scholarly journals Applying ethical principles in telehealth practice: a systemic literature review (Preprint)

2020 ◽  
Author(s):  
Amanda Jane Keenan ◽  
George Tsourtos ◽  
Jennifer Tieman
Keyword(s):  
Literature Review ◽  
Patient Experience ◽  
Ethical Issues ◽  
Clinical Care ◽  
Codes Of Conduct ◽  
Ethical Principles ◽  
Patient Relationship ◽  
Professional Patient Relationship ◽  
Use Of Technology ◽  
Improve Patient

BACKGROUND We undertook a systemic literature review to provide a critical overview of existing research into the incorporation of ethical principles into telehealth practice. As the use of technology to deliver health services is increasing rapidly, these initiatives may fail if ethical impacts are not fully identified and acted upon by practitioners. Our objective was to explore how, in providing telehealth services to patients, applying ethical principles can improve patient experience, clinical care and effectiveness in practice, compared to not doing so. OBJECTIVE Our objective was to explore how, in providing telehealth services to patients, applying ethical principles can improve patient experience, clinical care and effectiveness in practice, compared to not doing so. METHODS The framework for the principles of health ethics applied by the researchers is provided by Beauchamp and Childress: autonomy, justice, beneficence, non-maleficent and the professional-patient relationship. Six databases of systematic reviews were searched between March 2016 to May 2016. A combination of broad terms (“ethics, ethical, health and care”) with the restrictive terms of “telehealth and telemedicine” was used in keyword searches. RESULTS Of the 39 papers that identified or discussed ethical principles that were included at the analysis stage autonomy presented the highest risk (72%), followed by the professional-patient relationship (41%), non-maleficence (36%), beneficence (33%), and justice (33%). CONCLUSIONS While a small number of studies identify ethical issues associated with telehealth practice and discussed their potential impact on service quality and effectiveness, there is limited research on how ethical principles are incorporated in clinical practice. Several studies proposed frameworks, codes of conduct, or guidelines, but there is little discussion or evidence of how these recommendations are being used to improve ethical telehealth practice.

scholarly journals Real-world ethics in palliative care: A systematic review of the ethical challenges reported by specialist palliative care practitioners in their clinical practice

2020 ◽  
pp. 026921632097427
Author(s):  
Guy Schofield ◽  
Mariana Dittborn ◽  
Richard Huxtable ◽  
Emer Brangan ◽  
Lucy Ellen Selman
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Clinical Practice ◽  
Ethical Issues ◽  
Clinical Care ◽  
Ethical Principles ◽  
Original Research ◽  
Specialist Palliative Care ◽  
Ethical Challenges ◽  
Ethical Practice

Background: Ethical issues arise daily in the delivery of palliative care. Despite much (largely theoretical) literature, evidence from specialist palliative care practitioners about day-to-day ethical challenges has not previously been synthesised. This evidence is crucial to inform education and adequately support staff. Aim: To synthesise the evidence regarding the ethical challenges which specialist palliative care practitioners encounter during clinical practice. Design: Systematic review with narrative synthesis (PROSPERO registration CRD42018105365). Quality was dual-assessed using the Mixed-Methods Appraisal Tool. Tabulation, textural description, concept mapping and thematic synthesis were used to develop and present the narrative. Data sources: Seven databases (MEDLINE, Philosopher’s Index, EMBASE, PsycINFO, LILACS, Web of Science and CINAHL) were searched from inception to December 2019 without language limits. Eligible papers reported original research using inductive methods to describe practitioner-reported ethical challenges. Results: A total of 8074 records were screened. Thirteen studies from nine countries were included. Challenges were organised into six themes: application of ethical principles; delivering clinical care; working with families; engaging with institutional structures and values; navigating societal values and expectations; philosophy of palliative care. Challenges related to specific scenarios/contexts rather than the application of general ethical principles, and occurred at all levels (bedside, institution, society, policy). Conclusion: Palliative care practitioners encounter a broad range of contextual ethical challenges, many of which are not represented in palliative care ethics training resources, for example, navigating institutional policies, resource allocation and inter-professional conflict. Findings have implications for supporting ethical practice and training practitioners. The lack of low- and middle- income country data needs addressing.

