...Applying Ethical Frameworks in Practice Adetutu S. Toyin-oke Applying Ethical Frameworks in Practice Under what circumstances is one allowed to break patient-nurse confidentiality? As a nurse one may think of a few personal situations where they had to break that confidentiality. Ethical framework such as the nightingale pledge and ethical principles stated in nursing textbooks were meant to provide guidelines on how to most appropriately treat people in the healthcare field; however, when ethical framework is applied to nursing practice, a nurse may run into many implications. Ethical implications What are the implications of a breach of confidentiality? Well, the most obvious consequence is that the patient will not be able to trust her nurse or maybe even all nurses in general. In Pamela G. Nathanson’s article, Betraying Trust or Providing Good Care? When is it okay to break confidentiality?, She depicts a story of a nurse who is in an ethical dilemma. This nurse promised two teenage patients “who [were] reluctant to enter into care that no matter what they tell her, she will not divulge any information to the patient's parents or to anyone else (Nathanson, 2000).” However one of these two patients tested positive for HPV. A physician advices this nurse “that not only should she inform Andrea's parents of her diagnosis, but that she should also inform the girls' school since it has become a ‘public health issue’ (Nathanson, 2000).” According to Nathanson, “If confidentiality...
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...Running head: APPLYING ETHICAL FRAMEWORKS IN PRACTICE Applying Ethical Frameworks in Practice Grand Canyon University Applying Ethical Frameworks in Practice Implications of a breach of confidentiality In the NBC’s ER: Betraying trust or providing good care? A14 year old girl Andrea came to trust the nurse that was caring for her and after being told that the information would be confidential, disclosed that she had been sexually active. When it became apparent that she had cervical cancer and needed treatment which required parental consent; Nurse Carol Hathaway faced a dilemma of remaining true to her promise and allow Andrea to possibly go untreated or break confidentiality and inform the parents. The purpose of confidentiality between patient and medical care provider is to gain trust and provide the patient with privacy regarding their medical care and allow the patient assurance that personal matters will remain confidential. When private information is disclosed without the patient consent this is regarded as a breach of confidentiality and is morally, ethically and legally wrong. The implications are a lack of trust between the patient and the healthcare provider and the patient may not disclose vital information regarding their condition thereby may not receive adequate care.(Nathanson, 2000). There are exceptions which “require physicians to report certain infectious diseases to public health authorities to protect the health of the community”...
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...Applying Ethical Framework in Practice Grand Canyon University: NRS – 437V June 14, 2015 Ethics and Nursing Practice This paper will address the use of the Uustal’s decision making models in regards to analyzing a specific scenario that has precipitated an ethical dilemma in regards to providing medical care. The scenario consist of a 6-year-old who has developed a high fever accompanied by violent vomiting and convulsions while at school. The hospital physician makes a diagnosis of meningitis and requested to begin treatment. The child’s parents are divorced with the mother, who is not the biological parent retaining custody. The mother is a Christian Scientist and is refusing medical treatment due to religious reasons. The child’s biological father requests that treatment be provided and that another independent physician be consulted in regards to the care. The Ethical Dilemma A large responsibility of being a parent to make decisions on how to best care for their children. This encompasses how to best discipline them, what activities they may engage in, what foods they eat, and the medical care they receive. Parents have a duty to assure that the decisions they make take into account what is in the best interest of their child. As medical personnel we are both ethically and legally responsible to advocate for our patients. When a parents decisions may likely cause injury, be abusive, or be derelict it is our duty to address that decision. Medical personnel...
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...Applying Ethical Frameworks in Practice Grand Canyon University Roopneet kaur NRS-437v-o101 August 13, 2014 Applying Ethical Frameworks in Practice Patient confidentiality is essential in developing a trusting relationship between a healthcare worker and the patient. Confidentiality means that the patients personal and medical information that is given to a health care provider will not be disclosed to others unless the patient has given permission for the information to be released ("Confidentiality," 2014). Confidentiality and privacy are two of the fundamental rights of every individual. Protecting these rights with respect to every patient’s personal information is not just ethical but a legal obligation as well. One of the key components of patient and nurse relationship is the assurance that each healthcare workers hold to respect, and that is to value and safeguard every patient’s information and their privacy. But when does the breach of confidentially happen? When is the nurse required to draw the line? An example of these applies on infectious diseases and cases of abuse, where challenges occur that compels the nurse to report the...
