Position Paper
The use of cellphone text messaging is an innovative medium of intervention delivery in healthcare. In light of the revolution of the digital era and smartphones, texting has become common. A recent studied show that adolescents prefer to utilize texting to communicate over other communication methods. In the health care field there are few guidelines regarding how to navigate between clinical practice and texting. The guidelines that do exist regarding technology usually emphasizes on how clinicians should limit texting rather than promoting it. Specifically ethical concepts such as beneficence, nonmaleficence, and autonomy can direct the benefits and drawbacks of using texting. Text messaging can support patients and can prove
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At the time of their regular scheduled weekly appointment, the psychiatrist receives a text message from the patient stating: “My mom is late picking me up -SUS (See You Soon).” The psychiatrist is uneasy about communication via text, but feels there is little harm in replying: “No Problem. I’m here.” A week later, the psychiatrist receives another message from the patient: “ Lots to talk about but GTG (Got to Go).” The psychiatrist responds, but feels the need to re-establish the frame around texting. The psychiatrist needs to make a decision: Would it be in the best interest of her patients to expand the treatment frame around texting, or would it be better to communicate solely via telephone call? The potential benefits and risks of each option need to be carefully weighed. In doing so, the psychiatrist will need to consider several …show more content…
This leads to what are some of the potential risks of utilizing texting that include nonmaleficence. Upholding confidentiality is a clinician’s legal and ethical responsibility that must be uphold. Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) text messages are not covered because they are not encrypted. Unless utilizing system specific text messaging developed by a number organizations that allow for HIPAA protected communication to take place. Furthermore, the psychiatrist in the vignette decided to engage in texting as part of the patient treatment. However, the psychiatrist must contemplate the clinical risks and benefits that communicating via text messaging can have for a particular patient. How will the patient will react if the psychiatrist does not reply? There is no single correct guide to decide when text messaging with a patient is appropriate, instead a psychiatrist must utilize his or her own clinical and ethical discretion to decide what is in the best interest of the
To begin, it is evident today that teenagers love being connected with their friends and family all at the tip of their thumbs. They love texting. According to a study by Amanda Lenhart, 88 percent of teens use a cell phone or smart phone of which 90 percent of them use text message. An average teen sends 30 texts per day. (Lenhart) As shown in this study, teens have easy access to text messaging. In her Ted talks called “Texting That Save Lives” and “The Heartbreaking Text That Inspired a Crisis Help Line,” Nancy Lublin talks about how she received disturbing text messages from young people that mentions how they’re being bullied, wanting to commit suicide, cutting themselves, and being raped by their father. She was exceedingly emotional when receiving these texts. She felt like she had to do something about it. So, with her knowledge about teens and the power of texting, Nancy Lublin created something that would help save these young kids’ lives, the Crisis Text Line. (“Texting”)(“Heartbreaking”)
(2014, p. 14) due to poor communication it is one of the major problems in the medical field. This is a concern that has raised within the people working in the hospital and the common people. Poor communication has been shown an increase in death in hospitals. However, the common issue is delayed communication, which may lead to the lack of safety provided to the patients. In addition, Dekker (2016, p.44) states that the main problem in the communication systems in hospitals is among physicians. This is due to the ego among the professional people, this leads to the lack of care of the patients. This lack of communication blocks the advancement of the
Patients deserve the full attention of their doctor. (Wilkinson) One of the things that is distracting health care professionals from paying attention to their patients is technology. Physicians can get so caught up with filling out forms and answering calls that they aren’t giving enough time to their patient. (Britt) A harmless solution to this problem is just asking the person to wait a few minutes, so the doctor can finish up what they’re doing and then be able to devote their full attention to the patient. There needs to be a balance between giving someone very little time and wasting too much time on one person. That’s why doctors not only need to focus but also remain in control. Often patients will ramble on about their problem even after the doctor has figured out what’s wrong. For a case like that, every doctor should have something prepared to say in order to go treat other patients.
Today in the Twenty-First century we have surpassed many technological advancements and excelled far past what we would have ever thought. One of our greatest technological advancements is the thing we hold in our hands everyday, our cell phones. Sometimes we don't realize just how much our phones can distract us from our lives. As a generation glued to our phones us teenagers send an average of 3,339 texts per month. In Randy Cohen's essay, “When texting is wrong” he states how we are overcome by texting and how it damages our social and personal lives.
In our world there are many forms of communication and these devices are beginning to take a toll on our younger generations. In Jeffery Kluger’s article,” We Never Talk Anymore: The Problem with Text Messaging,” the idea that younger generations are becoming socially inept due to technology is discussed. As these younger generations consume texting as a main form of communication other important social skills deteriate.
Woolford, S., Blake, N., & Clark, S. (2013). Texting, Tweeting, and Talking: E-Communicating With Adolescents in Primary Care. Contemporary Pediatrics, NA, 12-18.
