Responding to COVID-19: Privacy Implications of the Rapid Adoption of ICTs

COVID-19 increased reliance on information communication technologies (ICTs) as public and private organizations altered standard business operations to adhere to public health guidance. Across most sectors, technology deployment was swift, which left organizations with little opportunity to assess corresponding impacts. This chapter highlights various technologies implemented during the pandemic within four key sectors, government, education, healthcare, and employment, and the purpose these technologies serve. Social implications of the widespread use of these technologies are discussed, emphasizing privacy, trust, ethics, and potential effects on socially vulnerable populations. Through the Company Information Privacy Orientation (CIPO) privacy framework, this chapter also presents factors that public and private organizations should consider in emergency technology deployment. The chapter closes with research considerations to further understand the role of ethics, privacy, and trust in using ICTs, to facilitate core functions of life, which will continue after the pandemic ebbs away. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Digital systemic practices in Europe: A survey before the COVID-19 pandemic

Knowledge regarding digital practices in the field of systemic therapy is poor. A few surveys have been conducted in non-European countries investigating the provision of digitally based therapy, counselling, training, and supervision by systemic family and couple therapists (SCFTs). Thus, a survey aiming to investigate the use of information and communication technology (ICT) among European SCFTs was launched in 2017. A sample of 220 SCFTs was included in the survey. The majority were residents in Greece, France and Italy. Descriptive analysis compared SCFTs' digital practices and concerns from the above three countries with those from the rest of Europe. Results showed that 81.4 per cent of European SCFTs used ICT for clinical purposes and 47.7 per cent in training and supervision. Main concerns among European SCFTs related to the quality of therapeutic relationship, ethical and legal issues, and a lack of national and transnational regulation. (PsycInfo Database Record (c) 2023 APA, all rights reserved) Impact Statement ICT use and e-therapy increase access to mental health services and maintain therapeutic contact. Systemic individual therapy, supervision and training are workable online settings. Legislation regulating ICT use in therapy, supervision and training (e.g. General Data Protection Regulation) has to be respected. Training and continuous education in online practices enhance therapists' and clients' options, and ensure digital safeness and effective treatment. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Participatory Approach to Develop Evidence-Based Clinical Ethics Guidelines for the Care of COVID-19 Patients: A Mixed Method Study From Nepal.

During health emergencies such as the COVID-19 pandemic, healthcare workers face numerous ethical challenges while catering to the needs of patients in healthcare settings. Although the data recapitulating high-income countries ethics frameworks are available, the challenges faced by clinicians in resource-limited settings of low- and middle-income countries are not discussed widely due to a lack of baseline data or evidence. The Nepali healthcare system, which is chronically understaffed and underequipped, was severely affected by the COVID-19 pandemic in its capacity to manage health services and resources for needy patients, leading to ethical dilemmas and challenges during clinical practice. This study aimed to develop a standard guideline that would address syndemic ethical dilemmas during clinical care of COVID-19 patients who are unable to afford standard-of-care. A mixed method study was conducted between February and June of 2021 in 12 government designated COVID-19 treatment hospitals in central Nepal. The draft guideline was discussed among the key stakeholders in the pandemic response in Nepal. The major ethical dilemmas confronted by the study participants (50 healthcare professionals providing patient care at COVID-19 treatment hospitals) could be grouped into five major pillars of ethical clinical practice: rational allocation of medical resources, updated treatment protocols that guide clinical decisions, standard-of-care regardless of patient's economic status, effective communication among stakeholders for prompt patient care, and external factors such as political and bureaucratic interference affecting ethical practice. This living clinical ethics guideline, which has been developed based on the local evidence and case stories of frontline responders, is expected to inform the policymakers as well as the decision-makers positioned at the concerned government units. These ethics guidelines could be endorsed with revisions by the concerned regulatory authorities for the use during consequent waves of COVID-19 and other epidemics that may occur in the future. Other countries affected by the pandemic could conduct similar studies to explore ethical practices in the local clinical and public health context.

