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). If patients are unable to trust their therapist completely, then it is likely that they will not be as open during their sessions, which will make it difficult for the therapist to accurately diagnose and treat the patients. The decision by the court places the therapist in a difficult position. A therapist could utilize the ethical principle of beneficence, defined as acting in ways that benefit another and prevents harm, in determining the best way to act to benefit both the patient and protect the third party. Per the ruling of the court, “when a therapist determines, or pursuant to the standards of his profession should determine, that his patient presents a serious danger of violence to another,” he is required to warn the victim of that “danger” (Felthous, 2006, p. 339).
But, without trust patients are less-confident that decisions made are in their best interest. communication influences understanding and cooperation increases trust between both parties, nurses must monitor their interaction with patients to avoid a false sense of security. This false sense may cause potential harm to patients because substitute treatments are not offered. So, to lighten or reduce this concern the nurse must understand and listen to the patient’s life circumstances. A failure to do so may limit how much the patient’s concerns are considered in the decision making process(
Disclosing, divulging or explaining, the purpose and interests of a case, making secret information known. When responding to an adult at risk regarding disclosure, a health or social care professional should follow the guidelines in the disclosure policy for the institution they work for. A health care professional should never promise to keep information to themselves. Confidentiality should continue to exist up until a staff member is concerned for the wellbeing of a patient, if they believe they are harmful to themselves or others, or if they feel as if a patient is at risk of abuse or neglect. 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.
It is a nurse 's responsibility to adhere by these guidelines no matter what. However, if a nurse works outside the guidelines that are set for administering medication safely, he/she takes it upon themselves to abide by the legal consequences that the laws have in place for negligent nurses in healthcare. Nurses play the most valuable role when it comes to medication error prevention because nurses serve as the gatekeeper to medication administration. Kim Maryniak said it best when she implied, “As nurses, we are often the last “gatekeeper” in the administration process to prevent medication errors. It is important to take the time needed to ensure patient safety, and to minimize distractions throughout the process.” (Maryniak,
But on the other hand, they need consider whether telling truth would help or make situations more worst. Ethical dilemma among health care professional arises, either telling the truth or withholding the truth would benefit the patient. In health care settings, truth telling about terminal care is a common ethical dilemma: either by telling truth or withholding the truth is the main concern. More often, doctors and nurses work closely
Example a respondent may experience social sanction, peer or family scorn or even termination of employment due to the fact that he or she disclosed her views on certain things. Another risk is publication of data that a respondent assumes to be confidential thus causing embarrassment and legal penalty. Confidentiality is an essential part of social science because it provides assurance of protection to participants. Nurses are obliged to keep information to themselves which makes patient secured around them. Once patients feel secured around a nurse he or she can disclose so many issues that can help in future research work but once security is lost patient pretends and pass on wrong information which may affect the result of that
Unintentionally is a common mistake that can cause patient harm such as medication error or wrong treatment, but these are something preventable mistake should perform a proper check before putting the patient in danger. Furthermore, the patient may feel offended by nonphysical contact –body gesture, posture, the tone of voice, verbal abuse, and questionnaire for instance. Another key point, intentionally doing is what the professionals have discussed with the patient and family member to agree to follow care plan among another healthcare team even though “do no harm” comes into play. In this case, the patient must undergo surgery to remove a tumor from brain, painful operation, but it’s necessary before the tumor has further growth and damage neurological functions. Another example, a patient in a mental health unit has gone out with anger tempting to harm others and won’t comply to staffs, so is it appropriate for staff to restrain outrage patient before some staff, other patients or oneself get hurt?
In the current era, incivility appears to have taken on the definition of bullying or even physical violence toward others. However, incivility is much more than attempting to directly harm another person. Incivility is any act of being rude, belittling, hostile, and certainly insinuating or engaging in bullying and physical violence toward others (Catalano 422). The acts of not allowing another person to express an idea, or ignoring a person who may need help are both acts of incivility. For people who are training to become nurses, which is a profession based on helping others, there is no place for incivility, whether in the classroom, the clinical setting, or a lab.
A nurse’s occupation is not only to provide care for their patients physically but also mentally. Without compassionate care the cross bridge to trust and honesty is demolished, and often patients will keep their underlying yet crucial health concerns and issues to themselves because their nurse has failed to portray compassion. “Patients can feel more comfortable to raise important issues with the practice nurse than with their doctor” (Phillips et al., 2009). This very act of compassionate care can save lives, there are countless issues that medical charts, ECG`s, X-rays and ultrasounds don’t depict yet the only key to unlocking that information is the attainment of trust from your
Patients have a right to privacy and non-interference. The healthcare professionals are obligated to give needed information to patients and relate the risks, and the benefits of a test/treatment. The detail information given will allow the patient to make the best decision on what he/she chooses to do. Hiding information about a diagnosis or not revealing the potential complications because a patient may refuse care seems unethical. Patients have the right to know about their health to make informed
Using slang is informal language and restricted at the work place. But not all slang is derogatory. In some cases, it’s a way to pack a lot of information into a single phrase, or to warn other colleagues about a potential difficult patient (Michaels). Like for an example a doctor says “High Five” to warn their nurses about a patient who has HIV before operating on that patient. In order to show professionalism, slang should always be avoided.
I agree in the medical field or within law enforcement a persons confidentiality should not be protected, especially when the person is a harm to themselves and the community that they live in. For example, sexual predators or someone intending on doing harm to another isn’t afforded the same protect confidentiality as a person expressing a personal concern. Confidentiality can be violated when serious threat of harm is suspected, the clinician has the moral responsibility to protect the community from any person suggesting that they may do harm to himself or herself or another person. Dr. Ruth Bagshaw decision to notify law enforcement of her patients intent to possibly commit physical harm to young girl is a clear indication of why confidentiality