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    Impact of patient confidentiality on carers of people who have a mental disorder

    Access Status
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    Authors
    Wynaden, Dianne
    Orb, Angelica
    Date
    2005
    Type
    Journal Article
    
    Metadata
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    Citation
    Wynaden, Dianne and Orb, Angelica. 2005. Impact of patient confidentiality on carers of people who have a mental disorder. International Journal of Mental Health Nursing 14 (3): pp. 166-171.
    Source Title
    International Journal of Mental Health Nursing
    DOI
    10.1111/j.1440-0979.2005.00377.x
    ISSN
    1445-8330
    Faculty
    School of Nursing and Midwifery
    Faculty of Health Sciences
    URI
    http://hdl.handle.net/20.500.11937/20321
    Collection
    • Curtin Research Publications
    Abstract

    This paper discusses how patient confidentiality issues impact on carers of people with mental disorders. Data obtained from interviews with 27 primary carers were analysed using the grounded theory method. Despite the emphasis that Australian mental health policy documents place on collaboration with carers, the findings of this Western Australian study showed that carers were expected to undertake the caring role with little support, education or understanding. The lack of collaboration with health professionals increased carers’ level of distress and left them feeling frustrated and resentful. Carers have identified that patient confidentiality was one reason why health professionals were unwilling to collaborate with them. To ensure carers’ continued commitment to caring, negotiation about patient confidentiality issues must occur at the onset of the caregiving process. Carers have the right to certain information in order to maintain their level of well-being and their personal safety. Moreover, in certain circumstances, patient confidentiality may need to be breached if the life of the ill family member or others is in danger. A greater carer involvement in and understanding of the ill family member's illness will facilitate better treatment outcomes in the community for the ill family member.

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