Walsh-Bowers Richard, Rossiter Amy, Prilleltensky Isaac
Ethics Behav. 1996;6(4):321-35. doi: 10.1207/s15327019eb0604_3.
Understanding the social context of clinical ethics is vital for making ethical discourse central in professional practice and for preventing harm. In this paper, we present findings about clinical ethics from in-depth interviews and consultation with 7 members of a hospital social work department. Workers gave different accounts of ethical dilemmas and resources for ethical decision making than did their managers, whereas workers and managers agreed on core-guiding ethical principles and on ideal situations for ethical discourse. We discuss the research team's initial interpretations, the relevance of the extant ethics literature to organizational structures and dynamics, and alternative perspectives on clinical ethics.
理解临床伦理的社会背景对于使伦理话语成为专业实践的核心以及预防伤害至关重要。在本文中，我们展示了通过对一家医院社会工作部门的7名成员进行深入访谈和咨询而得出的有关临床伦理的研究结果。与管理人员相比，工作人员对伦理困境和伦理决策资源的描述有所不同，而工作人员和管理人员在核心指导伦理原则以及伦理话语的理想情境方面达成了一致。我们讨论了研究团队的初步解读、现有伦理文献与组织结构及动态的相关性，以及关于临床伦理的不同观点。
