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Maintaining Patient Confidence

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Running head: MAINTAINING PATIENT CONFIDENCE: AN OVERVIEW

Maintaining Patient Confidence: An Overview of Nursing Aspects
Glenn E. Reihing RN CEN
Grand Canyon University
NRS – 437V Ethical Decision Making in Healthcare
Professor Terri Bond
November 10, 2013

Maintaining Patient Confidence: An Overview of Nursing Aspects
Maintaining a confidence with another person has always been a sacred trust and duty within the medical community. It was important enough that it is in both the Hippocratic Oath and the Nightingale Pledge. The nursing oath not only looked at the patient’s privacy but the family unit as well. The foundation of trust and respect is built upon the notion that the patient can tell their medical provider whether it is a nurse or doctor anything and it will be kept private. Patients expect the medical community to maintain that duty. There are situations when confidentiality may conflict with other ethical ideals.
A breach of confidentiality occurs when a medical professional discloses information that the patient reasonably expects to be private. When a confidence is divulged, it then is reasonable for the patient to assume that anything they have disclosed revealed. It is a sign of disrespect to the patient that the nurse would make known medical information that they would reasonably expect to be consider private. This type of breach can destroy a bond of trust developed between the patient and their clinician. If the patient does not believe their information is confidential, they might not disclose certain aspects of their health history. This withholding of information may have an important bearing on the patient’s treatment regimen.
Assurance that a person’s medical history is kept confidential relies on several ethical principles as described in the book “Ethical Dimensions in the Health Professions, 5th Edition” by Purtilo &

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