nursing and midwifery ethics -...
TRANSCRIPT
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NURSING AND MIDWIFERY
ETHICS
ANTOINETTE ATTARD
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Confidentiality
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Confidentiality
“Nurses and Midwives should: safeguard and
protect all information,.….obtained in the
course of the professional relationship with the
patient or client. A nurse or midwife cannot
disclose such information without the consent
preferable written, of the patient or client.
Exemption to this rule exists only where
required by local laws” (N&MB 1997)
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Confidentiality
Patient CharterSection 3 deals with confidentiality
Privacy
Confidentiality of information including records
Right to review records
Right to complain
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Confidentiality
ConfidentialityBased on principles of:
Autonomy – patients have a right to control personal information and to protect privacy
Nonmaleficence – disclosing information may cause harm to patients
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Confidentiality
ConfidentialityInformation disclosed to health carers is based on the principle of trust.
Information cannot be shared except by the patients permission
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Confidentiality
Boundaries to confidentiality
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Confidentiality
Barriers to confidentiality
Confidentiality cannot be ethically
justified:
`harm principle’ – confidentiality cannot be
maintained if it will cause harm to others
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Confidentiality
Harm PrinciplePersons should refrain from acts or omissions which could result in harm to others
Harm
Private
public
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Confidentiality
Harm Principle
Harm as hurt
Physical
Emotional
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Confidentiality
Harm Principle
Harm as non benefit
not educating children
not telling patients the truth
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Confidentiality
`Barriers to confidentiality
`vulnerability principle’ – the duty to protect against harm tends to arise most strongly when someone is specially dependent or vulnerable
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Confidentiality
Breaching Confidentiality
Patient or legal advisor gives valid consent
Information is required by law
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Confidentiality
Breaching ConfidentialityTo protect patient – such as not giving patient information but telling family if patient will be harmed by the truth
Is this paternalistic?
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Confidentiality
Paternalism versus Beneficence
Who decides whether patient can cope with the truth?
Are we hiding behind beneficence to refrain from the difficult duty of giving bad news?
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Confidentiality
PaternalismPaternalism is only justified if the harm prevented is greater than the harm caused by taking someone’s autonomy away?
How can one tell?
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Confidentiality
Breaching Confidentiality
To protect public interest
For medical research if ethically approved
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Thank you for your attention.
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Confidentiality
‘Which are the common ethical concerns you
encounter in your clinical area?’
Theme Occurrence
Information giving
Truth telling
Chronic conditions
Seperated parents
16
Confidentiality
Same locality
HIV
Relatives
9
Letting die 6
Accountability
Reporting
Ward management issues
Resources
Priorities
5
2
3
Table 1: Common Ethical concerns you encounter in your clinical area
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Confidentiality
Questionnaire
33 Candidates
Departmental Nursing Managers
Nursing Officers
Deputy Nursing Officers