scholarly journals Moral distress and injury in social work

Among the most challenging ethical dilemmas in social work is what has become known as moral injury. Moral injury is ordinarily defined as the sort of harm that results when someone has perpetrated, failed to prevent, or witnessed acts that transgress deeply held moral beliefs. What these phenomena have in common are instances when social workers must decide how to handle work-related circumstances that are deeply troubling because they have caused, or have the potential to cause, harm. It is important for social workers to understand the nature of moral injury, the diverse causes of moral injury and the moral distress that often results, meaningful responses, and prevention strategies.


2016 ◽  
Vol 17 (1) ◽  
pp. 9-23 ◽  
Author(s):  
Samantha Teixeira

A Geographic Information System (GIS) is a digital technology that integrates hardware and software to analyze, store, and map spatial data. GIS allows users to visualize (i.e., map) geographic aspects of data including locations or spatial concentrations of phenomena of interest. Though public health and other social work related fields have embraced the use of GIS technology in research, social work lags behind. Recent technological advancements in the field of GIS have transformed what was once prohibitively expensive, “experts only” desktop software into a viable method for researchers with little prior GIS knowledge. Further, humanist and participatory geographers have developed critical, non-quantitative GIS approaches that bring to light new opportunities relevant to social workers. These tools could have particular utility for qualitative social workers because they can help us better understand the environmental context in which our clients reside and give credence to their assessments of strengths, weaknesses, and opportunities for intervention. This article provides an introductory overview of the history of GIS in social work research and describes opportunities to use spatially informed approaches in qualitative social work research using a case study of a participatory photo mapping research study.



10.18060/124 ◽  
2000 ◽  
Vol 1 (1) ◽  
pp. 1-25 ◽  
Author(s):  
Elaine P. Congress

Recognizing ethical issues and dilemmas that arise in professional practice is crucial for social work practitioners, educators, and students. After a discussion about the limited, although growing, literature on social work ethics, the ten main tenets form the most current NASW Code of Ethics are presented. These topics include limits to confidentiality, confidentiality and technology, confidentiality in family and group work, managed care, cultural competence, dual relationships, sexual relationships, impairment and incompetence of colleagues, application to administrators and relevance to social work educators. In addition to understanding the Code of Ethics, social workers can use the ETHIC model of decision making for resolving ethical dilemmas. This easy to use five step process includes examining personal, agency, client, and professional values, thinking about ethical standards and relevant laws, hypothesizing about consequences, identifying the most vulnerable, and consulting with supervisors and colleagues. A case example involving confidentiality, HIV/AIDS and family therapy demonstrates how social workers can use the ETHIC model.



2002 ◽  
Vol 83 (5) ◽  
pp. 465-473 ◽  
Author(s):  
Kate van Heugten

Various aspects of a recent and unprecedented upsurge in private-practice social work in New Zealand were examined in research conducted from 1993 to 1999. A qualitative methodology was employed to try to reveal new information about a field of practice that has been extensively canvassed using quantitative methods. The findings reported here concern the importance of ethical dilemmas. These dilemmas were a surprisingly common motivating factor in respondents' decision to leave salaried agency social work. Most of the 33 respondents had recently left government or quasi-government agencies and less commonly had left private, nonprofit agencies. As expected, ethical dilemmas also arose in the transition to private practice, and respondents related their mostly pragmatic management of these.



2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Colleen M. Farrell ◽  
Bradley J. Hayward


2019 ◽  
Vol 50 (3) ◽  
pp. 741-757 ◽  
Author(s):  
Maija Mänttäri-van der Kuip

Abstract In the nursing literature, work-related suffering due to restricted moral agency is commonly considered under the concept of moral distress. This concept has resonated strongly amongst nursing scholars since the 1980s and has recently gained ground amongst social work scholars as well. However, the research on moral distress suffers from inadequate conceptual clarity; this has led to multiple and disparate ways of empirically studying the phenomenon. This article examines the conceptualisations of moral distress applied in the nursing and social work literature and identifies and discusses the challenges and potential problems related to them. The article sheds light on the complex, dynamic and relative nature of the phenomenon, which has not been sufficiently acknowledged in the existing empirical literature. Despite its complexities and defects, as highlighted in this article, the concept of moral distress can serve as an important tool for understanding and analysing experiences of moral suffering in front line social work. However, defining this experience in all its complexity and devising a valid instrument to measure it remain a major challenge.



