Health care social workers' views of ethical issues, practice, and policy in end-of-life care

End-of-life care decision making is perhaps the most difficult practice situation faced by health care social workers. Complex ethical issues arise from decisions regarding use of advancing medical technologies and/or other artificial treatments that may prolong life and/or compromise its quality. N...

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Bibliographic Details
Published in:Social work in health care 2000, Vol.32 (2), p.1-22
Main Authors: Csikai, E L, Bass, K
Format: Article
Language:English
Subjects:
Adult
Attitude of Health Personnel
Attitudes
Bioethics
Codes of Conduct
Decision Making
End of life decisions
Ethics
Ethics, Professional
Female
Guidelines
Health care
Health Care Services
Hospices
Humans
Male
Medical Decision Making
Morals
Practice Guidelines as Topic
Professional Ethics
Professional-Family Relations
Professional-Patient Relations
Social Work - standards
Social Work - statistics & numerical data
Social Workers
Surveys and Questionnaires
Terminal Care - standards
Termination of Treatment
United States
USA
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Summary:End-of-life care decision making is perhaps the most difficult practice situation faced by health care social workers. Complex ethical issues arise from decisions regarding use of advancing medical technologies and/or other artificial treatments that may prolong life and/or compromise its quality. NASW has set forth a policy to help guide social workers dealing with end-of-life care decisions and the preservation of client self-determination in these situations. However, the present study (N = 63) revealed that a majority (57%) of social workers were not aware of the existence of, or were only somewhat familiar with the policy. Ethical dilemmas most often faced in end-of-life care situations related primarily to issues of communication between and among patients, families, and professionals. Practitioners indicated that more specific practice guidelines and increased education regarding bioethics and issues of end-of-life care are needed to be effective in assisting patients and families in end-of-life decision making.
ISSN:0098-1389