Bomba Patricia A, Morrissey Mary Beth, Leven David C
University of Rochester Medical Center, Rochester, NY, USA.
J Soc Work End Life Palliat Care. 2011;7(1):56-82. doi: 10.1080/15524256.2011.548047.
In this article, the authors review the development of the Medical Orders for Life-Sustaining Treatment (MOLST) Program and recent landmark legislation in New York State in the context of advance care planning and shared medical decision making at the end of life. Social workers are central health care professionals in working with patients, families, practitioners, health care agents, and surrogates in the health systems and in the communication and conflict resolution process that is integral to health care decision making. The critical importance of ethics and end-of-life training and education for social workers is also addressed. Data from a pilot study evaluating interdisciplinary ethics training on legal and ethical content in communication and conflict resolution skills in health care decision making are reported. Recommendations are made for research on education and training of social workers, and investigation of the role and influence of systems in shaping social work involvement in end-of-life and palliative care.
在本文中，作者回顾了维持生命治疗医嘱（MOLST）项目的发展历程以及纽约州近期具有里程碑意义的立法，这些均处于临终关怀规划以及共同医疗决策的背景之下。在卫生系统中，以及在对医疗决策至关重要的沟通与冲突解决过程中，社会工作者是与患者、家属、从业者、医疗代理人及替代决策者合作的核心医疗专业人员。文中还论述了伦理以及临终培训与教育对社会工作者的至关重要性。报告了一项试点研究的数据，该研究评估了关于医疗决策中沟通与冲突解决技能方面法律和伦理内容的跨学科伦理培训。文中针对社会工作者的教育培训研究，以及对影响社会工作者参与临终关怀和姑息治疗的系统的作用及影响的调查提出了建议。
