Discussion 2: Legal and Ethical Implications Paper

Discussion 2: Legal and Ethical Implications Paper

Discussion 2: Legal and Ethical Implications Paper

Discussion Post

Healthcare providers are surrounded by various legal and ethical issues within the healthcare environment. Legal standards are usually set by the government, which enables nurses to be aware of activities they should never engage in while attending to patients. On the other hand, nursing ethical standards have no legal basis but rely on the right and wrong human principles. Therefore, when implementing my change practice around breast cancer early screening in childbearing age for women between ages 24-45 years old and living in the underserved community in Houston, Texas, I will need to consider various legal and ethical factors.

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The main legal implications of the change implementation are malpractice and breaching the patients’ confidentiality (Carter et al., 2020). Malpractice in breast cancer screening occurs when errors occur during breast cancer diagnosis where the nurse fails to detect a suspicious mass or misreads a mammogram. Hence, it will be essential to consult with my nursing colleagues to inform my clinical reasoning in making an informed decision. Breaching patient confidentiality falls under legal and ethical implications. As a legal implication, it is protected under the 1996 Health Insurance Portability and Accountability Act, especially if an unauthorized person recognizes the patient’s mammogram results (Moore & Frye, 2019). Ethically, the patient’s information should not be disclosed to any third party without the patient’s consent.

The most appropriate way to avoid such implications is to secure patient information and ensure that the patient provides the person or people who can be informed about her condition (Esquivel-Sada et al., 2019). Also, there will be a need to research the most appropriate tools that increase the effectiveness of early breast cancer screening from the standard mammogram. In this case, digital mammography or digital breast tomosynthesis will be more preferred since they are more effective than a traditional mammogram (Alabousi et al., 2021). That is due to its ability to provide digital breast images that focus on areas that are more questionable and appropriate for women below 50 years.

References

Alabousi, M., Wadera, A., Kashif Al-Ghita, M., Kashef Al-Ghetaa, R., Salameh, J. P., Pozdnyakov, A., … & Alabousi, A. (2021). Performance of digital breast tomosynthesis, synthetic mammography, and digital mammography in breast cancer screening: a systematic review and meta-analysis. JNCI: Journal of the National Cancer Institute, 113(6), 680-690. https://doi.org/10.1093/jnci/djaa205

Carter, S. M., Rogers, W., Win, K. T., Frazer, H., Richards, B., & Houssami, N. (2020). The ethical, legal and social implications of using artificial intelligence systems in breast cancer care. The Breast, 49, 25-32. https://doi.org/10.1016/j.breast.2019.10.001

Esquivel-Sada, D., Lévesque, E., Hagan, J., Knoppers, B. M., & Simard, J. (2019). Envisioning implementation of a personalized approach in breast cancer screening programs: stakeholder perspectives. Healthcare Policy, 15(2), 39. doi: 10.12927/hcpol.2019.26072

Moore, W., & Frye, S. (2019). Review of HIPAA, part 1: history, protected health information, and privacy and security rules. Journal of nuclear medicine technology, 47(4), 269-272. DOI: https://doi.org/10.2967/jnmt.119.227819

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Discussion 2: Legal and Ethical Implications.

MY TOPIC IS Breast Cancer Early Screening In Childbearing Age, Women Between Ages 24-45 Years Old, Living In The Underserved Community In Houston Texas
You have recognized a problem change is needed in your practice or organization, but before you can begin implementing your plan for change, have you considered the legal and ethical implications of this implementation?

Patient rights, legal parameters, privacy issues, and other legal and ethical concerns must be identified and reviewed before implementation occurs. Your role, as a nurse leader, requires you to consider, manage, and abide by all ethical and legal implications that may arise associated with your practice change implementation.

Photo Credit: NicoElNino / Adobe Stock

For this Discussion, consider your practice change implementation and identify any legal and ethical implications that may need to be addressed. How will you manage these implications? How will you abide by these requirements?

To Prepare
Review the Learning Resources concerning legal and ethical implications.
Identify the legal and ethical implications associated with your practice change implementation.
Consider how you have prepared to manage and abide by these implications.
By Day 3 of Week 4
Post a description of the identified legal and ethical implications associated with the practice change implementation. Examples may include issues associated with improving access to care, timeliness, affordability, accessibility, etc. Explore the importance of considering these implications and discuss how you can support your implementation and what changes, support, and/or resources you may need.