Information systems in nurses' work: Technical rationality versus an ethic of care

Salminen‐Karlsson, Minna; Golay, Diane

doi:10.1111/ntwe.12231

Cited by 4 publications

(13 citation statements)

References 33 publications

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“…Reports excluded: (n=7) Reason: not in line with inclusion criteria. relationships [23,28,30,32,[36][37][38] (n = 7). The remaining four articles presented different aims.…”

Section: Identification Of Studies Via Databases and Registersmentioning

confidence: 99%

“…Drawing on actor-network theory, they showed how technologies are an integrated (f)actor in present-day care practices, whereas both Townsend [38] and MacDonald et al [32] demonstrated how technological tools bring out relational and care ethical aspects in everyday practices and situations. Salminen-Karlsson and Golay [37] explored how professional healthcare workers experience tensions between care rationality and technical rationality as ethical dilemmas.…”

Section: Ethics Of Care As An Integrated Theoretical Framework and An...mentioning

confidence: 99%

“…Several articles addressed relational shifts between patients and healthcare practitioners [29,32,37,38], for example, 'from a traditional hierarchical relationship to a more reciprocal relationship' [38, p. 7] or relationships characterised by 'collaborative care' [32]. Macdonald et al [32] claimed that eHealth technologies have accelerated patient-centred care philosophy, facilitating 'a relationship wherein the patient is a person who meaningfully participates in the process of his or her own treatment' (p. 9).…”

Section: Recognition Of New Relationships Between Patients and Health...mentioning

confidence: 99%

“…Salminen-Karlsson and Golay [37] studied the implementation of health information systems in a large university hospital in Sweden and found that it led to standardisation of care. Relationships with patients got less personal and were instead formed by predefined steps.…”

Section: Recognition Of New Relationships Between Patients and Health...mentioning

confidence: 99%

“…Six of the articles dealt explicitly with ethical challenges [23,29,31,35,37,38]. These challenges are not necessarily new, but they may appear differently in technologymediated care situations compared to face-to-face encounters [29].…”

Section: Recognition Of New Ethical Challenges With the Use Of Techno...mentioning

confidence: 99%

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Ethics of care in technology‐mediated healthcare practices: A scoping review

Ramvi

Hellstrand

Jensen

et al. 2023

Scandinavian Caring Sciences

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BackgroundIntroducing new technologies into healthcare practices may challenge professionals' traditional care cultures. The aim of this review was to map how the ‘ethics of care’ theoretical framework informs empirical studies of technology‐mediated healthcare.MethodA scoping review was performed using eight electronic databases: CINAHL with full text, Academic Search Premier, MEDLINE, the Philosopher's Index, SocINDEX with Full Text, SCOPUS, APA PsycInfo and Web of Science. This was followed by citation tracking, and articles were assessed against the inclusion criteria.ResultsOf the 443 initial articles, 18 met the criteria and were included. We found that nine of the articles used the concept of ‘ethics of care’ (herein used interchangeably with the terms ‘feminist ethics’ or ‘relational ethics’) insubstantially. The remaining nine articles deployed care ethics (or its equivalent) substantially as an integrated theoretical framework and analytical tool. We found that several articles suggested an expansion of ethics of care to encompass technologies as part of contemporary care. Furthermore, ethics of care contributed to the empirical research by recognising both new relationships between patients and healthcare professionals as well as new ethical challenges.ConclusionEthics of care is sparsely used as a theoretical framework in empirical studies of technology‐mediated healthcare practices. The use of ethics of care in technology‐mediated care brings new dilemmas, relational tensions and vulnerabilities to the foreground. For ethics of care to be used more explicit in empirical studies, it is important that it is recognised by research community as an adequate, universal ethical theory.

