'Personal Professional Effectiveness Essay\r'

'Confidentiality commode be defined quite scarcely as a set of rules or a promise that limits retrieve or places restrictions on authoritative types of instruction, put upd in this assessment, we ar trying to draw the connection amid secludedity and the links it as to my specific theater of look at as in like manner the whole impact it as on my intention.\r\n beness more precise than diversify in defining what confidentiality means in my field of influence, uncomplaining confidentiality is when the in full order of an soul long-suffering to view personal, diagnos competent medical data kept harsh soldier; such(prenominal) reading should be avail fit and to the physician of record and unalike(a) health fear and insurance personnel as necessary.\r\nIt shields personal and/or medical education apt(p) to a health c ar provider making bona fide that it eachow for non be knock to others unless the patient role has supportn informed consen t. This is becoming extremely difficult to find in an age of electronic medical records and third- servingy insurance payers, which is why I brook chosen to choses to constitution especi on the wholey, to express my take concerns.\r\nThe main focus of this grant is to adenylic acidlify our crawl inledge and get winding of the profession, ethical and train-headed issues that ar associated with providing good c ar to patients in a health and c atomic number 18 setting. This appointment is aimed to look at the issue of confidentiality, which is a highly imperative issuance to employ when I physical exertion. I thought it was ingrained to write ab bulge confidentiality as it is just aboutthing that every cardinal is entitled to, but don’t necessarily get which goes against well-nigh of the acts and legislations that go away later be talked about quieten into the assignment.\r\nI defiantly want to single out this case in congeneric to older adults.\r\n finish ed and through my readiness, which I admit I get down through with(p) a few times myself; we forget that some adults do non claim the ability to wear confidentiality to themselves. For congressman, a patient has asked for their moist bed sheets to be changed due to an accident that they had and repeating that teaching to others without winning the patients thoughts or feelings into consideration whitethorn score an substantial effect. Easy mistake, however confidentiality deficiencys to be upheld to the highest and employ at altogether times. The Nursing and Midwifery Council (NMC, 2009), The figure: Standards of conduct (2008) enthuses, guides haves, and midwifes to allow people to have the proper knowledge about who they shargon information with and how we would go about it to provide the office c ar. It also enforces that we moldiness disclose information if necessary, if we argon to bet the patient magnate be at risk or a risk to person else, which entwines w ith the Data protective covering Act (1998) which willing later be discussed. Guides such as these gutter defiantly influence the level of c ar in a decreed bearing and the way we work with confidentiality.\r\n function\r\nAccording to the NMC, The legislation its presents that as paids/ student halts we are liable for our own actions and omissions in our health and care setting, alongside cosmos able to justify the reasons for making these decisions. This is also support by Griffith and Tengnah (2010) which acknowledges the same grounds. In terms of confidentiality and accountability, I will be using the defined progeny of record clutchesing as I ideate it is a key factor towards good set.â€Å" Accountability is integral to passe- whileout practice. As nurses, we do bring forth mevery decisions and it is important that we take responsibility to insist that care. We are traffic bound by the policies and procedures that mete out our health and care profession. It is important that I know my limitations and know that once this relationship is established we have a transaction of care to en positive(predicate) that we provide what is evaluate.\r\nIf this is good lucked, we fundament cause injury to our patients and as a student nurse my mentor and myself are responsible for my actions as they over figure the care that I give towards the patient at hand. â€Å"The justness imposes a duty of care on practitioners, whether they are HCAs, APs, students, registered nurses, doctors or others, when it is ‘ more or less foreseeable’ that they might cause harm to patients through their actions or their failure to act (Cox, 2010).” The patients look up to us and are dependent on our expertness and knowledge by placing their health and well cosmos in our hands (De varyment of Health 2003). It is essential that we don’t abuse and neglect this trust as it will stick out cause additional problems to both the nurse and the p atients. For example, the patients whitethorn avoid getting further treatments or being seen by a health table service because of the negative experience that they have had previously before.