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Wednesday, March 13, 2019

Applying Ethical Frameworks in Practice Essay

Patient confidentiality is essential in growing a trusting kinship betwixt a wellnessc atomic number 18 worker and the patient of. Confidentiality means that the patients personalised and medical info 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). There are situations where a br individually of confidentiality whitethorn over tread and is acceptable. These situations include information when an individual has been diagnosed with a specific disease, such as Tuberculosis or an injury, such as a gunshot wound.Other situations may be when there is read that the patient may cause harm to himself or others. The nursing job is one that promises to abide by the laws of patient confidentiality. Protecting the patients rights is guaranteed by some(prenominal) common law-which is the decisivenesss of the courts, and statute law-which is passed by Parliament (OD owd, 2014). This commitment to the patient helps concern high quality care for that patient, as disclosing important information between the patient and suckle, is essential for the patient to receive the trance medical care.Patients indue their trust into the nurse, as they expect the nurse to respect their privacy, when that trust is broken, the relationship between the nurse and patient declines. Losing the trust is one of the respectable implications that may occur when a breach of confidentiality occurs. Other good implications that posterior occur are disciplinary action by the employer, disciplinary proceedings beneath the health professionals regulatory statute, and a fine may be compel (Patient Confidentiality, n. d. ). Pamela G.Nathanson wrote an article in reference to an episode of NBCs ER which reveals an ER nurse who faces an good plight in regards to patient confidentiality. The ER nurse has made a promise to two fourteen year old girls that she will not d isclose any medical information to their parents. The girls trust the nurse that she will keep her promise therefore, they disclose their personal concerns. One of the girls test positive for a serious medical condition, at this point, the ER nurse has reached an estimable dilemma.She fatalitys to make an ethical decision as to whether or not she should disclose the information to the young girls parents. In this situation, the ER nurse has made the appropriate decision to have a breach of confidentiality and inform the young girls parents of their daughters medical condition. In understanding ethical theories and/or ethical principles, this has assisted the ER nurse in qualification the correct decision. Ethical theories and principles guide individuals in making decisions.When apply ethical theories to contain an appropriate decision, the theory must be directed towards a common set of goals, which are ethical principles (Rainbow, 2002). The ER nurses goal is to understand that the young girl receives the appropriate medical treatment for her condition. Ethical principles that screwing relate to this situation are beneficence, which is to do what is good and least harm, which is to do the least harm to an individual.In looking at ethical theories, using Deontology and Utilitarianism is useful in that Deontology relates to the nurses obligations and duties to disclose the information and Utilitarianism relates to being able to project the consequences of actions if the information is not disclosed. A utilitarian looks at what is the greatest wellbeing for that individual (Rainbow, 2002). When an individual is confronted with an ethical dilemma, using an ethical-decision making baffle is useful.This typesetters case of model assists in breaking down all the facts and individuals involved in the dilemma and helps to develop possible substitute(a)s to address the dilemma. It guides ones decision making from an objective, cognitive perspective, rathe r than an emotional perspective (GCU, 2014). In the article discussed, the ER nurse can incorporate an ethical-decision making model to make the near appropriate decision. First is to address who is involved and what the actual dilemma entails and identify the ethical dilemma.Next, she can look at the situation at hand and determine how her own personal values see this issue and determine what alternatives can be used to help resolve the dilemma. Once the alternative actions are decided upon, the ER nurse can look at each one and decide if they conflict with her own personal values. If so, she may subscribe to get another health care provider involved to avert any biases. In the article, the nurse is advised by the physician that the girls parents need to be informed therefore, guiding her into making the appropriate decision.The next step is to prioritize the acceptable alternatives from most acceptable to least acceptable. The alternatives in the articles dilemma can be 1). The young girl communicate her parents herself. The implication with this alternative is that most likely she will not inform her parents. 2). The nurse informing the parents of their daughters medical condition. The implication here is that the patient will not tactile sensation she can trust the nurse however, by choosing this alternative, the decision is in the beat out interest of the child and 3).Not disclosing information at all. The implications here is that the diminished child will not receive the appropriate care required which will cause further harm. The significance in using this model is to ensure that the appropriate ethical decision is made. Ethics committees are for sale as well to assist and guide when ethical dilemmas occur. In regards to the article, an ethical committee can discuss the alternatives and make recommendations, still keeping in line with the patients rights.These committees focus on issues of morality, patient autonomy, legislation, and states i nterest. They have a satisfying influence on decision making and the power to influence a judge or jury (GCU, 2014). Ethical dilemmas will always be in a health care professionals daily work. Using ethical theories and principles will guide health care professionals in making the most appropriate ethical decision. Following these theories and principles will ensure that the patient is receiving the best quality care that they deserve. References

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