Patient Confidentiality Essay

926 Words Sep 6th, 2014 4 Pages
Patient Confidentiality: Ethical Implications to Nursing Practice

Patient Confidentiality: Ethical Implications to Nursing Practice
Patient confidentiality is a fundamental practice in healthcare and it is integral part of healthcare ethical standards (Purtilo & Dougherty, 2010). According to the American Nurses Association (ANA) code of ethics “the nurse has a duty to maintain confidentiality of all patient information” (Nursing world, p.6). Also, when a patient confidentiality is violated the nurse may risk their safety and welfare. There are a few exceptions to this obligation such as: an increase need to protect the patient and other parties or mandatory laws that protect public health (Nursing world,
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The first step in this process is gathering all relevant information. Once the healthcare provider is certain that all pertinent information is evaluated they can determine the type of ethical dilemma. In this case the ethical dilemma was the choice to maintain or breach patient confidentiality. After determining the nature of the dilemma it is important to use a theoretical framework to analyze the issue. The nurse using a utilitarianistic theory would look at all consequences of breaking confidentiality versus maintaining confidentiality. If the nurse utilizes a deontological approach the decision is made based on the nurse’s duty and responsibility to uphold patient confidentiality. The nurse would then determine what to do in the situation by looking at all the alternatives. After determining a course of action the nurse must proceed with the action that is thought to be best. In the end the nurse should evaluate the outcomes of the decision for future professional development (Purtilo & Dougherty, 2010). A nurse faced with this type of situation may seek advice from the institution’s ethics committee in order to determine the appropriate course of action. An ethics committee may be composed of clinical personnel as well as non-clinical personnel. The committee most likely has and ethical consultant available as well to guide the decision making process. The role of an ethics committee in the clinical setting is to provide