Uys L R
School of Nursing, University of Natal, Durban, South Africa.
Nurs Ethics. 2000 Mar;7(2):158-66. doi: 10.1177/096973300000700209.
Keeping the diagnosis of a client confidential is one of the cornerstones of professional practice. In the case of a diagnosis such as HIV/AIDS, however, the ethics of this action may be challenged. Such a decision has a range of negative effects, for example, the blaming of others, supporting the denial of the client, and complicating the health education and care of the patient. It is suggested that the four ethical principles should be used to explore the ethics of such decisions, and that professional regulatory bodies and organizations should support professionals in situations where the client's sexual partner is informed against the wishes of the client.
对客户的诊断结果保密是专业执业的基石之一。然而,对于诸如艾滋病毒/艾滋病这样的诊断,这一行为的伦理道德可能会受到挑战。这样的决定会产生一系列负面影响,例如,指责他人、支持客户否认病情,以及使患者的健康教育和护理变得复杂。建议应运用四项伦理原则来探究此类决定的伦理道德问题,并且专业监管机构和组织应在违背客户意愿告知其性伴侣的情况下为专业人员提供支持。