Module 2: Direct Comprehensive Primary Care in the LTC Setting

7 2.1 Person-Centred Care

Confidentiality

  • Confidentiality involves healthcare practitioners obligation to protect & prevent the misuse of their client’s personal information
  • Protecting privacy gives clients more control over their medical records
  • Confidentiality and privacy are important in LTC because they protect individuals’ personal, financial, and medical information
  • Resident privacy and confidentiality are also important due to ethical considerations like autonomy and beneficence
  • Residents are more willing to disclose important health information when they believe that their information is protected and private
  • Maintaining trust and respect boosts residents’ autonomy and self-worth, which is particularly important in LTC settings[1]

Strategies to maintain confidentiality in LTC settings:

  • Access control
  • Education and training
  • Consent management
  • Secure communication
  • Regular auditing
  • Privacy screens
  • Data encryption
  • Incident reporting
  • Confidentiality policies[2][3][4][5]

Canada has two federal privacy laws that are enforced by the Office of the Privacy Commissioner of Canada:

  • The Privacy Act, which covers how the federal government handles personal information
  • The Personal Information Protection and Electronic Documents Act (PIPEDA), covers how businesses handle personal information
  • Governs health information privacy and security
  • Enforces strict rules and penalties for non-compliance

Importance for Long-Term Care:

  • LTC practitioners must comply with the privacy laws
  • Vital for legal and ethical high-quality care
  • Privacy laws safeguard residents’ security, dignity, and trust, fostering an environment of safety and respect
  • Prioritizing privacy and confidentiality is essential for providing person-centred care[6][7][8][9]

  1. null
  2. Rothstein et al., 2014
  3. Tegegne et al., 2022
  4. Eastwood et al., 2020
  5. Zibrowski et al., 2019
  6. Office of the Privacy Commissioner of Canada, 2018
  7. Ozdinc et al., 2023
  8. Humphrey, 2021
  9. Turner et al., 2020

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Nurse Practitioners Delivering Primary Care in the Long Term Care Setting Copyright © 2024 by Erin Ziegler, Carrie Heer and Adhiba Nilormi is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License, except where otherwise noted.

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