在过渡到基于学校的职业治疗阶级模型的伦理紧张局势
Sandra VanderKaay1, Wenonah Campbell1, Leah Dix1
1CanChild, School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
概括
基于学校的职业治疗师在转向分层模型时面临道德紧张局势. 实施指南可以帮助管理这些挑战,并改善为所有学生提供服务.
科学领域:
- 职业疗法 职业疗法 职业疗法
- 教育心理学教育心理学
- 医疗保健道德 医疗保健道德
背景情况:
- 基于学校的职业治疗 (SBOT) 正在从拉出服务过渡到包容性,分层模式.
- 虽然分层模型为学生参与提供了好处,但在实施过程中出现了挑战和道德紧张局势.
- 了解职业治疗师如何在SBOT中应对这些道德复杂性至关重要.
研究的目的:
- 探索和理解学校职业治疗师在过渡到分层服务交付模式期间所经历的伦理紧张局势.
- 研究问题: 职业治疗师在过渡到SBOT的分层服务提供模式时所经历的感知道德紧张是什么?
主要方法:
- 使用了一种解释性描述定性研究方法.
- 数据是通过采访11名自我提名的职业治疗师收集的.
- 分析涉及数据准备,组织,解释和成员通过焦点小组进行检查.
主要成果:
- 职业治疗师报告说,他们经历了与核心原则相关的伦理紧张关系:忠诚,真实性,自主性,保密性和分配正义.
- 这些紧张关系相互关联,并影响了新服务提供模式下的治疗师的实践.
结论:
- 转向分层SBOT模型可能会引入或加剧从业者的伦理紧张局势.
- 使用已建立的实施准则可以提供一个框架来缓解道德挑战.
- 结构化的实施可以带来期望的结果和更有效的服务提供.
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