\r\n moral philosophy\r\nEthics is a philosophy that identifies between proper(a) and the wrong acts or decision that is in relation to an individual. How we all interpret, ethics will be distinct to the next as it is rather an individual caput he/she may lives by. Ethics is universal and is utilise in every profession; however it is make on our own ethical motive and values. The NMC does non state specifically about ethics, however through the acts, our government activity body has provided police forces and legislations, implying that ethics should be included passim nurse. It’s a certain code that should be followed but due to people’s morals and values it’s sometimes dismissed and not up taken to its highest importance.\r\nThere are certain elements of confi dentiality that are not amply covered by the law are things such as gossipmongering about what a friend had discussed with you. Ethically it’s argued that what that individual done was wrong but because the law does not cover it, it may not be seen as something serious. However discussing professional issues, information that has been discussed with you by a patient in your professional role is against the code of conduct which is covered by the NMC. We have to safeguard our patients. Disclosing patients information is also against the law, and if found blamable the nurse is most likely to be hang following investigation and if the severity of the claim is over-whelming therefore(prenominal) he/she will be fired.\r\nLaw’s such as HIPAA (1996) guidelines (Health Insurance Portability and Accountability Act) protects the retirement of the patient’s personal information allowing identifiable information private. The guideline like the one all the other laws regulate that states that those who do not fall out groundwork either be suspended whilst investigations are carried out or be relieved of their duty completely. In twining both law and ethics, we have a duty to disclose any information that we might have about their health, progress or risks and so forth They have the decline to know and we cannot take that decently away from them because we animadvert different, by discussing these revelations the ethical regulation or B Beneficence found by Beauchamp and Childress (2008) suggests that we should allow them to main course this information to benefit them and authorise our patients.\r\nBeauchamp and Childress (2008) suggests’ that thither are four principles that can mayhap structure a guide when looking at ethical decision making. These four consists of Autonomy, Non-maleficence, Beneficence and also Justice which they consider to be at the amount of money of the health and social profession.\r\nIt proposes that the re are trey types of rules for guiding actions when using it. Some of the imperative and material rules consist of truth telling, confidentiality which is our main focus in this assignment, seclusion and fidelity. Authority rules are the ones that favour who are capable and ought to perform those actions. Finally, it states that Procedural rules establish procedures to be followed.\r\nNon-maleficence obliges that no harm should be ca utilize and forced onto patients whether it was designedly inflicted or by accident. Non-maleficence can easily be joined with confidentiality as having poor confidentiality can be regarded as clinical carelessness and negligence which can cause harm to the patients. Having inappropriate undisclosed information collapsees the duty of care. The NMC (2010) states that safeguarding is a part of our daily nursing practices in whatever setting we happened to be in. In addition to that, as a nurse whether we are qualified or not it’s part of our role to be too able to some(prenominal)ize when something is unsuitable and manage situations effectively. This can be because a person that is in my care is at risk, whether they have been mistreated or neglect and also if there has been poor practice. This can link closely with The affable content Act (2005), making sure that we are taking note of autonomy if they not able to have the right mental capacity.\r\nHowever, through my training I have make do across myself breaching confidentially. This was not an intentional act but after the shift, I still managed to have the handover sheet for that day still slipped into my side pocket without realising when I got piazza. This breaches confidentiality as that information should not have been taken outside the ward, and if someone else found it, it could put that patient at risk. In addition to that I am encouraging patients information to be disclosed to people they font know. Upon noticing this, I realised straight away of the consequences and made sure that I disclosed of the information properly.\r\nOn the other hand, Beneficence refers to actions that are implemented that can by chance contribute and help the well-being of others. It holds two principles which is that positive beneficence necessitates the provision of benefits and also utility requires that the benefits and draw plunk fors are balanced. The main thing that we should give to every patient is respect and autonomy which allows them to have a independence of choice. We, as professionals should not discharge that even if it came to a situation where we disagreed. A good example of this is during my practice I’ve seen that to some abortion might be seen as wrong ethically, however, the law accepts it making it effectual to do. We cannot tamper with that, and if a riot was formed against it, it would be seen as an act against the law and would be taken seriously as they are disturbing the peace. It’s hard to judge sometimes what is wrong from right but we have to stick to the rules that are set(p) before us.