However, some ethical conflicts arise in the complex work process, and nurses experience moral anguish when engaging in ethical dilemmas regarding patient care (Lewenson, 2015). The first moral issue is the privacy of personal health information when using information technology. The exchange of personal information across the networked system potentially threatens patient safety when confidential information is accessible to others without the patient's authorization. Inappropriate disclosure of private information is extremely harmful to patients and the reputation of healthcare.