Guidelines of an Effective Interview and

Ethico-legal Considerations
Michelle S. Tablac, MSN
NCM 101 SY 2020-2021
 Learning Objectives
LEARNING OBJECTIVES
At the end of the session, the students shall be able
to:

➢discuss the process and modes of nursing

interview
➢Identify samples of subjective data
➢describe phases of interview
➢discuss the role of communication as a tool in a
helping relationship
➢apply interview techniques with special
consideration to clientele
 Learning Objectives
LEARNING OBJECTIVES

At the end of the session, the students shall be

able to:

➢appreciate the value of effective communication

in nursing care
➢identify ethico legal considerations
➢discuss patient's right
➢identify applicable rules on data privacy act
concerning data gathering and sharing
SUBJECTIVE
DATA Preferences
Beliefs
•Sensations
Ideas
•Feelings
•Perceptions Values
•Desires Personal
Information
Nursing Interview
• Establishing rapport and a trusting
relationship with the client to elicit
accurate and meaningful information

• Gather information
PHASES OF INTERVIEW
 PHASES OF INTERVIEW
Pre- Introductory Introductory
Phase

Working Summary and

Closing
Communication during the
Interview

NON-VERBAL
COMMUNICATION
NON-VERBAL
COMMUNICATION

• APPEARANCE
• DEMEANOR
• FACIAL EXPRESSION
• ATTITUDE
• SILENCE
• LISTENING
Communication during the

Interview
VERBAL
COMMUNICATION
VERBAL
COMMUNICATION

• OPEN-ENDED QUESTIONS
• CLOSE-ENDED QUESTIONS
• LAUNDRY LIST
• REPHRASING
• WELL-PLACED PHRASES
• INFERRING
• PROVIDING INFORMATION
 SPECIAL CONSIDERATIONS
Interview

GERONTOLOGIC VARIATIONS in communication

CULTURAL VARIATIONS in communication

EMOTIONAL VARIATIONS in communication

 SPECIAL CONSIDERATIONS
Interview

GERONTOLOGIC VARIATIONS in communication

Age affects and commonly slows all body systems to varying

degrees. However, normal aspects of aging do not necessarily
equate with a health problem, so it is important not to approach
an interview with an elderly client assuming that there is a health
problem.
 SPECIAL CONSIDERATIONS
Interview

CULTURAL VARIATIONS in communication

Ethnic/cultural variations in communication and self-

disclosure styles may significantly affect the information
obtained (Andrews and Boyle 2008; Medscape Education
2012)
 SPECIAL CONSIDERATIONS
Interview

EMOTIONAL VARIATIONS in communication

Not every client you encounter will be calm, friendly, and

eager to participate in the interview process. Emotions
vary for different reasons.
 COMMUNICATION TO AVOID
• Excessive or Insufficient eye contact
• Distraction
• Distance
• Standing
• Biased/Leading Questions
• Rushing through the Interview
• Reading the questions
SHORT BREAK
ETHICO LEGAL CONSIDERATIONS
Health Information Privacy Rules

Collection and Processing of Health

Information

Consent .
The consent shall conform to the requirements or characteristics of a valid informed
consent which consist of the following:

01 Competence
=of sound mind, at least 18 Patient
03
Understanding
years old, and not under the
=Education, language or dialect
influence of drugs or liquor

= Relevant factual data about a 04Voluntariness-

Amount and
02 Accuracy of procedure and/or treatments, its
Information benefits, risks, and possible
=Make an autonomous decision
complications or outcomes without force or intimidation,
and understands that he/she ca
withdraw consent anytime
without consequence
What to remember:
For Persons with Disabilities
(PWDs)

Persons to Obtain Consent.

When to Get Consent.