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...Applying Ethical Framework in Practice Adele Wolf, RN Grand Canyon University Ethical Decision Making in Health Care NRS 437V Charlene Cowley, MS, RN, CPNP February 26, 2011 Applying Ethical Framework in Practice Confidentiality is the right of an individual patient to have personal, identifiable medical information kept private; such information should be available only to the physician of record and other health care and insurance personnel as necessary. The only time information should be disclosed is with informed consent, with concern for the safety of other specific persons, or in concern for public welfare (K. Edwards, 2008). This paper will discuss the choices made by one nurse who cared for teenage girls in an episode of ER in 2000. Did she make the correct choices? Is it ever the right thing to do when confidentiality is broken? We will explore this case with the choices that can and should be made in this situation. In this episode of ER, the nurse is Carol Hathaway, she promises two young patients who are reluctant to enter into care that no matter what they tell her, she will not divulge any information to their parents or to anyone else. Test result for Andrea, one of the 14 year olds, is positive for human papillomavirus-(HPV) an extremely common sexually transmitted disease (STD). There are over 85 types of HPV infection and 95% of all cervical cancers are linked to HPV infection, which makes HPV the first sexually transmitted cancer. When...
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...Applying Ethical Frameworks in Practice Grand Canyon University Ethical Decision Making in Health Care NRS-437v Ethical Decision Making in Health Care January 12, 2014 Breeching Confidentiality Being a nurse patient confidentiality is common knowledge and we all know it is to be treated with the up most respect. In nursing school this is taught; it is part of the Nursing Code of Ethics. It is a nurse’s duty to keep patient information confidential. (American Nurses Association, 2012). However instances exist that allow for a break in this rule. In fact there are some instances where it would be a violation of a rule to not share a patient’s information. If a patient was to come into the emergency room with cuts to his or her arm and confided in you the nurse that he does not want to live anymore; it is then your duty as the nurse to report this information as the patient is at risk for harming himself. There are also certain diseases you must report by law if identified. This paper will go over reasons and times when it is ethically and legally expected to breech confidentiality, what you can do in place of a confidentiality breech and how to make an ethical decision. Nurses are told personal information from patients; the law all personal information to be kept private. Clients will volunteer everything in assumption that trust will be upheld and their personal information will only be used for their medical needs. Breaking confidentiality is when a patient’s information...
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...Running Head: VARK Learning Style Assessment VARK Learning Style Assessment Joby Reji Grand Canyon University Family Health Promotion NRS-429V Dawn,Peter November19, 2011 VARK Learning Style Assessment Learning styles are different methods of learning. Each individual has his/her own way of learning . Identifying a learning style would help an individual to focus on his strong points and pay more attention on weak points. People with learning disabilities or attention deficit disorder would benefit from these learning styles. In 1987 Neil Fleming invented VARK Questionnaire which help users to identify learning preferences. These preferences are about the ways that they want to take in and give out information (VARK, 2011).VARK questionnaires are very helpful for some learners, which enable them to change their study habits, some learners already know about their way of learning, questionnaire or inventory does not make any difference in their study habits. VARK questionnaire can be found online or on paper, gives an option of more than one answer for a question. VARK questionnaire is short with 13-16 questions to prevent students survey fatigue (Fleming and Baume,2006).VARK questionnaire is not a distinctive measure, but it gives a method of thinking about how to prioritize the learning strategy. VARK consist of 5 strategies- visual, aural, read/write, kinesthetic and multimodal. In visual study strategy...
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...Patient Confidentiality: A Nurse’s Perspective Grand Canyon University: NRS-437V Ethical Decision Making in Health Care Ann Yurco, RN June 15, 2014 Patient Confidentiality: A Nurse’s Perspective One of the first things we learn in nursing school is in regard to a patient’s privacy and the confidentiality we are to abide by when caring for them. We learn the rules and regulations of the “Privacy Rule” and HIPPA (Health Insurance Portability and Accountability Act of 1996). These were put in place to ensure confidentiality and accountability in cases where patient’s health information is compromised, (U.S. Department of Health & Human Services, 2014). During an episode of the television series “ER” a main character, “Nurse Hathaway”, struggles with an ethical dilemma in which she must decide whether or not to break confidentiality with her patient who is also a minor in the name of the law. This patient’s diagnosis turns out to be a serious condition, cervical cancer. The author will discuss this dilemma in terms of ethical implications, ethical theories, alternative solutions, if any, as well as the author’s position on this dilemma. The author will also refer to a landmark case, “Tarasoff vs. Regents” in which “a psychologist failed to warn a woman or her family when his patient threatened to murder the woman,” (Nathanson, 2000) to discuss confidentiality ethics. Ethical Implications of a Breach of Confidentiality There are several implications when referring to...