Communication involves the exchange of information between two or more people. Whether verbal or nonverbal, communication serves as the bridge that allows people to share ideas and thoughts. Clinical professionals converse with patients, relatives, and other professionals daily. Conversely, despite having multiple encounters with patients every day, physicians fail to enact the necessary communication and interpersonal skills to effectively listen, instill confidence, and promote following medical advice in patients.
A recent outbreak in teen texting is taking a toll on their daily lives. Many teenagers have cell phones. Their parents get them phones for their safety and well-being, but is that what teens really use them for? I for one know that I rarely call my parents or use my phone for important reasons. Most of the time, I’m scrolling through Instagram and snapchat, to keep up with everyone that I will see in less than a day. The editorial from The Jersey Journal, called Teens are going to extremes with texting, informs the common people of the statistics of teen texting. The editorials main argument is communicating the excessiveness of teen texting. The author develops this point through expert uses of word choice, but also extreme examples and statistics.
Time is valuable, and in today’s technology driven environment, many people prefer to receive a text rather than have to answer a call. It is more convenient, less intrusive, and allows them to respond immediately, or later when they can, no matter where they
Most of the drivers are likely to mix up driving and messaging from their cell phones while driving regardless of the laws standing on the issues, and danger posed to them. A majority of those drivers engaging in this act do not contemplate the possible detrimental effects from their actions. Research has indicated that texting while driving contributes to road accidents significantly. This situation is sufficiently bad to the extent that there are more accidents caused by messaging while driving than those caused by drunken driving (Fumento n.p.). From the foregoing statements, this essay seeks to support the laws, which outlaws texting while driving by highlighting how dangerous it is for drivers to massage while driving.
Personally, the idea that a provider must be available to all of their patients on a 24/7 basis is unrealistic. However, a backup call schedule, safety planning and emergency response planning should be considered in all practices. Shore, Hilty, & Yellowlees recommends detailed, individualized safety plans for those patients with chronic safety concerns which are developed and reviewed with the patient (2007). Guidelines for use of email with patients include: (1) not using email for urgent matters; (2) patient instructions for how email is used in the practice; (3) standard turnaround time for messages; (4) automatic reply for acknowledgement of email receipt; and (5) saving all emails to and from patients in their record, either through printing and placing or record or automatic storage in the EMR (Kane & Sands, 1998). By combining recommendations of literature reviewed in how to manage psychiatric emergencies such as suicidal crisis including the use of email through PHRs, such as MyChart, up front patient education with clear delineation of how to utilize the functionality of MyChart as well as safety planning are key. Documentation of that education along with that of the safety planning will be
Technology is a wonderful thing. It allows communication in an instance in any area across the world. However, because teens today use their devices to communicate more than anything, face to face human communication is becoming non-existent. According to the Office of Adolescent Health,
Street, Richard, MD. (1992). “Analyzing Communication in Medical Consultations: Do Behavioral Measures Correspond to Patient’s Perceptions?”. Medical Care, 30, 976 - 987
When nurses provide telecare services nationwide, they need to be aware of the each state licensure and regulations. Nurses need to be informed of the law pertaining to telecare where the patient is. The use of chat room is a new way telenursig is practicing, but nurses should be aware of the possible danger of conversing with patient online. It might lead to persecution for malpractice related to healthcare advice. Lorentz (2008) stated that “Telecare nurses are likely to use the telephone to provide information to patients. Telephonic communication highlights the ethical concern about patient autonomy and privacy (p. 241).” As part of ethical principles all patients have the right to make their own decision concerning their health. But if the tele nurse perceive that the person with whom she is talking does not have the mental capability to understand and to follow advice, as an ethical practice the nurse should document these findings and avoid situations where to influence the patient to make any decision regarding to his or her health condition. Patient privacy is very important. Nurses need to be sure they are talking with the right person and nobody else is listening to the conversation. Nurses are responsible for keeping their patients’ privacy secure at all times. In telenursing privacy and confidentiality are
To begin with, the most prominent function of the smartphone is for communication purposes. Communication is relayed in many forms; texting, calling or via social networking sites. Texting is the most common and quickest way of communication. Research conducted by Pew Internet and American Life Project indicates that 9 in 10 American smartphone users send and receive text (MarketingCharts, 2011). The text feature allows for delivery of information within a fast time frame, regardless of the receiver's location. On the other hand, even though this allows for a much faster way of communication with people, it also decreases the ability to use other, and much older ways of communication. According to a Huffington Post article, Cris Rowan, a therapist, argues that texting results in “no creativity, there’s no imagination, no self-initiation” (Bindley, 2011). However, texting and emailing is frequently seen as a downside as many studies indicate that they ...