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Administrative (in)Visibility of Patient Structural Vulnerability and the Hierarchy of Moral Distress among Health Care Staff.患者结构性脆弱性的行政(不)可见性和医护人员道德困境的等级。
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Moral distress as experienced by hospital social workers in South Korea and Australia.韩国和澳大利亚医院社会工作者所经历的道德困扰。
Soc Work Health Care. 2017 Sep;56(8):667-685. doi: 10.1080/00981389.2017.1347596. Epub 2017 Jul 19.
3
What Moral Distress in Nursing History Could Suggest about the Future of Health Care.护理史中的道德困境对医疗保健未来的启示
AMA J Ethics. 2017 Jun 1;19(6):617-628. doi: 10.1001/journalofethics.2017.19.6.mhst1-1706.
4
Grand Challenges for Social Work: Research, Practice, and Education.
Soc Work Res. 2016 Jun;40(2):67-70. doi: 10.1093/swr/svw007. Epub 2016 Apr 20.
5
Reducing moral distress in case managers.减轻个案管理员的道德困扰。
Prof Case Manag. 2014 Jul-Aug;19(4):173-86; quiz 187-8. doi: 10.1097/NCM.0000000000000039.
6
The Patient Protection and Affordable Care Act, public health, and the elusive target of human rights.《患者保护与平价医疗法案》、公共卫生与难以捉摸的人权目标
J Law Med Ethics. 2011 Fall;39(3):340-54. doi: 10.1111/j.1748-720X.2011.00604.x.

侵犯健康作为一项人权与道德困境:对社会工作实践与教育的思考

Violations of Health as a Human Right and Moral Distress: Considerations for Social Work Practice and Education.

作者信息

Bernhardt Christina, Forgetta Shayna, Sualp Kenan

机构信息

University of Central Florida, 12805 Pegasus Drive, HPA1 Orlando, FL 32816 USA.

出版信息

J Hum Rights Soc Work. 2021;6(1):91-96. doi: 10.1007/s41134-020-00150-0. Epub 2020 Nov 17.

DOI:10.1007/s41134-020-00150-0
PMID:33225046
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7669306/
Abstract

Healthcare professionals may experience moral distress when navigating difficult positions in which acting or providing for their patient's best interest may not be possible due to barriers outside of their control. This phenomenon has primarily been investigated within nursing and other clinical disciplines; however, experiences of moral distress have also been noted in the social work profession. Healthcare professionals, including social workers, may experience moral distress when witnessing violations of their patients' human rights. This article discusses research reporting on experiences of moral distress within the social work profession, a reality social work students may also face during their field placements. Understanding the causes and effects of moral distress within the social work profession is important when preparing social work students as they transition into the workforce. Future research investigating moral distress should include the perspectives of social work field students, as their experiences are understudied. This phenomenon is especially important to investigate, as the current COVID-19 pandemic is expected to exacerbate health challenges.

摘要

医疗保健专业人员在应对困难处境时可能会经历道德困扰,在这些处境中,由于他们无法控制的障碍,采取行动或为患者谋求最大利益可能变得不可能。这种现象主要在护理和其他临床学科中得到研究;然而,在社会工作专业中也注意到了道德困扰的情况。包括社会工作者在内的医疗保健专业人员在目睹患者人权受到侵犯时可能会经历道德困扰。本文讨论了关于社会工作专业中道德困扰经历的研究报告,这也是社会工作专业学生在实习期间可能面临的现实情况。在为社会工作专业学生做好进入职场的准备时,了解社会工作专业中道德困扰的成因和影响非常重要。未来关于道德困扰的研究应纳入社会工作实习学生的观点,因为他们的经历尚未得到充分研究。由于当前的新冠疫情预计会加剧健康挑战,研究这一现象尤为重要。