The importance of ethical aspects when implementing eHealth services in healthcare: A discussion paper

AIM The aim of this paper was to discuss the importance of ethical aspects when implementing eHealth services in health care. BACKGROUND Challenges in healthcare today include a growing older population and, as a consequence, an increased need for healthcare services. One possible solution is the use of eHealth services. DESIGN Discussion paper. DATA SOURCES Research literature published from 2000-2017 in CINAHL, PubMed and Scopus. IMPLICATIONS FOR NURSING Implementing eHealth services in health care involves ethical challenges where different technologies can solve different problems in different ways. eHealth services should therefore be developed and implemented based on the patient's specific needs and conditions for use and in accordance with the healthcare professionals' presumption to provide high-quality care. CONCLUSION To preserve patients' integrity, dignity and autonomy, healthcare professionals must include ethical aspects when implementing and using eHealth services in health care. Healthcare professionals have to take responsibility for the eHealth services introduced, explaining why and how they are implemented based on a person-centred approach. More knowledge is needed about ethical aspects when implementing eHealth services to improve the quality of care.

[1]  T. Beauchamp,et al.  Principles of biomedical ethics , 1991 .

[2]  F. Hicks,et al.  Patient Decision-making Behavior: An Emerging Paradigm for Nursing Science , 2001, Nursing research.

[3]  G. Eysenbach What is e-health? , 2001, Journal of Medical Internet Research.

[4]  The ICN code of ethics for nurses. , 2001, Nursing ethics.

[5]  Edward T. Morman,et al.  Devices & Desires: Gender, Technology, and American Nursing (review) , 2002 .

[6]  Austin Henderson,et al.  Interaction design: beyond human-computer interaction , 2002, UBIQ.

[7]  K. Eriksson,,et al.  Encounter: A Fundamental Category of Nursing as an Art , 2002, International Journal for Human Caring.

[8]  B. Fridlund,et al.  Self-respect, dignity and confidence: conceptions of integrity among male patients. , 2003, Journal of advanced nursing.

[9]  D. Rothman The Origins and Consequences of Patient Autonomy: A 25-Year Retrospective , 2004, Health Care Analysis.

[10]  Kim J. Vicente,et al.  The Human Factor - Revolutionizing the way people live with technology , 2004 .

[11]  D. Sellman Towards an understanding of nursing as a response to human vulnerability. , 2005, Nursing philosophy : an international journal for healthcare professionals.

[12]  C. Nilsson,et al.  Information and communication technology in supporting people with serious chronic illness living at home – an intervention study , 2006, Journal of telemedicine and telecare.

[13]  Roger Orpwood,et al.  Designing technology to support quality of life of people with dementia , 2007 .

[14]  Jennifer Cleland,et al.  A qualitative study of the attitudes of patients and staff to the use of mobile phone technology for recording and gathering asthma data , 2007, Journal of telemedicine and telecare.

[15]  D. Nutbeam The evolving concept of health literacy. , 2008, Social science & medicine.

[16]  T. Somkotra,et al.  Payments for health care and its effect on catastrophe and impoverishment: experience from the transition to Universal Coverage in Thailand. , 2008, Social science & medicine.

[17]  M. Johnstone,et al.  Ethics in Nursing Practice: A Guide to Ethical Decision Making , 2013 .

[18]  C. Nilsson,et al.  Swedish District Nurses’ Attitudes to Implement Information and Communication Technology in Home Nursing , 2008, The open nursing journal.

[19]  P. Olivier,et al.  Keeping In Touch Everyday (KITE) project: developing assistive technologies with people with dementia and their carers to promote independence , 2009, International Psychogeriatrics.

[20]  J. Forlizzi,et al.  Intelligent assistive technology applications to dementia care: current capabilities, limitations, and future challenges. , 2009, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[21]  G. G. Gámez The Nurse-Patient Relationship as a Caring Relationship , 2009 .

[22]  Kenneth W. Goodman,et al.  Ethics, Information Technology, and Public Health: New Challenges for the Clinician-Patient Relationship , 2010, Journal of Law, Medicine & Ethics.

[23]  C. Nilsson,et al.  Swedish District Nurses' experiences on the use of information and communication technology for supporting people with serious chronic illness living at home--a case study. , 2009, Scandinavian journal of caring sciences.

[24]  Anthony J Viera,et al.  Interventions to Improve Transitional Care Between Nursing Homes and Hospitals: A Systematic Review , 2010, Journal of the American Geriatrics Society.

[25]  Nicol Nijland,et al.  A Holistic Framework to Improve the Uptake and Impact of eHealth Technologies , 2011, Journal of medical Internet research.

[26]  S. Söderberg,et al.  The Use of Information and Communication Technology to Meet Chronically Ill Patients’ Needs when Living at Home , 2011, The open nursing journal.

[27]  Katharina Stibrant Sunnerhagen,et al.  Person-Centered Care — Ready for Prime Time , 2011, European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology.

[28]  Athena McLean,et al.  Ethical frontiers of ICT and older users: cultural, pragmatic and ethical issues , 2011, Ethics and Information Technology.

[29]  S. Söderberg,et al.  Complaints with encounters in healthcare - men's experiences. , 2012, Scandinavian journal of caring sciences.

[30]  Alessandra Re,et al.  Elderly-technology interaction: accessibility and acceptability of technological devices promoting motor and cognitive training. , 2012, Work.

[31]  S. Söderberg,et al.  A hidden kind of suffering: female patient's complaints to Patient's Advisory Committee. , 2012, Scandinavian journal of caring sciences.

[32]  Ana Vasconcelos,et al.  Senior-driven design and development of tablet-based cognitive games. , 2013, Studies in health technology and informatics.

[33]  S. Söderberg,et al.  The views of health-care personnel about video consultation prior to implementation in primary health care in rural areas , 2013, Primary Health Care Research & Development.

[34]  Antoine Piau,et al.  Aging society and gerontechnology: A solution for an independent living? , 2013, The journal of nutrition, health & aging.

[35]  Birgitta Lindberg,et al.  Using Information and Communication Technology in Home Care for Communication between Patients, Family Members, and Healthcare Professionals: A Systematic Review , 2013, International journal of telemedicine and applications.

[36]  M. Mort,et al.  Ageing with telecare: care or coercion in austerity? , 2013, Sociology of health & illness.

[37]  S. Söderberg,et al.  The views of healthcare personnel about videoconsultation prior to implementation in primary healthcare in rural areas , 2014 .

[38]  S. Söderberg,et al.  Patients' Experiences with Specialist Care via Video Consultation in Primary Healthcare in Rural Areas , 2014, International journal of telemedicine and applications.

[39]  K. Eriksson,,et al.  Technology and its ethics in nursing and caring journals , 2015, Nursing ethics.

[40]  L. Philip,et al.  Striking a balance between in-person care and the use of eHealth to support the older rural population with chronic pain , 2015, International journal of qualitative studies on health and well-being.

[41]  Alison Bowes,et al.  Evidence of what works to support and sustain care at home for people with dementia: a literature review with a systematic approach , 2015, BMC Geriatrics.

[42]  M. Fowler Heritage ethics , 2016, Nursing ethics.

[43]  K. Moore,et al.  Facilitating the Sharing of Patient Information Between Health Care Providers , 2016 .

[44]  C. Fagerström,et al.  Befriending Everyday Life When Bringing Technology Into the Private Sphere , 2017, Qualitative health research.

[45]  S. Söderberg,et al.  The importance of ethical aspects when implementing eHealth services in healthcare , 2018 .