the need to disclose patient information to protect a third party. Confidentiality is defined as “the ethical principle that requires nondisclosure of private or secret information with which one is entrusted” (Burkhardt & Nathaniel, 2012, p. 526). The court’s decision in the Tarasoff case caused controversy throughout the mental health profession that is still debated today. Confidentiality is the cornerstone on which the therapist-patient relationship is based. Justice Clark’s dissent emphasized the importance of confidentiality: “Until today’s majority opinion, both legal and medical authorities have agreed that confidentiality is essential to effectively treat the mentally ill and that imposing a duty on doctors to disclose patient threats to potential victims would greatly impair treatment” (Tarasoff v. Regents of University of California, 1976, p. 20).
The main focus here would be to make patients aware of the laws that are set in place that allow them to care. Also, letting them know that if a patient denies them care or provides them less care than other patients. Another problem we are faced with is the fact that if we argue that patients have rights, then we also must look at the rights of the physician. That is why all of these laws have come about, because basically the patient is putting their lives in the hands of the physician. The physician has decided to go into this career and this career is for human service.
In contrast, advocacy is valuing the patient’s freedom and self-determination, promoting and protecting the patient’s rights, and interceding between the patient and others. Defining Attributes “Defining attributes of a concept is the heart of concept analysis” (Walker & Avant, 2011, p.162). Attributes that are associated with the concept allow additional insight into the concept. Three defining attributes were expressed throughout the literature review. The first was that of acting on behalf of the patient which implies the nurse represent patients who are unable to or those that feel they are unable to represent themselves.
Throughout the history of medicine, physicians have been required to maintain an extraordinary level of moral sensitivity and duty. As a result, the conduct of those trusted with these responsibilities has been embedded in oaths. These evolving principles stand as a means to strengthen a doctor’s resolve to behave with integrity in their practice. Customs, social beliefs, and politics all just a few things that have the ability to sway a physician’s moral norms. For that reason, medicine requires formalized guidance to offer some resistance to fluctuating social opinion as a reminder to balance the needs of their patients with that of the physician.
The principle of informed consent come about in the late 1940s when physicians faced prosecution in the Nuremberg’s trials. Informed consent is a process that protects human beings by requiring doctors to obtain consent from patients before performing a procedure. Participants must fully understand the procedures, beneﬁts, and risks before getting involved. The ethical problems include: 1. Communication barriers between participants (patients) and researchers (healthcare professionals) can create misunderstandings and prevent participants from making fully autonomous decisions.
Confidentiality in the healthcare field is a patient’s vital and mandatory entitlement to the distribution of their medical records. This right is otherwise regarded as the Health Insurance Portability and Accountability Act (HIPAA), which pronounces the protection of patients in several aspects such as healthcare accessibility, the prevention of healthcare fraud, etc. Due to the law’s commitment to protecting the consumer, it is absolutely essential for the medical profession to become fully aware of the HIPAA law and its policies. The ideology of confidentiality and the HIPAA law possess several issues, including the progression of the concept, confidentiality in minors, and the consequences of disregarding the legislation. The Progression
However, as a family member I can see the desire to hold on for a long as possible. Accepting the values of others, although perhaps different from mine, will be necessary. I must enter agreements wisely and make promises only that I can keep to maintain the fidelity between myself and the clients. Providing nursing care must incorporate the family members of the patient, and understanding the grieving process involved with losing someone is of key importance. In adhering to the principles of veracity, I as a nurse must carefully choose how I present the truth in the least hurtful way.
This could result in malpractice or lack of care standards on the part of the case manager. The case manager needs to talk to the physicians to ensure they are clearly communicating their patients' condition and that they are on board with the plan care all way to the discharge plan. (Hogue & Prudhomme, 2012) Another point is documentation on a patient. There is a saying in the medical field if you didn’t document it didn’t happen, make sure as a case manager, everything you do is fully documented in the patient record. Develop habits that are good, you always want to document on a client when everything is fresh.
Before disclosing confidential patient information for purposes not directly related to his or her care and treatment, there is currently a responsibility upon health professionals to consult with a patient wherever practicable. The Health and Social Care Act 2012 has stated that responsibility to consult, requires health professionals to disclose. This is at odds with other moves to support an individual's involvement in decisions that affect them. Moreover, a responsibility to consult can be shown to be a procedural aspect of the fundamental right to respect for private and family life. If a service user discloses an allegation it is important that the service provider assures the person that you are taking them seriously, the right to dignity and respect involves recognising the value of people as individuals and the specific
The main purpose of this assignment is to evaluate the effectiveness of bedside handover in nursing for treating patients. Clinical handover practices are considered as significant in the transmission of clinical care between health physicians. It is noticed that when the patient is handed over from one clinician to another, it is important to make sure that continuity of care is maintained because problem in this can give rise to various safety issues. A nursing handover is known as the process in which information related to a patient is exchanged between nurses, which includes transfer of responsibility or control over for the patient. It is noticed that at the start of the shift, the nurses get general report related to the patients, which