"Knowledge and Skills for the Maintenance of Confidentiality and Autono" by Sonia Garcia
 

Date of this Version

11-21-2024

Document Type

DNP Project

Rights

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Abstract

Confidentiality is a critical component in nursing practice, research, and ethics. The
breach of autonomy and confidentiality in nursing care is a violation of the American Nurses
Association’s Code of Ethics and Patient’s Bill of Rights. Literature suggests that some
healthcare providers face challenges and may lack training in handling clinical discussions with
parents about the autonomy and confidentiality of care for their young adult children. In efforts
to bridge this gap, the purpose of this project was to help healthcare providers learn how to
approach parents while maintaining autonomy and confidentiality in the care of young adults. A
pretest-posttest design was used to assess changes in healthcare providers' knowledge before and
after an educational intervention. A convenience sampling method was used to recruit four
participants at an outpatient psychiatric clinic in Miami, Florida. Data was collected remotely
using a researcher-developed demographic questionnaire and the modified Beauchamp and
Childress's (2019) Principles of Biomedical Ethics quiz. Data collected was analyzed using SPSS
(Version 25.0). A student's t-test was performed to determine significant differences in pretest
and posttest scores, with a confidence level set at 95% (p < 0.05). Although an improvement in
knowledge was observed among the clinicians, there was no significant difference between the
pretest and posttest mean scores, t (4) =-0.148 with a p = 0.885, (p > 0.05). The project
demonstrates the need for ongoing education in bioethics for healthcare professionals,
particularly those working with young adults and intrusive parents.

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