Dracy D L, Yutrzenka B A
Department of Psychology, University of South Dakota, Vermillion 57069, USA.
Psychiatr Serv. 1997 Sep;48(9):1160-3. doi: 10.1176/ps.48.9.1160.
The study examined the responses of paraprofessional mental health direct-care staff to hypothetical ethics violations in the care of persons with mental illness.
Eighty-five paraprofessionals in a medium-sized Midwestern psychiatric facility responded to a survey that presented ten hypothetical ethics violations varying in severity. For each scenario, respondents were asked to indicate the likelihood that they would ignore the violation, confront the care provider who had acted unethically, or report the violation to an immediate supervisor or to someone in authority over the immediate supervisor. The survey also assessed the paraprofessionals' perceived skills, knowledge, and need for additional training in professional ethics.
Survey respondents were significantly less likely to ignore situations of moderate or high severity, compared with situations of low severity, and were significantly more likely to report a moderately severe or highly severe incident than an incident of low severity.
The response of mental health paraprofessionals to hypothetical ethics violations suggests that they are able to recognize and evaluate the severity of ethics violations and weigh the potential effects of their responses. However, their responses to hypothetical situations may not reflect how they would respond to actual ethics violations on the job.
本研究考察了准专业心理健康直接护理人员对照顾精神疾病患者过程中假设的道德违规行为的反应。
中西部一家中型精神病院的85名准专业人员参与了一项调查，该调查呈现了十种严重程度各异的假设道德违规行为。对于每种情景，要求受访者指出他们忽视违规行为、与行为不道德的护理人员对峙、或向直属上级或直属上级的上级报告违规行为的可能性。该调查还评估了准专业人员对专业道德的感知技能、知识以及对额外培训的需求。
与低严重程度的情况相比，调查受访者忽视中度或高度严重情况的可能性显著降低，报告中度严重或高度严重事件的可能性显著高于低严重程度的事件。
心理健康准专业人员对假设道德违规行为的反应表明，他们能够识别和评估道德违规行为的严重程度，并权衡其反应的潜在影响。然而，他们对假设情景的反应可能无法反映他们在工作中对实际道德违规行为的反应。
