Clinical Reflection Paper Ethical issues in nursing are common and ever-present. Our jobs as nursing students is not only learn medications and how to care for patients of all types, but also learn what common ethical issues in nursing exist and how to correctly deal with them. One ethical issue I came across more than once in clinical and in simulation was the presence of family and friends at the bedside during patient assessments, compromising patient confidentiality and HIPAA regulations as well as putting the nurse “on edge” and at higher risk for making a mistake. I chose this topic because I myself did not realize I was possibly compromising patient confidentiality and privacy when I came across the issue in simulation and …show more content…
The final time I came across this issue in clinical was at St. Luke 's. A patient was just admitted to the hospital for atrial flutter and their entire family showed up at the bedside. I had to perform vitals as well as a full physical assessment and medication administration while they were there. Since I had had Shar’s simulation by this time, I managed to ask the patient if they were okay with their family being present while performing my assessment. They had no problem with it, and I proceeded with my assessment, although I felt like every movement I made was being watched, and I felt distracted by they family asking questions about what I was doing and how it helped my patient. It made me feel “on edge” and distracted, and I felt as though I was going forget something in my assessment.
Preserving patient confidentiality and privacy is a moral responsibility of nurses (McCullough & Schell-Chaple, 2013). Trying to figure out what information can be shared and who it can be shared with, while attempting to keep family and friends up to date about a patient can be a confusing and tricky feat (McCullough & Schell-Chaple, 2013).
In one article I reviewed, I found that one way to ensure patient privacy and confidentiality at the bedside is to
In the health care business, there are certain standards and laws that have been put in place to protect our patients and their personal health information. When a health care facility fails to protect their patient’s confidential information, the US Government may get involved and facilities may be forced to pay huge sums of money in fines, and risk damaging their reputation.
Exploiting patients is also discussed and can be called into question. When presenting examples or discussing patient’s certain information should never be disclosed due to HIPPA laws as well as confidentiality.
Confidentiality is central to trust between doctors, medical team and patients. Patients have a right to expect that information about them will be held in confidence. The birth of the Hippocratic Oath in the fourth century started the responsibility of physicians to preserve the privacy and confidentiality of their patients. One of the provisions of the Oath lays the ethical foundation for the physician’s duty of confidentiality even beyond the circumstances of medical care. The Florence Nightingale Pledge, which was composed in 1893, was a modification of the “Hippocratic Oath,” a statement of the ethics and principles of the nursing profession. Included in the pledge is to hold in confidence
There are many problems that could arise from a patient’s information landing into the hands of a stranger, a boss, an enemy, or any other individual that does not have permission to view that information.
This article has shown how different issues relating to patient privacy can be tricky. There is always the question about what the right thing is to do but there are laws and regulations
Seeing information about a healthcare user in such terms makes me realise that some information is not necessarily in the public domain and therefore I have a privilege and responsibility to not only care for the patient but also for the knowledge about them that I am privy to. I realise that, although I have a duty to retain confidentiality, I may be placed in a position where the confidence has to also include other healthcare professionals and I need to involve the patient in such a situation (ibid).
There are several legal and ethical issues relating to FWR. Some of the key legal concerns expressed by healthcare professionals include the potential for litigation, patient confidentiality, and the patient’s right to privacy (Mian et al, 2007; Critchell et al, 2007). Litigation and liability concerns arise from the fact that, in most cases, family members will have little understanding of the procedures used in the code room. The fear is that the staff’s actions could be perceived as detrimental or harmful to the patient in the eyes of the typical lay-person. The reality is that once healthcare providers become educated and experienced with FWR,
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).
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.
Ethical issues in nursing will always be an ongoing learning process. Nurses are taught in nursing school what should be done and how. Scenarios are given on tests with one right answer. However, there are situations that nurses may encounter that may have multiple answers and it is hard to choose one. “Ethical directives are not always clearly evident and people sometimes disagree about what is right and wrong” (Butts & Rich, 2016). When an ethical decision is made by a nurse, there must be a logical justification and not just emotions.
As the nursing profession progresses throughout the years, its nature becomes more complex in meeting the professional standards and codes of ethics that are required by all nurses. The American Nurses Association has a specific code of ethics that each nurse should follow and adopt as their own beliefs. The public and the patients should be the priority when providing care in the healthcare setting. The knowledge and education that nurses’ gain is valuable and allows them to encourage health, avoid illness, restore health, and aid in coping for those who are all ill. (LeMone, pp.192) Given that the code of ethics is put into place, there are many registered nurses who violate these codes in various situations. The following will discuss
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.
Privacy and confidentiality are basic rights in our society. Safeguarding those rights, with respect to an individual’s personal health information, is our ethical and legal obligation as health care providers. Doing so in today’s health care environment is increasingly challenging (OJIN, 2005).
The elements of the principles of confidentiality can be broken down into four separate categories: (1) Information provided by the patient is kept confidential unless consent from the patient has otherwise been given—unless it has direct legal implications or endangers the general public. (2) Informed Consent: is given freely, because the correct information has been supplied and the patient has sufficient information on the impacts involved. Information is otherwise given out on a need to know basis. (3) Duty of Care: Information is given out in order to protect the safety and health of others and the patient. Legal and general public health fall under this category. (4) Documenting Decisions: Consultations and actions that lead to
I have taken into account; The code of professional standards of practice and behaviour for nurses and midwives, I have gained and maintained individuals’ right to privacy and confidentially regarding the patients name and trust details (Nursing and Midwifery Council 2015 p. 6).