Date of Conferral



Doctor of Nursing Practice (DNP)




Dr. Courtney Nyange


Improving the Ethical Use of E-health and EMR


Josephine Tafie

MS, Walden University

BS, Washington Adventist University

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

August 2020


The healthcare industry is experiencing ethical problems with the integration of new technological applications, such as e-health and electronic medical records (EMRs) in service delivery. Thus, the purpose of this capstone project was to conduct a systematic literature review to determine the best practices that are well suited to a large urban hospital, to ensure patients’ privacy with the continued use of e-health and EMRs. The aim is to solve a problem related to the breach of privacy and autonomy with the increased use of e-health and EMR. The significance of this project is premised on filling the knowledge gap among stakeholders, increasing professionalism in nursing practice, as well as creating social change. Utilitarian and Deontology theories provided a framework for the capstone project. Sources of evidence included twenty peer-reviewed journal articles published in the past five years between 2014 and 2019 that contained valid and closely related information on the problem under analysis. Key recommendations were formulated by coding, thematic analysis, and qualitative analysis using QDA miner software. These recommendations include having collaborative partnerships whereby multiple stakeholders will be engaged and involving experts in the evaluation of the system and implementation validity. The project has potential to improve patient-oriented care via professional wellbeing of stakeholders, its promotion of positive social change through transformation in behavior and interactions, and its potential to solve the existing challenges in nursing practice. Hence, the project is important in mirroring the mission of Walden University aimed at imparting positive social change. The nurses and other health care providers would benefit from this project by being able to understand the ethical ways of using e-health and EMR, thus solving any form of ethical dilemma.

Included in

Nursing Commons