Kalantari Minoo, Kamali Mohammad, Joolaee Soodabeh, Rassafiani Mehdi, Shafarodi Narges
PhD Candidate in Occupational Therapy, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran;
Associate Professor, Department of Rehabilitation Management, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran;
J Med Ethics Hist Med. 2015 May 23;8:8. eCollection 2015.
Ethics are related to the structure and culture of the society. In addition to specialized ethics for every profession, individuals also hold their own personal beliefs and values. This study aimed to investigate Iranian occupational therapists' perception of ethical practice when working with children. For this purpose, qualitative content analysis was used and semi-structured interviews were conducted with ten occupational therapists in their convenient place and time. Each interview was transcribed and double-checked by the research team. Units of meaning were extracted from each transcription and then coded and categorized accordingly. The main categories of ethical practice when working with children included personal attributes, responsibility toward clients, and professional responsibility. Personal attributes included four subcategories: veracity, altruism, empathy, and competence. Responsibility toward clients consisted of six subcategories: equality, autonomy, respect for clients, confidentiality, beneficence, and non-maleficence. Professional responsibility included three subcategories: fidelity, development of professional knowledge, and promotion and growth of the profession. Findings of this study indicated that in Iran, occupational therapists' perception of autonomy, beneficence, non-maleficence, fidelity and competence is different from Western countries, which may be due to a lower knowledge of ethics and other factors such as culture. The results of this study may be used to develop ethical codes for Iranian occupational therapists both during training and on the job.
伦理与社会的结构和文化相关。除了每个职业的专门伦理外,个人也有自己的个人信仰和价值观。本研究旨在调查伊朗职业治疗师在与儿童合作时对道德实践的看法。为此,采用了定性内容分析法,并在方便的地点和时间对十位职业治疗师进行了半结构化访谈。每次访谈都进行了转录,并由研究团队进行了二次核对。从每次转录中提取意义单元,然后据此进行编码和分类。与儿童合作时道德实践的主要类别包括个人特质、对客户的责任和职业责任。个人特质包括四个子类别:诚实、利他主义、同理心和能力。对客户的责任包括六个子类别:平等、自主、尊重客户、保密、行善和不伤害。职业责任包括三个子类别:忠诚、专业知识的发展以及职业的推广和成长。本研究结果表明,在伊朗,职业治疗师对自主、行善、不伤害、忠诚和能力的看法与西方国家不同,这可能是由于伦理知识较低以及文化等其他因素所致。本研究结果可用于为伊朗职业治疗师在培训期间和工作中制定道德规范。