Ethical Considerations Regarding Digital Health Services in Home-Based Palliative Care

被引:0
|
作者
Steindal, Simen A. [1 ,2 ]
Klarare, Anna [3 ,4 ]
Sorensen, Benedicte Strom [5 ,6 ]
Holmen, Heidi [7 ,8 ]
Nes, Andrea A. G. [5 ,9 ]
Winger, Anette [10 ]
Godskesen, Tove [11 ,12 ]
机构
[1] VID Specialized Univ, Inst Nursing, POB 184,Vinderen, N-0319 Oslo, Norway
[2] Lovisenberg Diaconal Univ Coll, Oslo, Norway
[3] Marie Cederschiold Univ, Dept Hlth Care Sci, Stockholm, Sweden
[4] Uppsala Univ, Dept Womens & Childrens Hlth, Healthcare Serv & E Hlth, Uppsala, Sweden
[5] Lovisenberg Diaconal Univ Coll, Oslo, Norway
[6] Diakonhjemmet Care, Oslo, Norway
[7] Oslo Metropolitan Univ, Dept Nursing & Hlth Promot, Oslo, Norway
[8] Oslo Univ Hosp, Intervent Ctr, Div Technol & Innovat, Oslo, Norway
[9] Univ Stavanger, Fac Hlth Sci, Dept Caring & Eth, Stavanger, Norway
[10] Oslo Metropolitan Univ, Dept Nursing & Hlth Promot, Oslo, Norway
[11] Nord Univ, Fac Nursing & Hlth Sci, Bodo, Norway
[12] Uppsala Univ, Ctr Res Ethics & Bioeth, Dept Publ Hlth & Caring Sci, Uppsala, Sweden
关键词
biomedical ethics concerns; digital health; e-health; home care; nursing; palliative care; principalism; secondary analysis; telehealth; TELEHEALTH;
D O I
10.1097/NJH.0000000000001072
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Historically, in-person contact between patients and nurses in home-based care has been pivotal in palliative care and hospice care. The provision of home-based palliative care services could be challenged by the projected increase in patients who need palliative care and by the expected shortage of nurses. Digital health services could constitute one measure for delivering high-quality palliative care, enabling patients to stay home. Nurses often follow up these patients remotely. Because digital health services are increasingly implemented in home-based palliative care, it is imperative that nurses consider the ethical concerns regarding such service delivery. Neglecting ethical concerns could result in unintended consequences for patients and nurses and inhibit care delivery. The aim of this article was to explore ethical concerns of digital health services in home-based palliative care through the lens of the 4 biomedical principles: autonomy, beneficence, nonmaleficence, and justice. This study utilized a bottom-up methodology conducting a subanalysis of the results of 2 previous reviews.
引用
收藏
页码:E1 / E9
页数:9
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