In this sense, starting from current bioethics and as a result of the dominant autonomous paradigm, individual benefit cannot be subordinated to collective benefit3. This leads to a dilemma that can pit ethics against legislation. Recognizing that the nurse can delve into the dilemma, the Spanish Code of Ethics of Nursing, created by the General Council of Nursing in its first edition, contains in art. 21 the following: “If the nurse is forced to breach professional secrecy for legal reasons, she must not forget that her moral concern must be the safety of the patient, and she will try to minimize the amount of information disclosed and the number of persons participating in the secrecy.” If nursing records make it possible to profile and define care as a specific care contribution, it will be easier to fulfill the duty than we nurses do.” to broaden the knowledge on which the professional activity is based” (artº.73.Código Deontológico de la Enfermería Española.), or “not to assume the fulfillment of a responsibility that is not within its competence, in disregard of the performance of its own functions:” (artº.58 Code Deontológico de la Enfermería Española). Ethical and legal analysis of the files from the consideration of the principle of contributing to the development of care and the management of our actions. However, we must not lose sight of the fact that behind the cold data that is the subject of the consultation, stored in computer files, there are aspects related to the deepest intimacy of the person, understood by Professor Javier Gafo as “the series of contents that define the heart of the human being” and that have been communicated in the context of a professional relationship. It is important to emphasize that the medical professional, even if this is due to the user`s desire to “become healthy”, is a repository of very intimate and closely guarded secrets of man, which require a reaction of attention and respect for himself, and impose secrecy. Ethical and legal analysis of cases based on respect for human dignity and the right to privacy. confidentiality; the right to privacy; Professional secrecy comes into play when it comes to evaluating documents from an ethical and/or legal point of view. At the same time, we must take into account three fundamental values in the professional practice of nursing: respect for human dignity without prejudice; privacy; and take responsibility for the procedure. But when we talk about the impact of cases in our professional moral responsibility and in the development of the discipline, the question of communication within nursing teams, both professional and interprofessional communication also arises. When it comes to thinking about the ethical aspect of nursing acts, it is necessary to do so starting from the framework drawn by these moral values and the ethical principles that develop them, which is why we will focus our contribution on the basis of the three ethical principles of professional practice, which are: Moral responsibility, Nurses must protect patients from illegal practices, Incompetent or dishonest, we emphasized in the introduction the importance of records for professional development. It is a fact that scientific disciplines achieve their development through the registration, the written verification of their development.
Florence Nightingale was already insisting on the need to register, to record everything nurses did to fulfill their function as nurses, and she set an example. From an ethical point of view, the files have to do with it: There are two aspects that need to be dealt with: professional secrecy and confidentiality.