Determining scarce resource allocations is difficult enough within any given state, let alone within an interstate nursing practice group, especially if there are rich and poor states within the compact. Under these circumstances, how will justice be best served to those most affected by both scarce nurse and financial resources? This question is first and foremost an ethical issue; as such, it demands the highest standards of justice.
Privacy and Confidentiality
The fifth ethical principle relates to privacy and confidentiality. Privacy belongs to each person and, as such, it cannot be taken away from that person unless he/she wishes to share it. Confidentiality, on the other hand, means that the information shared with other persons will not be spread abroad and will be used only for the purposes intended. A patient's sharing of private information imposes a duty of confidentiality on health care providers. That duty means providers will share information only on a need-to-know basis.
Interstate nursing practice, by its very nature, complicates the privacy/confidentiality ethical issue for both patients and nurses. More states and more patients equal more health care providers, administrators, regulatory agencies and financial decision makers with a need to know. When telenursing is added to this equation and more nurses are practicing across state lines, a potential ethical problem presents itself. Now is the time to avert such a problem before we are in the midst of practice and ethics gives way to expediency.
Determining scarce resource allocations is difficult enough within any given state, let alone within an interstate nursing practice group, especially if there are rich and poor states within the compact. Under these circumstances, how will justice be best served to those most affected by both scarce nurse and financial resources? This question is first and foremost an ethical issue; as such, it demands the highest standards of justice.
Privacy and Confidentiality
The fifth ethical principle relates to privacy and confidentiality. Privacy belongs to each person and, as such, it cannot be taken away from that person unless he/she wishes to share it. Confidentiality, on the other hand, means that the information shared with other persons will not be spread abroad and will be used only for the purposes intended. A patient's sharing of private information imposes a duty of confidentiality on health care providers. That duty means providers will share information only on a need-to-know basis.
Interstate nursing practice, by its very nature, complicates the privacy/confidentiality ethical issue for both patients and nurses. More states and more patients equal more health care providers, administrators, regulatory agencies and financial decision makers with a need to know. When telenursing is added to this equation and more nurses are practicing across state lines, a potential ethical problem presents itself. Now is the time to avert such a problem before we are in the midst of practice and ethics gives way to expediency.
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