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Privacy, Consent and Chaperone in Healthcare Practice

Course Description

Respect for privacy, valid consent, and appropriate use of chaperones are fundamental to safe, ethical, and professional healthcare practice in New Zealand. Patients trust healthcare professionals with highly sensitive personal information, intimate examinations, and important decisions about their bodies and health. When these expectations are not met, the consequences can include patient distress, loss of trust, complaints, and regulatory investigation.

This course explores privacy, consent, and chaperone use not as isolated legal concepts, but as interconnected professional responsibilities that underpin patient dignity, autonomy, and safety. It focuses on practical application in everyday clinical settings, including general practice, hospitals, community care, aged care, and private practice.

Designed for doctors, nurses, midwives, allied health professionals, pharmacists, and other regulated practitioners, this course is particularly relevant for those responding to complaints, boundary concerns, or fitness-to-practise processes. It aligns with professional expectations in New Zealand, including guidance from the Medical Council of New Zealand, and supports reflective, ethical, and patient-centred care.

Course Content

Course Objectives
Course Objectives
Section 1: Introduction to Privacy, Consent and Chaperone in Healthcare
1.2 Privacy as a Core Element of Patient Dignity
1.3 Consent as a Process, Not a One-Off Event
1.4 Why Consent Failures Commonly Occur
1.5 The Role of Chaperones in Protecting Patients and Professionals
1.6 Cultural, Personal, and Situational Sensitivity
1.7 Boundaries, Trust, and Professional Identity
1.8 Regulatory Expectations in New Zealand
1.9 Reflective Quiz
Section 2: Privacy and Confidentiality in Healthcare Practice
2.1 What Privacy Means in Healthcare Settings
2.2 Confidentiality and Trust in the Therapeutic Relationship
2.3 Managing Privacy in Busy or Shared Clinical Environments
2.4 Privacy in Electronic Records and Digital Communication
2.5 Information Sharing Within Healthcare Teams
2.6 When Confidentiality May Be Limited
2.7 Cultural and Personal Considerations in Privacy
2.8 Privacy Breaches: Recognition and Response
2.9 Professional and Regulatory Expectations in New Zealand
2.10 Reflective Quiz
Section 3: Legal and Professional Frameworks for Privacy
3.1 Why Frameworks Matter in Everyday Practice
3.2 Professional Standards and Ethical Expectations
3.3 Legal Duties Relating to Privacy
3.4 Reasonable Expectation of Privacy
3.5 Information Sharing for Care and Safety
3.6 When Disclosure May Be Justified Without Consent
3.7 Transparency With Patients About Information Use
3.8 Responding to Legal or Regulatory Requests for Information
3.9 Privacy Frameworks in Complaints and Investigations
3.10 Reflective Quiz
Section 4: Understanding Consent in Healthcare
4.1 What Consent Means in Healthcare Practice
4.2 Consent as an Ongoing Communication Process
4.3 The Core Elements of Valid Consent
4.4 Providing Information for Informed Consent
4.5 Assessing Capacity in Clinical Practice
4.6 Voluntariness and Avoiding Assumptions
4.7 Documenting Consent Appropriately
4.8 Consent and Professional Accountability
4.9 Common Pitfalls in Consent Practice
4.10 Reflective Quiz
Section 5: Consent in Complex and High-Risk Situations
5.1 Why Consent Becomes More Complex in Certain Situations
5.2 Consent for Intimate Examinations and Procedures
5.3 Consent Involving Vulnerable Patients
5.4 Cultural Considerations and Supported Decision-Making
5.5 Consent When Capacity Is Uncertain or Fluctuating
5.6 Emergency Situations and Consent Limitations
5.7 Refusal of Consent and Respecting Patient Choice
5.8 Documentation in High-Risk Consent Situations
5.9 Regulatory Expectations in Complex Consent Cases
5.10 Reflective Quiz
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