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Ch 6 confidentiality
Ch 6 confidentiality
Ch 6 confidentiality
Ch 6 confidentiality
Ch 6 confidentiality
Ch 6 confidentiality
Ch 6 confidentiality
Ch 6 confidentiality
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Ch 6 confidentiality

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  • 1. Ethics in the Life Sciences Chapter 6 Confidentiality 1
  • 2. Learning Objectives • Discriminate between confidential and nonconfidential patient information • Discuss basic actions every nurse must implement to protect patient confidentiality • Analyze special threats to patient confidentiality from the health care environment and information services • Propose solutions for protecting patient confidentiality during special circumstances 2
  • 3. Confidentiality Defined Defined in many different ways: • Keeping the secrets of patients • Controlling access to sensitive personal information • Holding in confidence all personal matters committed to keeping and all family affairs coming to knowledge in the practice of ones calling. • Keeping something classified, restricted, undisclosed, secret or private. 3
  • 4. Rationale for Keeping Information Confidential • ANA- Associated with the right to privacy, the nurse has a duty to maintain confidentiality of all patient information. • It is a legal right, founded in the ethical principle of non-maleficence • To maintain a trusting relationship. 4
  • 5. Rationale for Keeping Information Confidential The Health Information Portability and Accountability Act (HIPAA) • First federal privacy standards to protect patients’ medical records and other health information provided to health plans, doctors, hospitals, and other healthcare providers. • Took effect April 14, 2003. 5
  • 6. Rationale for Keeping Information Confidential Privacy Rule • The standards for privacy of individually identifiable health information was created in response to the 1996 HIPAA Law. • Addresses how health care providers, health plans, and health care clearing houses convey patient information electronically. • Laws that provide a minimum acceptable standard related to how a patient’s medical records and personal health information are to be kept confidential. 6
  • 7. Who can access Confidential Information? • Disclosure of any and all health information, by law, is to be disclosed only on the need to know basis. • The nurse should consider, can this person do his or her job safely and knowledgeably without this information? • If yes, then the nurse does not need to know. • If no then the nurse needs to know the information. 7
  • 8. Summary • Maintaining confidentiality is a fundamental obligation for every nurse during every patient encounter. • Patient information should only be shared on a need to know basis. • Confidentiality is necessary in establishing trust in the nurse-patient relationship. • Maintaining confidentiality can be complex given the many platforms used for communication of information. 8

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