NRSV 437-Betraying Trust or Providing Good Care - Assignment Example

Comments (0) Cite this document
Betraying Trust or Providing Good Care Name: Institution: Introduction Healthcare is one of the principal fields largely affected by ethical considerations. Attempting to sustain a patient’s life can present major moral dilemmas for medicine practitioners, especially those dealing directly with the patient, such as doctors and nurses…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER92.7% of users find it useful
NRSV 437-Betraying Trust or Providing Good Care
Read TextPreview

Extract of sample "NRSV 437-Betraying Trust or Providing Good Care"

Betraying Trust or Providing Good Care Introduction Healthcare is one of the principal fields largely affected by ethical considerations. Attempting to sustain a patient’s life can present major moral dilemmas for medicine practitioners, especially those dealing directly with the patient, such as doctors and nurses. This explains why it is imperative for nurses to comprehend moral norms and practices governing healthcare, as well as the significance of posing questions, when they do not know how to approach a morally controversial issue. Nurses must have particular knowledge in ethical matters concerning patients’ confidentiality and privacy. For instance, in healthcare there is a law referred to as Health Insurance Portability and Accountability Act (HIPAA), which has provisions that seek to safeguard information about patient’s health related information. Nurses should, therefore, be well versed with such laws in order to execute their duties within the confines of the law. An article by Nathanson (2008), "Bioethics on NBC's ER: Betraying Trust or Providing Good Care? When is it ok to Break Confidentiality?" examines ethical concerns in healthcare that pose a conflicting challenge to involved nurses. The article outlines a dilemma experienced by a nurse, Hathaway, who is tasked with the responsibility of examining two teenage girls. The nurse promises the youngsters that she would not convey the results of the screening to their parents, with the aim of encouraging them to undertake the test. However, on getting the medical examination results, Hathaway realizes that one of the teenagers has both Human papillomavirus (HPV) and cervical cancer. She faces a serious moral decision, since she has to choose between keeping the promise she made to her patient and informing relevant parties, in order to guarantee appropriate medical treatment for all individuals involved. Rationale Since the patient is 14 years old, she falls under the minors’ category, implying that her parents must be informed about the medical diagnosis. This is because, as a child, the patient would not be permitted by the law to provide consent for medical intervention. Additionally, the 14 year old would not have the financial capability to pay for the treatment. The other dilemma stems from the fact that, the law does not permit reporting of a person’s infection with HPV. Nevertheless, once the girls openly admit that they engaged in unprotected sex with several partners, it would be possible to notify the school administration and local health board thus mitigating the spread of this disease. Based on this analysis, it is evident that information disclosure is in the best interest of the patient, members of the public, as well as, the school administration and the Center for Disease Control (CDC). Ethical Implications for Disclosure Based on provisions outlined in Code of Ethics for Nurses (CEN), the nurse described above is faced with a case of conflict of interest. Nurses should make the decision, as to whether, maintenance of confidentiality would cause more harm than full disclosure. In this case, if Hathaway discloses the patient’s information she risks her privacy, while failure to reveal it is likely to cause harm to the patient, as well as, other members of the public. Even if the nurses’ code of ethics requires them to promote and advocate for the wellbeing, security, and privileges of the patient. Ethical Implications against Disclosure It is evident that the confidentiality laws guard the patient, nurse, as well as, the organization of employment (Nathanson, 2000). Confidentiality breach can make a patient hesitant to get medical attention. Ethical Principles/Theories The utilitarian ethical theory is most appropriate in dealing with the issue above. The utilitarian principles explicitly provide that, an individual should weigh the probable consequences from two choices, and hence draw essential comparison between potential harms and benefits of the exploit adopted. It is then imperative to adopt the action that would have the preeminent outcome for the individuals concerned, like notifying the sex partisans and the school (Nathanson, 2000). The situation can also be viewed under the ethical theory of deontology; when the nurse upholds the moral obligation of notifying the parents, in order to guarantee the most excellent outcome for the patient. Alternative Ethical Framework It would be necessary to involve the school counselor for support. It is also imperative to involve the parents in the counseling session, so as to encourage the girl to share information freely. In case the girl does not give appropriate information to her guardians then Nurse Hathaway can intervene. Additionally, the school is supposed to be notified, in order for them to provide sex education. Another suitable alternative would be to provide the students with a hotline that they could use in raising their concerns about sex related issues at school. Ethics Committee An ethics committee consists of numerous professionals that could provide diverse perspectives, as well as, resources which are not quite perceptible to the nurse. An ethics committee may provide advice on legal concerns and also provide personal support to assist the nurse in making sound judgment, which would be beneficial to all parties involved. Additionally, having a member of the clergy or any other religion practitioner in the committee can assist greatly, with news delivery to the people involved and in providing emotional guidance as well. Conclusion Confidentiality is a highly imperative ethical factor in nursing. However, evident from the discussion, numerous ethical dilemmas always arise from confidentiality and privacy concerns in the nursing field. Therefore, a nurse’s greatest defense against such issues is by being aware of laws governing patients’ privacy and possessing knowledge of critical decision making. One of the best resources that a nurse can use in such a case is the Code of Ethics for Nurses. It is also imperative to possess a decision making model, that can provide appropriate guidance in settling ethical dilemmas. References Nathanson, P. (2000). Betraying trust or providing good care? When is it okay to break confidentiality? Retrieved 14 April 2013, from Read More
Cite this document
  • APA
  • MLA
(“NRSV 437-Betraying Trust or Providing Good Care Assignment”, n.d.)
NRSV 437-Betraying Trust or Providing Good Care Assignment. Retrieved from
(NRSV 437-Betraying Trust or Providing Good Care Assignment)
NRSV 437-Betraying Trust or Providing Good Care Assignment.
“NRSV 437-Betraying Trust or Providing Good Care Assignment”, n.d.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF NRSV 437-Betraying Trust or Providing Good Care

