This website uses cookies to ensure you have the best experience. Learn more

Applying Ethical Frameworks In Practice Essay

1332 words - 6 pages

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 ...view middle of the document...

There are circumstances in which confidentiality may be broken if the community is at risk. Ethically, “Nurse Hathaway’s” dilemma may result in choices made by patients not to seek care in the future. In her patient’s case, the author agrees with Nathanson (2000) in which the patient’s parents are informed because the medical information received could ultimately result in her death. The author agrees that the nurse has an obligation to inform her patient’s parents so that treatment can be expedited. As Nathanson (2000) points out, “it would be very difficult for Andrea to receive treatment for the cervical cancer without parental consent.” The author also agrees with Nathanson (2000) to inform the school in regard of sexual behaviors that are taking place but keeping names confidential in the process. This way, the patient’s anonymity remains. The author also agrees there is no benefit in naming the patient to the school.
Ethical Theories
Theories such as Deontology, Utilitarianism, Virtue Ethics, and Ideal Observer Theory have provided frameworks which healthcare providers may utilize in order to make decisions in regard to patients’ care. Each has its own set of principles and thus enables the healthcare providers reflect on his/her own beliefs in order to resolve ethical dilemmas. In regard to “Nurse Hathaway’s” dilemma, Deontology (Grand Canyon University, 2011) suggests that keeping one’s promises is imperative, and in this case was not honored, since she eventually told the patient’s parents about her diagnosis and thus broke her promise. Virtue Ethics is based on a person’s character and that decision making results from the person’s morals and values. In this case, it does not reflect “Nurse Hathaway’s” moral character since her behavior might not have been exemplary but rather duty in orientation.
The author does not think the theory of Ideal Observer (GCU, 2011) was used in this case since this theory states “an ideal observer is simply the observer who occupies the ideal point of view.” In this case, the author’s opinion of “Nurse Hathaway’s” ethical decision making was based on Utilitarianism since she made her decision based on the greater good of the community. This theory suggests (GCU, 2011) “right action is based on rules that are likely to produce greatest good for everyone considered,” (p. 2). In the legal case “Tarasoff vs. Regents” the confidentiality of the psychologist’s patient should not outweigh the rights of individuals who may be harmed in the process, (GCU, 2011). “Nurse Hathaway’s” decision to break confidentiality for the greater good is the author’s point of view as well. Confidentiality could remain for the patient and her family despite providing notice to the school in regard to an activity which requires education to prevent further behavior/outbreaks, even if this particular disease is not mandated to be reported.
Alternative Solutions
Before healthcare providers look at ethical theorists’ views...

Other Papers Like Applying Ethical Frameworks in Practice

Suddhy@Hotmail.Com Essay

1234 words - 5 pages 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

Ethical Frameworks Essay

1072 words - 5 pages 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

Apply Ethnical Framework

955 words - 4 pages Applying Ethical Frameworks in Practice In an episode of ER in 2000, a nurse named Carol Hathaway makes promises to two 14 year old girls who enter the ER and are hesitant to allow care for themselves. Nurse Hathaway tells the girls that she will not disclose any information to their parents or anyone else if they will agree to care. One of the girls Andrea is tested positive for Human Papillomavirus (HPV) an extremely common Sexually

Understand Safe & Ethical Practice and Why It Is Needed. Explore Features of Safe Practice

531 words - 3 pages Understand safe & ethical practice and why it is needed. Explore features of safe practice Safe and ethical practice is concerned with helpers working in a way that protects both themselves and the helpee. By observing central elements including; working within an ethical framework, recognising the limits of ability, signposting the helpee to other agencies for further help and observing boundaries you are working safely and ethically as a

Critical Reflection

811 words - 4 pages ; that is, it has become incredibly difficult to practice in an ethical, anti-oppressive and emancipatory way, which is child and family focused. Professionals are criticized for their failure to persist in hostile climates rather than celebrated for the professional and personal integrity of choosing to leave. In the wake of recruitment and retention difficulties the sector questions education and training. Does child protection need to be

Ethical Framework

1025 words - 5 pages Ethical Frameworks in Practice Jeananne S. Reed Grand Canyon University Ethical Decision Making in Health Care NRS437V Michelle Silvers, MS, RN, CEN July 17, 2011 Ethical Frameworks in Practice Being entrusted with information is honorable. But what if the promise of holding information could bring harm or deleterious consequences? This is an ethical dilemma frequently incurred by nurses. What are the implications when a

Porter Forces

909 words - 4 pages understanding of the frameworks and concepts of strategic market management and planning. * To demonstrate expertise in conducting a strategic audit of an organization and recommend and implement a strategic marketing plan based on a full critical evaluation of the options available * Demonstrate a comprehensive knowledge, understanding and critical awareness of some of the key elements of customer engagement. Learning Outcomes

Case Study


Ethics in Counselling

1016 words - 5 pages Ethical frameworks are in place in counselling agencies and with private counsellors to protect both the client and the counsellor. My knowledge of the BACP ethical framework is that it compounds the values, principles and personal moral qualities of counselling and of the counsellors that practice alongside it. In a nutshell it is there to ensure that all clients receive the highest standard of counselling possible in a way that promotes their

Health Promotion

1768 words - 8 pages is considered good health, what is acceptable or unacceptable risk, and what is a healthy physical and social environment. Ethics in health promotion involves applying a critical analytic gaze to a particular programme or policy. There are some domains in which the ethical acceptability of health promotion interventions is questioned because it may interfere with fundamental cultural values or ethical principles. They include; autonomy and

Ethical Concepts and Dilemmas

1394 words - 6 pages Ethical Concepts and Dilemmas There are many different ways to process moral dilemmas and numerous theories try to define these different approaches. Jones (2001) puts forth that the moral intensity of a specific issue greatly impacts how an individual might process different moral dilemmas. In the case of Wisson, Valerie believes that Waters has materially hurt the company by negatively impacting the quality of the product with poor

Related Essays

Applying Ethical Frameworks In Practice Essay

889 words - 4 pages 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

Applying Ethical Frameworks In Parctice Essay

1040 words - 5 pages Applying Ethical Frameworks in Practice Nursing has a renowned history of concern and interest for the welfare of the sick, injured and vulnerable for social justice. Nursing encompasses prevention of illness, decreasing suffering, and the protection, promotion, and restoration of health. Ethics is been an integral part of the foundation of nursing and it is self reflective, enduring and distinctive. In the professional course, a nurse

Applying Ethical Frameworks Essay

832 words - 4 pages Applying Ethical Frameworks in Practice Vanessa Dolce Grand Canyon University April 30, 2012 Applying Ethical Frameworks in Practice In nursing certain situations will call you to question what is right and what is wrong. One of the biggest dilemmas nurses face is what things we should tell or not to tell. Is it better to stay quiet or vocalize the problems at hand? Sometimes telling means we break the trust of our patients but help

Professional, Ethical & Legal Issues In Nursing Practice

3788 words - 16 pages situation” (Cournoyer (1989), p-143). Responsibility and accountability “ nurses demonstrate professional conduct and practice in accordance with standards of nursing practice determined by the regulatory board and accept that the primary duty is to ensure safe, competent and ethical nursing care to the client” (Singapore nursing board( 2011), standard 2). Therefore, the above scenario both nurses have pharmacological deficits and failed to check the