PPT NO.04 Nursing Ethics.pptxkdkdkdkdkdkdkkd

Objectives
Discuss barriers of effective informed consent
Discuss the roles and responsibilities of a nurse in consent
process
Discuss the informed consent process
Discuss the importance of confidentiality and informed
consent
Discuss barriers of effective informed consent
Discuss the roles and responsibilities of a nurse in consent
process
Discuss the informed consent process
Discuss the importance of confidentiality and informed
consent
7/15/2024 2

Definitions
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.”
Important terms which are used in confidentiality are :
*Informed consent *Private
*Indiscretion *Privileged information
*Breach of confidentiality
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Informed consent: It is a legal document signed by the
patient after detailed explanation about the procedure to be
done to the patient and its risks, consequences, etc. It is a
permanent legal document or record of the patient.
Breach of confidentiality: It refers to sharing information
verbally or in written form regarding a client with someone
who is not on his/her care team, or who does not have a
release of information form him/her.
7/15/2024 4

Private: It is defined as information that is not available for
public viewing or knowledge.
Privileged information: It is a term that refers to all
information shared between an attorney and his client. This
information is considered confidential and is not admissible
in court.
7/15/2024 5

Principles of confidentiality
The following are the importance principles of
confidentiality:
 Central to trust in nurse–patient relationship
 Share accurate information
 Create faith and trust towards hospital care
 Assurance in patient–nurse relationship
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Central to trust in nurse–patient relationship:
 Patients should have faith and trust in the nurse.
 A nurse should act and perform in such a way that trust
exists between him/her and the patient.
 If this is not maintained, the patient may hesitate and feel
reluctant to seek medical care.
Share accurate information:
 A nurse should provide adequate explanation clearly if
any confidential matter is to be given to any kind of audit.
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Create trust and faith towards the hospital care:
 Confidentiality leads to trust and faith. Once it is
established, measures should be taken to sustain it
throughout life.
 It should not be breached at any time. Once faith is lost, a
patient will never ever approach the hospital again for
treatment.
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Assurance in patient–nurse relationship:
 Patients have to be assured of quality nursing care right
from admission until discharge.
 An assured patient will feel comfortable and will
cooperate well since he/she has confidence in the care
provided.
7/15/2024 9

Informed consent
Definitions:
“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.”
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Principles of informed consent
There are six important principles that define informed consent:
 Competence to understand and to decide the matter
 Voluntary decision-making by the person who gives consent
 Disclosure of material information that is explained in consent
 Recommendation of the plan in the consent
 Comprehensions of terms and conditions in the consent
 Explain the risk and benefits in the content of the informed
consent
A valid and legal informed consent must meet all these
requirements.
7/15/2024 11

Types of informed consent
Oral consent :
Oral consent follows written consent.
Written consent:
Printed legal document that contains the details of
treatment, reason for the treatment, risks and benefits of the
treatment, and the agreement for the treatment by the
patient.
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Barrier to effective informed consent
There are many factors that affect or hinder the patient from
signing the informed consent.
7/15/2024 13
Education level of
patient
conscious level of
patient

(Barrier to effective informed consent contd…)
7/15/2024 14
Mental status of
patient
Religious beliefs
Language

(Barrier to effective informed consent contd…)
7/15/2024 15
Disability of the patient
Culture
Age

Responsibilities of nurse in getting informed
consent signed
The following are the responsibilities of a nurse in getting
the informed consent signed by the patient:
 Use good communication skills, maintain good
interpersonal relationship, and introduce, orient, and
explain the details of the consent form to the patient.
 Get the sign of the witness with date and time.
 Never barrier or neglect any questions asked by the
patient.
7/15/2024 16

 Use his/her skill in handling the medico-legal cases
carefully, for example, rape cases, where the patients are
very sensitive and finds it difficult to answer the questions
in the form.
 Keep the details of the informed consent confidentially and
never disclose them to anyone without the consent of the
patient.
 Act as a mediator between the doctor and the patient. A
nurse clarifies all the patient’s doubts and bridges the gap
between the doctor and the patient, thus helping to get the
informed consent signed smoothly.
7/15/2024 17

Informed consent process
7/15/2024 18

Importance of confidentiality and consent
Imagine if the person you trusted most decided to share all
your secrets with your worst enemy?
You probably wouldn’t ever trust that person again. It might
even make you stop trusting people altogether
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 When you believe that your doctor isn’t going to share
anything about your health, illnesses or personal habits
with others, you’re more likely to be completely honest
and to your doctors, it will help them figure out what’s
going on and help you get better.
 Some diseases have stigmas attached to them that could
make people think less of you. For example, back in the
1980s, many people who had symptoms of HIV and
AIDS were afraid of being found out. They didn’t go to
their doctors until it was too late,if you know your health
records are private, you’re probably more likely to seek
treatment for whatever you have.
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 The patient confidentiality doesn’t just help you the
individual,it can help the whole country! When people
are confident that what they say to healthcare
professionals is private, they’re more likely to participate
in studies and healthcare initiatives. That helps fight
disease and lessen the spread of epidemics.
 No one can guarantee positive outcomes in healthcare
settings, but informed consent at least ensures patients
understand the risks they undertake with treatment.
 It is also the law
7/15/2024 21

(Importance of confidentiality and consent contd…)
 Informed consent creates trust between doctor and patient
by ensuring good understanding
 It also reduces the risk for both patient and doctor.
 With excellent communication about risks and options,
patients can make choices which are best for them and
physicians face less risk of legal action.
7/15/2024 22

References
Clement,N.(2013).Nursing ethics:Concepts,trending and
practice.Pearson Education India.
7/15/2024 23

PPT NO.04 Nursing Ethics.pptxkdkdkdkdkdkdkkd

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