Telehealth: technological, legal, and ethical issues

2021 ◽  
pp. 169-178
Author(s):  
Angelina Ivanova ◽  
Keyword(s):  
Public Health ◽  
Healthcare Professionals ◽  
Ethical Issues ◽  
Clinical Care ◽  
Legal Issues ◽  
Health Interventions ◽  
Patient Relationship ◽  
Public Health Interventions ◽  
Ethical And Legal Issues ◽  
Legal And Ethical Issues

The use of telehealth is an increasingly common avenue for providing clinical care, performing research and conducting public health interventions. However, with the growth of telecommunication technologies, healthcare professionals have encountered an emerging new set of ethical and legal issues relating to the doctor-patient relationship, standarts, privacy, cost and liability. This article explores the main benefits and challenges that come with growth of telehealth.

scholarly journals RESPONSABILIDADE PROFISSIONAL E DOCUMENTAÇÃO ODONTOLÓGICA – REVISÃO DE LITERATURA

2017 ◽  
Vol 8 (1) ◽  
pp. 19
Author(s):  
Salen Marchesi De Almeida ◽  
Fábio Delwing ◽  
Maria da Penha Siqueira Assis ◽  
Frederico Mamede Santos Furtado ◽  
Juliana Aires Paiva de Azevedo
Keyword(s):  
Literature Review ◽  
Medical Record ◽  
Legal Aspect ◽  
Professional Responsibility ◽  
Patient Relationship ◽  
Professional Performance ◽  
Professional Patient Relationship ◽  
Scientific Papers ◽  
Information And Communication ◽  
Work Done

Introduction: In the practice of dentistry, the dentist may be held responsible for their actions or omissions that result in damage to their patients. Such responsibility may occur in the ethical, civil and criminal spheres, among others. Over the years, the society and the professional-patient relationship have changed supported by current legislations, as well as increased information and communication. So, we have witnessed an increasing number of disputes in court involving dentists and theirs patients, which reveals the importance of professionals to know the regulations in the practice of dentistry and the consequences of the illegal act. Objective: The present study aimed to provide knowledge, through a literature review, on the legal aspect of professional responsibility of the dental surgeon and to highlight the importance of dental documentation as a means of proving professional performance. Methods: It was used books, theses and scientific papers published in electronic databases such as SciELO, Bireme, MedLine and Lilacs, in Portuguese language, besides laws and regulations published in official electronic addresses. Conclusions: It was concluded that an adequate medical record protects the professional; as documentation fails, compromises all work done and may result in condemnation.

Emerging Ethical Issues in Police and Public Safety Psychology

2021 ◽  
pp. 1534-1554
Author(s):  
Jeni L. McCutcheon
Keyword(s):  
Real World ◽  
Public Safety ◽  
Ethical Issues ◽  
Ethical Dilemmas ◽  
American Psychological Association ◽  
Codes Of Conduct ◽  
Ethical Principles ◽  
American Psychological ◽  
Principles And Standards

This chapter presents commonly experienced ethical dilemmas among police and public safety psychologists. Real-world, relevant examples are offered with an emphasis on emerging ethical issues. Related American Psychological Association (APA) ethical principles and standards for psychologists and codes of conduct are highlighted. The possibility that ethical dilemmas go unrecognized due to a focus on mandatory rather than aspirational ethics is considered. Solutions for resolving ethical dilemmas are presented.

Emerging Ethical Issues in Police and Public Safety Psychology

2017 ◽  
pp. 314-334 ◽  
Author(s):  
Jeni L. McCutcheon
Keyword(s):  
Real World ◽  
Public Safety ◽  
Ethical Issues ◽  
Ethical Dilemmas ◽  
American Psychological Association ◽  
Codes Of Conduct ◽  
Ethical Principles ◽  
American Psychological ◽  
Principles And Standards

This chapter presents commonly experienced ethical dilemmas among police and public safety psychologists. Real-world, relevant examples are offered with an emphasis on emerging ethical issues. Related American Psychological Association (APA) ethical principles and standards for psychologists and codes of conduct are highlighted. The possibility that ethical dilemmas go unrecognized due to a focus on mandatory rather than aspirational ethics is considered. Solutions for resolving ethical dilemmas are presented.

scholarly journals New trends in codes of ethics: Czech business ethics preferences by the dawn of COVID-19

