confidentiality & Informed consent...pdf

Define confidentiality and informed consent
Discuss the importance of confidentiality & consent
List ethical and legal elements of informed consent
Discuss the process informed consent.
Discuss nurse’s roles and responsibilities in consent process
Implication of case consultation in nursing ethics.

1. .

2. Unit IV Confidentiality and Informed
Consent
By: Muhammad Baqar
RN, P.B.CHN, BSN, MSPH

3. Outlines
•Define confidentiality and informed consent
•Discuss the importance of confidentiality & consent
•List ethical and legal elements of informed consent
•Discuss the process informed consent.
•Discuss nurse’s roles and responsibilities in consent
process
•Implication of case consultation in nursing ethics.

4. Confidentiality
•Confidentiality is one of the ethical values
needed for providing good care and is
concerned with protecting the private
information of the patient that is obtained
during the course of professional practice.
•Confidentiality refer to a situation in
which information is expected to be kept
secret.

5. ConceptDescription
C Create trust in relationship with the patients
O Open (disclose) the details of the patients to others only after properjudgement.
N Never give the documents of the patients to others
F Follow the ethics of trust and faith in maintaining the records of the patients
I Integrate sincerity and honesty towards patient care
D Decisions must be made after consultation with nurse leaders beforerevealing confidential details of patient’s families
E Engage the patient in all confidential matters of patient care
N Not openly talk to co-workers about patient information
T Trustworthiness should create confidentiality and help to gaincooperationto provide quality patient care
I Intelligent way of handling the ethical issues will safeguard not only thenurse but also the patient
A Alertness among the nurses is expected while recording the patients’
documents
L Lead the entire nursing team in abiding the rules of confidentiality
I Interact the patient’s details in the court, when required, only after obtainingthe permission of the medical officer
T Thorough knowledge about ethics and importance of confidentiality isneeded for the nurse to give high quality care
Y Yelling and gossiping about patient’s problems in front of the patients andothers should be avoided

6. Importance of Confidentiality
•Protecting Patient Privacy
•Building Trust
•Legal and Ethical Duties
•Enhancing Professional Relationships
•Protecting Against Harm
•Supporting Effective Communication
•Compliance with Standards and
Regulations

7. Confidentiality Breach
•A breach of confidentiality is when
private information is disclosed to a
third party without the owner's
consent.
•A breach is generally disclosure that
compromises the security and privacy
of Private Health Information.

8. Informed Consent
•It is defined as a legal document that
includes details of invasive procedure to
be done on the patient and the risks and
benefits of the procedure and states that
the contents of the informed consent have
been read and clearly understood by the
patient before obtaining his/her signature
with date and time.

9. Types of Consent
Explicit/ Expressed Consent
Written Consent
Verbal Consent
Implied Consent
Informed Consent
Parental Consent
Proxy Consent
Presumed Consent

10. Ethical Elements of Informed
Consent
1.Disclosure of Information
2.Patient Understanding
3.Voluntariness
4.Assent

11. Legal Elementsof Informed Consent
1.Capacity to Consent
2.Documentation

12. Slide Title
•Make Effective Presentations
•Using Awesome Backgrounds
•Engage your Audience
•Capture Audience Attention

13. The Process for Informed Consent
The process for informed consent includes the following Steps:
1.Introduction and Explanation
2.Information to the client about the nature of
treatment
3.Possible alternative treatments
4.Potential risks involved
5.Benefits of the treatment
6.Clear understanding by the patient
7.Given by mentally competent adult
8.Written document
9.Consent given by parent if patient is a child

14. Importance of Informed Consent
•Respect for Patient Autonomy
•Enhances Patient Trust
•Promotes Shared Decision-Making
•Legal Protection
•Ethical Responsibility
•Improves Patient Outcomes
•Reduces Risk of Harm

17. Nurse’s Roles in Consent Process
1.Educator
2.Advocate
3.Facilitator
4.Communicator
5.Documenter
6.Supporter

18. Nurse’s Responsibilities in Consent
Process
1.Providing Information
2.Assessing Understanding
3.Evaluating Capacity
4.Ensuring Voluntariness
5.Documentation
6.Advocacy
7.Communication
8.Cultural Sensitivity

20. Ethics Consultation
•“A set of services provided by an
individual or group in response to
questions from patients, families,
surrogates, healthcare professionals, or
other involved parties who seek to
resolve uncertainty or conflict
regarding value anxious concerns that
emerge in health care.”

21. Case Consultation in Nursing Ethics
•Case consultations in nursing ethics are an
essential process in healthcare settings, aimed
at resolving ethical dilemmas and promoting
ethical practices.
•These consultations involve a systematic
approach to address complex ethical issues,
ensuring that patient care is associated with
ethical standards and legal requirements.
•The implications of case consultation in
nursing ethics are multifaceted and
significantly impact both patient care and
nursing practice.

22. Steps in Case Consultation
1.Identification of the Ethical Dilemma
2.Gathering Relevant Information
3.Interdisciplinary Team Meeting
4.Ethical Analysis
5.Developing Recommendations
6.Implementation and Follow-Up

23. Implications of Case Consultation in
Nursing Ethics
1.Improved Ethical Decision-Making
2.Enhanced Patient Care
3.Support for Healthcare Professionals
4.Promotion of Ethical Culture
5.Legal and Regulatory Compliance

24. Conclusion:
•Confidentiality refer to a situation in which
information is expected to be kept secret.
•Informed consent is an ethical and legal
requirement for medical treatment.
•The process written document for informed
consent includes information about the nature,
alternatives, Potential risks, Benefits of treatment
clear understanding by the patient & given by
mentally competent adult.
•Informed consent form, the nurse is verifying the
three things: The client’s signature, The client has
mental capacity to understand what was discussed
& not forced into signing the form.