Trappings of technology: casting palliative care nursing as legal relations

Nurs Inq. 2012 Dec;19(4):334-44. doi: 10.1111/j.1440-1800.2011.00568.x. Epub 2011 Aug 15.

Abstract

Community palliative care nurses in Perth have joined the throng of healthcare workers relying on personal digital assistants (PDAs) to store, access and send client information in 'real time'. This paper is guided by Heidegger's approach to technologies and Habermas' insights into the role of law in administering social welfare programs to reveal how new ethical and legal understandings regarding patient information add to nursing's professional responsibilities. This qualitative research interprets data from interviews with twenty community palliative care nurses about clients' legal rights to informational privacy and confidentiality. It explores nurses' views of their nursing responsibilities regarding clients' legal rights, liability issues, bureaucratic monitoring and enforcement procedures. It concludes that nurses and clients are construed as legal subjects entrenched in legal relations that have magnified since these nurses began using PDAs in 2005/2006.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Attitude to Computers*
  • Australia
  • Community Health Nursing*
  • Computers, Handheld*
  • Confidentiality / ethics*
  • Confidentiality / legislation & jurisprudence*
  • Female
  • Humans
  • Interviews as Topic
  • Liability, Legal
  • Middle Aged
  • Nurse-Patient Relations
  • Nursing Methodology Research
  • Palliative Care*
  • Qualitative Research