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“…Reports excluded: (n=7) Reason: not in line with inclusion criteria. relationships [23,28,30,32,[36][37][38] (n = 7). The remaining four articles presented different aims.…”

Section: Identification Of Studies Via Databases and Registersmentioning

confidence: 99%

Section: Ethics Of Care As An Integrated Theoretical Framework and An...mentioning

confidence: 99%

Section: Recognition Of New Relationships Between Patients and Health...mentioning

confidence: 99%

Section: Recognition Of New Relationships Between Patients and Health...mentioning

confidence: 99%

Section: Recognition Of New Ethical Challenges With the Use Of Techno...mentioning

confidence: 99%

See 3 more Smart Citations

Ethics of care in technology‐mediated healthcare practices: A scoping review

Ramvi

Hellstrand

Jensen

et al. 2023

Scandinavian Caring Sciences

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Care robot literacy: integrating AI ethics and technological literacy in contemporary healthcare

Turja,

Kork,

Ilomäki

et al. 2024

AI Ethics

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Healthcare work is guided by care ethics, and any technological changes, including the use of robots and artificial intelligence (AI), must comply with existing norms, values and work practices. By bridging technological literacy and AI ethics, this study provides a nuanced definition and an integrative conceptualization of care robot literacy (CRL) for contemporary care work. Robotized care tasks require new orientation and qualifications on the part of employees. CRL is considered as one of these new demands, which requires practitioners to have the resources, skills and understanding necessary to work with robots. This study builds on sociotechnical approach of literacy by highlighting a dynamic relationship of care robotization in which successful human–technology interaction relies on exchanges between the technological and the social. Our findings from directed content analysis and theoretical synthesis of in-demand technological literacy and AI ethics in care work emphasize competencies and situational awareness regarding both using the robot and communicating about the care robot. The initial conceptualization of CRL provides a conceptual framework for future studies, implementation and product development of care robots, drastically differing from studying, implementing and developing robots in general. In searching for technologically sound and ethically compliant solutions, the study advocates for the future significance of context-specific CRL as valuable addition to the terminology of ethical AI in healthcare.

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What fuels suboptimal care of peripheral intravenous catheter-related infections in hospitals? A qualitative study of decision-making among Spanish nurses

Blanco-Mavillard

Castro-Sánchez

Parra-García³

et al. 2022

Antimicrob Resist Infect Control

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Background Peripheral intravenous catheters (PIVC) are commonly used in hospital worldwide. However, PIVC are not exempt from complications. Catheter-related bloodstream infections (CRBSI) increase morbidity and mortality rates, and costs for the healthcare organization. PIVC care is shaped by the complex mix of professional and organizational culture, such as knowledge gaps, low perception of impact of PIVCs on patient safety, or lack of hospital guidelines. Aim To explore determinants of decision-making about the prevention of PIVC-BSI among nurses in Spanish hospitals. Methods We conducted a descriptive qualitative study with semi-structured interviews in three public hospitals, the Balearic Islands Health Care Service in Spain. We considered hospital ward nurses working routinely with inpatients at any of the three hospitals for enrolment in the study. We approached relevant informants to identify suitable participants who recruited other participants through a ‘snowball’ technique. Fourteen inpatient nurses from the hospital took part in this study between September and November 2018. We employed several triangulation strategies to underpin the methodological rigour of our analysis and conducted the member checking, showing the information and codes applied in the recording of the interviews to identify the coherence and any discrepancies of the discourse by participants. We used the COREQ checklist for this study. Findings We identified four major themes in the analysis related to determinants of care: The fog of decision-making in PIVC; The taskification of PIVC care; PIVC care is accepted to be suboptimal, yet irrelevant; and chasms between perceived determinants of poor PIVC care and its solutions. Conclusion The clinical management of PIVCs appear ambiguous, unclear, and fragmented, with no clear professional responsibility and no nurse leadership, causing a gap in preventing infections. Furthermore, the perception of low risk on PIVC care impact can cause a relevant lack of adherence to the best evidence and patient safety. Implementing facilitation strategies could improve the fidelity of the best available evidence regarding PIVC care and raise awareness among nurses of impact that excellence of care.

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Information systems in nurses' work: Technical rationality versus an ethic of care

Cited by 4 publications

References 33 publications

Ethics of care in technology‐mediated healthcare practices: A scoping review

Ethics of care in technology‐mediated healthcare practices: A scoping review

Care robot literacy: integrating AI ethics and technological literacy in contemporary healthcare

What fuels suboptimal care of peripheral intravenous catheter-related infections in hospitals? A qualitative study of decision-making among Spanish nurses

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