Yes. The applicable laws and the spirit of the applicable laws. That's what I try to do.
I can't comment further. As I already mentioned I have not personally witnessed any shadows of the nature you're discussing for (?) probably 10 years or more. Zero. That is to say, not only have I not seen any situations where there was a shadow present and I knew that patient permission had not been sought; I just mean no shadows, period.
Despite the irony, that is what I as an individual health care provider can do about this on a daily basis, in addition to advocating for my patients in these and related matters.
We are trading personal experiences. I haven't at all felt that people are only concerned with the portion covered by the law. In fact as a graduate student who has participated in clinical rotations with all proper trainings in place, signed agreements, legal agreements between my university and clinical sites and the whole nine yards, I have not approached any patient without their express permission for my presence having already been given.
I don't know the demographics of those who were shadowing but I would not have thought this a simple question for lay people at all.
Right. And even if they did the way it is named doesn't clearly signal that it has anything to do with privacy or confidentiality anyway. Maybe the reason so many people make the double-P mistake is because somehow it just might have made sense if privacy was accounted for somewhere in the title. 🤷🏽♀️
I don't see it that way. I did purposely describe sort of a superlative of the situation, but I did so because I think it is relevant, not so that I could attack an idea that doesn't exist or is off-topic or that is easy to blow apart. I am trying to understand what you want to see or have happen. I am telling you that with very few exceptions I see people (workers) trying to comply with the law (letter/spirit) and with their facility's individual privacy practices. That is my experience. So when I hear that it isn't good enough or that trying to do our best is merely ironic, I am not sure exactly what more looks like. The posited exaggeration is my attempt to pose that question to you. If you now say that you are not expecting perfect and that perfect is absurd and/or a strawman, I would be interested to know where and how you would draw your lines.
No. My point has to do with my own perception of reasonable vs unreasonable (and I stipulate that is an individual opinion). Preoccupation is preoccupation and that's what I was referring to. I am making a distinction between a scenario where a healthcare provider walks out to a waiting room and starts interviewing a patient about something or announcing test results (clearly inappropriate), vs. a situation where someone is going to report everyone because their name was used when they were called from the waiting room (under usual circumstances would seem a strange thing to get bent out of shape about). Meanwhile, nearly everyone is carrying a cell phone on their person. 🤷🏽♀️😂
That's pretty close to what I was thinking, although I'm not sure that it is their actual privacy they are most worried about. I believe some of it is a preoccupation with whether rights (or "rights") might have been violated in some way.
Well, we say that, but here we are living half of our lives online, banking online, using our SSNs in ways that apparently previous generations were promised they wouldn't be used, carrying cell phones wherever we go, and more.
Example already given. I have read some things, yes, but most have been direct observations.
I don't disagree. However the workers are not the healthcare facilities. If you want to get into the disingenuous and self-serving nature of healthcare facilities (corporations) this conversation could go on indefinitely.
Agreed.
Aware. See aforementioned attempt at explanation.
I'm making a distinction between those with the autonomy to unilaterally make a decision about what will or will not be allowed (I.e. what a facility's various policies and privacy practices will include); for example, whether or not a non-healthcare student will be allowed to shadow. The majority of those you listed do not have that autonomy.
It bothers me that there is no autonomy at those levels but there is much scrutiny. The main reason I am interacting with you is because I do find this conversation somewhat intriguing but mostly I want to know what you want to see. What is it that you want from those punching a clock or working for a large healthcare corporation and trying to do their best in a system that nearly everybody seems fed up with?
Your post was very, very long and although well-stated you have to understand that it's only fair to get to the point.
What is it that you want to see here.
I am not sure but it sounds like you are at least somewhat concerned with the system and what big players can get away with. I won't argue against that being concerning. It's just that this is a nursing forum. As far as I can tell the business execs drove our train off the tracks some time ago. I think you should go way bigger with your concerns. Way, WAY up the food chain.
