Ethical dilemmas in general hospitals: Social workers' contribution to ethical decision-making

Authors
Citation
R. Landau, Ethical dilemmas in general hospitals: Social workers' contribution to ethical decision-making, SOCIAL W H, 32(2), 2000, pp. 75-92
Citations number
39
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Social Work & Social Policy
Journal title
SOCIAL WORK IN HEALTH CARE
ISSN journal
0098-1389 → ACNP
Volume
32
Issue
2
Year of publication
2000
Pages
75 - 92
Database
ISI
SICI code
0098-1389(2000)32:2<75:EDIGHS>2.0.ZU;2-C
Abstract
Thirty-two hospital social workers, fourteen of them directors of social wo rk services and eighteen direct practitioners, were interviewed about their perception of the factors Influencing social workers' contribution to the resolution of ethical dilemmas in general hospitals in Israel. Findings rev ealed that while ethical decision-making in hospitals is an interdisciplina ry process, social workers' contribution to the process is affected by riva lry between social workers and other members of the health team, personalit y differences, type of ward and the nature of the ethical dilemma. particip ants of the study had quite a clear perception of their role and of the uni que knowledge-base social work can offer, including knowledge of the indivi dual and family life course, understanding and skills in coping with diseas es, and systems thinking. In order to increase their influence in ethical d ecision-making, the hospital social workers felt they must put more effort into developing their relationships with the other professionals involved i n ethical decision-making both by making themselves more indispensable and by making their contribution explicit through greater documentation of thei r activities. The findings also implied that in order to gain more power an d tie accepted as equal partners in multidisciplinary teams, hospital socia l workers should improve their communication skills when interacting with r epresentatives of other heath care professions.