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Reflection on confidentiality in nursing
Reflection on confidentiality in nursing
Confidentiality and nursing practice
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Nurses have a duty of protecting the privacy and confidentiality of their patient while undergoing treatment and procedures under their care. Privacy and confidentiality are two different terms. Privacy is described as the “right of individuals to withhold themselves and their lives from public scrutiny” (Kozier and Erb, 2012, p.82) while confidentiality is defined as “any information a participant relates will not be made public or available to others without the participant’s consent” (Kozier and Erb, 2012, p.33). The Nursing and Midwifery Board of Australia (NMBA) is the governing council for all Australian registered nurses. The NMBA has set guidelines and standards that would serve as a norm in providing excellent care. Privacy and …show more content…
Lucinda wanted to know about what antibiotic her husband is on and what the action of the drug is so that she can do some online readings by herself about what disease her husband is suffering. Bearing in mind the set of professional standards set by the NMBA, Gemma should seek first the consent of Salvatore before giving any relative information to Lucinda. Taking into consideration that Lucinda is the wife of Salvatore, it does not imply that she can receive information without the patient’s knowledge. Gemma still is required to call Salvatore and ask the patient if he is amenable to sharing the information that Lucinda, the wife, is asking. Levett-Jones & Bourgeouis (2015) states that nurses should make certain that any information about the patient is used with the client’s permission. Furthermore, Price (2015) mentions that part of a nurse’s duty is to protect the patient from unwarranted intrusion. Patients put their trust in the nurses to safeguard their health information and it is the nurse’s duty to do such. All members of the medical team have an obligation to protect their patient’s privacy and confidentiality (Starr, 2013). McCamish (2016) states that nurses are one of the most reliable among all …show more content…
Kozier & Erb (2012) describes accountability as being responsible for one’s actions and cannot be passed on to another person. The nurse would be punished depending on the hospital’s rules and regulations. She may be given a verbal warning, be suspended or in the worst-case scenario be discharged from the service. The same case applies to student nurses. If a nursing student inadvertently disclosed any information to a third party without the patient’s consent then the student will be asked to leave placement. Nursing students are given their Code of Conduct Agreement prior to their clinical placement and these are to be followed because these set of rules and standards are geared to preparing them for their professional career as a registered nurse in the future. Nurses, as well as nursing students, are obliged to avoid breaching the patient’s privacy and confidentiality in order to avoid legal problems.
Privacy and confidentiality are basic rights of every individual. It is a legal and ethical obligation of nurses and student nurses to protect personal health information gathered from patients and disclosure of this said personal data to a third party should be done with the clients’ consent. It is essential that these duties are upheld
Schmeida, M. (2005). HIPAA of 1996: Just an Incremental Step in Reshaping Government. Retrieved January 25, 2011, from American Nursing Association Web Site: http://www.nursingworld.org
Section 5.4, which is the preservation of integrity, suggests that nurses will inevitably have to deal with threats to their moral or professional integrity at some point in their careers. Nurses should do their best to maintain professional integrity when met with adversity, weather it be from uncooperative issuance companies, an unsound work environment, or from the patients themselves. When working in an unsound or unsafe work environment that violates law or the ANA code of ethics nurses must go through the proper channels to fix the problem. If a nurse feels that a procedure or treatment their patient is having conflicts with his or her own moral integrity and they cannot participate, the nurse must report they unwilling to tr...
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.
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,
...Council, M., & Federation, A. N. (2008). Codes of Professional Conduct & Ethics for Nurses & Midwives, 2008: Australian Nursing and Midwifery Council.
values for instance, nurses have to practise autonomously and responsibly also accountable for safe, compassionate, person centred, evidence based nursing that respects and maintains dignity and human rights (NMC 2014) communication and interpersonal skills, practice and decision making, leadership, management and team working. All nurses are personally accountable for their own practice for instance, work within their own limitations, decisions and actions, nurses must maintain professional knowledge and competences as well as continuing professional development. All nurses are expected to abide by the codes of conduct at all times, if a registered nurse or midwife fail to uphold these standards, the NMC can take action for instance, cautions,
According to the American Nurses Association (ANA), (2010) “the nurse promotes, advocates for and strives to protect the health, safety and rights of the patient” (p. 6). Nursing responsibilities should be acted upon at the highest standard and must be based on legal and ethical obligations. Healthcare provider’s perception and judgment of the patient’s well being, as well as taking into account the rights of the patient in every action, is one of the key elements in nursing practice. International Council of Nurses (ICN) (2006) states “The nurse at all times maintains standards of personal conduct which reflect well on the profession and enhance public confidence” (p. 3).
