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在尊重自主权的同时分享客户机密信息时的紧张关系:对跨专业实践的影响。

Tensions in sharing client confidences while respecting autonomy: implications for interprofessional practice.

作者信息

Allison A, Ewens A

机构信息

University of Reading, Department of Community Studies, UK.

出版信息

Nurs Ethics. 1998 Sep;5(5):441-50. doi: 10.1177/096973309800500507.

Abstract

This article aims to explore the ethical issues arising from the sharing of information in the context of interprofessional collaboration. The increased emphasis on interprofessional working has highlighted the need for greater collaboration and sharing of client information. Through the medium of a case study, we identify a number of tensions that arise from collaborative relationships, which are not conducive to supporting interprofessional working in an ethically sound manner. Within this article, it is argued that the way forward within these collaborative relationships is to set clear parameters to the professional-client relationship, paying full regard to the autonomy of both the clients and the professionals involved. We conclude that this approach to working will place the client at the centre of care provision and arguments used for not collaborating that are based on breaches of confidentiality will be negated. Using the approach offered, collaborative working will be not only possible but desirable.

摘要

本文旨在探讨跨专业协作背景下信息共享所引发的伦理问题。对跨专业工作的日益重视凸显了加强协作和共享客户信息的必要性。通过一个案例研究,我们识别出协作关系中产生的一些紧张状况,这些状况不利于以符合伦理道德的方式支持跨专业工作。本文认为,在这些协作关系中,前进的方向是为专业人员与客户的关系设定明确的界限,充分尊重所涉客户和专业人员双方的自主权。我们得出结论,这种工作方式将把客户置于护理服务的中心位置,基于违反保密规定而提出的不协作理由将被否定。采用所提供的方法,协作工作不仅可行而且是可取的。

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