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护理与关怀期刊中的技术及其伦理:一项综合文献综述。

Technology and its ethics in nursing and caring journals: An integrative literature review.

作者信息

Korhonen Eila-Sisko, Nordman Tina, Eriksson Katie

机构信息

Åbo Akademi University, Finland; Helsinki Metropolia University of Applied Sciences, Finland

Åbo Akademi University, Finland.

出版信息

Nurs Ethics. 2015 Aug;22(5):561-76. doi: 10.1177/0969733014549881. Epub 2014 Oct 20.

Abstract

BACKGROUND

Over the past 20 years, the impact of technology has increased significantly in health care. The diversity of technology is growing and its knowledge scattered. The concept of technology is ambiguous in caring and nursing sciences and its ethics remains unidentified.

AIM

To find evidence on how the concept of technology and its ethics are defined in caring and nursing sciences and practice. The purpose of this study is to describe and summarize the concept of technology and its ethics in the past nursing and caring literature.

METHOD

The integrative literature review of the past nursing and caring literature. The data were collected from caring and nursing journal articles from 2000 to 2013 focusing on technology and its ethics.The results were summarized and themed.

RESULTS

Technology as a concept has three implications. First, technology is devices and products, including ICT and advanced, simple and assistive technology. Second, technology refers to a process consisting of methods for helping people. Third, technology as a service indicates the production of care by technology. The ethics of technology has not been established as a guiding principle. Some studies excluded ethical reflection completely. Many studies discussed the ethics of technology as benefits such as improved communication and symptoms management, and the simple use of e-health services whilst others remained critical presenting ethical problems such as unwillingness and the inability to use technology, or conflicts with human aspects or questions of inequality.

CONCLUSION

In conclusion, this study indicates that technology as a concept is described diversely. The relation between technology and ethics is not a truism. Despite some evidence, more is needed to promote ethical care when using technology.

摘要

背景

在过去20年中,技术在医疗保健领域的影响显著增加。技术的多样性不断增长,其知识也较为分散。在护理科学中,技术的概念模糊不清,其伦理问题仍未得到明确界定。

目的

寻找关于护理科学及实践中如何定义技术概念及其伦理的证据。本研究的目的是描述和总结过往护理及关怀文献中技术及其伦理的概念。

方法

对过往护理及关怀文献进行综合文献综述。数据收集自2000年至2013年关注技术及其伦理的护理及关怀期刊文章。对结果进行总结并确定主题。

结果

技术作为一个概念有三层含义。首先,技术是设备和产品,包括信息通信技术以及先进、简单和辅助技术。其次,技术指的是一个由帮助人们的方法组成的过程。第三,技术作为一种服务意味着通过技术提供护理。技术伦理尚未确立为一项指导原则。一些研究完全排除了伦理思考。许多研究将技术伦理讨论为诸如改善沟通和症状管理等益处,以及电子健康服务的简单使用,而其他研究则仍然持批评态度,提出诸如不愿意和无法使用技术、与人文方面的冲突或不平等问题等伦理问题。

结论

总之,本研究表明技术作为一个概念有多种描述。技术与伦理之间的关系并非不言而喻。尽管有一些证据,但在使用技术时促进符合伦理的护理还需要更多努力。

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