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The Fiduciary Model Between a Nurse and their Patient. Ethical Relationships Resulting from the Fiduciary Model

©2017 Akademische Arbeit 10 Seiten

Zusammenfassung

The alliance between the health practitioner and the patient has significant healing power. The collaboration between the nurse and patient ensures that the patient’s quality of life and their health condition is significantly improved. But this therapeutic relationship between the nurse and the patient requires specific obligations on the health practitioner. These obligations have evolved over the years. In the past, the relationship paradigm involved the absolute dependence of the patient on the health service provider and their professional authority. A paternalistic relationship model developed since the patient believed they would derive benefit from the health practitioner. As a consequence, the preferences of the patient were mostly never elicited, and the health practitioner would override them if they somehow conflicted with the health service provider’s convictions regarding what kind of care to be given.

However, as the profession grew in the latter half of the 20th century, the relationship between the patient and the nurse shifted to a more shared decision-making paradigm. This shift acknowledged the autonomy of the patient and their right to have differing standpoints, their right to choose and they ability to make decisions based on what they believe in or value. Patients were given the opportunity to weigh the alternatives and select the one that they derive the most value.

On that note, this paper will try to discuss the tenets of the fiduciary relationship between the patient and the health service provider. Subsequently, the essay will focus on what ethical responsibilities are embedded in such a relationship, in particular on the part of the nurses, and why they are considered important.

Leseprobe

Introduction

The alliance between the health practitioner and the patient has significant healing power. The collaboration between the nurse and patient ensures that the patient’s quality of life and their health condition is significantly improved. But this therapeutic relationship between the nurse and the patient requires specific obligations on the health practitioner. These obligations have evolved over the years. In the past, the relationship paradigm involved the absolute dependence of the patient on the health service provider and their professional authority. A paternalistic relationship model developed since the patient believed they would derive benefit from the health practitioner. As a consequence, the preferences of the patient were mostly never elicited, and the health practitioner would override them if they somehow conflicted with the health service provider’s convictions regarding what kind of care to be given (Burke and Ludwig, 2014).

However, as the profession grew in the latter half of the 20th century, the relationship between the patient and the nurse shifted to a more shared decision-making paradigm (Hart, 2010). This shift acknowledged the autonomy of the patient and their right to have differing standpoints, their right to choose and they ability to make decisions based on what they believe in or value. Patients were given the opportunity to weigh the alternatives and select the one that they derive the most value (Burke and Ludwig, 2014). On that note, this paper will try to discuss the tenets of the fiduciary relationship between the patient and the health service provider. Subsequently, the essay will focus on what ethical responsibilities are embedded in such a relationship, in particular on the part of the nurses, and why they are considered important.

Fiduciary Relationship between Nurse and Patient

A fiduciary relationship is rooted in confidence or trust (Hendrick, 2001). It is crucial to the diagnostic process for there to be trust between the nurse and the patient. A proper diagnostic process depends on open communication between the patient and the health practitioner. The only way that a nurse can be able to do a proper observation is if the patient can provide accurate and relevant information about their illness or injury. On the other hand, the nurses are constrained from divulging confidential information. This is a duty grounded on the recognized codes of professional ethics, and it elaborates on the nature of the health practitioner-patient relationship (Burke and Ludwig, 2014).

Fiduciary obligation arises where nurses commit to the patient’s needs before their own. They must promote the well-being of the patient above any other personal interests. Indeed, the application of the fiduciary obligation is at the core of describing the attributes of a profession. Consequently, the financial obligation concept gives rise to the issue of physician-patient boundaries. It provides limits as to what is ethically appropriate behavior in such a professional relationship (National Ethics Committee of the Veterans Health Administration, 2003).

In summation, a fiduciary relationship amounts to a special confidence rested on an individual, who in equity and sound conscience, is compelled either by law or otherwise to act in good faith and considering the interest of the person reposing the confidence (Grace, 2017). Therefore, to promote trust and assure the privacy of personal matters, they should be established proper boundaries in the professional relationship. The best way of ensuring there are appropriate boundaries and limited abuse of power is by maintaining an equal distribution of power between the two parties. For instance, most observers postulate that healthcare professionals have more power as compared to the patients. Ergo, it is prudent that there be professional boundaries between the nurse and the patient.

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Details

Seiten
10
Jahr
2017
ISBN (PDF)
9783346688200
Sprache
Englisch
Institution / Hochschule
Cornell University
Erscheinungsdatum
2022 (August)
Note
A
Schlagworte
fiduciary model between nurse patient ethical relationships resulting
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Titel: The Fiduciary Model Between a Nurse and their Patient. Ethical Relationships Resulting from the Fiduciary Model