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1.
J Anal Psychol ; 66(3): 484-505, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34231903

RESUMO

Given the contemporary situation of many analysts in the world now being forced to work online due to the effects of the COVID-19 pandemic, it is important to review the working online issue. Substantial debate over previous years has questioned whether a genuine analytic process can unfold through online work. This debate is reviewed with the conclusion that such a process is not necessarily precluded. Research outcomes are then reviewed to highlight those things that can facilitate positive outcomes when working online. These cover the 'online disinhibition effect', the therapeutic alliance, particular ways of using the screen, focussing on trauma, the importance of self-awareness, knowing the predictors of mental health, certain potential positives of isolation/quarantine and psychotherapy interventions that may be currently needed. Final recommendations and suggestions are then presented as in the diagnosis issue, professional development and guidelines to do with practical and ethical considerations.


Etant donnée la situation actuelle dans laquelle beaucoup d'analystes dans le monde sont maintenant obligés de travailler en ligne du fait des effets de la pandémie de COVID-19, il est important de revisiter le sujet du travail en ligne. Dans les dernières années, il y a eu un débat important sur la question de savoir si un authentique travail analytique pouvait se déployer dans le cadre d'un travail en ligne. Ce débat est revisité ici avec la conclusion qu'un tel processus n'est pas nécessairement rendu impossible. Les résultats de recherches sont alors étudiés afin de souligner les éléments qui peuvent faciliter des effets positifs quand on travaille en ligne. Cela recouvre 'l'effet de désinhibition du travail en ligne', l'alliance thérapeutique, les manières particulières d'utiliser l'écran, se concentrer sur le traumatisme, l'importance de la conscience de soi, la connaissance des indicateurs de santé mentale, certains aspects potentiellement positifs de l'isolation/la quarantaine et les interventions psychothérapeutiques qui peuvent alors être avisées. Des recommandations et des suggestions sont enfin présentées au sujet du diagnostic, de la formation continue et des consignes sur les considérations pratiques et éthiques.


Dada la situación contemporánea de muchos analistas en el mundo forzados en la actualidad a trabajar en línea debido a los efectos de la pandemia COVID-19, es importante revisar el tema del trabajo online. Durante los años previos, un debate sustancial ha cuestionado si un genuino proceso analítico puede llevarse a cabo a través del trabajo online. Este debate es revisado con la conclusión de que semejante proceso no está necesariamente impedido. Los resultados de la investigación son luego revisados para destacar aquellos elementos que pueden facilitar resultados positivos al trabajar online. Los mismos abarcan, 'el efecto online de desinhibición', la alianza terapéutica, los modos particulares de usar la pantalla, el focalizarse en el trauma, la importancia del autoconocimiento, el conocer los predictores en salud mental, ciertos potenciales positivos del aislamiento/cuarentena e intervenciones en psicoterapia que pueden ser necesarias en la actualidad. Se presentan recomendaciones finales y sugerencias, en el tema diagnóstico, desarrollo profesional y guías con consideraciones prácticas y éticas.


Assuntos
COVID-19 , Distanciamento Físico , Terapia Psicanalítica , Telecomunicações , Telemedicina , Aliança Terapêutica , Humanos , Terapia Psicanalítica/ética , Terapia Psicanalítica/normas , Telecomunicações/ética , Telecomunicações/normas , Telemedicina/ética , Telemedicina/normas
2.
Ann Am Thorac Soc ; 18(5): 838-847, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33181033

