intentionally or unintentionally, nurses have become very mechanical, trying to give care for dummies rather than human beings, who have emotions, feelings and self-respect, and not realising what impact patients will have when nurses show this kind of attitude. Patient centred care is vital for all nurses, without, discriminating against colour, gender, race, and religious beliefs. Following the code of conduct which is expected of the nurse, working according to the needs of the patients, being a good listener and respecting them. When the nurse shows dignity and respect, she/he tends to develop a therapeutic relationship with patient which in turn results in good health and rehabilitation (NMC, 2008).
Public Expectations: In Health and Social Care, the public expects employees/workers to be caring, respectful towards the patients protected characteristics which means avoiding conflicts such as discrimination and inequality treatments. They should be able to protect personal information of the patients by following the 'Data protection and Confidentiality Act 1998'. They are expected to give good supportive advice towards their patients and employees to improve the quality of work and welfare benefits. They expect higher standards of care, detailed information about their treatment, communication and involvement in decisions making activities and also access to the latest treatments (Thekingsfund,
In the early nineteen-hundreds, the American Medical Lobby was almost successful in stopping out its competition: Midwives. The Journal of the American Medical Association (AMA) published an article in 1912 “The Midwife Problem”, which analyzed a survey given to obstetricians of their thoughts on midwives were. The article states “a large proportion admit that the average practitioner, through his lack of preparation for the practice of obstetrics, may do his patients as much harm as the much-maligned midwife.” This statement demonstrates the discrimination of skilled midwives. Comparing a trained midwife to a unprepared obstetrician. “doctors are the main reason women don’t have midwives.” says Cristen Pascucci the Author of “ Why Are We Asking Doctors if Women Should Have Midwives?”. Midwife led care is the norm all around the world for mothers and babies, so why not in the United States you may ask. Many may say that the United States has a dysfunctional system of maternity care, leading to poor outcomes for mothers and babies. After the 1912 “Midwife Problem”, prenatal mortality has been higher in hospitals and lower in at home births. (Pascucci, 2014) The doctors employed by the AMA in 1912, failed to take down the glorious, strong willed midwives. Even after 100 years of scrutiny, midwives are still going strong and proving their ways of doing things are
Protecting a patients dignity means to respect their privacy, allow them to have control over their own decisions, and to not undermine them at any point. Patients dignity can be protected by nurses by ensuring they only carry out personal care when it is needed, and if possible, have the nurse completing the task be the same gender of the patient. This may make them feel more comfortable and less embarrassed.
Cross and Sim (2000) cite Reid (1981) who defines confidentiality as “ the principle of maintaining the security of information elicited from an individual in the privileged circumstances of a professional relationship”. It has been highlighted by the Health Care Professional Council (HCPC, 2012) that when working in healthcare and dealing with personal information regarding patients, it is every health professionals role to ensure that information is handled correctly and kept safe. If for any reason personal information is required to be shared or passed on then the patient should provide informed consent (HCPC, 2012). The HCPC (2012) also note that if confidentiality is broken this may affect the care and patient relationship and result in patients being reluctant to share information important to their proper care.
A new study of 146,752 women in the Netherlands with low-risk pregnancies has shown that there can be severe adverse effects to both mother and child if a delivery occurs at home, instead of in a hospital. Two out of every 1000 women died while giving birth at home, and 55 percent of the home birth women experienced a hemorrhage, or dangerous amount of lost blood. There is a twenty-six percent risk reduction if a woman gives birth in a hospital. The reason for this being that if an emergency treatment, like a caesarian section was needed or the child needed neonatal assistance, the hospital could and would immediately provide the care that was needed. If there are problems during a home birth, emergency assistance must be located at a hospital, not by a midwife that assists a woman in the comfort of her home.
I initially considered midwifery when I attended an antenatal scan with my auntie and heard the heartbeat of the unborn baby for the first time. Listening to discussions regarding health concerns and family support highlighted the importance of the midwife and mother relationship. Two years ago I was given the opportunity to be my mum’s birthing partner alongside my dad. I saw how the midwives interacted and were supportive through the birthing and decision making process. It was found that the baby was breach and the safe option was a caesarean section, and with the complications discussed mum was able to make the right decision. I attended pre and postnatal appointments and listened to the midwives offering advice and guidance, develop a birthing plan as well as check and monitor the health and wellbeing of mum. These first hand experiences have given me a deeper understanding of the role of a midwife and how communication and building trusting relationships is key during these emotional and vulnerable times for a woman, and inspired me to become a midwife.
(9) United Kingdom Central Council for Nursing, Midwifery, and Health Visiting. (UKCC) (1992). Primary Health Care, Code of professional conduct for the nurse, midwife and health visitor. London: UKCC.8 (2)
Patient confidentiality is one of the foundations to the medical practice. Patients arrive at hospitals seeking treatment believing that all personal information will remain between themselves and the medical staff. In order to assure patients privacy, confidentiality policies were established. However, a confidentiality policy may be broken only in the case the medical staff believes that the patient is a danger to themselves or to others in society. Thesis Statement: The ethics underlying patient confidentiality is periodically questioned in our society due to circumstances that abruptly occur leaving health professionals to decide between right and wrong.
The Millennium Development Goal Report 2013 states that the progress towards achieving the target of reducing maternal mortality by two thirds between 1990 and 2015 significantly falls short of the set goal and the indices are still poor in the developing countries especially sub-Saharan Africa (United Nations, 2013). The People’s Health Movement (PHM), through its WHO Watch clearly identifies the huge omission of Traditional Birth Attendants (TBAs) in the WHO’s revised strategy on traditional medicine (PHM WHO Watch, 2013). The magnitude of this omission appears to be puzzling owing to the fact that in just about three decades ago the WHO aimed to reduce death of women associated with child bearing through the training of TBAs and promoted their integration into the orthodox health care system. The WHO calls for a collaborative effort in achieving the goal of reducing maternal deaths. Yet, one can insinuate that the TBAs are no longer seen as a resource to be harnessed by public health professionals in addressing the issues associated with childbearing (Langwick, 2011). The ‘friend or foe’ mentality can clearly be observed in a statement made by one of Nigeria’s chief leaders in the fight towards reducing maternal mortality published in Nigeria’s foremost editorial daily newspaper magazine, the Punch. He said that ‘it was no longer acceptable for women to give birth in TBA centres, TBAs were no longer required in labour and delivery because of the availability of enough trained or skilled personnel, and he promised to jail any TBA involved in a maternal death’ (Punch, 2013). As such, it is important for us to critically analyse and evaluate the relevance of TBAs in promoting health from a contemporary global health perspective. I...