Public Policy and Administration in the Age of Donald Trump

Donald Trump's presidency produced a few legislative victories. Instead, as with his predecessors, the Trump presidency had to rely more on executive orders and other actions to move its agenda. But even this unilateral approach produced fewer results than his supporters hoped for or his detractors feared. This article will examine public policymaking and administration under the Trump Administration. It will argue that while the 2016 electoral victories for Republicans gave Donald Trump an enormous opportunity to move his political agenda, several factors prevented that from occurring. These factors include indecision on the part of the Trump presidency whether to move a policy agenda or cripple the administrative state;denial of personal responsibility for policies or actions, a failure to understand the constitutional underpinnings of American politics and policymaking, especially when it comes to administrative agency action;intra-party disputes;party polarization;ethical, legal, and impeachment issues;governmental inexperience;and an overall inability to appreciate the differences between the American presidency and business leadership. Overall, the article describes the political context of the Trump presidency and to explain how it, the structure of American government, and the overall indifference or failure of the Trump administration to understand how the government works rendered this presidency far less effective than it could have been. The lesson of the Trump presidency for the USA and other states is despite rhetoric and claims that outsiders or nontraditional leaders can affect governmental and policy change, they are often ineffectual or dangerous. © 2022 David Schultz, published by Sciendo 2022.

Ethical Characteristics of Research Proposals Related to COVID-19 Pandemic in Nepal: A Retrospective Review.

BACKGROUND: Public health emergency is vulnerable time where maintaining ethical principles is obligatory while doing research, on the other hand, it is the same time when breach in ethics is much likely whenever a researcher is unaware, unprepared or hastens to do research. The aim of this study was to assess ethical issues of the coronavirus disease 2019 (COVID-19) related research proposals submitted during the early stages of pandemic in Nepal. METHODS: Retrospective analysis of COVID-19 related research proposals and their informed consent document submitted to the ethical review board at Nepal Health Research Council was done for the study. The analysis was done as per the National Ethical Guidelines, Standard Operating Procedure for Health Research in Nepal and World Health Organization guidelines for infectious disease outbreak, 2016 under ethically relevant headings. Descriptive data were analyzed in SPSS v24. RESULTS: The major issues were observed in the informed consent documents where 55% were lacking principal investigator's contact information, 68% not having participant selection criteria, 70% without clear informed consent taking process, 57% without explanation of possible risks. Similarly, 68% of the interventional studies' consent form didn't mention possible adverse events and mitigation mechanisms. CONCLUSIONS: Most of the research proposals related to COVID-19 were devoid of major ethical elements which took longer time for receiving approval and eventually delayed the opportunity for evidence generation in critical time. More attention is needed to increase awareness and to develop capacity of researchers, reviewers, ethics committees and relevant stakeholders at the time of health emergencies.

COVID-19 infection rates in patients referred for psychiatric admission during a regional surge: The case for universal testing.

Some psychiatric hospitals have instituted mandatory COVID-19 testing for all patients referred for admission. Others have permitted patients to decline testing. Little is known about the rate of COVID-19 infection in acute psychiatric inpatients. Characterizing the proportion of infected patients who have an asymptomatic presentation will help inform policy regarding universal mandatory versus symptom-based or opt-out testing protocols. We determined the COVID-19 infection rate and frequency of asymptomatic presentation in 683 consecutively admitted patients during the surge in the New York City region between April 3rd, 2020 and June 8th, 2020. Among these psychiatric inpatients, there was a 9.8 % overall rate of COVID-19 infection. Of the COVID-19 infected patients, approximately 76.1 % (51/67) either had no COVID-19 symptoms or could not offer reliable history of symptoms at the time of admission. Had they not been identified by testing and triaged to a COVID-19 positive unit, they could have infected others, leading to institutional outbreak. These findings provide justification for psychiatric facilities to maintain universal mandatory testing policies, at least until community infection rates fall and remain at very low levels.