RESUMO

Rationale: During the coronavirus disease (COVID-19) pandemic, many intensive care units (ICUs) have shifted communication with patients' families toward chiefly telehealth methods (phone and video) to reduce COVID-19 transmission. Family and clinician perspectives about phone and video communication in the ICU during the COVID-19 pandemic are not yet well understood. Increased knowledge about clinicians' and families' experiences with telehealth may help to improve the quality of remote interactions with families during periods of hospital visitor restrictions during COVID-19.Objectives: To explore experiences, perspectives, and attitudes of family members and ICU clinicians about phone and video interactions during COVID-19 hospital visitor restrictions.Methods: We conducted a qualitative interviewing study with an intentional sample of 21 family members and 14 treating clinicians of cardiothoracic and neurologic ICU patients at an academic medical center in April 2020. Semistructured qualitative interviews were conducted with each participant. We used content analysis to develop a codebook and analyze interview transcripts. We specifically explored themes of effectiveness, benefits and limitations, communication strategies, and discordant perspectives between families and clinicians related to remote discussions.Results: Respondents viewed phone and video communication as somewhat effective but inferior to in-person communication. Both clinicians and families believed phone calls were useful for information sharing and brief updates, whereas video calls were preferable for aligning clinician and family perspectives. Clinicians and families expressed discordant views on multiple topics-for example, clinicians worried they were unsuccessful in conveying empathy remotely, whereas families believed empathy was conveyed successfully via phone and video. Communication strategies suggested by families and clinicians for remote interactions include identifying a family point person to receive updates, frequently checking family understanding, positioning the camera on video calls to help family see the patient and their clinical setting, and offering time for the family and patient to interact without clinicians participating.Conclusions: Telehealth communication between families and clinicians of ICU patients appears to be a somewhat effective alternative when in-person communication is not possible. Use of communication strategies specific to phone and video can improve clinician and family experiences with telehealth.


Assuntos
COVID-19 , Família/psicologia , Controle de Infecções/organização & administração , Unidades de Terapia Intensiva , Relações Profissional-Família/ética , Telecomunicações , Atitude do Pessoal de Saúde , COVID-19/epidemiologia , COVID-19/psicologia , COVID-19/terapia , Comunicação , Inteligência Emocional , Feminino , Humanos , Unidades de Terapia Intensiva/ética , Unidades de Terapia Intensiva/organização & administração , Masculino , Pessoa de Meia-Idade , Pennsylvania , Distanciamento Físico , Pesquisa Qualitativa , SARS-CoV-2 , Telecomunicações/ética , Telecomunicações/normas , Telemedicina
6.
Plast Reconstr Surg ; 141(2): 500-505, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29370003

RESUMO

BACKGROUND: With the advancement of technology, electronic communication has become an important mode of communication within plastic and reconstructive surgery. This can take the form of e-mail, text messaging, video conferencing, and social media, among others. There are currently no defined American Society of Plastic Surgeons guidelines for appropriate professional use of these technologies. METHODS: A search was performed on PubMed and the Cochrane database; terms included "telemedicine," "text messaging," "HIPAA," "metadata," "video conferencing," "photo sharing," "social media," "Facebook," "Twitter," and "Instagram." Initial screening of all identified articles was performed; the level of evidence, limitations, and recommendations were evaluated and articles were reviewed. RESULTS: A total of 654 articles were identified in the level I screening process; after more comprehensive review, 41 articles fit inclusion criteria: social networking, 12; telemedicine, 11; text messaging, 10; metadata, four; video conferencing, three; and Health Insurance Portability and Accountability Act, one. General themes were identified from these articles and guidelines proposed. CONCLUSION: Electronic communication can provide an efficient method of information exchange for professional purposes within plastic surgery but should be used thoughtfully and with all professional, legal, and ethical considerations.


Assuntos
Troca de Informação em Saúde/normas , Política de Saúde , Cirurgiões/normas , Cirurgia Plástica/normas , Telecomunicações/normas , Comunicação em Saúde/ética , Comunicação em Saúde/normas , Troca de Informação em Saúde/ética , Health Insurance Portability and Accountability Act , Humanos , Guias de Prática Clínica como Assunto , Cirurgiões/ética , Cirurgia Plástica/ética , Telecomunicações/ética , Estados Unidos
7.
Child Dev ; 89(1): 17-26, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-28478655

RESUMO

New technology poses new moral problems for children to consider. We examined whether children deem object tracking with a mobile GPS device to be a property right. In three experiments, 329 children (4-10 years) and adults were asked whether it is acceptable to track the location of either one's own or another person's possessions using a mobile GPS device. Young children, like adults, viewed object tracking as relatively more acceptable for owners than nonowners. However, whereas adults expressed negative evaluations of someone tracking another person's possessions, young children expressed positive evaluations of this behavior. These divergent moral judgments of digital tracking at different ages have profound implications for how concepts of digital privacy develop and for the digital security of children.


