Confidentiality In Nursing

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.

While advancements in technology have positively impacted the nursing field, it has also created huge concerns with patient privacy and sharing of protected health information leading to detrimental effects to patients and their families. Indeed, technology is changing the face of healthcare with positive innovations to reduce medication errors and documentation errors. However, technology at our fingertips has created immense concerns with sharing of protected health information of patients via social media, email and other means of communication via technology. This paper addresses why I feel the advancement of technology has numerous deficits that need more research and implementation of new laws and policies to safeguard the

165). The HIPAA regulations are set as a protection of Personal Health Information (PHI) and all of its areas of concern, i.e. – name, condition, symptoms, etc… Legally, the nurse is not subjected to any clearly defined healthcare related laws, at the federal level, liable under the Privacy Acts of 1974 which protects any personal identification records or information relating to the patient’s privacy. The nurse takes photographs of the patient’s demographic information from his electronic health record which violates the regulations set forth by the Privacy Acts of 1974 (Privacy Act of 1974, n.d.). In many aspects of this scenario, a major concern lies on the nurse’s ethical, unethical, practice. The American Nurses Association (ANA) delineates in Provision Three of the Code of Ethics for Nurses “The nurse promotes, advocates for, and protects the rights, health, and safety of the patient.” (ANA, 2015). The nurse is in many violations enough to end their career in this situation. The privacy of the patient is a right not a privilege. With the increase usage of social media, this invasion of privacy on the patient could potentially be leaked and could lead to jeopardizing the patient’s safety while in the hospital.

Communication has been permanently changed by social media. A wide conceptual definition of social media, as cited in Ressler & Glazer (2010), is “The online and mobile accessible services that enable individuals to connect, collaborate, and share with others in real time.” Social media has an obvious influence on informal communication style and represents both possibility and liability for healthcare institutions. As cited in Bernhardt, Alber, & Gold (2014), “Social media provide healthcare professionals with tools to share information, to debate health care policy and practice issues, to promote health behaviors, to engage with the public, and to educate and interact with patients, caregivers, students, and colleagues.” It also presents challenges, including risks to information accuracy, organizational reputation, and individual privacy. Social media can be a very helpful in communicating among nurses and other healthcare providers while creating professional connections, and sharing experiences, but guidelines for appropriate use by healthcare providers are essential. Whether or not certain healthcare organization decides to use social media as a communications tool - social media policy still need to be implemented. Policies help establish an organization 's rules and expectations around social media.

In the world today, smartphones are becoming the “norm”, with basic phones becoming nearly obsolete in recent years. Pairing the overwhelming presence of social media with the rise in usage of smartphones brings to light an entirely new set of problems and challenges regarding patient privacy. According to a 2010 study conducted regarding various boards of nursing, 67% of executive officers surveyed reported receiving complaints about nurses misusing social media (Spector & Kappel,

The Chapelhow et al. (2005) effectively portrays a framework that provides patients with an approach to person centered care. It provides health professionals with important aspects that allow them to perform in an effective way that has the best interests of the patients at heart. The characteristics it outlines are assessment, communication, risk management, record keeping and documentation, professional decision making and managing uncertainty.

Social media in hospitals can affect the patient as well as the nurse and the nursing student. Westrick states: “Nurses must find a balance between taking advantage of the benefits social media use

Social media has taken over the way that we interact with one another. It is leading the way in which we communicate with family, friends, coworkers and strangers. It is also the way we keep up with our favorite celebrities and gossip. Social media and the use of smartphones are becoming more prevalent in business and the healthcare field as well. According to Pew Research Center, “62% of smartphone owners have used their phone in the past year to look up information about a health condition” (April, 2015). Technology, just like all things come with flaws

Another way nurses use freedom when it comes to social media and technology “Trust—the hallmark of the nurse-patient relationship” Brous explains about this saying that “nurses should avoid talking about any patients or their situations online…that includes adding their name or other protected information.” By doing this nurses won’t be breaking any rules and they can avoid any mishaps.

