Skip to main content

Table 4 Actions

From: Ethics support for ethics support: the development of the Confidentiality Compass for dealing with moral challenges concerning (breaching) confidentiality in moral case deliberation

Purpose of this step: this is about reflecting on suggestions, not about prescribing certain actions

Once you have made a decision on whether or not to breach confidentiality, there are several possible scenarios, follow-up questions, and follow-up actions

 I haven't decided yet, I will…

  • … talk to …

   • Someone from the ethics support department

   • My manager

   • A confidential advisor

   • A colleague MCD facilitator

   • alternative: ……… [write down what you will do]

  • … discuss it during a peer meeting or a training moment with …

  • … plan a moral case deliberation about this with my colleagues

  • alternative: ……… [write down what you will do]

 I have decided (for now) not to breach confidentiality, I will …

  • … try alternative actions first to avoid having to breach confidentiality, namely …

  • … do nothing for the time being and wait to see what happens

  • … first talk to …

   • participant X

   • the whole MCD group

   • the originator of this moral deliberation

   • alternative: ……… [write down what you will do]

 I have decided to breach confidentiality

  What?

   • Try to share as little information as possible, but enough to achieve your goal

   • alternative: ……… [write down what you will do]

  Who?

   • Try to provide as little information as possible to only a few people, enough to achieve your goal

   • Try not to pass on information too high in the hierarchy; first closest to the people in question

   • alternative: ……… [write down what you will do]

  Informing

   • Who do you inform about your action(s)?

    • Your manager and/or the ethics support coordinator

    • The MCD participants

     ▪ About what I'm going to do (or have done)

     ▪ About how I came to this decision

    • alternative: ……… [write down what you will do]

  Justifying

   • See how you should record and report things to justify your choice and action

   • Consult with colleagues, ethics support coordinator and/or manager what you can learn from this situation and what could be done differently to prevent this in the future

   • alternative: ……… [write down what you will do]