(Dooley & McCarthy=DM 2012) I answered following layout from revision sheet
A)Explain principle of confidentiality (you must also apply to case in exam question) Confidentiality places an obligation on nurses.
Nurses must respect confidences that patients share
Nurses must keep confident any information about patient from other parties(Mills 2002) Confidential information is defined as any private information understood not to be shared with a 3rd party(DM 2012) Confidential relationship builds trust, protects patient privacy and patient autonomy. ****Can bring in autonomy and beneficence here if appropriate Core element to all human relationships-basic to build trust, promise or bond, respect for autonomy/privacy, patient recognises own right to privacy. Importance to nursing:
Patient more honest and open.
Leads to better diagnosis and higher quality of care.
Pt more likely to seek help&better contact with health services(especially in mental health) Therefore outcomes generally better in a respected confidential relationship.
****Doesn’t fit directly into any section within revision sheet on confidentiality but good to know. Professional and Legal Accountability in Confidentiality: Originally evident in Hippocratic Oath which stated that it was shameful to breach confidentiality. Florence Nightingale said every nurse should be capable of being a confidential nurse, no gossip or vain talker and should only answer to those who have a right to ask. IRISH Medical Council agree to above. Also that patients have a presumed right to confidentiality More contemporary codes(such as ABA) also acknowledge principle of confidentiality. Could also bring in here about importance of confidentiality as learning outcome for placement???? Legislation:
Confidentiality protected by law in both court decisions and appeals. Irish courts recognise right to privacy and confidentiality. Irish Constitution-not guaranteed by constitution but...
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