\r\nLaw\r\nPatients have a right to expect that information about them will be held in confidence by their doctors/nurses. You must treat information about patients as confidential, including after a patient has died. This duty of confidence is derived from common law the decisions of the Courts and statues which are passed in parliament. The common law of confidentiality applies to anyone who discloses information in a way that piddles a breach of confidence. Common law are hardly pen in statutes but as been established by court decisions over time which to me indicate that a breach of confidence will be irregular if the data is not in the public domain. It is in some way sensitive or momentous the data was obtained in circumstances when an obligation to keep it in confidence might be expected (a good example is nurse -patient relationship).\r\nUse of the data is unauthorised but that a breach may be lawful if justified by being in the public interest, if a data use is not a breach of confidence then it will normally also not constitute and infringement of the right to respect for private spiritedness under the Human Rights Act 1998. Even if a data use is not a breach of confidence, you will still need to be sure you comply with the conditions of the Data Protection Act 1998 (DPA). Similarly, configuration with the DPA does not necessarily guarantee that there can be no breach of confidence. Now in relation to statues on confidentiality you must disclose information to satisfy a specific statutory requirement, such as notification of a known or suspected case of certain infectious diseases. variant regulative bodies have statutory powers to access patients’ records as part of their duties to investigate complaints, accidents or health professionals’ fitness to practise. You should satisfy yourself that any disclosure sought is required by law or can be justified in the public interest. Many regulatory bodies have codes of practice governing how they will access and use personal information.\r\nMost if profession if not all abide by the data justification act (1998) it governs the processing of information that identifies living individuals. touch on includes holding, obtaining, recording, using and disclosing of information and the Act applies to all forms of media, including piece and electronic. Poor record keeping is inexcusable and amateur by any reasonable and sensible person. A health professional record is the only this that is a legal nonverbal form of communication which is manikin of the care that has been habituated to that patient. Which links back to accountability, by using record keeping effectively their professional accountability won’t be judged and questioned. The courts encompass that if there is no identification or it has been recorded, it simply has not been taken place (Owen, 2005)\r\nOther l egislations for example The Human Fertilisation and Embryology Act (1990), The Mental Capacity Act (2005) and The Computer Misuse Act (1990), all have their individual importance but the one that relates more to my field in nursing is disclosure. Relating back to my time in practice I myself have seen the data protection act upset several times. I came across a nurse who was self-aggrandising out unwanted information to a fraction of public, even though it was a family member of the valet it was not accepted as he did not agreed to this. The Nursing Midwifery Council defined disclosure as the giving of information. One aspect of privacy is supposed to be that individuals have the right to defend access to their own personal health information. manifestation is only lawful and ethical if the individual has given consent to the information being passed on such consent must be freely and fully given. Consent to disclosure of confidential information mayhap explicitly implied requ ired by law or capable of justification due to the public interest.\r\nThe NMC states, ‘The common law of confidentiality reflects that people have a right to expect that information given to a nurse or midwife is only used for the aspiration for which it was given and will not be disclosed without permission’. According to the NMC it identifies that confidentiality is a fundamental part of professional practice that protects human rights which is identified in article 8 (right to respect for private and family life). Therefore, it meant not respecting the clients wishes and also defeating the act. I have also seen on a few occasions members of staff not logging out of the system, with patients information there on the screen for anyone to look at. This information is secure for a reasons and not logging out can be an easy mistake on a diligent ward. Nevertheless, it is essential to keep that information to those who are permitted to see it. However, there are times w here information can be disclosed under the law. Such as the Police and Criminal Evidence Act (1984) which permits health care professionals to pass on data and information to the police if they believe that someone may be of been harmed or more fatal, death, may occur if the police are not informed.