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- de Ruiter, Hans Peter, et al.
(författare)
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The Ethical, Care, and Client-Caregiver Relationship Impacts Resulting From Introduction of Digital Communication and Surveillance Technologies in the Home Setting : Qualitative Inductive Study
- 2023
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Ingår i: JMIR Human Factors. - Toronto, ON : JMIR Publications. - 2292-9495. ; 10:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Embedding communication and surveillance technology into the home health care setting has demonstrated the capacity for increased data efficiency, assumptions of convenience, and smart solutions to pressing problems such as caregiver shortages amid a rise in the aging population. The race to develop and implement these technologies within home care and public health nursing often leaves several ethical questions needing to be answered. Objective: The aim of this study was to understand the ethical and care implications of implementing digital communication and surveillance technologies in the home setting as perceived by health caregivers practicing in the region of Halland in Sweden with clients receiving home care services. Methods: A questionnaire was completed by 1260 home health caregivers and the written responses were evaluated by qualitative inductive content analysis. The researchers reviewed data independently and consensus was used to determine themes. Results: This study identified three main themes that illustrate ethical issues and unintended effects as perceived by caregivers of introducing digital communication and surveillance technologies in the home: (1) digital dependence vulnerability, (2) moral distress, and (3) interruptions to caregiving. This study highlights the consequences of technology developers and health systems leaders unintentionally ignoring the perspectives of caregivers who practice the intuitive artistry of providing care to other humans. Conclusions: Beyond the obtrusiveness of devices and impersonal data collection designed to emphasize health care system priorities, this study discovered a multifaceted shadow side of unintended consequences that arise from misalignment between system priorities and caregiver expertise, resulting in ethical issues. To develop communication and surveillance technologies that meet the needs of all stakeholders, it is important to involve caregivers who work with clients in the development process of new health care technology to improve both the quality of life of clients and the services offered by caregivers. © 2023 The Author(s).
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| 2. |
- Gietzen, Luke J., et al.
(författare)
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Ethics and New Health Technologies : An Innovative Descriptive Analysis of the State of the Literature
- 2022
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Ingår i: Creative Nursing. - New York : Springer Publishing Company. - 1078-4535 .- 1946-1895. ; 28:4, s. 221-227
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Tidskriftsartikel (refereegranskat)abstract
- The exponential advancement of health technologies has led to an increasing need for awareness and critical thinking about the potential unintended consequences and ethical dilemmas that may arise from using new technologies. Unfortunately, many ethical issues arise post-implementation. Few researchers preemptively consider the ethical implications of health technologies. The current study located more than 24 million articles in PubMed that discussed common health technologies. Of these, 0.07% (n = 17,816) articles deeply considered the technology’s potential ethical implica-tions. Critical thinking and ethics are the mainstays of nursing practice. Thus, critically thinking about the potential ethical implications of relevant technologies should be at the forefront of research; we contend that this is not common practice. We hope to shed light on this issue to remind researchers to think like nurses when researching new health technologies. © 2022 Creative Health Care Management.
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| 3. |
- Nygren, Jens M., 1976-, et al.
(författare)
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Examining the Ethical Implications of Health Care Technology Described in US and Swedish PhD Dissertations : Protocol for a Scoping Review
- 2020
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Ingår i: JMIR Research Protocols. - Toronto : J M I R Publications Inc.. - 1929-0748. ; 9:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: The development of new biomedical technologies is accelerating at an unprecedented speed. These new technologies will undoubtedly bring solutions to long-standing problems and health conditions. However, they will likely also have a shadow side in the form of unintended effects or ethical implications accompanying them. It may be presumed that the research behind new technologies has been evaluated from an ethical perspective; however, the evidence that this has been done is scant.Objective: The objective of this study is to gain an understanding, if and how PhD dissertations focused on health technologies describe actual or possible ethical issues resulting from their research.Methods: The purpose of scoping reviews is to map a topic in the literature comprehensively and systematically to identify gaps in the literature or identify key evidence. The search strategy for this protocol will include electronic databases including ProQuest, Medline/Pubmed, Diva, SwePub and LIBRIS. Searches will be limited to PhD dissertations published in the US and Sweden in the last ten years. The study will be mapped in five stages: 1) identifying the research question, 2) identifying relevant studies, 3) study selection, 4) retrieving and charting the data, and 5) collating, summarizing and reporting the results.Results: The findings of this study will indicate if and how researchers, PhD students and their supervisors, are considering ethics in their studies, including both research ethics and the ethical implications of their work. The findings can guide researchers in determining gaps and shortcomings in current doctoral education and offer a foundation to adjusting doctoral research education.Conclusions: In a society where technology and research are advancing at speeds unknown to us before, we need to find new and more efficient ways to consider ethical issues and address them in a timelier manner. This study will offer an understanding of how ethics is currently being integrated into US and Swedish PhD dissertations and inform the future direction of ethics education at a doctoral level. © Jens M. Nygren, Hans-Peter de Ruiter. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 22.01.2020.
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| 4. |
- Steerling, Emilie, Doktorand, 1981-, et al.
(författare)
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Examining how Ethics in Relation to Health Technology is Described in the Research Literature : Scoping Review
- 2022
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Ingår i: Interactive Journal of Medical Research. - : JMIR. - 1929-073X. ; 11:2, s. 1-10
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Forskningsöversikt (refereegranskat)abstract
- Background:Given the increased use of technology in health care, both in extent and application, the importance of understanding the ethical implications of new health technologies increases. Profound insight into the possible ethical implications of new health technologies enhances the research and development of such technologies and the likelihood of eventual successful implementation in clinical practice.Objective:This study aimed to gain an understanding of how and if researchers focused on health technologies describe the actual or possible ethical aspects of their research findings.Methods:An established framework for scoping reviews was used to guide the methodology. Studies published in PubMed over the last 10 years were included if they study or refer to ethics in relation to health technology as defined by established frameworks. In total, 14,532 articles were screened, 692 were retained for full-text evaluation, and 227 were included for data extraction.Results:In total, 250 (80.9%, N=309) studies were conducted in North America and Europe; literature review studies were dominant. Most studies (52.9%, 120/227) had no direct reference to any of the 4 basic ethical principles: beneficence, nonmaleficence, autonomy, and justice. In cases where studies referenced ethical theory, consequentialism dominated.Conclusions:When research about technology and ethics is published, the predominant focus is on its intent rather than its actual effect on patients. This lack of insight is problematic considering the vast advancement of technology in which ethics cannot keep up with understanding and offer insights on addressing ethical issues. This finding has implications for practice, research, and education.
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