The medical profession in the delivery of service to their patients is compounded with a number of factors in the treatment of their patients. According to the medical profession, they are mandated with the responsibility of delivering the best possible treatment to their patients. The aim of the paper is to perform an overall look at some of the features that are enshrined in the course of the delivery of service such as the ethical requirements and how they conflict in certain situations as well as how they can be resolved. By using the ethical consideration of confidentiality this paper will attempt to highlight those factors that are important in the delivery of service to the patients.
B. Importance of ethical theory
In the healthcare environment, healthcare practitioners are everyday faced with the responsibility of ensuring that they deliver the best form of care for their patients (Beech, 2007). Some of the decisions that the practitioners require to undertake are at times engrained with ethical dilemmas posing a challenge for the practitioners to choose what is best for their patients. By virtue of all patients being different individuals, there is the likelihood of the value systems of these individuals to differ in certain instances and some of these values are radically different (Cerit, 2012). Therefore, ethics are considered by this practitioners as the ideal tool that they can depend on when faced with ethical dilemmas in the course of delivering appropriate healthcare (Butts J. B., 2009).
Different ethical theories exist and are applicable to different scenarios and are all intended to improve the levels of thinking of the professionals as well as support in appropriate decision-making. The existent theories inclu...
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...tate this kind of situation could be when:
I) When ordered by the court
II) When determined by the ethical committee or board
III) In those situations that call for the exercising of utmost confidentiality iii) Rationale for breaking confidentiality
Many situations can arise that necessitate the breaking of confidentiality between the patient and the medical team in nursing. Situations that may arise may include instances in which the courts may require that particular information be made available to the justice system especially in criminal cases. Confidentiality may also be broken when the patient themselves is suddenly in a position or state to make informed decisions such as when they are brain dead and therefore the staff have to relay information to the guardian or family members to ensure that the best decisions for the patient are achieved and worked on.
During week 4, we became familiar with the application of ethics in the nursing practice settings. We learned about ethical theories and principles, which are crucial when practicing in any clinical settings during ethical decision-making and while facing one or multiple ethical dilemmas. Also, we were introduced to the MORAL model used in ethical decision – making progress. The MORAL model is the easiest model to use in the everyday clinical practice, for instance at bedside nursing. This model can be applyed in any clinical settings and its acronyms assist
In the increasingly complex world of health care, health care professionals make life-changing decisions for their patients and clients. The decisions can range from life to death and long care term for patients with mental disabilities. Not only do the decisions impact the patients or clients life but it also affects the patient’s family, caregivers and even the person making the decisions. Hence, healthcare professionals are advised to develop a moral reasoning and ethical decision-making process. The model used by most healthcare professionals is the six-step process developed by Purtilo and Doherty.
This paper will examine This paper will examine the Confidentiality and Doctor Patient Relationship .In the rules of law and ethics that information between the doctor and patient should stray confidential the physician should not leak confidential information that the patient did not want this information revealed to others, confidential between the patient and the doctor is very important. It is based on trust and if these are the information were not protected will cease to trust in the doctor-patient relationship would be diminished. Patients should be informed about the information being held about to them, why and how they may be shared, and who may be shared with
In this essay the author will rationalize the relevance of professional, ethical and legal regulations in the practice of nursing. The author will discuss and analyze the chosen scenario and critically review the action taken in the expense of the patient and the care workers. In addition, the author will also evaluates the strength and limitations of the scenario in a broader issue with reasonable judgement supported by theories and principles of ethical and legal standards.
In critical and complicating medical cases, family members often find it tedious to decide as to what mode or procedure of treatment is idyllic for the recovery of their patient. In such cases, well-qualified and medically educated can play a pivotal role in deciding the kind of treatment that should be given to the patient to enhance its recovery. In a contrary situation a nurse may know that administering a particular drug may improve the patient’s condition, but may be refrained from conducting the required action due to doctor’s absence or non-permission. There are numerous cases through which ethical dilemmas in the profession of nursing can be discussed. Nurses in order to remain within the defined boundaries ...
Reid, D.D. Confidentiality In; Duncan, A.S., Dunstan, G.R., Welbourn, R.B. eds. Dictionary of medical ethics (2nd ed). London; Darton, Longman and Todd, 1981.
