Kassberg Ann-Charlotte, Skär Lisa
Health and Medicine Care Organization, Municipality of Luleå, Luleå, Sweden.
Scand J Occup Ther. 2008 Dec;15(4):204-11. doi: 10.1080/11038120802087618.
The aim of this study was to describe Swedish occupational therapists' experiences of encountering ethical dilemmas in rehabilitation and strategies they used to handle the situations. Twelve occupational therapists who work with adults with developmental disabilities were interviewed using a semi-structured interview design. Data were analysed using qualitative content analysis. The results showed that ethical dilemmas were common in the occupational therapists' daily work within rehabilitation. Many situations that created ethical dilemmas were related to occupational therapists who worked with clients and their relatives, and other healthcare providers. The results showed further that occupational therapists found it difficult to make decisions and to optimize clients' participation in decision-making, to set limits and act professionally, and to best handle the situation for the client and avoid ethical dilemmas. This study indicates the importance of illustrating experiences of ethical dilemmas within occupational therapy praxis and the meaning of discussing ethical dilemmas with different healthcare providers to reach a divided view of the client in order to develop successful and healthy strategies that will optimize the rehabilitation of clients with developmental disabilities.
本研究的目的是描述瑞典职业治疗师在康复过程中遇到伦理困境的经历以及他们处理这些情况所采用的策略。采用半结构化访谈设计，对12名从事成年发育障碍患者工作的职业治疗师进行了访谈。运用定性内容分析法对数据进行了分析。结果表明，伦理困境在职业治疗师康复工作的日常中很常见。许多引发伦理困境的情况与职业治疗师与服务对象及其亲属以及其他医疗服务提供者的工作有关。结果还表明，职业治疗师发现难以做出决策并优化服务对象参与决策的程度，难以设定界限并专业行事，也难以最好地为服务对象处理情况并避免伦理困境。本研究表明，阐述职业治疗实践中伦理困境的经历以及与不同医疗服务提供者讨论伦理困境以达成对服务对象的共同看法，对于制定成功且有益的策略以优化发育障碍患者的康复而言具有重要意义。
