JC article
Simpson, R.L. (2006). Nursing informatics. Ethics and information technology: how nurses balance when integrity and trust are at stake. Nursing Administration Quarterly, 30(1), 82-87.
JC
Summary: The article starts with a very interesting statment- Patient care dilemma is "to do, not to do" while information technology poses a similar but different dilemma "to know or not to know." The author talks about how ethics is not a black or white deal but is rather up for discussion and interpretation. It discusses HIPAA and ANA Code of Ethics and how they play a role in ethics and informatics. Although electronic health record helps eliminate paper trails, electronic information has the potential to be widely dispersed. Simpson provides a list of ways ethics should shape information technology.
JC
Summary: The article starts with a very interesting statment- Patient care dilemma is "to do, not to do" while information technology poses a similar but different dilemma "to know or not to know." The author talks about how ethics is not a black or white deal but is rather up for discussion and interpretation. It discusses HIPAA and ANA Code of Ethics and how they play a role in ethics and informatics. Although electronic health record helps eliminate paper trails, electronic information has the potential to be widely dispersed. Simpson provides a list of ways ethics should shape information technology.
posted by UTArlington_N5308 at 9:17 AM
2 Comments:
Hmm, sometimes technology does allow to view more information about a person than ever. I wonder if this sometimes jades a provider's decision when treating a patient. Sometime when you see that a pt has a certain medical condition, you may want to assume that it is part of their problem today, and it is these assumptions that become distractions to finding the root cause of the problem.
JC,
To do nor not to do. For me the answer is very simple, if I do not have a need to know to do my job then I will not do. I am always careful not to access a medical record unless I need to. Many times I have to access a medical record that is identified as a patient who does not want anyone to access thier record "no pub". Even though I need to get some information from the chart for my job I am very careful to get in and out as quick as possible and not to look at anything unless I really need it.
I have to admit that I hear nurses talk about finding out whose relative is in the hospital and what they are in the hospital for. I always remind them they should not be accessing medical records and they could be fired for accessing medical records without a need to know to do their job.
Vickey,
You asked a very interesting question. At first thought I doubted anyone would judge or treat based on past history, but you are probably correct, people do judge from past behaviors.
debbie
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