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Examining how Ethics in Relation to Health Technology is Described in the Research Literature: Scoping Review
Halmstad University, School of Health and Welfare.ORCID iD: 0000-0003-2011-5027
College of Allied Health and Nursing , Minnesota State University , Mankato , MN , US.ORCID iD: 0000-0001-9487-8647
College of Allied Health and Nursing , Minnesota State University , Mankato , MN , US.ORCID iD: 0000-0003-4179-0910
College of Allied Health and Nursing , Minnesota State University , Mankato , MN , US.ORCID iD: 0000-0002-0462-9397
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2022 (English)In: Interactive Journal of Medical Research, E-ISSN 1929-073X, Vol. 11, no 2, p. 1-10, article id e38745Article, review/survey (Refereed) Published
Abstract [en]

Background:

Given the increased use of technology in health care, both in extent and application, the importance of understanding the ethical implications of new health technologies increases. Profound insight into the possible ethical implications of new health technologies enhances the research and development of such technologies and the likelihood of eventual successful implementation in clinical practice.

Objective:

This study aimed to gain an understanding of how and if researchers focused on health technologies describe the actual or possible ethical aspects of their research findings.

Methods:

An established framework for scoping reviews was used to guide the methodology. Studies published in PubMed over the last 10 years were included if they study or refer to ethics in relation to health technology as defined by established frameworks. In total, 14,532 articles were screened, 692 were retained for full-text evaluation, and 227 were included for data extraction.

Results:

In total, 250 (80.9%, N=309) studies were conducted in North America and Europe; literature review studies were dominant. Most studies (52.9%, 120/227) had no direct reference to any of the 4 basic ethical principles: beneficence, nonmaleficence, autonomy, and justice. In cases where studies referenced ethical theory, consequentialism dominated.

Conclusions:

When research about technology and ethics is published, the predominant focus is on its intent rather than its actual effect on patients. This lack of insight is problematic considering the vast advancement of technology in which ethics cannot keep up with understanding and offer insights on addressing ethical issues. This finding has implications for practice, research, and education.

Place, publisher, year, edition, pages
JMIR , 2022. Vol. 11, no 2, p. 1-10, article id e38745
Keywords [en]
ethics, ethical principles, ethical theory, health technology, eHealth, digital health, telehealth, mHealth, health care, scoping review
National Category
Medical Ethics
Identifiers
URN: urn:nbn:se:hh:diva-49918DOI: 10.2196/38745ISI: 000995875400025PubMedID: 35969434OAI: oai:DiVA.org:hh-49918DiVA, id: diva2:1734261
Available from: 2023-02-06 Created: 2023-02-06 Last updated: 2023-08-21Bibliographically approved

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Steerling, EmilieNygren, Jens M.

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Steerling, EmilieHouston, RebeccaGietzen, Luke JOgilvie, Sarah Jde Ruiter, Hans-PeterNygren, Jens M.
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