The Ethics of Sharing: Practitioner concerns about recording in shared health records, and how they should be resolved

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dc.contributor.advisor Jonas, M en
dc.contributor.advisor Wallis, K en
dc.contributor.author Cairns, Isobel en
dc.date.accessioned 2016-11-23T20:41:23Z en
dc.date.issued 2016 en
dc.identifier.uri http://hdl.handle.net/2292/31128 en
dc.description Full text is available to authenticated members of The University of Auckland only. en
dc.description.abstract Health information is sensitive, and some information – such as details of abuse or trauma, alcohol or drug dependence, sexual or mental health problems – is particularly sensitive. Recording this information in shared health records, where can be accessed by multiple health providers, might plausibly cause concerns for health practitioners. They may experience a tension between recording comprehensively and protecting the privacy of clients. This thesis addresses the concerns of practitioners about recording sensitive information in shared health records, and how they should be resolved. The research combines qualitative interviews with health social workers about their recording practices with philosophical reflection on the moral values that should guide recording and sharing. The tradition of pragmatism supports an approach that combines empirical research with ethical reasoning. Health social workers expressed that they recorded sensitive details if they were relevant to health. Recording should be accurate, distinguish between fact and opinion, and neutral or non-judgemental. It was important to participants that they recorded and shared information in a way that was predictable to clients. I argue that these principles are morally defensible and should be applied in a framework of professional virtue. The principles indicate that the record is ethically significant as a means by which future judgements are made about clients and their care, judgements that should be made appropriately. en
dc.publisher ResearchSpace@Auckland en
dc.relation.ispartof Masters Thesis - University of Auckland en
dc.relation.isreferencedby UoA en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights Restricted Item. Available to authenticated members of The University of Auckland. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri http://creativecommons.org/licenses/by-nc-sa/3.0/nz/ en
dc.title The Ethics of Sharing: Practitioner concerns about recording in shared health records, and how they should be resolved en
dc.type Thesis en
thesis.degree.discipline Public Health en
thesis.degree.grantor The University of Auckland en
thesis.degree.level Masters en
dc.rights.holder Copyright: The author en
pubs.elements-id 546971 en
pubs.record-created-at-source-date 2016-11-24 en


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