Mailick M D, Ullmann A
Soc Work Health Care. 1984 Summer;9(4):21-31. doi: 10.1300/J010v09n04_03.
Social workers increasingly are defining problems that they encounter in practice in health settings as ethical dilemmas. A distinction is made between those practice questions that can best be answered by an appeal to theoretical or empirical knowledge and expertise (clinical questions) and those which invoke values and ethical imperatives (ethical questions). End-stage renal disease poses in high relief the practice dilemmas that are encountered by social workers and offers an opportunity to explore and clarify issues in resolving them. Using an exchange framework as a basis for analysis, common ethical problems of end-stage renal services are discussed.
社会工作者越来越多地将他们在健康环境实践中遇到的问题定义为伦理困境。在那些可以通过诉诸理论或实证知识及专业技能得到最佳解答的实践问题（临床问题）与那些涉及价值观和伦理要求的问题（伦理问题）之间存在区别。终末期肾病凸显了社会工作者所面临的实践困境，并提供了一个探索和澄清解决这些困境的问题的机会。以一个交流框架作为分析基础，讨论了终末期肾病服务常见的伦理问题。
