RESPONSE TO TASHA POST

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Response to Tasha Post

Privacy is a key part in healthcare because all the patients trust the healthcare individuals including nurses, so they are also liable to keep such secrets. The case study in this particular case is interesting because here it discusses the responsibilities of nurses other than just taking care of the patient. Although being a nurse, sharing a patient secret is considered highly unethical, but if the patient' privacy is related to something like sexual abuse, then it becomes the nurse responsibility to handle the situation wisely. In my practice I came across several children abuse cases, although the victims are normally not in favor of disclosing their cases because either they are scared of the culprit or they are pressurized by their family, but being a nurse it is our responsibility to deal with the situation in a way that will not only free the child from the abuse but also her/his trust is not shattered from the healthcare individuals ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"R2ab3APr","properties":{"formattedCitation":"(Burkhardt & Nathaniel, 2013)","plainCitation":"(Burkhardt & Nathaniel, 2013)","noteIndex":0},"citationItems":[{"id":625,"uris":["http://zotero.org/users/local/4C6u8dIT/items/BW3JHUAA"],"uri":["http://zotero.org/users/local/4C6u8dIT/items/BW3JHUAA"],"itemData":{"id":625,"type":"book","title":"Ethics and issues in contemporary nursing","publisher":"Nelson Education","ISBN":"1-285-95318-5","author":[{"family":"Burkhardt","given":"Margaret A."},{"family":"Nathaniel","given":"Alvita"}],"issued":{"date-parts":[["2013"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (Burkhardt & Nathaniel, 2013). Although confidentiality is quite complex in case of adult patients, as far as children under the age of 18 are concerned there is also other parent or personnel who can be considered while dealing with child abuse. This is a balancing act. The child should be encouraged to tell her situation, but at the same time, the decision should be autonomous to share her secrets with other healthcare teams. However, the child should also be protected once she disclosed the secret and in that case, another parent or guardian should also be informed about her mental state. For nurses this is quite a challenging situation because in such situations mostly the child requests not to inform about her current state to the guardian or parent, so at that time it is the nurse's responsibility to comprehend the mental state of the kid and then decide what is in the best interest of the child. So although it is unethical to leak any patient's privacy, in the circumstances like these the patient's privacy should be breached for the patient's betterment ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"79hzjUPz","properties":{"formattedCitation":"(Cornock, 2011)","plainCitation":"(Cornock, 2011)","noteIndex":0},"citationItems":[{"id":624,"uris":["http://zotero.org/users/local/4C6u8dIT/items/L3AUNWEC"],"uri":["http://zotero.org/users/local/4C6u8dIT/items/L3AUNWEC"],"itemData":{"id":624,"type":"article-journal","title":"Confidentiality: the legal issues","container-title":"Nursing children and young people","page":"18-19","volume":"23","issue":"7","author":[{"family":"Cornock","given":"Marc"}],"issued":{"date-parts":[["2011"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (Cornock, 2011). Information can also be disclosed by the patient’s consent. So whatever the nurse did in the case was in the best interest of her patient, it is not unethical if by the end, the patient life changes in a good way.

References

ADDIN ZOTERO_BIBL {"uncited":[],"omitted":[],"custom":[]} CSL_BIBLIOGRAPHY Burkhardt, M. A., & Nathaniel, A. (2013). Ethics and issues in contemporary nursing. Nelson Education.

Cornock, M. (2011). Confidentiality: the legal issues. Nursing Children and Young People, 23(7), 18–19.