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Confidentiality in the medical field
Confidentiality in the medical field
Confidentiality in the medical field
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Kuther (2017) defined informed consent as a clients’ “informed, rational and voluntary agreement to participate. Informed consent is important because it shows that clients are aware of what is happening and that clients are at services on their own accord. Without obtaining informed consent, clinical psychologists cannot treat clients or perform research on participants. While clinical psychologists need informed consent to treat and perform research on clients, they do not necessarily need informed consent from the person whom they are treating. Informed consent must obtain from the parents of minors because minors do not have fully developed brain and cognitive abilities (Kuther, 2017). Kalat (2016) states that adolescents do not have a …show more content…
For example, a minor could not want to participate in research but decide to participate because his father threatens to take away his television. Because of children do not possess a level of decision-making as high as adult’s, I will obtain informed consent from minors in a careful way. Although minors are not legally allowed to give informed consent, they are not out of the decision-making process for participating in research. Kuther (2017) states, “although children cannot provide informed consent… [they can give] assent, children’s agreement to participate.” Thus, I would want to make sure minors agree to participate in research for uncoerced reasons. As Stricket et al. (2003) states, “informed consent is based in part on a belief in individuals’ rights to autonomous and self-determination.” In my opinion, minors do not act autonomously or intrinsically motivated if they are swayed by punishments. Thus, I would sit minors down one-one and fully explain to them the research process and asks them their reasons for seeing me. If they want to participate in research because they just want to, then I will gladly let them participate; however, if they want to participate to avoid a punishment, I will kindly tell their parents that I will not have any participants that only participate to avoid
...rt of the medical profession, the therapists are expected to maintain the confidentiality of their clients. A psychologist must be able to acquire a client’s trust in order to keep quality confidentiality amongst the two parties. Only on seriously occasions should the patient’s records be shared, under certain other conditions the psychotherapy records of a minor can be reviewed by others without prior written consent. The Health Insurance Portability and Accountability Act (HIPAA), psychologists can usually give way the patient records to parents or legal guardians. Some of the ethical rules that apply to the practice of child and adolescent psychiatry are clear and generally agreed upon For example, rules against sexual contact or harsh or abusive treatment are encoded as boundary violations. A psychotherapist must be able to respect the boundaries of the client.
According to standard III.2.1, "School psychologists explain their professional competencies, roles, assignments, and working relationships with recipients of services and others in their work setting in a forthright and understandable manner. School psychologists explain all professional services to clients in a clear, understandable manner". Extending on the exclusion of an explanation of service to the students, it is also concerning that the school psychologist did not receive assent from the students. According to standard I.1.4, school psychologist should "encourage a minor student 's voluntary participation in decision making about school psychological services as much as feasible", and there was not mention of the school psychologist attempting to inform the students about the counseling session, or asking for their participation. Finally, according to standard II.3.10, school psychologists should" encourage and promote parental participation in designing interventions for their children". It seems as if the school psychologist determined who would participate in the counseling sessions solely based on the teacher 's opinion of the
Lawrence, G., & Robinson Kurpius, S. (2000). Legal and ethical issues involved when counseling minors in nonschool settings. Journal of Counseling & Development, 78, 130-135.
“Action X is an informed consent by person P to intervention I if and only if:
...g with veracity include not only the basic expectation that we are honest in our professional interactions, but also in the area of informed consent. Counselors must be honest with clients concerning all areas of treatment, including the responsibilities for reporting certain information to parents or the authorities. The client must be made aware that counselors are accountable to the client, but legally as well.
Consent for medical treatment is the responsibility of the medical provider (e.g. physician, dentist, nurse practitioner). Informed consent contains information on:
Informed consent has been preserved as a sacred value since medicine started caring for the sick and it is still upheld today as a critical component of clinical research. Ensuring voluntary participation through an informed decision-making process in clinical research continues to be an ethical and moral obligation of the study team, quite often the study nurses. Over time these forms have reached a degree of unreasonableness; exceeding twenty pages, being too complex, and readability that exceeds the targeted populations. A deluge of literature over the past decade reaffirms and begs for change. In 2011, the federal government agency, Office of Human Research Protections, has responded by publishing and receiving comments on an Advanced Notice of Proposed Rule-Making (ANPRM); however, there has been no further public information of action. This brief aims to provide an overview of the issues, background, as well as several possible ways to lobby for action.
