Csikai Ellen L
School of Social Work, University of Alabama, Box 870314, Tuscaloosa, AL 35487-0314, USA.
Health Soc Work. 2004 Feb;29(1):67-76. doi: 10.1093/hsw/29.1.67.
Ethical dilemmas are inherent in every health care setting. A sample of hospice social workers with no direct access to a hospice ethics committee (N = 110) was surveyed regarding ethical issues in hospice care, how the issues were managed, and the extent to which social workers participated in resolution of ethical dilemmas. Common issues discussed were the patients' medical condition, involvement of family, and family denial of terminal illness. Difficult cases were discussed most often in interdisciplinary team meetings. Social workers were most involved in traditional social work activities, such as providing knowledge of community resources and patients' psychosocial histories and promoting self-determination in policies.
伦理困境在每一个医疗环境中都根深蒂固。对110名无法直接接触临终关怀伦理委员会的临终关怀社会工作者进行了抽样调查，内容涉及临终关怀中的伦理问题、这些问题是如何处理的，以及社会工作者参与解决伦理困境的程度。讨论的常见问题包括患者的医疗状况、家属的参与情况以及家属对绝症的否认。疑难病例最常在跨学科团队会议上讨论。社会工作者最常参与传统的社会工作活动，比如提供社区资源和患者心理社会历史方面的知识，以及在政策方面促进自主决定。