Providing Care

...?Providing quality patient care efficiently in order to decrease cost in health care in the United s is very important. This specific move can be done in order to achieve clinical and cost effectiveness in the long run. Specifically, in this move the specific task is to integrate information technology in the health care system effectively and efficiently. This has to be implemented by clinical practitioners and experts in the healthcare system with substantial training and highly enhanced skills. Information technology has played a major role in the innovation of healthcare in the United States in an attempt to achieve clinical and cost-effectiveness (Tunis and Gelband,...
1 Pages(250 words)Essay

Trust in Health Care System

...?Running Head: TRUST IN HEALTH CARE College Trust is the basis of effective doctor patient relationship. There are a number of reasons that make trust in the health care a significant value. First of all, the patient state of illness puts them in a vulnerable state that requires the highest level of trust. The medical field requires specialist attention thus; any one handling it should be trustworthy because any mistakes can lead to loss of life or severe damages. Due to this a patient need to have trust to entrust his or life to the health provider. Lack of trust may lead to...
3 Pages(750 words)Essay

Good Documentation is Good Communication Nursing Care Plans

.... b. The documents should be maintained such that they provide updated information of the patient. In order to keep the document content current it is essential that each step of care taken should be recorded at the earliest possible time. c. The handwriting should be clear and legible and should be written in such a way that it cannot be erased. d. The documents should be such written that any changes or additions are dated, timed, and signed, so that the original entry still is in touch with clarity. e. Accuracy in writing of date, time and sign are essential practices for keeping good and authentic records. f. The documents should not be devalued by including meaningless phrases,...
9 Pages(2250 words)Essay

Trust be above average. High communication is maintained between the management and the employees via corporate newsletter, corporate internet site, and traditional and email suggestion boxes respectively. With high financial benefits and employee health insurances, employees are more than happy when they find themselves thoroughly engaged in the corporation. Aside from annual individual reviews of each employee’s performance in the corporation, employees are also encouraged to provide their own feedback with respect to the management – and in full confidence. This builds and maintains trust within the organization, which reflects on the ever-watching society. With an above-average community...
8 Pages(2000 words)Essay


...Client’s 4 March Trust is a very broad term; different people would have different definitions for this word. It is an act which is both emotional as well as logical. A person becomes extremely vulnerable when he trusts another person, this is the emotional side which gets displayed. Logic comes into play when a person is confident that the other person will not take advantage of his situation. This is both logical and emotional, trusting another person has become really difficult because most people do not keep their promises and also try and take advantage of the situation hence disturbing the person who had trusted the other person emotionally. “Emotions associated with trust include companionship, friendship, love, agreement... ,...
1 Pages(250 words)Research Paper

Providing quality care

...situation. In doing so, they are exercising compassion and a need to feel what the other person may be going through, in order to help them get through their pain (Brooker & Waugh 2013, p. 51). Compassion works toward gaining the trust and understanding of the person in need. This therapeutic relationship is provided professionally and ethically in order to assist the patient attain the best health results at the end of the treatment period. Compassion also brings awareness of one’s personal behaviour or characteristics. It is compassion that calls for the need to have respect for human dignity. This means that there may be no personal gratification present at a patient’s expense, and there can only be...
6 Pages(1500 words)Essay

Providing quality care

...Providing Quality Nursing Care in Pain Management Nursing Practice Introduction Quality nursing care has been defined differently, based on the nature of involvement of the nurses and the specific practice that the nurse is engaged in, considering that the activities that define quality in each practice are different. However, the concept of quality nursing care has been identified as the degree to which the nursing healthcare service offered to individuals and populations increases the likelihood of the desired healthcare outcomes, as well as remains consistent with the established professional healthcare knowledge (Hall, Moore & Barnsteiner, 2008: 417). While...
8 Pages(2000 words)Essay

Providing care with limited reimbursment

...not be provided by everyone, but by a few dedicated and committed nurses. So, upon a successful completion of my training, I will need to evaluate the performance of each nurse. The one who displays a high degree of professionalism will be considered for employment (Masters, 2000). As an experienced professional, I strongly believe in the quality of education being offered at the nursing training colleges. So, anyone who graduates with a degree must be a hard working professional. They have got all the theoretical knowledge and practical skills that is necessary for them in the field. Therefore, if given an opportunity to nurture their talents, they can come out as exceptional professionals. It is for this reason that I...
1 Pages(250 words)Coursework

Providing care with limited reimbursement

...Providing Care with Limited Reimbursement Providing Care with Limited Reimbursement Overspending by the agency on a single patient will have negative effects on the financial base and revenue margin of the organization. The home health agency depends on government funding to cater for the needs of its many patients at any one given time (Harries, 2010). Exceeding the budget set by the government for each patient leads strain on funds meant for other patients. Pressure on funds may in turn result in a compromise on the services rendered due to reduced number of visits. The frequency of visits to other patients will be less as each visit has its allocated fund. The number...
2 Pages(500 words)Coursework

Providing The Care For The Elderly Persons

...Providing The Care For The Elderly Persons In the United States, all the elderly persons require proper care in their old age. They have the right to life. Therefore, they have the right to feed to be alive. The elderly need to be given special care such as some amount of money to take care of themselves. They need shelter, clothing and to be given medical care. Their health care expense should be paid by the government, and they need to be assigned to at least a nurse who will take care of them. Looking at Take Care Net, families have the right to quality, affordable child and elder care. This may apply only to the United States and some few countries in the world. However, in most of the developing and underdeveloped countries... , the...
3 Pages(750 words)Assignment
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Assignment on topic NRSV 437-Betraying Trust or Providing Good Care for FREE!

Contact Us