Confidentiality in Nursing Practice

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.

There are a number of legal and ethical duties expected of nurses. Most of these involve care for patient’s autonomy and confidentiality despite the medical care. Failure to act regarding these can give rise to liability. One aspect of Patient’s autonomy involves giving or withholding his consent about treatment. This paper takes into account ‘consent’ as the aspect of law regarding nursing.

I intend to look at why confidentiality is so important within healthcare and how it relates to the Nursing and Midwifery Council’s (NMC) Code. I will look at the

Privacy is one of the fundamental policies and principles that should be adhered to by each professional nurse (Cileska, 2001). In addition, confidentiality is another equally important principle that should be observed by each of the nurses in the nursing profession. The reason for emphasising on confidentiality and privacy is meant to preserve the nursing ethics and to protect the privacy of the patients (Dickenson, 2004). Since most of the diseases are not meant to be exposed to the public, it should be the responsibility of each nurse to ensure that all patient information remains private and confidential this gives hope and trust to the

According to the Oxford Dictionary consent is defined as ‘giving permission for something to happen or agreeing to do something’. They define confidentiality as ‘entrusted with private information and if something is intended to be kept secret or in confidence’ (Soanes and Hawker, 2005). As a healthcare professional consent and confidentiality are in place as protective vices, by gaining consent and keeping a patients confidentiality it protects both the patient and the healthcare professional. There are three types of consent: Verbal consent, consent in writing and implied consent. Depending on the situation each type of consent may not be acceptable. For example if a procedure is putting a patient at risk, is complex or invasive for example an operation, written consent is

Confidentiality is critical for nursing professional to understand and undertake. If a nurse did not keep a

Dimond (2009) and NHS choices (2016) explained consent as the process involving a person giving their approval to accept or refuse a treatment or interventions, after receiving detailed information from a health care professional about the risk or benefits of the procedure. In order for consent to be deemed valid, it needs to be given voluntarily without any influence or pressure from either a family member or clinician. In addition, the capacity of the person is important when giving consent and the ability to process the given information and make a decision. Tingle &Cribb (2014) agree, emphasizing that the autonomy of the person giving

As healthcare providers, maintaining a patient’s confidentiality, human dignity and privacy is expected at all times. Nurses are faced with maintaining patient confidentiality on a daily basis. The Coded of Ethics for Nurses is the framework of nonnegotiable ethical standards and obligations that all nurses are to uphold. Nurses are to be accountable for their actions and are expected to advocate and strive to protect the rights, health and safety of patients (American Nurses Association, 2011).

At a practice level, the importance and guidance of the Code of Conduct, Code of Ethics and NPA are demonstrated on a daily basis with regard to the issues of documentation, informed consent and open disclosure, and confidentiality. With respect to documentation, nurses must be able to document patient assessments and responses in an accurate, comprehensive and confidential manner and record all observations objectively. Informed consent and open disclosure are also major legal issues nurses face daily. It refers to the communication between the patient and health professional that results in the patient's agreement to undergo a specific procedure and requires that the patient has thoroughly understood the procedure, implications and risks prior to giving written consent.

Equity is being fair and impartial in dealing with people in anything. Example of equity is as a manager you need to be fair to all workers in your dealings as to work schedules.

Nurses are subject to a plethora of legal, ethical, and professional duties which can be very challenging on a day to day basis. Some of these duties include respecting a patient 's confidentiality and autonomy, and to recognize the duty of care that is owed to all patients. As nurses our duties are always professional; however there are legal implications if these duties are breached. We also must consider when it is okay as nurses to breach these duties and therefore ethical issues arise. As nurses one of our main priorities is to advocate for our patients, without our own personal feelings on the matter taking over.

To begin the understanding of confidentiality, the author first provided readers with a formal concept analysis on confidentiality. He explained how confidentiality did not truly become a concept of interested until 1961, when the general nursing guides made a small mention related to the concept in regards to privileged

On that same day, the patient’s wife stated that her neighbor phoned the hospital to get information on her husband and information was given out. It is clear that the nurse who gave out information regarding the patient was in violation of 3.1, privacy and 3.2, confidentiality of provision 3 of the ANA Code of Ethics. It is the nurse’s duty to maintain all confidentiality and privacy of all patient information. (Nursing World, 2012) Information regarding a patient should only be given out to those who are dealing with the direct care of the patient. It is important for nurses to be aware of those who are not involved with the care of the patient.

Nursing surrounds the concept of patient care physically, mentally and ethically. The therapeutic relationship that is created is built on the knowledge and skills of the nurse and relies on patient and nurse trusting one another. The use of nursing skills can ensure these boundaries are maintained, it allows for safe patient care. Professional boundaries are the line that nurses cannot cross, involving aspects such as patient confidentiality and privacy, ensuring legal aspects of nursing and the boundaries put in place are not breached. However, nurses accepting financial or personal gain from patient can also cross these professional boundaries. It is only through education in this area that the rights of patients can be preserved, as

Nurses demonstrate this value by protecting the client’s privacy. Designs care with sensitivity to individual client’s needs. Provides competent and sensitive care according to there