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...1090 Katharina Blaim Faculty of Business and Economics, University of Eichstaett/Ingolstadt, Ingolstadt, Germany Abstract Purpose – The purpose of this paper is to explore the opportunities of using halal regulation and certification as a mechanism for applying Islamic business ethics in contemporary world. Design/methodology/approach – The current practices of halal regulation and certification and literature on Islamic ethics were reviewed, to identify a practical approach for Islamic business ethics. Findings – Islam allows and accepts different levels of ethical commitment. A multi-level Islamic ethics framework and a multi-level halal certification approach are proposed to facilitate the implementation of Islamic business ethics in a relative context. Two major developments can enrich halal business practices: harmonization of global standards and governance structure, and integrating responsibility and ethical issues in halal standards. Practical implications – The proposed framework and developments can enrich halal regulation and certification practice. Originality/value – The paper emphasizes the importance of flexibility and adaptability in Islamic business ethics implementation, and proposes a new framework and approach to apply Islamic business ethics. Keywords Islam, Business ethics, Social responsibility, Corporate governance, Islamic ethics, Halal, Corporate responsibility Paper type Research paper Journal of Management Development Vol. 31 No. 10, 2012 pp...
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...Applying Ethical Frameworks in Practice Soniya , RN Grand Canyon University: NRS 437V Professor: Teresa Ortner, RNC, MSNEd December 11, 2012 Applying Ethical Frameworks in Practice When patient seeks for assist and care, professional-patient relationship is established and the promise of confidentiality is incriminated automatically. Respecting confidentiality is the professional commitment. Yet occasionally unavoidable situations bring health care profession to face nothing but the alternative choices which ends up breaching the confidentiality. The author would like to discuss one’s professional position regarding the ethical implications of a breach of confidentiality, ethical theories and principles, identify alternatives, and ethics committee’s approach in resolving ethical dilemma. Ethical Implications of a Breach of Confidentiality The medical profession has an obligation to live up to the patient's expectations of privacy and to earn the trust. By breaching confidentiality, patients no longer disclose honest and full information to medical professionals, or even initiate avoidance of seeking future care. Without trusting medical professionals, it is hard to expect for patients to reveal private and intimate nature of the information which could be vital in treatment decision. It means breaching confidentiality not only denies individual privacy but also prevents the autonomy of patient (Nathanson, 2000). Who would volunteer the info when he or she sees it...
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...Running head: ETHICAL FRAMEWORKS IN PRACTICE Applying Ethical Frameworks in Practice Grand Canyon University May 9, 2012 Applying Ethical Frameworks in Practice Patient confidentiality is part of the Nursing Code of Ethics and it is a nurses’ duty to uphold confidentiality of patient information (American Nurses Association, 2012). However, there are certain situations in which a confidentiality breach is acceptable, such as when a patient voices harm to themselves or others and certain sexually transmitted diseases STDs). The following is a breakdown of the ethical implications of a breach of confidentiality, the ethical theory, the alternatives to breaching confidentiality using the framework of ethical decision making and the role of the ethics committees. Ethical Implications of a Breach of Confidentiality A confidentiality breach is when patient information is disclosed to a party that is not a direct part of the patients’ healthcare team without obtaining the appropriate patient consent (American Medical Association, 2012). It is important for the nurse to maintain confidentiality to gain the patients trust, except in situations that are required by law to be reported. When confidentiality is breached many ethical implications arise. Some of these implications are losing a patients’ trust and disclosing information to parties that is not required by law, which could cause harm to the patient. In the article “Bioethics on NBC’s ER:...
