...The essay will define confidentiality its importance to nurses as a profession and the Nursing and Midwifery Code of Professional Conduct. It will further look at possible dilemmas that could arise in course of practice between the nurse colleagues and the clients. Examples will be based on my clinical placement 1 at Blackfriars Work Centre. Confidentiality is keeping secret, the shared information depending on the situation arising. Dimond (2002) define confidentiality as one of the values of good practise that is concerned with protecting the private information obtained about the patient and client during the period of professional practice. Importantly all nurses including midwives have legal and professional responsibilities to respect the rights of patients and clients and treat them equally. NMC (2002) states that as a registered nurse, midwife or health visitor, you must protect confidential information. Clause 10 UKCC (1992) further states that health professionals should avoid from divulging such information without the client’s consent or a nominated person advocating on his behalf unless the disclosure is required by court order, in the public health interest and in the best interest of the patient. In addition, confidentiality as part of the social, ethical and moral basis of working in care setting is further explained in the NMC (2002) clause 5.1-5.4. In clinical setting, preserving confidentiality is view as the key to establish trust, promote good relationship...
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...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: Betraying Trust or Providing Good Care? When is it OK to Break Confidentiality?” the nurse did the right thing by breaking patient confidentiality in revealing to the parents...
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...PLAN Prepared by: DINESH KUMAR.N.G 4 Managing Director DK GROUPS OF COMPANIES 01-01-2014 Table of Contents Confidentiality Agreement 1.0 1.1 1.2 1.3 2.0 2.1 2.2 2.3 3.0 3.1 3.2 3.3 4.0 4.1 4.2 4.3 5.0 Executive Summary Objectives Mission Keys to Success Company Summary Start-up Summary Company Locations and Facilities Products Product Description Competitive Comparison Sales Literature Sourcing Technology Future Products Market Analysis Summary Market Segmentation Distribution Patterns 6 | This document is the proprietary property of DK Groups of Companies Copying or otherwise distributing the information contained herein is a breach of confidentiality agreement. DKLIFE CARE 1 4 Strictly Private & Confidential 2 0 © 5.1 5.2 5.3 6.0 6.1 6.2 6.3 7.0 7.1 7.2 7.3 8.0 8.1 Competition and Buying Patterns Main Competitors Strategies and Implementation Summary Marketing Strategy Pricing Strategy Promotion Strategy Sales programs Sales Forecast Organizational Structure Personnel Plan Important Assumptions Break-even Analysis Projected Cash Flow 7 | This document is the proprietary property of DK Groups of Companies Copying or otherwise distributing the information contained herein is a breach of confidentiality agreement. DKLIFE CARE 1 4 Strictly Private & Confidential 2 0 © Confidentiality Agreement The undersigned reader acknowledges that the information provided in this business plan is confidential; therefore...
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...September 01, 2012 Appling Ethical Frameworks in Practice A conclusive ethical foundation in the healthcare arena is confidentiality. It is referred to the standard of maintaining secure and private from others health care information revealed during a professional consultation. This is an essential legal right of every client and an ethical duty of the medical community (Bourke, 2008). Maintaining confidentiality between the client and healthcare professional translates to a trustworthy relationship, especially with adolescents. This paper will discuss implications to breach confidentiality, ethical principles, alternatives and ethical committee applications to an ethical dilemma. Implications of Breach of Confidentiality To promote trust between the patient and healthcare provider is a good reason to appreciate confidentiality in health management. To release information to a third party without consent of the patient is considered a breach of confidentiality and illegal. For example, adolescents are encouraged to participate in health care prevention. Many are depressed and even sexually active, but the challenge to provide access and receive adequate care is necessary. Confidentiality is the primary reason this juvenile group deter from health care prevention and management (English & Ford, 2007). A breach of confidentiality in juvenile health care has several implications. For boys, there is the risk of severe depression, suicidal thoughts and attempts....
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...process in health care to determining ethical dilemmas and solution to it. The protection of the patient’s confidentiality is the keystone of effective health care. However it is very important to have a balanced approach with the need to use this information with other contexts. Maintaining the confidentiality of the patient’s information is the responsibility of everyone involved in health care. Sometimes many groups have rightful reasons for seeking access to the patient data which includes law and enforcement agencies, medical professionals, policy makers, researchers etc. There are also certain situations where a health care provider has to breach the confidentiality for the best interest to save a young person or to avoid a serious harm. This paper explores the situations which are ok to break the confidentially with the help of the article “Bioethics on NBC’s ER: Betraying Trust of Providing Good Care? Ethical Implications of a Breach of Confidentiality All medical professionals are required to maintain the strict confidentiality of patient’s health care data. The Health Insurance Portability and Accountability Act of 1996 protect the security and privacy. Breach of confidentiality is unethical or illegal according to Hippocratic oath and American Medical Association’s (AMA) of code of Ethics. According to Purtilo and Doherty (2011, p. 202), “The idea of confidentiality in health care has ancient roots as a basic building block of trust between health professionals and patients...
