Case #14: Confidentiality, Obligations, and FriendshipRecognize an Ethical Issue/Dilemma
Henry's leadership style had always been personal and this worked well for him and his staff. Henry had been a school administrator for Grover Cleveland High for five years, but he had managed to change the place. There was an atmosphere of good, warm feelings across the halls and faculty morale was high. Having developed this personal touch with his staff he was considered a friend by many including the Jim Austin who was the head of Cleveland's physical education department. Jim and Henry had become good friends since they were early morning jogging companions. Jim approached Henry and requested for a confidential meeting where he disclosed to Henry he has discovered he has AIDS and he would like to continue with his work for as long as he could without anyone knowing. The school board did not have any policy regarding AIDS Henry did not know much about AIDS. Although he responded and told his friend that he would keep this a secret, he was worried that something might happen that would allow the virus to be spread to the students since Jim was a physical education instructor.
Looking at case one can see that he feels obligated to both his friend and his students, and he is aware that because of Jim's position in the school there are chances that an accident might occur that could result in the spread of AIDS to a student or a faculty member. The information shared was confidential and Henry could not go about disclosing it to the students and faculty members. Jim trusted Henry to keep this information secret and he had realized that he was obligated to let the school administrator know of his status.
The ELCC Standard 5 addresses the educational leader’s role as the "first citizen" of the school/district community (National Policy Board for Educational Administration, 2002). School leaders are charged with setting the tone for the employees and students, and their contact with students, employees, and parents should reflect their concern for others and for the organization. Henry needs to ensure that he is a good role model and he does not let his personal commitment to his friend endanger the lives of the students. Having a commitment to both students and faculty he should set aside his friendship...
Nursing Professional Boundaries There are boundary issues in every aspect of nursing practice. Some of the issues range from stopping to purchase some groceries for a home-bound client, accepting gifts from clients, having friendship with clients and engaging in sexual relationships with clients. While there is substantial gray area compared to black and white in the study of professional boundaries, nurses can make appropriate decisions if they have the relevant information
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