Assuntos
Desenvolvimento Infantil/fisiologia , Julgamento/fisiologia , Princípios Morais , Privacidade , Telecomunicações/ética , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Telecomunicações/tendências , Adulto Jovem
8.
Sci Eng Ethics ; 24(1): 333-334, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-28155092

RESUMO

The letter is highlighting a case of Business Ethics for Mobile Network Operators based on the recent news.


Assuntos
Telefone Celular/economia , Comércio , Ética nos Negócios , Indústrias/ética , Telecomunicações/ética , Humanos , Indústrias/economia , Telecomunicações/economia
9.
J Marital Fam Ther ; 43(4): 733-742, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28401577

RESUMO

Marriage and family therapists (MFTs) use ethical codes and state licensure laws/rules as guidelines for best clinical practice. It is important that professional codes reflect the potential exponential use of technology in therapy. However, current standards regarding technology use lack clarity. To explore this gap, a summative content analysis was conducted on state licensure laws/rules and professional ethical codes to find themes and subthemes among the many aspects of therapy in which technology can be utilized. Findings from the content analysis indicated that while there have been efforts by both state and professional organizations to incorporate guidance for technology use in therapy, a clear and comprehensive "roadmap" is still missing. Future scholarship is needed that develops clearer guidelines for therapists.


Assuntos
Redes de Comunicação de Computadores , Terapia Familiar , Terapia Conjugal , Telecomunicações , Redes de Comunicação de Computadores/ética , Redes de Comunicação de Computadores/legislação & jurisprudência , Redes de Comunicação de Computadores/normas , Terapia Familiar/ética , Terapia Familiar/legislação & jurisprudência , Terapia Familiar/métodos , Humanos , Terapia Conjugal/ética , Terapia Conjugal/legislação & jurisprudência , Terapia Conjugal/métodos , Telecomunicações/ética , Telecomunicações/legislação & jurisprudência , Telecomunicações/normas
10.
Sci Eng Ethics ; 23(3): 801-823, 2017 06.
Artigo em Inglês | MEDLINE | ID: mdl-27757826

RESUMO

The aim of this paper is to analyse teledildonics from a phenomenological perspective in order to show the possible effects they will have on ourselves and on our society. The new way of using digital technologies is to merge digital activities with our everyday praxes, and there are already devices which enable subjects to be digitally connected in every moment of their lives. Even the most intimate ones are becoming mediated by devices such as teledildonics which digitally provide a tactual stimulation allowing users to have sexual intercourse through them. The efforts made in order to provide such an intertwinement of our everyday lives and digital technologies are evident, but the effects produced by them are not clear at all. This paper will analyse these technologies from a phenomenological perspective in order to understand their effects on the constitution of the subjects and on our society at the intimate level.


Assuntos
Computadores/ética , Comportamento Sexual , Telecomunicações/instrumentação , Computadores/tendências , Humanos , Relações Interpessoais , Comportamento Sexual/psicologia , Telecomunicações/ética , Tato
12.
J Dent Educ ; 79(4): 432-8, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25838015

