Due to the nature of nursing field, nurses may face different circumstances and dilemmas that might require good decision making or choosing from alternatives to meet the best outcome that go with the patients ' wellbeing, comfort and wishes. As a consequence, nursing practice requires a framework that known as "ethics" which regulate and guide nursing actions to achieve these goals (Curtis and Benjamin 2010). In view of the fact that nurses notice, observe and attend to a lot of patient 's information, it is necessary to maintain them private. Also, nurses need to understand the importance of confidentiality and how to enhance and protect patients ' confidential information. The objective of this paper is to discuss the importance of confidentiality and describe its significance as an ethical principle during providing nursing care for individuals in the clinical setting.
The Gillick Competence and Fraser’s Guidelines In Gillick v West Norflock and Wisbech Area Health Authority , the House of Lords established the test for competence of a minor to give consent. Gillick competency and Fraser guidelines refer to a legal case which looked specifically at whether doctors should be able to give contraceptive advice or treatment to under 16-year-olds without parental consent. But since then, they have been more widely used to help assess whether a child has the maturity to make their own decisions and to understand the implications of those decisions. Gillick Competency Test assesses the maturity of a minor to take decisions. Lord Scarman’s comments in his judgement of the case are referred to as the Gillick Competency Test "...whether or not a child is capable of giving the necessary consent will depend on the child’s maturity and understanding and the nature of the consent required.
Ethics of Advocacy Advocacy is an important concept in nursing practice used to describe the nurse-client relationship. Patient advocacy encompasses patients’ rights. Nursing advocacy derives from the philosophy that everyone has the right to promote his or her own well-being, as understood by that individual. The concept of advocacy can be tricky when it comes to children (Kanne, 2011). The field of ethics addresses how we ought to treat each other, how we ought to act, what we ought to do, and why.
Information should be conveyed to them in a way that they're able to understand. They also have the right to a written summary of any information that is provided to them. In general they're entitled to have access to or copies of your medical records. However, there may be exceptional circumstances in which a doctor is entitled to refuse access to the patient. If this is the case, they must be told of the reason for the refusal.
It is to ensure accurate identification in identifying the individual as the person for the treatment is intended of care. From this experience I understand that, it is essential to utilize two- patient identifier according to the standards and policies of the hospital. Secondly, by asking an open-ended question active communication whenever possible and ask the patient to state his or her full name and date of birth of the individual is to ensure the safety of individuals during their care, including prevention of medication, diagnostic and treatment errors. IPSG, states that by utilizing a two patient- identifier, facilitates patient participation. Thus, in an open-ended inquiry active communication possibly by requesting patient to state his or her full
I. INTRODUCTION There are many definitions about Confidentiality and this word is commonly linked together with trust, respect of autonomy and privacy. One of the classic definitions; Confidentiality is a pledge or agreement that any off-the-record information shared by the patient will be protected against disclosure to a third-party, unless permitted by the patient, or in some circumstances, guided by the law or the primary involved parties. The confidential information is strictly discussed among health care providers only. The ethics of Confidentiality is highly recommended in the medical field.
It is the obligation of healthcare practitioners to preserve patient privacy and confidentiality at all times. However, healthcare practitioners face diverse types and levels of privacy- and confidentiality-associated ethical dilemmas while dealing with specific types of patients. One such special case that presents ethical dilemmas on patient privacy and confidentiality is when a physician handles a criminal patient (Gardiner, 2003). The scenario becomes more complicated if it involves giving an emergency care to a patient who has been involved in a criminal act such as robbery, during which he or she has been shot or injured in some other ways. It is of the essence that physicians and other healthcare providers are conversant with the work standards and regulation pertaining to dealing with such patients, aiding their decision-making processes (Gardiner, 2003).
The nationwide shortage is due to unexpected demand for the medication and manufacturing interruptions related to factory upgrades, repairs, and rebuilding from last year’s hurricane season (American Society of Health-System Pharmacists [ASHP], 2018). The shortage of Fentanyl has negatively affected the healthcare industry’s ability to provide adequate labor patient pain control and other patient pain that requires Fentanyl (ASHP, 2018; Daniel S. Orlovich, 2014; U.S. Food and Drug Administration [FDA], 2018) The healthcare organizations understand the shortage and rationing of the medication. However, the patient does not always comprehend or appreciate the limited supply of medication and just wants to have their pain controlled (Daniel S. Orlovich, 2014). This is true for the LDU patients. Many patients have expressed their dissatisfaction with not receiving an epidural early in labor.
The direct targets of fraudulent billing practices are private health payers and government-funded health plans. There is $2.27 trillion in healthcare claims payments and this amount of money flowing around attracts devious individuals. The controls over the provider claims payment process is constantly being challenged due to the pressures of expedited payments and the use of automated payment process. This process increases the likelihood of fraudulent claims going
Furthermore, a large number of patients considering euthanasia (623 patients in 1 year) (6), have asked about the legislations concerning euthanasia, suggesting that it may unknown among people. Altogether, it seems that there might be some confusion during the process of performing euthanasia illegally. As a result of such bewilderment, as suggested by a study, grief among families may be even more severe (7). This can almost certainly be alleviated by legalizing euthanasia, as well as setting a clear and more direct policy towards it, such as giving the option to the patient whose death is to be expected in the foreseeable