1. Legal, ethical and professional principle frameworks underpin all fields of nursing, and it is a requirement for all Registered Nurses to be competent and knowledgeable, act with integrity and maintain professional standards set out by Nursing and Midwifery Council (NMC, 2015). Working with multidisciplinary teams within our profession, it is important to acknowledge and recognise the way in which all the professionals are guided by law and their independent regulatory bodies. The needs of the individual patient is to be considered by doctors and nurses alike, who share professional values and are set out in the respective codes of practice, The Code (NMC, 2015) and GMC (2013).
College of Nurses of Ontario,(2009).Practice Guidelines: Confidentiality and privacy-Personal Health Information. Retrieved April 3, 2014 from http://www.cno.org/Global/docs/prac/41069_privacy.pdf
Nursing surrounds the concept of patient care physically, mentally and ethically. The therapeutic relationship that is created is built on the knowledge and skills of the nurse and relies on patient and nurse trusting one another. The use of nursing skills can ensure these boundaries are maintained, it allows for safe patient care. Professional boundaries are the line that nurses cannot cross, involving aspects such as patient confidentiality and privacy, ensuring legal aspects of nursing and the boundaries put in place are not breached. However, nurses accepting financial or personal gain from patient can also cross these professional boundaries. It is only through education in this area that the rights of patients can be preserved, as well as the nursing standards. Through education in areas such as confidentiality, boundaries can remain in tact and the patient care can remain within the zone of helpfulness.
As health care providers, nurses strive to instill confidence in their patients and their loved ones. A nurse is respectful to their colleagues as well as their patients. Nurses promote patients’ independence, patients can be confident in the knowledge that a nurse will do what is best for them, respecting their privacy and dignity. This means that a nurse does not share the patient information for personal reasons nor does the nurse get involved in a patients personal relationship if it is not medically relevant (NCSBN, 2011).
As a nurse, it is within your role to safeguard the right to privacy for individuals. To ensure that nurses are adhering to this, ethical strategies have been proposed and implemented from a legal and regulatory body.
In conclusion, there are numerous legal and ethical issues apparent in the nursing practice. Nurses should study and be as informed as they can with ethics and legality within their field in order to ensure no mistakes occur. Ethical issues vary based on patient’s views, religion, and environment. Nurses are influenced by these same views, but most of the time they are not the same as the patients. As a nurse we must learn to put the care of our patients and their beliefs, rights, and wishes before our own personal
The nursing code of ethics has a very standard definition. It is the base on how nurses should guide themselves in conduct by making the right decision regarding ethical issues. According to the National Student Nurses Association “students of nursing have a responsibility to society in learning the academic theory and clinical skills needed to provide nursing care” (2003). In the clinical setting nurses have a lot of responsibilities while caring for an ill patient, they have the obligation to practice their profession with compassion, love, and respect the uniqueness of each patient, as nurses we are not supposed to deny care to a patient because of their economic status, their skin color, race, or the nature of health problems, we are here to help the people in need in particular those of susceptible populations. The NSNA states that the code of conduct is based on an understanding that to practice nursing as a student is an agreement that trust and honesty is depended on us by society. The announcement of the code provided direction for the nursing student in the personal development of an ethical foundation and not limited to the academic or clinical environment but can assist in the holistic development of a person. (National Student Nurses Association, 2003)
Particularly in medical and nursing settings, privacy is recognized as a basic human right. Should be noted, it’s essentially complex and vague to define while being reviewed. It’s defined in the context of four aspects [solitude, intimacy, anonymity and reserve] but overall recognized in two forms; autonomy and confidentiality. Little attention paid to privacy patients in many medical centers. It’s essential to observe privacy, to establish an effective medical team-patients relationship; patient serenity. Today, with technology available, observing privacy and confidentiality should be more acute. Patient satisfaction levels have been identified as major indicators of quality of care and are influenced by a range of factors (Nayeri & Aghajani, 2010).