Ethics in clinical practice

Ahronheim, Judith C.; Moreno, Jonathan D.; Zuckerman, Connie; McCullough, Laurence B.

doi:10.1007/bf01789040

Cited by 20 publications

(36 citation statements)

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“…Thus, the challenges related to maintaining patient-provider confidentiality persist: who has access to patient information, what information can be disclosed, and when is it critical to share private information for the good of others (Ahronheim, Moreno, & Zuckerman, 2000). Because of the sensitive and private nature of patient information and the increased use of electronic transmission, there is a heightened awareness of confidentiality and the need for additional protections.…”

Section: Confidentialitymentioning

confidence: 96%

“…Likewise, patients need to feel comfortable with and trust their healthcare providers with regard to how they will handle personal information that patients disclose in this therapeutic relationship. Otherwise, patients may be reluctant to share some of the more intimate details of their health history (Ahronheim et al, 2000). Patients expect that what they have disclosed about themselves and what healthcare providers have learned through health assessments and laboratory tests will be held in total confidence or disclosed only to those who need to know because they are involved in their care; they expect this because there is the possibility of some negative consequences should others such as employers, insurance companies, or family members gain access to or learn of that information without the patient having disclosed it to them.…”

Section: Privacymentioning

confidence: 98%

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How Confidential Is Confidential?

Erlen¹

2008

Orthopaedic Nursing

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Violations of patient confidentiality occur all too frequently. Conversations about patients and their care can be heard throughout hospitals. Although these conversations are necessary to manage the care of patients, the breach of confidentiality is of concern because of where the discussions occur and what is being communicated in public places. Healthcare professionals, including nurses, are at risk in matters of patient confidentiality. This article discusses confidentiality and its relationship to privacy and the trust relationship that healthcare professionals have with their patients, and offers some suggestions to uphold confidentiality within the healthcare setting.

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Section: Confidentialitymentioning

confidence: 96%

Section: Privacymentioning

confidence: 98%

How Confidential Is Confidential?

Erlen¹

2008

Orthopaedic Nursing

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“…in pediatrics as well as other professions" that has been widely embraced in the literature. [1][2][3][4][5][6][7][8][9][10][11] Ideally, it involves selecting "the option that maximizes the person' s overall good and minimizes the person' s overall risks of harm." 1 In her most recent article she argues that upholding the best interest standard is required by the public' s trust in medicine as a profession.…”

Section: The Best Interest Standard In the Bioethics Literaturementioning

confidence: 99%

Is the Best Interest Standard Good for Pediatrics?

Rhodes

Holzman

2014

Pediatrics

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We argue that the "best interest standard" for surrogate decisionmaking is problematic for a number of reasons. First, reliance on the best interest standard is subjective. Second, it leads to behavior that is intolerant and polarizing. Third, appeals to the best interest standard are often vague and indeterminate. After all, cases are usually controversial precisely because reasonable people disagree about what is or is not in a child' s best interest. We then recommend that, instead of the best interest standard, parents should be held to a standard that we call the "not unreasonable" standard. By that standard, parents' decisions would be respected unless they were deemed unreasonable. This recommendation would allow a greater range for parental discretion than the best interest standard. Pediatrics 2014;134:S121-S129

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“…Ultimately, dialogue positions the health care provider to appropriately view the patient's needs holistically, enhancing the objectives of taking into account relevant considerations and fashioning a tailored approach of care for the patient [10,11].…”

Section: Informed Consent: Beyond Beneficence To Collaborationmentioning

confidence: 99%

Informed Consent Revisited: A Doctrine in the Service of Cancer Care

Schachter

Fins

2008

The Oncologist

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Informed consent traditionally has been viewed as a safeguard for the protection of patients' decisional autonomy. While informed consent is a critical means for the protection of the patient's dominion over the integrity of his body, exclusive consideration of the doctrine as a safeguard for patients eclipses the doctrine's significant benefits for the therapeutic endeavor. Undertaking a thorough informed consent process helps the physician avoid the unilateral burdens of paternalism; furthers compliance with the doctor's legal obligations, ethical duties, and clinical responsibilities; and, as importantly, enhances the collaborative treatment enterprise.When informed consent is viewed narrowly and solely as a protective device for patients' rights, the physician may be less likely to engage the patient in ongoing discussions. Important opportunities may be missed to elicit additional clinical information, assess psychosocial concerns, and reiterate the commitment to collaboration and patient autonomy. The

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Ethics in clinical practice

Cited by 20 publications

References 0 publications

How Confidential Is Confidential?

How Confidential Is Confidential?

Is the Best Interest Standard Good for Pediatrics?

Informed Consent Revisited: A Doctrine in the Service of Cancer Care

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