In the present culture of the United States, social media has had a major impact in American society. It has a profound influence and intertwined itself in almost every aspect of the average American’s life. It ranges from providing updates of location of a person(s), events, and sharing personal moments. Even different industries are utilizing social media as a platform for communication, information, and sales mediums. One industry, the health care field has seen a rise in the utilization of social media. For instance, an emerging population of physicians are using social media apps such as Snap Chat, Facebook, and YouTube to educate, display surgical, and medical procedures while being performed. In contrast, as there are positive aspects of utilizing social media, a negative trait of social media is invading and exposing individual’s privacy. As of recent, a New York licensed nurse had to surrender her nursing license and sentenced to 3 years of probation for “moral unfitness in the practice (Bowerman, 2016).” She took photos with her phone of two unconscious male patient’s genitalia and shared them with coworkers. This has become an increasing issue and as the utilization of social media in healthcare is increasing, many ethical issues are developing. For instance, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) was passed for the adoption of a national standard for electronic health care transactions and code sets, unique health identifiers,

The report focuses on a fictitious character, no reference to place names, services or related publications that are not available in the public domain will be made. This is in accordance with the Nursing and Midwifery Council (NMC) code (2015) on confidentiality and anonymity. The World Health Organisation (WHO) says health is “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (WHO, 1946). Therefore “health promotion is the process of enabling people to increase control over, and to improve, their health. It moves beyond a focus on individual behaviour towards a wide range of social and environmental interventions” (WHO, 2015). These determinants of health are best seen in the rainbow model of health, see appendix 1 (Dahlgren and Whitehead, 1991). The report focuses on Rob, see appendix 2, who lives in a shared house in a small town in South Wales which will not be named. Within the report the ways the nurse can help Rob will be discussed.

In nursing school HIPAA is one of the first and foremost topics covered. It is not simply a skill that can be tested on paper and filed away into the back of your mind. HIPAA is a crucial concept and practice that all workers in the field of healthcare must strictly adhere to. Although it should seem like common sense to respect the privacy and rights of a patient, there are far too many incidences where boundaries have been crossed, and information breached. The case of Carolyn Strom should serve as a pertinent example reinforcing how rapid the response can be when posting on social media, even if you think you are being discreet or anonymous. Patients need to be looked at not as chart numbers, but as humans who have a sense of pride

Confidentiality implies any data that is held around a specific individual is favoured and private. It is the obligation of all health care providers to verify that this data is open just to those approved to have admittance to it… Information around an individual ought to regularly just be shared on a need-to-know premise. All data held inside of my department is secret to the hospital in general. Confidential data about people can be examined with other social nurture bona fide reasons, for example, for one specialist to hand over toward the end of their day of work to another who has quite recently gone ahead obligation or when one health care provider needs to cover the work of their partner whilst they are on leave. General exchange around

I agree with you that social media plays a big role in our lives. People use Instagram, twitter, snapchat, and Facebook to post pictures or tweets. In the hospital this prohibited. When you take a picture of the patient as Sabina gives the example of the patient with cancer you are being unethical because you aren’t respecting the patient’s privacy thus hurting the patient and nurse relationship. The patient has faith that the nurse is there to help the patient and not cause harm, but by putting them on social media their privacy is being shared with everyone in social media. According to the nursing, “6 tips to avoid problems: remember that standards of professionalism are the same online as in any other circumstance, do not share or post information or photos gained through the nurse-patient relationship, maintain professional boundaries in the use of electronic media. Online contact with patients blurs this boundary, do not make disparaging remarks about patients, employers, or co-workers, even if they are not identified, do not take photos or videos of patients on personal devices, including cell phones, and promptly report a breach of confidentiality or privacy” (www.nursingworld.org).

This essay will discuss why confidentiality is important within nursing practice and the reasons why a registered nurse and student nurse are accountable and to whom they are accountable to in relation to patient care. It will further discuss patient’s rights in relation to law.