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Macro level resources and confidentiality practices in social work.

机译：社会工作中的宏观资源和保密措施。

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摘要

Confidentiality is considered one of the foundational principles of social work practice. The ethical, legal and professional responsibility to safeguard client information from unauthorized disclosures is often challenged by cases that pose unique situations in which the practitioner has to make ethical confidentiality practice decisions utilizing available resources. The resources are utilized at the discretion of the practitioner. Research on the utilization of resources is virtually non-existent. This study examines the influence of macro level resource options on confidentiality practices in social work.;A survey instrument adapted from Millstein's (2000) Confidentiality in Direct Social-Work Practice: Inevitable Challenges and Ethical Dilemmas research was developed and administered to Licensed Clinical Social Workers (LCSWs) to assess the number and type of macro level resources that are utilized to resolve confidentiality ethical dilemmas. The sampling frame included all active licensees in the state of Florida (N=9,636) from which 1350 LCSWs were randomly selected to participate in the study. The response rate for the survey was 15% (n=203). Logistic regression, independent sample t-tests and chi-square analyses were utilized to analyze the data. The findings suggest that practitioner and organizational characteristics do not influence the number of resource options that are utilized to resolve confidentiality ethical dilemmas, however macro level resources tend to be utilized more frequently than micro level resources. Significant practitioner differences were found related to the type of resources utilized. The findings suggest that in general, non-whites tended to use macro level resources to resolve confidentiality ethical dilemmas more frequently than whites however gender, practice setting and years of post-master's experience does not appear to influence the use of macro level resources.;Limitations of the design and implementation are discussed to guide future research and implications for social work practice and education are also presented.
机译：保密被认为是社会工作实践的基本原则之一。保护客户信息免遭未经授权的披露的道德，法律和专业责任经常受到构成特殊情况的案例的挑战，在这些案例中，从业者必须利用可用资源做出道德保密实践决策。资源的使用由医生决定。关于资源利用的研究实际上是不存在的。这项研究检验了宏观层面的资源选择对社会工作中保密实践的影响。;根据Millstein（2000）直接社会工作实践中的保密性：不可避免的挑战和道德困境的研究工具改编而成，并将其进行了研究并运用于有执照的临床社会工作者（LCSW），以评估用于解决机密性伦理困境的宏级资源的数量和类型。抽样框架包括佛罗里达州（N = 9,636）的所有活跃的被许可人，从中随机选择了1350个LCSW参加研究。调查的回复率为15％（n = 203）。使用逻辑回归，独立样本t检验和卡方分析来分析数据。研究结果表明，从业者和组织特征不会影响用来解决机密性伦理困境的资源选择的数量，但是，与微观资源相比，宏观资源倾向于被更频繁地利用。发现与使用的资源类型有关的重大从业人员差异。研究结果表明，一般而言，非白人比白人更倾向于使用宏观资源来解决保密道德困境，但是性别，实践环境和硕士后的工作经验似乎并不影响宏观资源的使用。讨论了设计和实施的局限性以指导未来的研究，并提出了对社会工作实践和教育的启示。

著录项

  • 作者

    Babcock, Patricia D.;

  • 作者单位

    The Florida State University.;

  • 授予单位 The Florida State University.;
  • 学科 Social work.;Medical ethics.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 113 p.
  • 总页数 113
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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