These notes are being shared for GBSN students to cover their curricular requirent

1. SADIQ ALI CHANDIO
NURSING INSTRUCTOR
CON MALE LARKANA
Unit -04
confidentiality and informed consent

2. OBJECTIVES
 Define confidentiality and informed consent
 Discuss importance of confidentiality and consent.
 List ethical and legal elements of informed consent
 Discuss process of informed consent
 Discuss nurse's roles and responsibilities of in
consent process

3. CONFIDENTIALITY?
 Confidentiality means protecting personal
information.
 Patient confidentiality refers to the right of
patients to keep their records private
 Confidentiality is an important ethical principle
in nursing.
 It is an important legal and medical obligation
that all health professionals are supposed to
obey.

4.  The ethical principle or legal right that a
physician or other health care professional will
hold secret all information related to a patient
unless the patient gives consent permitting
disclosure” (American Heritage Medical
Dictionary 2007)

5. INFORMED CONSENT?
 Informed consent is a process for getting
permission before conducting a healthcare
intervention on a person, for conducting some
form of research on a person, or for disclosing a
person's information.
 Informed consent is the process in which a health
care provider educates a patient about the risks,
benefits, and alternatives of a given procedure or
intervention.

6.  A health care provider may ask a patient to
consent to receive therapy before providing it.
 Informed consent is one of the founding
principles of research ethics.
 Informed consent is taken before surgery.
 Before participating in research
 It can be communicated verbally or non verbally
by electronic or written form.

7. IMPORTANCE OF CONFIDENTIALITY
 For legal purpose
 It is also ethical principle
 Promotes confidence
 Prevents misuse of confidential information
 It protects reputation
 It prevents from chaos and conflicts
 Maintains respect and dignity

8. IMPORTANCE OF CONSENT
 Legal document
 It creates a trust between patient –nurse
 It is an ethical principle
 It promotes mutual trust b/w nurse-patient
 Essential element of autonomy
 Ensures good understanding
 It is client centered

9. LIST ETHICAL AND LEGAL ELEMENTS OF
INFORMED CONSENT
03 PRINCIPAL ELEMENTS
(i) PRESENTATION OF INFORMATION
(ii) COMPETENCE (patient’s capacity to
comprehend)
(iii) AUTONOMY: (patient’s voluntary
willingness to undergo or refuse treatment)

10. ELEMENTS OF INFORMED CONSENT
 Nature of procedure ( purpose of
research/procedure and duration)
 The risks /benefits of procedure
 Reasonable alternatives
 Risks and benefits of alternatives
 Assessment of patient understanding

11. DISCUSS PROCESS OF INFORMED CONSENT
 DISCUSSION ( Discussion b/w Nurse –client)
 REVIEW ( Review of information by nurse )
 CONCERN ( All concerns should be addressed )
 TIME : ( Allow adequate time)
 SIGNATURES ( Obtain signature)

12. DISCUSS NURSE'S ROLES AND RESPONSIBILITIES
IN CONSENT PROCESS
 Physicians are responsible for informing patients
of the : (a )Risks, (b) Benefits, (c) Alternatives of
a proposed treatment or surgery.
 Therefore, the informed consent process is the
(a) legal, (b) Ethical, and (c) Moral
responsibility of the physician.
 Hospital nurses also have an entrusted interest in
fully understanding the legal guidelines and
ethical considerations of the informed consent
process.

13.  With this understanding, educated nurses possess
a unique opportunity to facilitate patient
autonomy, especially in the presence of special
circumstances, such as
 (a) patients who refuse surgery,
 (b) patients with limited mental capacity
 (c) patients with surrogate decision makers

14. THANK YOU