Nurses' understanding of ethical dimension of using Electronic Health Records (EHRs)
Nurisbaniah Haji Ismail1, Zarina Jahali2, Yusrita Zolkefli3.
Background: Electronic Health Records (EHRs) undoubtedly offer various advantages over the paperwork system. However, the utilisation of EHRs has been questioned, particularly among nurses, the leading users of EHRs among other healthcare professions. Objective: This study explored the nurses' understanding of the ethical aspects of using EHRs. Methods: A qualitative descriptive study design was applied in this study. Purposive sampling was employed to recruit ten nurses, which proved sufficient for data saturation. Semi-structured individual via phone interviews and face to face was conducted in August 2021 and audio recorded. A qualitative thematic analysis approach was utilised. Findings: Three key themes arose from the analysis: (1) Access to patient information, (2) Disclosure of patient information, (3) Maintaining ethical integrity. Conclusions: The study indicated that nurses have some degree of understanding about the ethical dimension of using EHRs. However, there are several implications to our study. The first issue is the appropriateness of EHR access to the health data of acquaintances and family. This is followed by the issue of nursing students' access to EHRs, where it is purportedly common practice for nurses to temporarily share their personal EHR login credentials. As a result, it highlights the need to focus on further deliberation and possible review of the existing ethical codes to include measures to preserve the integrity of health data.
Affiliation:
- Universiti Brunei Darussalam, Brunei
- Ministry of Health Brunei, Brunei
- Universiti Brunei Darussalam, Brunei
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