2021 ◽  
Vol 12 (4) ◽  
pp. 973-1009
Author(s):  
Radka MacGregor Pelikánová ◽  
Robert Kenyon MacGregor ◽  
Martin Černek
Keyword(s):  
Literature Review ◽  
Human Nature ◽  
Meta Analysis ◽  
Codes Of Conduct ◽  
Value Added ◽  
Codes Of Ethics ◽  
Moral Values ◽  
Ethical Principles ◽  
Multi Stakeholder

Research background: The morality and sustainability depend upon the active engagement of all stakeholders. Businesses might have to observe minimum standards via their corporate social responsibility (CSR), but this does not imply any mandatory and enforceable requirements for their internal documents. Crises such as the COVID-19 pandemic magnify differences and might impact the perception and commitment to ethics and modify preferences. Purpose of the article: Since it is up to each and every business whether it will issue Codes of Ethics or Codes of Conduct (Codes) and how they will project ethical principles, values and concerns in them, it is both illuminative and instrumental to conduct a massive theoretical and literature review, to identify five aspects for exploration of  Codes: (i) human nature (ii) moral values (iii) ethical principles, (iv) reasoning and (v) sustainability pillars, and to perform such an exploration via a case study at the dawn of the COVID-19 pandemic. Methods: Based on a massive theoretical and literature review, five aspects for exploration have been identified and employed in a case study involving twenty Codes of the largest Czech businesses, while focusing on their preferences. This is to be achieved by a holistic advanced content analysis employing meta-analysis and manual Delphi method with Likert scoring by a panel of experts. Findings & value added: The case study reveals that generally Codes prefer (i) Socrates´ perception of human nature, (ii) respect and responsibility as moral values, (iii) the principle of solidarity, (iv) social contract and deontological reasoning and (v) the sustainability social pillar. These findings demonstrate discrepancies and inconsistencies between and also within  these Codes, which often paternalistically reject the multi-stakeholder approach that is needed to overcome COVID-19. This litigates for the appropriateness of this new methodology and encourages further longitudinal case studies entailing more jurisdictions and industries.

Confronting the grey zone after severe brain injury

2019 ◽  
Vol 3 (6) ◽  
pp. 707-711 ◽  
Author(s):  
Andrew Peterson ◽  
Adrian M. Owen
Keyword(s):  
Brain Injury ◽  
Ethical Issues ◽  
Vegetative State ◽  
Clinical Care ◽  
Grey Zone ◽  
Severe Brain Injury ◽  
New Methods ◽  
Legal Decision Making ◽  
Technological Developments ◽  
The Brain

In recent years, rapid technological developments in the field of neuroimaging have provided several new methods for revealing thoughts, actions and intentions based solely on the pattern of activity that is observed in the brain. In specialized centres, these methods are now being employed routinely to assess residual cognition, detect consciousness and even communicate with some behaviorally non-responsive patients who clinically appear to be comatose or in a vegetative state. In this article, we consider some of the ethical issues raised by these developments and the profound implications they have for clinical care, diagnosis, prognosis and medical-legal decision-making after severe brain injury.

scholarly journals Patient Experience in Home Respiratory Therapies: Where We Are and Where to Go

2019 ◽  
Vol 8 (4) ◽  
pp. 555 ◽  
Author(s):  
Cátia Caneiras ◽  
Cristina Jácome ◽  
Sagrario Mayoralas-Alises ◽  
José Ramon Calvo ◽  
João Almeida Fonseca ◽  
...  
Keyword(s):  
Clinical Research ◽  
Patient Experience ◽  
Clinical Care ◽  
Research Priorities ◽  
Specific Patient ◽  
Quality Healthcare ◽  
Body Of Knowledge ◽  
Number Of Patients ◽  
Patient Reported ◽  
System Sustainability

The increasing number of patients receiving home respiratory therapy (HRT) is imposing a major impact on routine clinical care and healthcare system sustainability. The current challenge is to continue to guarantee access to HRT while maintaining the quality of care. The patient experience is a cornerstone of high-quality healthcare and an emergent area of clinical research. This review approaches the assessment of the patient experience in the context of HRT while highlighting the European contribution to this body of knowledge. This review demonstrates that research in this area is still limited, with no example of a prescription model that incorporates the patient experience as an outcome and no specific patient-reported experience measures (PREMs) available. This work also shows that Europe is leading the research on HRT provision. The development of a specific PREM and the integration of PREMs into the assessment of prescription models should be clinical research priorities in the next several years.

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