RESUMO

Photography and electronic media are indispensable tools for dental education and clinical practice. Although previous research has focused on privacy issues and general strategies to protect patient privacy when sharing clinical photographs for educational purposes, there are no published recommendations for developing a functional, privacy-compliant institutional framework for the capture, storage, transfer, and use of clinical photographs and other electronic media. The aims of this study were to research patient rights relating to electronic media and propose a framework for the use of patient media in education and clinical care. After a review of the relevant literature and consultation with the University of Washington's director of privacy and compliance and assistant attorney general, the researchers developed a privacy-compliant framework to ensure appropriate capture, storage, transfer, and use of clinical photography and electronic media. A four-part framework was created to guide the use of patient media that reflects considerations of patient autonomy and privacy, informed consent, capture and storage of media, and its transfer, use, and display. The best practices proposed for capture, storage, transfer, and use of clinical photographs and electronic media adhere to the health care code of ethics (based on patient autonomy, nonmaleficence, beneficence, justice, and veracity), which is most effectively upheld by a practical framework designed to protect patients and limit institutional liability. Educators have the opportunity and duty to convey these principles to students who will become the next generation of dentists, researchers, and educators.


Assuntos
Assistência Odontológica/ética , Educação em Odontologia/ética , Fotografia Dentária/ética , Materiais de Ensino , Telecomunicações/ética , Beneficência , Segurança Computacional/ética , Segurança Computacional/legislação & jurisprudência , Confidencialidade/ética , Confidencialidade/legislação & jurisprudência , Assistência Odontológica/legislação & jurisprudência , Educação em Odontologia/legislação & jurisprudência , Humanos , Armazenamento e Recuperação da Informação/ética , Armazenamento e Recuperação da Informação/legislação & jurisprudência , Sistemas de Informação/ética , Sistemas de Informação/legislação & jurisprudência , Consentimento Livre e Esclarecido/ética , Consentimento Livre e Esclarecido/legislação & jurisprudência , Responsabilidade Legal , Multimídia/ética , Multimídia/legislação & jurisprudência , Direitos do Paciente/ética , Direitos do Paciente/legislação & jurisprudência , Autonomia Pessoal , Justiça Social/ética , Justiça Social/legislação & jurisprudência , Telecomunicações/legislação & jurisprudência , Revelação da Verdade/ética
13.
Soc Work Health Care ; 53(9): 815-33, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25321931

RESUMO

Information and communication technologies (ICTs) are becoming essential to social work practice by providing increased treatment possibilities and reducing barriers to service. While recognizing the importance of ICTs in practice, social work practitioners have had concerns about ethical use. In response, NASW compiled the Standards for Technology and Social Work Practice. While the guidelines set the groundwork, they were not embedded in a process that would allow them to adapt to the swift pace of ICT changes. This article reviews the current Standards, evaluates how these have been implemented by practitioners, and offers suggestions for updates.


Assuntos
Relações Profissional-Paciente/ética , Mídias Sociais/ética , Serviço Social/ética , Telecomunicações/ética , Guias como Assunto , Humanos , Privacidade , Mídias Sociais/normas , Serviço Social/normas , Telecomunicações/normas , Telecomunicações/tendências
14.
Soc Work Health Care ; 53(9): 900-19, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25321936

RESUMO

The world that social work exists in is no longer defined by traditional physical settings and boundaries, such as schools, agencies, or even offices. With the advent of the Internet and digital communications, social work now exists in a far more complex reality, with clients and social workers engaging across multiple platforms, and sometimes even unintentionally and without one another's awareness. The implications of this can be ethical, practical, regulatory, and personal. This article explores these areas of concern and suggests strategies professionals can use to navigate these complex issues related to technology and clinical practice.


Assuntos
Competência Profissional/normas , Mídias Sociais/normas , Rede Social , Serviço Social/métodos , Telecomunicações/normas , Guias como Assunto , Humanos , Consentimento Livre e Esclarecido , Internet , Mídias Sociais/ética , Mídias Sociais/tendências , Serviço Social/ética , Serviço Social/tendências , Telecomunicações/ética , Telecomunicações/tendências , Telemedicina/ética , Telemedicina/métodos , Telemedicina/tendências
15.
Collegian ; 21(2): 127-33, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25109211