First, health care professional have a fundamental duty to do what 's best for their patients. Healthcare professionals are supposed to have great emphasis to provide the respect to their patients autonomy in adult healthcare. No matter the choice the patient makes to do with his or her care. As a child you need time to transition between dependence and vulnerability of childhood and autonomy of being an adult. The capacity and ability to make their own free will choices. Legally, adolescents to consent and confidentiality depends on how they professionally exercise it. Evidence proves that adolescents the age of 14-15 year olds have similar capacities as an adult. Adolescents may not always act the way you want them to act, the analytic processesses may not be best for decision making. Also adolescents may show emotions to decisions making because of external influences like perceptions and peer group pressure. Cognitive assessment of capacity may not take sufficient accounts of emotional and psychological components of making decisions on their own. The PFC (Prefrontal Cortex...
To begin, to those who may wonder what informed consent is, it is a legal and ethical prerequisite for clinical research on humans (Bristol, par 2). The purpose of informed consent is to ensure that patient autonomy is respected in decisions about their healthcare (Susilo, 1). Many people say that the term was first used in 1957. There was a malpractice case with Salgo v Leland Stanford Jr. The California Supreme court stated that no patient can submit to a medical intervention without having given “informed consent”. Even though the courts had said this, inf...
Vaccines should be put in children when are born to prevent any diseases when they are
Informed consent- The words “informed consent” are only mentioned twice in the ACJS code of ethics. Specifically, the code states that “informed consent should be obtained when the risks of research are greater than the risks of everyday life.” It is also included that in situations where individuals are illiterate, under correctional supervision, minors, have low social status, are under judicial supervision, have diminished capacity, are unfamiliar with social research or otherwise occupy a position of unequal power with the researcher, culturally appropriate steps should be taken to secure informed consent.
...esearch is not always an easy choice. There is often a fine balance between respecting the information gained from a child which has been freely given on a confidential basis and ensuring adequate protection for the child. Similarly ensuring that informed consent is given may result in some children not taking part in the research, but it also protects children from covert research which may not show them in a true light. As we have seen ethical issues are not always easy to resolve, but it is important to identify potential ethical problems so that ways of addressing them can be determined. Whether or not a piece of research is required to be approved by an ethics committee or not, by raising ethical questions during the planning stage it helps to ensure protection for both children and researchers and ultimately leads to better, well thought out research.
In case study of Zora (age 14), the decision of whether to keep the information shared during the session confidential or disclose it to the parents is a daunting ethical challenge that requires the psychologist to balance tensions between the obligations to protect the welfare of the adolescent. The confidential rights of minors and adolescents ages 12-16 can be confusing to many professionals that are treating this age group due to the laws and guidelines every state has pertaining to this age group (Fisher, 2013). Even though adolescents are considered to have more mental capacity for decision making than that of younger children, but they are not considered to be adults (Fisher, 2013). There are many specific areas that are needed to consider in regards to consent and confidentiality that are difficult for teens, parents, health care professionals, and lawmakers
In conclusion, obtaining informed consent is a vital part of respect for the patient and safeguarding of self-determination. The consent to participate in research or treatment should be informed, comprehensible, and free of coercion. There is not a clear black and white answer because no matter what is done to assure informed consent there is always a moment of doubt on the end of the patient as to whether what is going to take place is fully understood and their true wishes honored.
For this research project I decided to ask two of my neighbours who are in high school. I enlisted them by going to their house one day after school. I visited them at their house and explained my research project to them and their parents. I gave them a leaflet and one for their parents and asked if they had any questions. Before I left I asked them to contact me via telephone or e-mail if they were interested in participating in the research project. Once they contacted me to say they were interested, I visited them again at their house. I thanked them for agreeing to participate in the research project and I gave them the informed consent forms, one for them and the other for their parents. We then discussed when the research would take place. We agreed to meet after school at my house. I asked if they had any questions and they did not so I left and reminded them to bring the signed informed consent forms on the day of the research. I considered Maria and Bob appropriate for my research because they are both in high school and live in Rexdale. I also wanted to have a male and female participate in the research so Maria and Bob made this