In this diverse society we are confronted everyday with so many ethical choices in provision of healthcare for individuals. It becomes very difficult to find a guideline that would include a border perspective which might include individual’s beliefs and preference across the world. Due to these controversies, the four principles in biomedical ethic which includes autonomy, beneficence, non-maleficence and justice help us understand and explain which medical practices are ethical and acceptable. These principles are not only used to protect the rights of a patient but also the physician from being violated.
“It is helpful to use a decision-making model for ethical dilemmas in order to guide one’s decision making from an objective, cognitive perspective, rather than a purely affective or emotional perspective” (GCU, 2011). Hospital staffs are regularly confronted with circumstances which require sound ethical decision making capacity. While investigating an ethical dilemma, we have to look at the circumstance and perceive how each of the values may relate with that specific case. On occasion this alone will clear up the issues enough that the methods for resolving the dilemma will get to be evident to you. In more convoluted cases it is helpful to have the capacity to work through the steps of an ethical decision making model, and to evaluate which
The internal validity is, that because nurse know they are being observed they will be more cautious on how they perform all types of procedures and not just hand washing. If the nurses are more cautious than this can have an effect on the results. Because nurses are being more cautious that might be another factor on why the numbers of hospital acquired infections are reducing. The external validity in this study is the population’s age group. This study will focus on patients ages 40-60. Because a specific age group is being studied it is not known whether this method will have the same effect on the other different age groups.
Patients build their trust on the grounds of such regulations and expect to receive care with respect for themselves, their family, and their privacy. The CNA code of ethics guides nurses to respect the patients and family, protect privacy, advocate for patients receiving poor treatment and maintain professionalism in the therapeutic relationship (CNA, 2017). The case study discussed in the paper identified examples of unethical practices and the paper addressed different methods to deal with the ethical dilemma. In the scenario, the two nurses failed to show respect in any aspect which leads to the violation of responsibilities under the value of honouring dignity. Nurses can build therapeutic relationships and create the ideal environment for care if they follow the ethical standards and policies regarding their practice; however, the neglect of such guidelines can break the channel of which the care is carried out and result in the patient’s unwillingness to receive the care that they need. Dignity can be preserved by basic moral responses such as respect but can also be shattered(diminished) by a simple act of
Ethics refers to the values and customs of a community at a particular point in time. At present, the term ethics is guided by the moral principles that guide our everyday actions. These moral principles guide the researcher into deciding what is ‘right’ or ‘wrong’. The foundation of medical ethics is governed by two philosophical frameworks that are deontology, and utilitarianism. However ultimately the ethics committees need to balance the risks, and benefits for the participants and the community associated with the particular research proposal. This balance is quite important as the well being of participants is at risk.7
9. Swisher LL, Arslanian LE, Davis CM. The realm-individual process-situation (RIPS) model of ethical decision making. Published by: APTA Section on Health Policy & Administration. Vol. 5 No. 3. October 2005. Available at: http://www.apta.org/uploadedFiles/APTAorg/Practice_and_Patient_Care/Ethics/Tools/RIPS_DecisionMaking.pdf. Accessed on: March 22, 2014.
Over the years journalists have been jailed for failing to reveal confidential sources to the court despite being guided by code of ethics. Journalist should only reveal their confidential sources to the court if the information may harm national security or disclose is necessary to show the innocence of an accused. If a journalist reveals confidential sources without reason the result will be breach of confidentiality and limited flow of information to journalist. In this essay will discuss the definition of confidentiality and its ethical considerations. Will also address several reason for contempt of court for confidential. Lastly will examine the reform strategies over the years. These will be supported with relevant cases.
In healthcare ethical theories on the issue look at how we interpret harm in a clinical setting. Doctors are expected to improve and promote the health of patients using their skills and knowledge. Patients in turn put their trust in doctors and make decisions based on that trust. Doctors, nursing personnel and allied healthcare have a duty to the patients which is guided by the mission and vision of the organization. For example, under the patient’s rights to access, no patient shall be refused treatment.
In every health care position keeping a clients’ personal information confidential is important in all areas. All health care providers are required to sign forms in an agreement and understanding of the rules and procedures on how to protect against disclosing a client’s health information. While dealing with confidential health informational employers are required to make sure is provide education on the laws and understanding of confidentiality, because the health care environment is always changing. To better prepare all staff for the risk of exposing a client’s confidential information without consent. Even though a client’s privacy is protected by law, the confidentiality agreement can be breached, that is why it is important