2019 ◽  
Vol 1 (1) ◽  
pp. 63
Author(s):  
Novie Purnia Putri

Social work is as a help profession. It has a basic task in overcoming social problems, one of them is handling the beggars. The method used in this study was a qualitative method by describing the implementation of the value principles and ethics of social workers in handling the beggars through the Yogyakarta Society of Social Workers Association and the ethical dilemmas inside. The purpose of this study was expected to provide an overview of practices in the field as an effort to improve the quality of social work, increasingly to have adequate competence, both in terms of values and ethics in carrying out their profession. The results of this study indicated that in the implementation of the value principles and ethics of social workers with reviews of acceptance, individualization,  disclosure of feelings, non-judgmental attitudes, objectivity, self determination, confidentiality and accountability. The whole principles had been practiced. However, during practicing in the field, there were ethic dilemmas in the application of the principles. They were dilemmas in client confidentiality, policy laws, management care and scarce and limited resources.



2021 ◽  
Vol 17 (7) ◽  
pp. e947-e957
Author(s):  
Ting Guan ◽  
Krista Nelson ◽  
Shirley Otis-Green ◽  
Makeeta Rayton ◽  
Tara Schapmire ◽  
...  

PURPOSE: Literature on moral distress among oncology social workers (OSWs) is sparse. The aim of the current study was to examine the prevalence of moral distress and its domains of influence, and to identify demographic and work-related characteristics associated with moral distress among OSWs. METHODS: Data came from the Oncology Social Work Competencies, Opportunities, Roles, and Expertise survey, conducted from August to September 2020 (during the COVID-19 global pandemic). Data collected included demographic information (eg, age, sex, and race) and work-related characteristics (eg, job position, organization type, work setting, employment status, salary, years in the profession, and OSW-C certification). Moral distress was measured using the Measure of Moral Distress for Healthcare Professionals. Tests of association, including multivariate linear regression, were conducted to achieve the research aims. RESULTS: Total moral distress scores on the Measure of Moral Distress for Healthcare Professionals (range 0-432) for 745 OSWs ranged from 1 to 273, with an average score of 74.0. The three highest indicators of moral distress were observed in the patient or family experience domain. Higher levels of moral distress were associated with younger age, being a direct service provider, provision of inpatient cancer care, and more years in the profession. CONCLUSION: OSWs are experiencing moral distress. Institutional investments in professional education and support of OSWs are needed to mitigate and possibly prevent moral distress experienced by cancer care providers and thus ensure the delivery of quality psychosocial care for patients with cancer and their families.



2020 ◽  
Vol 11 (7) ◽  
pp. 292-295
Author(s):  
Amber Foote

Concerns regarding compassion fatigue and burn-out in veterinary practice are steadily increasing. Burn-out is defined as the state in which a person feels emotionally, physically and mentally exhausted. Work-related stress can have a significant impact on our quality of life and unfortunately lead to burn-out, moral distress and compassion fatigue. As veterinary professionals are exposed to ethical dilemmas and stressful situations daily, it is important that they are aware of the signs of burn-out and how it can be managed.



10.18060/73 ◽  
2005 ◽  
Vol 6 (1) ◽  
pp. 24-32 ◽  
Author(s):  
Frederic G. Reamer

Social workers' understanding of ethical issues has matured significantly. This article traces the evolution of the profession's approach to the values and ethics. During its history, social work has moved through four major periods-- the morality period, the values period, the ethical theories and decision-making period, and the ethical standards and risk-management (the prevention of ethics complaints and ethics related lawsuits) is diverting social workers from in-depth exploration of core professional and personal values, ethical dilemmas, and the nature of the profession's moral mission. The author encourages the profession to recalibrate its focus on values and ethics.



2012 ◽  
Vol 9 (16) ◽  
Author(s):  
Tina Bømler

This article discusses the obligatory job activation measures directed toward workers receiving temporary sickness benefits, a policy that took effect on 1. January 2010. The requirement that workers on sick leave be subject to activation measures so they can return to work more quickly indicates a change in attitude about how we become well again. The purpose of this article is to describe and analyze how social workers in the Danish municipality of Aalborg work with activation of workers on sick leave. It describes how they manage the professional and ethical dilemmas they experience due to the specific activation requirements directed toward workers on sick leave. The problem takes its point of departure in our lack of specific knowledge about how the municipal job counselling centres manage the activation of those receiving sick leave benefits. This article is a part of a pilot project, and therefore based on a limited amount of data. The pilot project should be seen as a preliminary phase of a larger qualitative study of the methodological challenges in the sick leave sector. The article is based on a focus group interview with five social workers in a job centre in the municipality of Aalborg. The results of the pilot study have been surprising. Even though there are professional and ethical dilemmas facing the social workers in the job centre, these are of less importance than the New Public Management based restructuring that has been taking place in the Danish public sector for nearly thirty years. Regulatory constraints, budget controls and standardization of the methods of social work are experienced by the social workers as the greatest obstacle to carry out professionally qualified social work. The requirements connected with regulations, standardized methods and budget controls have placed the social workers in a field of tension between politics and their clients’ needs. Hence, the professional social sector workers find themselves compelled to manoeuvre in an organizational context that places contradictory demand on their activities.



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