Patient confidentiality is part of the Nursing Code of Ethics and it is a nurses’ duty to uphold confidentiality of patient information (American Nurses Association, 2012). However, there are certain situations in which a confidentiality breach is acceptable, such as when a patient voices harm to themselves or others and certain sexually transmitted diseases STDs). The following is a breakdown of the ethical implications of a breach of confidentiality, the ethical theory, the alternatives to breaching confidentiality using the framework of
Confidentiality in the Healthcare arena can be simply defined as the moral and ethical duty of the Practitioner to keep all the patient’s bio-data under lock and key, and offer a disclosure of those facts that the patient is legally mandated to disclose or deems fit to enhance their positive health outcome. According to the Segen’s Medical Dictionary, “Confidentiality is the ethical principle that a physician may not reveal any information disclosed in the course of medical care, unless the patient who disclosed that information poses a threat to him, herself or others’’
Care providers strive to provide care that is patient focused that maintains confidentiality and respect. This paper is about the maintenance of patient confidentiality and the trusting relationships that must be maintained between the patient and the healthcare providers.
Finding out that people blame doctors for when their patient commits a crime puts my mind in utter disbelief. The law of patient confidentiality clearly states that the physician must keep all information a patient informs them in confidence, unless it acquires serious medical care, but if the doctor breaches the confidentiality by informing a third party without the patient’s consent, he or she could be sued. Doctor-patient confidentiality is based on the belief that a person should not be worried about seeking medical treatment in alarm that his or her problem will be shown to others. The objective of the relationship between the patient and their doctor is to make patients feel as comfortable as possible by providing them with any information they way need about their symptoms. This helps the doctor to make a correct diagnosis, and overall helping the patient feel comfortable enough to trust their doctor so that they may receive the best care. Once a physician takes a patient on, they must keep all the patient says and does in confidence; moreover, he cannot inform any third party of the patients wellbeing, but there are some exceptions like if the patient intends on causing harm to oneself or other or if it is an issue in a lawsuit. The court system claims A patient must have full confidence that their doctor will be able to keep all his or her medical issues private which helps the patient trust their physician. The professional duty of confidentiality not only covers
Informed Consent allows a doctor to render treatment to a patient. By signing the document states that the patient understands the circumstances and what is required. This paper is to analyze the consent and non-consent, and ethical issues that can become a problem.
The first commentary by Leonard Fleck defended the patient confidentiality by stating the physician is morally obligated to respect the patient’s confidentiality. The argument is well supported because Fleck implies that there is no
Confidentiality is a concept of vast importance for professionals in the medical field. It is a professional obligation in this field and is considered to be an ethical concept that falls in line with integrity, compassion, veracity, charity, and fidelity as explained in both the International Council of Nurses Code for Nurses (1973) and the American Nurses Association Code of Ethics (1985). However, in today’s ever growing world of technology and demand for information, challenges continue to arise that force doctors and nurses to reexamine virtues such as confidentiality.
In the medical field or any other professions, privacy is paramount. One of the most important things is confidentiality. In this case, patients should be able to trust that they treating physicians will not disclose their personal information to other parties without their consent. The question then becomes: Under what circumstances is it alright for physicians to disclose private medical information to third party without informed consent? Did Dr. Shapiro have the right to disclose Mr. Lovington’s private medical information to his wife Anna, who is also his patient?
Health care professionals are subject to a multitude of professional, legal, and ethical responsibilities which call for personal judgment to be utilized in such a manner as to protect clients as well as public wellness and interests. Overall considerations in handling such duties may be considered to be respect of a client’s autonomy, confidence, and recognition of obligations owed to all clients. While the aforementioned acts fall within the professional realm, there are also legal implications that guide care. Therefore, it can be said that ethical considerations occur in observation of legal responsibilities. Confidential information is perceived as private facts which are disclosed with the
Even though everyone seemed to agree and felt the same way about the situation, it was difficult to rationalize or logically defend what we felt was the right thing to do, which would involve breaking patient confidentiality. Some of the principles that we thought could be used to defend our position were beneficence, non-maleficence, and utilitarianism. Going back to the Dr. Pellegrino’s article, the population-based ethics, in which the physician takes the role of a social servant for the good of the society, could also be used to defend our position. This discussion served as a motivation to not just learn the ethical principles, but also to become more knowledgeable in how to apply the ethical principles to different situations. It also encouraged me to develop the virtue of prudence in order to be prepared for the tricky situations that may arise in clinical
The main focus of the article is to look at the absolute value of patients’ confidentiality. Blightman et al. look at the pros and cones of breaking patient’s confidentiality and conclude that a breached of confidentiality is in order when it is necessary to obtain consent, as required by law, or when it is in the best interest of the public. The article is useful to my subject, since it examines in details the main issues involving the safeguard of patients’ information. In addition, the authors define confidential information, looks at breaching confidentiality for consent, audits, protection of children, disclosure to family and friends, statutory disclosure, prevention of crime, public interest, public safety, public health, and disclosure to the media. The paper publication is Continuing Education in Anaesthesia, Critical Care & Pain, which s a joint publication of the British Journal of Anaesthesia and The Royal College of Anaesthetists in the UK. It is also the official journal of The Faculty of Pain Medicine and The College of Anaesthetists of Ireland. Publication in such an esteemed journal requires utterly scrutinized of reliability and credibility of the information provided. I found the article educational and thorough in its coverage of aspects of breach of patient information. It is also well written and easy to understand.
Knowing the difference between privacy and confidentiality can be confusing. Privacy is the right of individuals to keep information about themselves from being disclosed; that is, people (our patients) are in control of others access to themselves or information about themselves. Patients decide who, when, and where to
Clearly, confidentiality is essential to the healing process. However, though it may appear to be a relatively easy concept, its application in the therapeutic atmosphere has proven to be quite complex (Younggren & Harris, p. 589). One issue that causes confusion for many professionals pertains to the differences between confidentiality and legal privilege. Quite often, ethical obligations overlap with the legal requirements. Frequently, the practitioner is not well informed about these particular limits on confidentiality and this lack of knowledge can place both the client and the helping professional at risk (Younggren & Harris, p.590, 598).
Confidentiality is considered a core value or principal in the medical practice. Confidentiality is a right that all people have within the medical field. This is the requirement of health care providers to keep a person’s information exclusive unless the patient or the person consents in the form of a release to share that information with other people that practice. Usually the consent is given when a doctor wants to consult with a different doctor for example. In this case it would be for the betterment of the person.
“Professional integrity derives its substance from the fundamental goals or mission of the profession” (Wakin, 1996, para. 15). Meaning to say, individuals seek for a professional’s valued and ethical advice to which the professional holds their responsibility to maintain and exceeds the level of their expertise. For example, a general practitioner will treat a variety of patients, from all different walks of life with a plethora of different problems. It is their duty to diagnose and treat the patient to the best of their professional ability without prejudice. Another aspect of their duties is the principle of patient confidentiality. Medical professionals are legally bound to not divulge any information provided to them by their patients.