社会工作者道德困境的经验

Shannon Jaskela, J. Guichon, S. Page, I. Mitchell
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引用次数: 10

摘要

当医疗保健专业人员知道该做什么,但却被阻止这样做时,他们可能会遭受道德上的痛苦。尽管人们对护理中的道德困境进行了广泛的研究,但对于社会工作专业来说,这一直是一个被忽视的话题。本文对卫生保健社会工作者的道德痛苦经历进行了定性描述性研究,主要关注导致这种道德痛苦的情况。还介绍了道德困境的影响,这些社会工作者用来处理他们的经历的应对策略,以及“推动规则”的共同主题。最后,我们提出了参与者提出的建议,以帮助社会工作者减少道德痛苦的影响。通过遵循这些建议,社会工作者的道德痛苦体验可能会减少,这反过来又会对他们工作的组织和他们服务的患者产生积极影响。
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Social Workers’ Experience of Moral Distress
When health care professionals know the right thing to do, but are prevented from doing so, they can suffer from moral distress. Although moral distress in nursing has been studied extensively, it has been a neglected topic with regard to the social work profession. This paper presents findings of a qualitative descriptive study on health care social workers’ experiences of moral distress, focusing mainly on the situations that caused such moral distress. The effects of moral distress, the coping strategies these social workers used to deal with their experience and the common theme of “pushing the rules” are also presented. Finally, we offer recommendations, which were made by participants, to assist social workers with decreasing the effects of moral distress. By following these recommendations, social workers’ experience of moral distress may decrease which will, in turn, positively affect the organizations for which they work and the patients they serve.
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