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...Applying Ethical Frameworks in Practice Grand Canyon University: Ethical Decision Making in Healthcare Lisa Firkus October 27, 2013 Applying Ethical Frameworks in Practice Care providers strive to provide care that is patient focused that maintains confidentiality and respect. This paper is about the maintenance of patient confidentiality and the trusting relationships that must be maintained between the patient and the healthcare providers. Ethical Implications of Breaching Confidentiality Patients seek care and treatment in hopes of receiving confidential, unbiased, honest, and respectful treatment. They also expect that care providers maintain their personal values and beliefs related to their care. As healthcare providers, everyone has the responsibility to uphold the confidentiality of patients. Patient confidentiality includes information about the patient that is collected based upon what the patient reports and what the physician enters in the medical record. In a situation where confidentiality has been breached, serious implications can arise. A breach in confidentiality can result in a failure to respect patient's autonomy and poses a form of betrayal (Ministry of Ethics, 2012). The betrayal that can result in legal implications such a HIPPA violations but an even greater ramification can be the distrust of the patient and family in the caregiver and the healthcare system. Patients may also question the care provider's true intentions including values...
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...Running head: APPLYING ETHICAL FRAMEWORK IN PRACTICE Applying Ethical Framework in Practice Jaclyn Hughes Grand Canyon University: NRS-437V August 21, 2011 Applying Ethical Framework in Practice Patient confidentiality is one thing that cannot be breached nor as a patient that you would want to be breached. In this day and age as healthcare professionals it is a very fine line of what breaching confidentiality is. We all want to know that when we are sick and in the hospital, the one thing that we can keep personal is our privacy which would include our health information. It is hard to imagine that in a state of vulnerability that some things must be disclosed to certain departments regardless of your desire to keep it private and confidential; some examples include: domestic violence, child abuse, rape, psychiatric evaluations, and communicable diseases. These situations if not taken care of could cause more harm to the patient. Knowing your ethical principles and nursing code of ethics allows for the nurse to make a moral and ethical decision based on the five basic principles without breaching confidentiality and doing what is morally and ethically right for the patient. A patient’s trust is sacred and breaching that information is a violation of the trust between the relationship of the nurse and the patient (Burkhardt & Nathaniel, 2008). An ethical implication of a breach of confidentiality would include: patient confidentiality and informed consent for...
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...Security Policies and Standards - Best Practices Course of Study This course supports the assessments for VLT2. The course covers 3 competencies and represents 3 competency units. Introduction Overview The skills and knowledge measured by performance assessment VLT2 are derived from a survey of information security professionals from around the world and are also based on the many different information security and assurance frameworks (ISO 27001/2, COBIT, ITL, etc.). The results of this survey were used in weighing the subject areas and ensuring that the weighting is representative of the relative importance of the content. The Security Policy and Standards subdomain focuses on creating organizational security activities and policies; assessing information security risk; and implementing and auditing information security management programs, information assurance certification programs, and security ethics. Watch the following video for an introduction to this course: Competencies This course provides guidance to help you demonstrate the following 3 competencies: Competency 427.3.2: Controls and Countermeasures The graduate evaluates security threats and identifies and applies security controls based on analyses and industry standards and best practices. Competency 427.3.3: Security Audits The graduate evaluates the practice of defining and implementing a security audit and conducts an information security audit using industry best practices. Competency 427.3.4: Certifications...
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...Applying Ethical Frameworks in Practice Richard Doria Grand Canyon University NRS -437 V Nov 16, 2014 Applying Ethical Frameworks in Practice Patient confidentiality can be often breached without the intention of doing it. This happens when staff discusses patient information in crowds or small groups, patient notes on the computer being left open and unattended, and documents that are not being filed properly and stay visible to the next patient. Confidentiality is not necessarily absolute even though it is a patient’s right. Certain situations exist where medical staff is obligated to breach confidentiality, especially when they feel that it is in the patient’s interest to do so. The following are implications of breaching confidentiality: “1) breaching confidentiality fails to respect patient autonomy, 2) violation of patient confidentiality is a form of betrayal, and 3) patients have a right to confidentiality that has frequently been demonstrated in common law and in some specific areas outlined in statute law” (ministryofethics.co.uk, 2010). Confidentiality is a principle in nursing that makes nurses preserve the privacy of their patients and grant them their autonomy. Respect for the patients is being shown while maintaining confidentiality. This task makes nurses, physicians, and other medical staff accountable. Breaching confidentiality has a major tendency to cause harm or the patient refusing further medical care. “Undue harm can be described as embarrassment...
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