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dc.contributor.authorPezaro, Sen
dc.contributor.authorClyne, Wen
dc.contributor.authorGerada, Cen
dc.date.accessioned2020-09-15T09:10:42Z
dc.date.available2020-09-15T09:10:42Z
dc.date.issued2018-06en
dc.identifier.urihttp://hdl.handle.net/10026.1/16319
dc.description.abstract

BACKGROUND: Midwife health is intrinsically linked to the quality of safe patient care. To ensure safe patient care, there is a need to deliver emotional support to midwives. One option that midwives may turn to may be a confidential online intervention, instead of localised, face-to-face support. RESEARCH DESIGN: Following the Realist And MEta-narrative Evidence Syntheses: Evolving Standards publication standards, this realist synthesis approach explores the ethical considerations in permitting confidentiality, anonymity and amnesty in online interventions to support midwives in work-related psychological distress. An iterative search methodology was used to select nine papers for review. To assimilate information, papers were examined for ideas relating to ethical dimensions of online interventions to support midwives in work-related psychological distress. This review takes a narrative approach. FINDINGS: Online interventions can support the development of insight, help seeking and open discussion. Additionally, Internet support groups can become morally persuasive in nature. Anonymity and confidentiality are both effective and therapeutic features of online interventions when used in collaboration with effective online moderation. Yet, ethical dilemmas remain where users cannot be identified. DISCUSSION: Confidentiality and anonymity remain key components of successful online interventions. However, sanctioning the corollary component of amnesty may provoke moral discomfort for those seeking immediate accountability. For others, amnesty is seen as essential for open disclosure and help seeking. Ultimately, the needs of midwives must be balanced with the requirement to protect the public and the professional reputation of midwifery. CONCLUSION: In supporting midwives online, the principles of anonymity, confidentiality and amnesty may evoke some resistance on ethical grounds. However, without offering identity protection, it may not be possible to create effective online support services for midwives. The authors of this article argue that the principles of confidentiality, anonymity and amnesty should be upheld in the pursuit of the greatest benefit for the greatest number of people.

en
dc.format.extent481 - 504en
dc.languageengen
dc.language.isoengen
dc.subjectHealth workforceen
dc.subjectInterneten
dc.subjectethicsen
dc.subjectinterventionen
dc.subjectmidwivesen
dc.subjectoccupationalen
dc.subjectpsychological distressen
dc.subjectstressen
dc.subjectConfidentialityen
dc.subjectEthics, Nursingen
dc.subjectHelp-Seeking Behavioren
dc.subjectHumansen
dc.subjectInterneten
dc.subjectMidwiferyen
dc.subjectSocial Supporten
dc.subjectStress, Psychologicalen
dc.titleConfidentiality, anonymity and amnesty for midwives in distress seeking online support - Ethical?en
dc.typeJournal Article
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/27377890en
plymouth.issue4en
plymouth.volume25en
plymouth.publication-statusPublisheden
plymouth.journalNurs Ethicsen
dc.identifier.doi10.1177/0969733016654315en
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEnglanden
dc.identifier.eissn1477-0989en
dc.rights.embargoperiodNot knownen
rioxxterms.versionofrecord10.1177/0969733016654315en
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.typeJournal Article/Reviewen


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