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...Medical information. As I read in unit four reading even though a medical assistant does have access to the patient’s records you do not automatically have permission to get into their records. Not even if it is just for a phone number to contact the patient about their prescriptions and aftercare instruction sheet. Professional silence and secure data management are the two ways that a health care professional can achieve confidentiality for their patient at hand. • In this case, how would you be able to correct your error and provide the missing documents and instructions to the patient while still protecting patient confidentiality under HIPAA? In this case I would be able to correct this error and provide the missing documents and instructions to the patient by contacting the doctor that provided service to this patient and having them contact the patient. This way I ensure that I am not violating the patient’s privacy. •List 3 ways patient confidentiality is maintained in the reception/waiting area of a medical office. Three ways patient confidentiality can be maintained in the reception/ waiting area of a medical office: The first thing would be not...
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...professional Registered Nurses (RN’s) maintaining patient confidentiality is very important. Confidentiality is defined as “the right of an individual patient to have personal, identifiable medical information kept private.” (http://www.ceus-nursing.com/courses/material_detail). This information should only be shared with the physician, nurse and other members of the health care team. The imperative of confidentiality can be traced back to the Hippocratic Oath not to reveal secrets, and to the Nightingale Pledge. “I will do all in my power to elevate the standard of my profession and will hold in confidence all personal matters committed to my keeping and all family affairs coming to my knowledge in the practice of my profession”. (Burkhardt & Nathaniel, 2008, p. 69). The implications of a breach in confidentiality can have a significant impact on the nurse and the patient and create ethical dilemmas. Disclosure of information can cause problems on a personal, legal and professional level. The ethical need for confidentiality in nursing is vital, due to the need to establish mutual trust between the nurse and the patient. When this relationship is established the patient would be more comfortable in discussing personal matters such as their sex life and other things considered taboo if they know that their information would remain confidential. Several ethical implications occur as a result in the breach of confidentiality, for example the loss of patient trust and respect, responsibility...
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...Grand Canyon University. NRS 437V Ethical Frameworks in Practice Confidentiality is an ethical principle that demands nondisclosure of private or secret information with which one is entrusted (Burkhardt & Nathaniel, 2008, p. 68). Maintaining confidentiality in patient’s information is crucial to patient nurse relationship. Breach of confidentiality can have serious consequences, especially for patient nurse relationship; however failure to disclose certain information can have serious impact on the patient, family and the community. It is the nurse’s responsibility to be aware of the basic principles of confidentiality and ethical framework in their daily practice. It is unethical, illegal and disrespectful to breach the patient confidentiality and can have serious implications, which includes: the client may be reluctant to provide full information about their health, failure to trust the health care providers or even hesitate to seek and avoid medical care. But in certain situations it is difficult for health care workers to honor the principles of confidentiality. When a physician or nurse has confidential information that can harm other people or community, maintaining patient confidentiality is difficult and an ethical dilemma arise. In such situations breach of confidentiality is crucial. According to the ANA Code of Ethics for Nurses (2001) states that the duties of confidentiality are not absolute and may need to be modified to protect the patient, other...
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...Legal Issues in Information Security 14 Executive Summery on Risk Mitigation Unit 9 ASSIGNMENT 1 ASSIGNMENT The protection of records that pertain to students is crucial in ensuring that their safety is not compromised. In doing so the following three things must be addressed in a very detailed and stringent manner. Confidentiality, Integrity, and Availability. These three facets of security are detrimental in the handling of information, whether it is student records or bank transaction records. C-I-A is a good practice when maintaining information and insuring the proper handling of said information. We will discuss here how C-I-A combined with FERPA will help to reduce mishandling and misuse of information, and how to deal with breach and loss as well. The confidentiality of information is vital to keep your students anonymity on line. Confidentiality means that only people with the right permissions can access and use the information. To ensure the confidentiality of the information, the location that it is stored will be secured by password protection. The principle of least privilege will be used as well in determining who has access to the information as well. Physically there will be endpoint encryption as well. All data that is stored in the servers will be encrypted as well. The integrity of the information is vital to ensure that any tampering of the information can be readily detected if it should occur. The integrity of the information is defined...
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...submitted during the 1301A session in CSS150-03 with Donald Wilcoxen." Categories of the Expanded C.I.A Triangle Jason Snyder Colorado Technical University CSS150-1302A-01 Introduction to Computer Security Phase 1 IP Instructor: Gregory Roby April 15, 2013 Information in IT security is a valuable resource and asset. The value of the information from the characteristics it possesses cause appreciation or depreciation for the user of the information, In IT security there is seven characteristics for information to be considered valuable and secure. The expanded C.I.A triangle was created to explain those characteristics in more detail. The seven characteristics for the triangle are Availability, Accuracy, Authenticity, Confidentiality, Integrity, Utility, and Possession. Availability Availability is a characteristic of making information accessible to person or computer system without interference or obstruction, as well as receiving the information in a required format. A good example of using availability is going to an ATM to deposit or with draw money. The ATM is available to all users that can verify that they have an account that contains enough funds to complete a transaction. The machine is made available with the use of magnetic card that has the user’s account information stored on it. When it comes to a computer or similar device availability to information mainly made is thru the use of user log-ins with a password. Accuracy Accuracy is a characteristic...
