Healy T C
Department of Social Work, University of Southern Maine, Portland 04104, USA.
Soc Work Health Care. 1998;27(4):19-37. doi: 10.1300/J010v27n04_03.
Little attention has been given to the ethical dimensions of social work practice in the growing field of home health care. This descriptive, exploratory study examined the influence of frail elders' cognitive status, safety, and caregiver burden on social workers' support for autonomy. The major findings of this study were that all three factors were significantly related to support for autonomy. Especially important was the emergence of a ranking of the relative importance of these three factors in social workers' decision making: the first factor considered was cognitive status, the second was safety, and the third was caregiver burden.
在日益发展的家庭医疗保健领域，社会工作实践的伦理层面很少受到关注。这项描述性、探索性研究考察了体弱老年人的认知状态、安全状况和照顾者负担对社会工作者支持自主性的影响。该研究的主要发现是，这三个因素都与对自主性的支持显著相关。特别重要的是，在社会工作者的决策中出现了这三个因素相对重要性的排序：首先考虑的因素是认知状态，其次是安全，第三是照顾者负担。