 What to remember:
Persons to Give Consent
Consent shall be given by a patient of legal age and sound mind, or
otherwise incapacitated to give consent, any of the following in the
order stated hereunder, can give consent:

(a) Immediate relatives within the 3rd degree of consanguinity based on

hierarchy: provided, that in the case of minors, either parent may give
consent, unless the married, in which case, preference shall be given to the
mother;
(b) Cohabitant partner for a minimum of one (1) year or actual and identified
guardian of the patient;
(c) Social worker;
(d) Attending physician. Provided, that if a patient has a duly executed
advance directive or power of attorney for healthcare, the same shall be
given effect.
What to remember:
The consent form

Valid formats of consent

Revocation and Reinstating

Consent
What to remember:

For Persons with Disabilities

Persons to Obtain Consent.

When to Get Consent.

 What to remember:
Exemptions for Consent
Consent shall not be required for the processing of personal data in the PHIE under the
following conditions:
a) in emergency cases, when the patient is at imminent risk of physical injury, decline Of death if
treatment is withheld or postponed. In such cases, the physician can perform any diagnostic or
treatment procedure as good practice of medicine dictates without such consent;
b) when the health of the population is dependent on the adoption of a mass health program to control
epidemic;
c) when the law makes it compulsory for everyone to submit a procedure;
d) When the patient is either a minor, or legally incompetent, in which case. a third party consent Is
required;
e) when disclosure of material information to patient will jeopardize the success of treatment, in
which case, third party disclosure and consent shall be in order;
f) When the patient waives his right in writing
SAMPLE CONSENT
Patients’ Bill of Rights
 Rights of the patients

1. Right to Appropriate Medical Care and Humane

Treatment.

2. Right to Informed Consent.

3. Right to Privacy and Confidentiality.

4. Right to Information.
 Rights of the patients

5. The Right to Choose Health Care Provider and

Facility.

6. Right to Self-Determination.

7. Right to Religious Belief.

8. Right to Medical Records.

9
 Rights of the patients

9. Right to Leave

10. Right to Refuse Participation In Medical Research.

11. Right to Correspondence and to Receive Visitors.

12. Right to Express Grievances.

12. Right to Express Grievances
13. Right to be Informed of His Rights and Obligations as a Patient
 Data Privacy Act

Republic Act 10173 – Data Privacy Act of 2012

.
[REPUBLIC
ACT NO.
10173]

AN ACT PROTECTING INDIVIDUAL PERSONAL INFORMATION

IN INFORMATION AND COMMUNICATIONS SYSTEMS IN THE
GOVERNMENT AND THE PRIVATE SECTOR, CREATING FOR
THIS PURPOSE A NATIONAL PRIVACY COMMISSION, AND
FOR OTHER PURPOSES
PRIVACY GUIDELINES FOR THE IMPLEMENTATION OF THE PHILIPPINE HEALTH INFORMATION
EXCHANGE

Title.
This shall be known and cited as the Health Privacy Code of Joint Administrative Order No.
2016-0002, otherwise known as “Privacy Guidelines for the Implementation of the Philippine
Health Information Exchange” (Code).

Purpose.
This Code is hereby promulgated to prescribe the procedures and guidelines that
ensure the protection of the privacy of a patient.

Scope of Application.
This code shall apply to the PHIE system, Health Facilities, Health Care Providers, and
any natural or juridical person involved in the processing of health information within
the PHIE framework.
 Health Information Privacy Rules
Collection and Processing of
Health Information Use of Social Media

Access of Health Information

Health Research
Use Use
andand DisclosureofofHealth
Disclosure health
Information information
REFERENCES:

• Kozier, B., Erb, G.,Berman, A., & Snyder, S.

(2004) Fundamentals of Nursing:
Concepts, process, and practice. 7th
Edition
• Weber, J. and Kelley, J(2014) Health
assessment in Nursing. 5th edition
• AO 2016-0002- Privacy Guidelines for the
Implementation of the Philippine Health
Information Exchange
REFERENCES:

• R.A. 10173- Data Privacy Act of 2012

• Department of Health, NCHFD. (2010).
Hospital Health Information
Management Manual 3rd Edition,
Manila, PH : Department of Health.
THANK YOU