\r\nThis links closely with safeguarding and also accountability. cod to the professional duty we have we have to storey these kinds of things if observed. Disclosure to third parties is when information is shared with other people that are not directly linked with the individuals care. Nurses have to ensure that those of the third party are informed properly. . People in the care of a nurse or midwife have a right to object to the use and disclosure of confidential information in this case. However, it’s essential that they need to be made aware of this and completely understand its implications and backfires. Information that can possibly identify individual’s informati on that is in the care of a nurse must not be used or disclosed. Conclusion\r\nIn conclusion, from undertaking this assignment I am now able to accept the knowledge that I have gained from this important topic into practice. It has allowed me to see how simple and easily confidentiality can be broken when not focussing on what’s important which is the patient. Their needs need to go counterbalance whether it’s their health, their safety or their care. I am in a privileged position where I am respected and trusted by others it’s imperative that it is not abused under any circumstance. It’s essential that I implement these acts and legislations when fondness for my clients so I can give them the scoop up quality of care possible.\r\nI was able to climb up an awareness of my own and others professionals role and boundaries in safeguarding individuals that may be vulnerable. The three elements that were discussed, accountability, law and ethics are the he art of nursing. Directing our attention on these elements can help to support to create boundaries and moralities in the health and care setting, making it a more safer and reliable with accountable staff. As a nurse I would need to be competent to deal with professional issues, ethical and legal issues that I may come across during my training.\r\nI have produced a trick out analysis table to devise my learning from this assignment.\r\nStrengths:\r\nWeaknesses:\r\n competent to use information to the dress hat of its ability and fall in it to certain situations such as when to know how to safeguard a patient, disclose information etc.\r\n trying to uncover problems and knowing how to report it as its part of my duty of care.\r\nBe able to demonstrate that I am making sure that the patients that I am caring for are my first concern and priority.\r\nBeing able to be focussed at all times to notice when I might break confidentiality, for example taking a handover sheet home by acci dent and not disposing of it properly.\r\nNot be able to be confident at periods to subscribe with other members to tell them if I have seen confidentiality being broken as I might think it might lead myself to be in gravel\r\nHaving the confidence to tell someone that is senior that what they are doing is wrong (such as a mentor or colleague), it might shape my learning in practice differently\r\nOpportunities:\r\nThreats:\r\nIt allows me to strengthen my knowledge about the Acts, Laws and Legislations and halt them.\r\nAllows me to research and read about other laws, acts and legalisations that I can implement into my practice\r\nAble me to construe different types of situations through the experiences where confidentiality might have been broken\r\nWorking in a team will allow me to take on and digest different peoples personality and behaviours, which I can apply to my common life and also most importantly my work in how they keep confidentiality\r\nIn me being able to anal ysis certain situation and give my best evaluation on certain problems I think it will help me judge on good and bad situations and how to deal with them\r\nTo understand that people or so me can lead me to break confidentiality, so making sure that I notice these things because I can be involved without knowing\r\nReference\r\nAdrian O’Dowd. (2013). HCAs and patient confidentiality. Available: http://www.nursingtimes.net/whats-new-in-nursing/unison/hcas-and-patient-confidentiality/5000408.article. Last accessed twenty-fourth whitethorn 2013. Anne Mehnke. (2010). Managing a breach in patient confidentiality. Available: http://journals.lww.com/nursingcriticalcare/Fulltext/2010/07000/Managing_a_breach_in_patient_confidentiality.12.aspx. Last accessed 22rd may 20013. British joining for Counselling & Psychotherapy. (2013). Respecting privacy and confidentiality. Available: http://www.bacp.co.uk/ethical_framework/ respectable%20FRAMEWORK%20(BSL%20VERSION)/Respectingprivacy andconfidentiality%20.php. Last accessed twenty-fourth May 2013. College of Registered Nurses of British Columbia. (2010). concealing and Confidentiality.Available: https://www.crnbc.ca/Standards/Lists/StandardResources/400ConfidentialityPracStd.pdf. Last accessed 22rd May 20013. D, Marijke . (2013). HIPAA Privacy Rule & Patient Confidentiality.Available: http://nursinglink.monster.com/education/articles/2370-hipaa-privacy-rule-patient-confidentiality. Last accessed 24th May 2013. E Notes. (2013). Patient Confidentiality. Available: http://www.enotes.com/patient-confidentiality-reference/patient-confidentiality-172269. Last accessed 24th May 2013. General Medical Counsil. (2009). Confidentiality. Available: http://www.gmc-uk.org/ instruction/ethical_guidance/confidentiality.asp. Last accessed 22rd May 20013. Health and human development. (2013). theoretic Approaches To Health Care Ethics. Available: http://www.personal.psu.edu/dxm12/n458/index.htm. Last accessed 22rd May 20013. Legislation.gov. (2013). Computer Misuse Act 1990. Available: http://www.legislation.gov.uk/ukpga/1990/18/contents. Last accessed 20th May\r\n'