倫理基準 I

Protected health information, or PHI, contains all identifiable health information related to the patient, including demographic data. Nurses must carefully handle PHI because data security protects healthcare data from accidental omissions and unlawful breaches, such as illegal access or destruction. Upholding the highest ethical standards for PHI safeguards patient trust and maintains integrity in healthcare information systems.

The Code of Ethics for Nurses establishes four fundamental principles: advocacy, responsibility, accountability, and confidentiality. Advocacy means applying nursing skills for the patient's benefit, such as ensuring privacy during sensitive discussions. Responsibility involves respecting professional obligations and staying informed about evidence-based practices. Accountability means being answerable for actions, while confidentiality protects patient privacy and fosters trust in the nurse-patient relationship.

Always obtain consent from the patient before sharing their information with others. This practice upholds confidentiality and respects the patient's right to privacy, which is fundamental to the trusting relationship between nurse and patient. Consent ensures that only authorized individuals access sensitive health information, maintaining patient dignity and compliance with ethical standards and federal legislation like HIPAA.

For secure patient record management, only authorized, encrypted devices should be used in healthcare facilities. Capturing photos or video recordings of patients on personal devices and disclosing organizational or patient information on social media must be avoided. The patient's access to healthcare information should be both reliable and readily available through secure channels, protecting data from unauthorized access while maintaining care continuity.

Report any violation of data security promptly per facility protocol. This accountability ensures that breaches are documented and addressed quickly to prevent further unauthorized access or data loss. Prompt reporting demonstrates responsibility to the patient, healthcare team, and organization, supporting investigations and corrective actions that protect patient safety and maintain compliance with ethical guidelines and laws.

Confidentiality during handovers ensures that patient information is shared discretely and securely, with only those presently involved in the patient's care receiving details. This practice respects the patient's privacy rights and maintains the trusting relationship between nurse and patient. Protecting sensitive information during handovers prevents unauthorized personnel from overhearing medical details and upholds ethical standards and HIPAA compliance.

Accountability means a nurse takes responsibility by promptly reporting the medication error, taking corrective action, and participating in analyzing what went wrong. This includes openly communicating with the patient and healthcare team, emphasizing commitment to learning and preventing future errors. Accountability protects patient safety and professional integrity, whereas failing to adhere could result in legal action and damage to the nurse's reputation.