Confidentiality and Nursing

Paper Summary:

The paper discusses the scenario of a city trained Registered Nurse who returns to her hometown where at every turn confidentiality is challenged. The paper provides other examples of typical situations in small towns, rural or remote services where patients tend to be known and health professionals are pressured to divulge information.

From the Paper:

"In 2004, new Ontario legislation changed how nurses are to view private and confidential health information. The Personal Health Information Protection Act (PHIPA) and the Quality of Care Information Protection Act (QOCIPA) spell out rules for managing patient health information and access to such information. All matters of privacy are important to nursing, yet this paper shows special challenges found in smaller communities, or remote areas, in that local ideas of confidentiality may be quite different. Yeo & Moorhouse explained a scenario of a city-trained nurse who returned to the small community in which she grew up, after several years of nursing in urban hospitals."

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