There are still many occasions concerning mortality in mothers and infants, as highlighted in the reports Confidential Enquiry into Maternal and Child Health, 2004, 2005 where care falls below an acceptable standard. The problem lies with the approach to the discussion and how itmay best suit the needs of women, midwives and the service. Nursing offers many opportunities and specialties to already accomplished nurses along with those entering the practice. Stay informed about your state and local policies, as well as institutional policies, governing exceptions of patient confidentiality. In this case, there may be expectations when clients will be denied an access to all information on their files; so as to protect sources of information, the rights and confidentiality of others or hinder the achievement of good care plan.
Middle But the nurse must gain the client's explicit consent. You should use your professional judgment and act responsibly when you have to disclose and share information. That duty includes maintaining privacy protecting them from undue intrusion , and confidentiality by the discreet management of information about themselves that they share with us. The traits often drive men and women to pursue an education and career in nursing. If the answer to this question is no, it is unlikely that an exception to confidentiality is ethically or legally warranted. In these circumstances, you must only disclose the minimum amount of information necessary to the appropriate person. During the daily checking of the controlled drugs, the co-ordinator and another midwife, found a discrepancy with the number of Diamorphine 10mg and Morphine 10mg ampoules, there being one too many Morphine 10mg ampoules and one too few of the Diamorphine 10mg ampoules.
An example can be a previous abortion taken by a single mother coming from a conservative culture, or the background and history or a patient who went through sex change in the past. What this means in practice is that we should treat people with respect and that we do not disclose information about them that will do no good and may potentially do harm. This is an issue which should be treated as a cornerstone of nursing practice and education in the future. However, there are many dilemmas faced by nurses in practical situations where urgent and emergency care means that decisions have to be taken fast. However, it is important to consider the culture of health care and the challenge of being impartial when an error in practice has led to an individual being harmed or exposed to increased risk. Every nurse has a duty to be aware of the laws and rules that govern nursing practice as it is the most important legislation affecting the practice of nursing.
To contact individual members of the press team email Media Advisor 020 7312 3432 or Media Advisor 020 7312 3424. And identifiable patient information should either be encrypted or should not be removed from the security of the health care institution. Any breach of such rules and regulations, which lead to a breach of confidentiality on behalf of a nursing practitioner or trainee can trigger disciplinary action under civil law and by the relevant governing body Fulbrook, 2007 a. The consequences of their actions had different outcomes, although it would be hard to identify which was worse. Unless otherwise instructed to do so, nurses cannot discuss patient care or diagnosis with family, friends, co-workers, other nurses, insurance providers or financial aid organizations. Lewis 2003 suggests midwives may and often do, inadvertently break confidentiality when discussing practice. Confidential Enquiry into Maternal and Child health.
Students may obtain an unofficial copy of their from the Records and Registration Office or. While there may be cases where the physician feels naturally inclined to share information, such as responding to an inquiring spouse, the requirements for making an exception to confidentiality may not be met. McKenzie 2002 and Semple 2003 are of the view that, since nurses are a part of the actors involved in a multi-agency framework for children and the disabled, they face many problems while dealing with partnerships and joint initiatives to monitor children and disabled patients where necessary in their interests. For example, reportable diseases in Washington State include but are not limited to : measles, rabies, anthrax, botulism, sexually transmitted diseases, and tuberculosis. The scope practice includes, but is not limited to care and counseling of patients. The principle of confidentiality does not only apply to the women for whom care is given; midwives too should be afforded an equal amount of respect. Journal of Advanced Nursing, 53 1 , 104-113.
Maintaining confidentiality is important, as it demonstrates a respect for persons; we all have a right to have our personal lives or medical conditions kept confidential. Review in terms of the Ethical Framework. To advise and inform others of what has occurred and what action has been taken would almost certainly involve the disclosure of the name of the midwife concerned and information about how the issue is being addressed. Link to this page: confidentiality. The Practice of Nursing Nursing encompasses autonomous and collaborative care of individuals of all ages. This clearly mandates a duty to set out and follow clear protocols at the grass roots level within the organisation and should be implemented at local level to specify which staff members have access to computer-held records Shutterworth, 2008. Appropriate care often requires that information about patients be discussed among members of a health care team; all team members have authorized access to confidential information about the patients they care for and assume the duty of protecting that information from others who do not have access.
We provide workplace advice and support, professional and clinical guidance and information, and learning opportunities with our broad range of events, conferences and online resources. The California Tarasoff case exemplifies the challenges providers face in protecting confidentiality. The intent of these laws and policies are to assure the confidential information will remain confidential through its use, only as a necessity to accomplish your organization's mission. The rules of confidentiality also apply in the situation where the information is to be used by students for the purposes of gaining medical knowledge and skills. In addition, policies and guidelines are open to interpretation, which could potentially lead to subjective treatment by managers, midwives and supervisors. Principles include details pertaining to nursing education requirements, licensure qualifications, and rules governing the practice of nursing. A Test for Breach of Confidentiality In situations where you believe an ethical or legal exception to confidentiality exists, ask yourself the following question: will lack of this specific patient information put another person or group you can identify at high risk of serious harm? Thus, it may call for him to warn the intended victim, to notify the police, or to take whatever steps are reasonably necessary under the circumstances.
When a nurse has information that indicates a patient is behaving irresponsibly, and others may be harmed, confidential guidelines help shape decisions. Moore sent a letter to campus police about the threat. However, there can also be a public interest in disclosing information: to protect individuals or society from risks of serious harm, such as serious communicable diseases or serious crime; or to enable medical research, education or other secondary uses of information that will benefit society over time. The implication of this ruling is that a duty to warn third parties of imminent threats trumps a duty to protect patient confidentiality, however, it is usually difficult for a therapist or health care provider to accurately ascertain the seriousness and imminence of a threat. But clients access is denied to manual health records held before 1st November 1991. You might have to share confidential information if it is: required by law to do so, to protect the patient's interests, to protect the interests of society, or to protect the interests of other people.
I would need to speak with the doctor, the practise manager and my supervisor to clarify and appraise my role in this dilemma. Confidential Enquiry into Maternal and Child Health 2000 to 2002. Additionally, this links nurses and student nurses to the right to. One area where conflicts arise involves observing actions or overhearing conversations. This is identified in Article 8 Right to respect for private and family life of the European Convention of Human Rights which states: 1: Everyone has the right to respect for his private and family life, his home and his correspondence. The first case is about a patient of mental health condition, has epilepsy and is on daily medication to manage her condition.