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...Running head: CONFIDENTIALITY Applying Ethical Frameworks in Practice Chandra H. Dillow Grand Canyon University: NRS-437V March 18, 2012 Applying Ethical Frameworks in Practice In the profession of nursing, there are many ethical principles which one must maintain as the basis for their nursing care. One of these principles is confidentiality, which requires nurses to preserve the privacy of one’s patients and ensure their autonomy. Maintaining confidentiality is essential in the nurse-patient relationship as it shows respect for the patients. Since the time the Nightingale Pledge was written, confidentiality has been one of the main standards to uphold as a nurse. The following will discuss ethical theories and the application of them when faced with dilemmas in the work setting. Breach of Confidentiality Nurses and physicians alike are accountable for maintaining a patient’s confidentiality. Having a breach of confidentiality has the possibility of causing undue harm or the patient being averse to seeking medical care. Undue harm can be described as “embarrassment, ridicule, discrimination, deprivation of rights, physical or emotional harm and loss of roles or relationships” (Burkhardt & Nathaniel, 2008). One’s personal values and principles establish the foundation for ethical knowledge and decision making. There are instances, however, when breaching confidentiality is necessary to prevent harm to the patient or community. Ethical Principles ...
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...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 is against to self by revealing them? Confidentiality violations could be potentially disastrous. Nonetheless, there are certain occasions as an exception in which it may be necessary to breach confidentiality without patients’ consent and act against...
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...confidential until the announcement. Once the announcement is made, Owen’s house will lose value and Owen might lose the offer he has on the house. 2. Issue Luke, like most people, has multiple sets of obligations to different parties. ABC Company expects Luke to maintain the confidentiality of the project. However, Owen is Luke’s brother and Luke most likely wants the best for him. Luke must decide whether to maintain loyalty to ABC Company or inform Owen of the upcoming events to save him money. 3. Analysis 4.1 Universal Ethics This concept suggests that any action taken should be able to be applied as a universal law, subject to repetition by any and all. If Luke breaches confidentiality and informs his brother Owen of the planned construction then, under universal ethics, anyone could breach confidentiality in favor of other obligations. Obviously, this would not be acceptable and would lead to a chaotic outcome. However, Luke must consider whether it is acceptable to always maintain allegiance to contract over yourself. Luke has the desire to tell his brother about the upcoming project, but reason ties him to the company and his contract for confidentiality. A major...
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...Ethical Implications: Breach of Confidentiality Grand Canyon University: NRS-437V Ethical Implications The Health Insurance Portability and Accountability Act of 1996 (HIPAA) , was made to protect the rights of patients with regard to who could have access to their health information (HHS, 2011). HIPAA is not taken lightly and at the organization this author works, a Confidentiality Agreement is signed yearly to assure that the guidelines are followed. Under certain circumstances, however, an individual’s health information may be disclosed, such as before procedures and doctor’s appointments and these are generally for limited information release and for consent to treat. There are two that caregivers not only can come across, but are mandated to report: concern for public welfare and concern for the safety of other person(s) (University of Washington, 2008). To understand what is expected of them with regards to confidentiality and protection of patient rights, it is the responsibility of the nurse to understand what breach of confidentiality means and to know what information may and may not be shared. Breach of Confidentiality Breach of confidentiality can happen in a variety of ways, even in a manner a healthcare provider had not intended or was unaware it constituted a violation as serious as such. Some ways in which it can happen are: giving too much information to a person over the telephone claiming to be family, talking about a patient in the cafeteria...
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...reality television, and the “need to know” attitude of today’s society. In the past ten years, serious issues with breeches in celebrity and politicians privacy and confidentiality have risen. For example, in 2013, the reality star Kim Kardashian’s and rapper Kayne West’s medical records were inappropriately accessed between June 18th and June 24th, after giving birth to a baby girl at Cedars-Sinai Medical Center (Associated Press, 2013). In order to ensure and safeguard patient privacy and confidentiality, issues related to breaching patient privacy must be addressed. This paper will address the following: 1. Background information in relation to the breach of Kim Kardashian and Kayne West’s privacy. 2. Arguments or specifics used in the article to support the proposed solution. 3. Ethical and legal issues. 4. Managerial responsibilities related to administrative, ethical issues. 4. Solutions to reduce and prevent breaches in patient privacy. Last year, reality star Kim Kardashian and Kayne West’s medical records were wrongly and unauthorized accessed by five employees of Cedar-Sinai Medial Center after the birth of their daughter (Associated Press, 2013). Private information was viewed and leaked to the public without prior authorization. In response to a breach in Kim Kardashian’s privacy and confidentiality, Cedar-Sinai Medical Center fired five workers and student research assistant for accessing Kim Kardashian’s private medical records. In addition, they were permanently...
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