In the nursing profession, nurses have a responsibility to uphold a standard of conduct with respect to the standards of nursing practice in their work life and personal life. When an individual becomes a nurse, they make a commitment to the nursing profession. This commitment entails practicing in a respectful and ethical manner. The nurse’s primary commitment is to themselves and their patients. Nurses have the authority, accountability, and responsibility to the profession and practice of nursing (American Nurses Association [ANA], 2015). They are to practice nursing, make decisions, and take actions that are an obligation to promote health, prevent disease, and provide optimal care to themselves and their patients (ANA, 2015). In the practice of nursing we should utilize self-awareness, which is an understanding of oneself by recognizing our strengths and weaknesses, moral values, thought processes, character, emotions, motivations, desires, and goals (Whitney, 2018). When nurses are self-aware, they can balance their work life, personal life, and family life (Whitney, 2018). When it comes to identifying sensitive clinical information in the patient record that need to be excluded when exchanging health information, it describes the challenges associated with it. All patient health information is confidential and is not to be released unless there is proper authorization on file, which is required by law or for continuity of care (Shanholtzer & Ensign, 2021). The challenges are to make sure information sharing is done through a secure environment, refraining from social media use, having policies and regulations in place, and a release of information is signed (Shanholtzer & Ensign, 2021). Examples of sensitive clinical information in a person’s personal health history data could possibly be abortion, giving up a child for adoption, drug abuse, alcohol abuse, lifelong STD’s, and so on. It is also important to evaluate the use of break-the-glass (BTG) restricted patient information. This is an extra layer of security for patients and their health information when it comes to extremely sensitive records. BTG forces users to think twice about the patient record information they are about to access (Barrett, 2016). It displays a security screen that requires users to enter the reasons why they need to access a patient record that has been marked extremely sensitive (Barrett, 2016). The goal is to prevent users from accidentally looking at or clicking into a patient record that they did not actually intend to access (Barrett, 2016).
Nurses hold a significant responsibility in upholding the standards of conduct and maintaining the confidentiality of patient information in both their professional and personal lives. This essay explores the commitment nurses make to the nursing profession and the ethical obligations they have towards their patients. It emphasizes the importance of self-awareness in balancing work, personal, and family life. Additionally, it addresses the challenges associated with protecting sensitive clinical information when exchanging health information and highlights the use of break-the-glass (BTG) protocols to safeguard patient privacy.
When nurses enter the profession, they make a commitment to practice in a respectful and ethical manner. Their primary commitment is to themselves and their patients, with the responsibility to promote health, prevent disease, and provide optimal care (American Nurses Association [ANA], 2015). Nurses have the authority, accountability, and responsibility to uphold the standards of nursing practice and make decisions that align with ethical principles.
Self-awareness is essential for nurses to understand their own strengths, weaknesses, values, emotions, and goals. By cultivating self-awareness, nurses can maintain a healthy balance between their work life, personal life, and family life (Whitney, 2018). It allows them to recognize their limits, set boundaries, and prioritize their well-being to deliver the best possible care to their patients.
The exchange of health information requires careful consideration to protect patient privacy and confidentiality. Sensitive clinical information, such as abortion history, substance abuse, or lifelong STDs, must be handled with utmost care. Key challenges in protecting sensitive clinical information include:
Secure Information Sharing: Healthcare professionals must ensure that information sharing occurs through secure channels, adhering to strict protocols and encryption measures to prevent unauthorized access.
Social Media Use: Nurses should refrain from sharing patient information on social media platforms, as it violates patient privacy laws and professional ethical standards.
Policies and Regulations: Organizations should have well-defined policies and regulations in place to guide the handling and exchange of sensitive clinical information. These policies should address consent, release of information, and secure communication methods.
BTG protocols provide an additional layer of security for highly sensitive patient records. This system requires users to provide a valid reason for accessing extremely sensitive information, ensuring that they have a legitimate need to access the record. By prompting users to enter their purpose, BTG protocols discourage unauthorized access and protect patient privacy.
Nurses play a crucial role in upholding standards of conduct and protecting patient privacy in their nursing practice. Their commitment to the nursing profession involves practicing in an ethical and respectful manner, prioritizing the well-being of themselves and their patients. Self-awareness enables nurses to maintain a healthy work-life balance, ensuring their ability to provide quality care. When exchanging health information, nurses face challenges in protecting sensitive clinical information and must adhere to secure information sharing practices, refrain from social media use, and follow established policies and regulations. Break-the-glass protocols provide an extra layer of security for highly sensitive patient records, ensuring privacy and promoting responsible access to patient information. By upholding ethical standards and safeguarding patient privacy, nurses contribute to maintaining trust, confidentiality, and professionalism within the healthcare profession.
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