Tamm Maare
a From the Boden University College of Health Sciences , Boden , Sweden.
Scand J Occup Ther. 1996;3(4):180-187. doi: 10.1080/11038128.1996.11933205.
The purpose of the study was to investigate the ethical dilemmas community-based occupational therapists report encountering in home settings. Data was collected from 23 community-based occupational therapists, each of whom provided 1 or 2 narratives, including some ethical dilemmas associated with rehabilitation in home care settings (a total of 40 dilemmas.) The dilemmas were analysed by content analysis, a method of handling qualitative material. The analysis of each dilemma was based on the following questions: "What was the problem?" "Who were the actors?" "What kind of relationship existed between them?" and "What social frameworks or laws shaped their options?" The outcome of these analyses gave rise to six qualitative categories: Category 1. Ethics in home settings. Category 2. Provider-patient relationship. Category 3. Provider-family members relationship. Category 4. Rehabilitation professionals' inter-relationship. Category 5. Law and ethics. Category 6. Allocation of resources. This study, in which some of the ethical dilemmas investigated have been reported in the past and some are new (such as the home setting itself causing problems), showed that ethical problems are indeed likely to occur when rehabilitation takes place in home settings.
该研究的目的是调查社区职业治疗师报告的在家庭环境中遇到的伦理困境。数据收集自23名社区职业治疗师，每人提供1或2个案例描述，包括一些与家庭护理环境中的康复相关的伦理困境（共40个困境）。通过内容分析法对这些困境进行分析，内容分析法是一种处理定性材料的方法。对每个困境的分析基于以下问题：“问题是什么？”“行为主体是谁？”“他们之间存在何种关系？”以及“哪些社会框架或法律影响了他们的选择？”这些分析的结果产生了六个定性类别：类别1.家庭环境中的伦理。类别2.提供者-患者关系。类别3.提供者-家庭成员关系。类别4.康复专业人员之间的关系。类别5.法律与伦理。类别6.资源分配。这项研究表明，当在家庭环境中进行康复时，伦理问题确实有可能发生，其中一些被调查的伦理困境过去已有报道，一些则是新出现的（例如家庭环境本身引发的问题）。
