社群媒體應用與病人隱私的倫理衝突

本國法律條文對病人醫療隱私權清楚規範以具體展現對病人尊重的保障。醫療紀錄承載著病人隱私，具高度敏感的特殊私密性質，病人有維護病情不為外人所知的自主權。護理人員被賦予保護病人隱私及守密的義務，在醫療意見交流時須落實護理資訊素養內涵以保障病人權益。然未經當事者同意公開在網路社群媒體討論及分享案例、上傳或轉載病人影像揭露醫療訊息，導致網路倫理爭議案件日益增加。本文旨在陳述病人隱私權、資訊便利對隱私的侵犯、醫療隱私揭露的考量，最後分享護理資訊倫理素養培育教學策略建議，期能藉此提升護理人員使用社群媒體的倫理素質落實病人隱私維護。

關鍵字

醫療隱私權；自主權；社群媒體；守密；資訊素養；社群媒體

並列摘要

Legal provisions in Taiwan clearly define patients' medical privacy rights and are aimed at showing respect for patients. Medical records carry patient privacy, are highly sensitive in nature, and have a special place in privacy regulations. Patients have the autonomy to maintain their medical privacy not known to outsiders. Nurses are given the obligation to protect patients' privacy and confidentiality. Patients' privacy must be considered in the exchange of medical opinions. It has been shown that increasing numbers of online ethics disputes were due to discussion and sharing of cases in social media without the patient's consent, including uploading or reposting patient images to reveal medical information. Nursing information literacy education needs to cover issues related to medical privacy ethics in a social media context to protect patient rights. This article aims to state the privacy rights of patients, consider information convenience that facilitates a violation of privacy and medical privacy disclosure, and share the teaching strategies and suggestions for ethical literacy cultivation of nursing information. This report aims to improve the ethical quality of using social media in nursing and encourage implementation of patient privacy protection.

並列關鍵字

autonomy ； confidentiality ； information literacy ； medical privacy ； social media

參考文獻

李秋桂、林秋芬(2015)．比較住院病人對隱私權的重視與獲得程度之差異．護理研究，62(5)，61-71。http://doi.org/10.6224/jn.62.5.61

邱美裕、李亭亭(2011)．提升護理競爭力淺談護理系學生應具備之資訊素養．長庚護理，22 (3)，351-357。http://doi.org/10.6386/CGN.201109_22(3).0006

郝家琪、許麗齡(2008)．護理系學生資訊素養能力之自評及其相關影響因素之研究．實證護理，4 (2)，107-117。http://doi.org/10.6225/JEBN.4.2.107

翁慧娟、陳雪華、謝寶煖(2016)．護理資訊素養課程規劃與實施成效之研究．教育資料與圖書館學，53 (2)，139-170。http://doi.org/10.6120/JoEMLS.2016.532/0003.RS.CM

蔡甫昌、蔡玫芬(2017)．大數據與醫學研究之倫理觀點．台灣醫學，21 (1)，43-53。http://doi.org/10.6320/FJM.2017.21(1).6

主題瀏覽