The identified ethical dilemmas in telenursing also occur in other forms of nursing. However, telenursing might be particularly sensitive to ethics. For example, respect for autonomy and obtaining informed consent might be difficult when a woman calls in for her spouse, respect for integrity might be difficult in both the information and the documentation process, and the balancing of giving the patient honest information with the ethical demand to avoid harm, are all examples of ethical dilemmas that telenurses handle in their daily work. Hence, ethical competence building and ethical discussions on a regularly basis are needed for telenurses.