Landau R
Paul Baerwald School of Social Work, The Hebrew University of Jerusalem, Israel.
Soc Work Health Care. 2000;32(2):75-92. doi: 10.1300/j010v32n02_05.
Thirty-two hospital social workers, fourteen of them directors of social work services and eighteen direct practitioners, were interviewed about their perception of the factors influencing social workers' contribution to the resolution of ethical dilemmas in general hospitals in Israel. Findings revealed that while ethical decision-making in hospitals is an interdisciplinary process, social workers' contribution to the process is affected by rivalry between social workers and other members of the health team, personality differences, type of ward and the nature of the ethical dilemma. Participants of the study had quite a clear perception of their role and of the unique knowledge-base social work can offer, including knowledge of the individual and family life course, understanding and skills in coping with diseases, and systems thinking. In order to increase their influence in ethical decision-making, the hospital social workers felt they must put more effort into developing their relationships with the other professionals involved in ethical decision-making both by making themselves more indispensable and by making their contribution explicit through greater documentation of their activities. The findings also implied that in order to gain more power and be accepted as equal partners in multidisciplinary teams, hospital social workers should improve their communication skills when interacting with representatives of other heath care professions.
三十二位医院社会工作者接受了访谈，其中十四位是社会工作服务主任，十八位是直接从业者，访谈内容是关于他们对影响以色列综合医院社会工作者在解决伦理困境中贡献的因素的看法。研究结果显示，虽然医院中的伦理决策是一个跨学科过程，但社会工作者对这一过程的贡献受到社会工作者与医疗团队其他成员之间的竞争、性格差异、病房类型以及伦理困境的性质的影响。该研究的参与者对他们的角色以及社会工作所能提供的独特知识库有相当清晰的认识，包括个人和家庭生活历程的知识、应对疾病的理解和技能以及系统思维。为了增强他们在伦理决策中的影响力，医院社会工作者认为他们必须更加努力地发展与参与伦理决策的其他专业人员之间的关系，既要让自己变得更不可或缺，又要通过更详细地记录自己的活动来明确自己的贡献。研究结果还表明，为了在多学科团队中获得更多权力并被视为平等伙伴，医院社会工作者在与其他医疗保健专业代表互动时应提高沟通技巧。