RESUMO

The increasing pervasiveness of the internet and social networking globally presents new opportunities and challenges for empirical social science researchers including those in nursing. Developments in computer-mediated communication are not static and there is potential for further advances and innovation in research methods embracing this technology. The aim of this paper is to present a reflexive account and critique of the use of social media as a means of data collection in a study that sought to explore the aesthetics of clinical leadership in contemporary nursing. In doing so, comparisons are drawn from using Twitter, Facebook and e-learning announcements as methods of recruitment and subsequent data collection via an online survey. The pragmatics of the internet and online social networks as vehicles for data collection are discussed. While questions remain about best practice to safeguard the scientific integrity of these approaches and the researchers and research participants who choose to participate, the potential exists for researchers to enhance and expand research methods without compromising rigour and validity. In the interests of sharpening thinking about this means of data collection dialogue and debate are needed on a range of research aspects including but not limited to pragmatics, new requirements in research training and development, legal and ethical guidelines and strengths and limitations encountered.


Assuntos
Coleta de Dados/métodos , Pesquisa em Enfermagem/métodos , Mídias Sociais/ética , Telecomunicações/ética , Atitude , Humanos , Liderança , Competência Profissional , Interface Usuário-Computador
16.
Stud Health Technol Inform ; 198: 55-62, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24825685

RESUMO

The advances in internet and mobile technologies and their increased use in healthcare led to the development of a new research field: health web science. Many research questions are addressed in that field, starting from analysing social-media data, to recruiting participants for clinical studies and monitoring the public health status. The information provided through this channel is unique in a sense that there is no other written source of experiences from patients and health carers. The increased usage and analysis of health web data poses questions on privacy, and ethics. Through a literature review, the current awareness on ethical issues in the context of public health monitoring and research using medical social media data is determined. Further, considerations on the topic were collected from members of the IMIA Social Media Working group.


Assuntos
Confidencialidade/ética , Registros Eletrônicos de Saúde/ética , Sistemas de Informação em Saúde/ética , Participação do Paciente , Mídias Sociais/ética , Telecomunicações/ética , Internacionalidade
17.
Fam Syst Health ; 31(1): 1-8, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23566122

RESUMO

This special issue discusses the ethical issues providers face in collaborative primary care settings. It is organized in three sections: (a) Common Themes, (b) Context-Specific Quandaries, and (c) Research and Training. It provides case examples to illustrate ethical dilemmas, describe professional ethical standards pertinent to the case, identifies gaps in available guidance and how guidelines might be elucidated in state statues (without going into detail about specific states), offers feasible recommendations to BHCs for deciding an ethical course when extant guidance was lacking, and then demonstrates and applies the recommendations to achieve an ethical resolution to the case example.


Assuntos
Medicina do Comportamento/ética , Confidencialidade/ética , Equipe de Assistência ao Paciente/ética , Assistência Centrada no Paciente/ética , Telecomunicações/ética , Medicina do Comportamento/organização & administração , Medicina do Comportamento/tendências , Confidencialidade/normas , Comportamento Cooperativo , Relações Familiares , Guias como Assunto , Humanos , Comunicação Interdisciplinar , Modelos Organizacionais , Equipe de Assistência ao Paciente/organização & administração , Assistência Centrada no Paciente/organização & administração , Assistência Centrada no Paciente/tendências , Relações Profissional-Família/ética , Relações Profissional-Paciente/ética , Telecomunicações/tendências
18.
Prehosp Disaster Med ; 24 Suppl 2: s206-9, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19806542

RESUMO

Information and communication technologies, especially in the forms of mobile telecommunications, satellite imaging, and geographical information systems, promise to significantly improve the practice of humanitarian relief. A working group convened at the Humanitarian Action Summit 2009, has begun investigating the challenges to implementing these technologies in field operations, keeping in mind the ethical considerations of linking people to place, and pledging to build a community of practice among academics, practitioners, and developers.


Assuntos
Sistemas de Informação Geográfica , Telecomunicações , Altruísmo , Sistemas de Informação Geográfica/ética , Humanos , Comunicações Via Satélite/ética , Software , Telecomunicações/ética
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