Perioperative Nursing Dilemma for carers

Topic: Perioperative Nursing Dilemma

Perioperative Nursing Dilemma . What is your understanding of the dilemma of providing information to carers while considering the confidentiality concerns relating to the patient/client. Consider the ethical implications in your consideration of the issues.

 Perioperative Nursing Dilemma
Perioperative Nursing Dilemma

Perioperative Nursing, principle of confidentiality 

The principle of confidentiality is centered on the trust between peri-operative nurses and patients. Confidentiality is a duty of all peri-operative nurses in protecting the patient’s information. Sharing information appropriately is essential in providing safe and effective care to an individual patient during peri-operative nursing care. However, the existing laws and ethics on the patient’s confidentiality present dilemma to peri-operative nurses.

In some cases, nurses are expected to provide accurate and reliable information to caretakers on patients who require surgical intervention and also those who have already undergone surgery. However, the patient’s caretakers require the consent of the patient to access such information. Peri-operative nurses have a duty in safeguarding patients’ privacy (Williams & Pigeot, 2017).

Perioperative Nursing, Patients’ right to confidentiality

Patients’ right to confidentiality presents a dilemma to peri-operative nurses who disclose patients’ information. Patients’ right to confidentiality is fundamental in nursing and must be observed keenly by the peri-operative nurses. Peri-operative nurses have a role in protecting the rights of the patient when providing peri-operative care. Besides, the patient has the right to withhold information from both the peri-operative nurses and the caretakers. On the other hand, the participation and involvement of caretakers are important. Patients’ caretakers help in providing relevant information on the patient.

Further, the patients’ caretakers assist the patients to adhere to medication and other management approaches at the home setting. One of the roles of the peri-operative nurse is to offer a link between hospital care and care at home setting. Collaboration between nurses and the patient’s caretakers is required for linking care from the hospital to care at home. Sharing the information with the caretakers is one of the ways of facilitating home-based care (Tschirch, Leyden, Dufrene, & Land, 2017).

Perioperative Nursing, patient caretakers

Patient caretakers often request to be informed about the peri-operative progress of the patient. During some surgical operations, anesthesia administered induces patients into unconsciousness. In the unconscious state, the patient may not provide consent for the information to be shared. One of the ethical roles of peri-operative nurses is to uphold the principle of fidelity. Peri-operative nurses should remain honest in maintaining the patient’s confidentiality. However, the role of the peri-operative nurses is to incorporate patients’ caretakers into the care for the patients. To incorporate caretakers into the care, sharing patient information is inevitable (Jeon, Lakanmaa, Meretoja, & Kilpi, 2017).

One of the aspects of quality peri-operative nursing care is holistic care. Sharing patients’ information to the caretakers is fundamental in providing holistic peri-operative nursing care. Nurses are, therefore, faced with the difficulty of balancing between providing holistic nursing care and maintaining the confidentiality of the patient’s information (Jeon et al., 2017).

The role played by caretakers in making decisions for the patient is a source of a dilemma to peri-operative nurses. Peri-operative nurses aim at providing patient-centered care. In order to achieve patient-centered care, peri-operative nurses involve the patient’s caretakers. However, patients’ information should be kept private and accessed only by the authorized healthcare providers. Therefore, nurses are faced by the dilemma of maintaining the patient’s privacy and the importance of caretakers’ role in patient centered care (Merkow & Breithaupt, 2014).

The importance of providing information on inherited and communicable conditions causes a dilemma to peri-operative nurses. Most cancerous tumors have familial inheritance and are managed surgically. Government public health policies may require discussion of patients’ information with family members. Such policies are important in combating genetically inherited conditions. Peri-operative nurses are faced with the dilemma between upholding public health policy and maintaining the confidentiality of patients’ information (Merkow & Breithaupt, 2014).

In conclusion, maintaining patients’ confidentiality is one of the ethical roles of peri-operative nurses. Sharing patients’ information with caretakers facilitates the provision of quality peri-operative nursing care. Nurses are faced with the dilemma of disclosing patients’ information for improving patients’ care and maintaining patients’ confidentiality. Discuss with us your requirements and we will offer a solution!

References,  Perioperative Nursing Dilemma

Jeon, Y., Lakanmaa, R. L., Meretoja, R., & Leino-Kilpi, H. (2017). Competence assessment instruments in perianesthesia nursing care: A scoping review of the literature. Journal of perianesthesia nursing.

Merkow, M. S., & Breithaupt, J. (2014). Information security: Principles and practices. Pearson Education.

Tschirch, P., Leyden, K., Dufrene, C., & Land, S. (2017). Introducing peri-operative nursing as a foundation for clinical practice. AORN Journal, 106(2), 121-127.

Williams, G., & Pigeot, I. (2017). Consent and confidentiality in the light of recent demands for data sharing. Biometrical Journal, 59(2), 240-250.


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