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Social workers’ and students’ attitudes toward electronic tracking of people with Alzheimer's disease
- Authors:
- WERNER Shirli, LANDAU Ruth
- Journal article citation:
- Social Work Education (The International Journal), 30(5), August 2011, pp.541-557.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
While the advantages of Global Positioning Systems (GPS) technologies to help monitor persons with dementia are clear, making use of them raises a number of ethical dilemmas. Social workers may be called upon to assist families in making decisions regarding the use of GPS; therefore their attitudes on this issue are important. In this study, 55 social workers and 61 social work students completed a questionnaire including the following items: attitudes toward tracking; knowledge of Alzheimer's disease (AD) symptoms; familiarity with persons who have AD; and ratings of who should be involved in the decision-making process regarding GPS use. Results indicated that the highest-scored attitude factor was respecting older peoples’ autonomy, while the lowest-scored factor opposed GPS use. The older people and their spouses were rated as important decision-makers. Students gave a higher rating to respecting older peoples’ autonomy than social workers. Implications for social work education are discussed.
Who should make the decision on the use of GPS for people with dementia?
- Authors:
- LANDAU Ruth, et al
- Journal article citation:
- Aging and Mental Health, 15(1), January 2011, pp.78-84.
- Publisher:
- Taylor and Francis
This paper investigated who should decide about the use of GPS tracking for older people with dementia. Two hundred and ninety six cognitively intact older people, family carers, social workers, professionals, and social work students rated nine potential decision-makers to make this decision. Findings revealed that family members, particularly the spouse or the most involved family carer, were perceived more important in the decision-making process than those outside the family. The person with dementia was ranked third in the order of the figures. Since the decision to use GPS for tracking raises ethical issues over personal safety versus autonomy and privacy, the findings indicate that the reluctance of professional caregivers to assist family caregivers to make this decision is experienced as frustrating. The authors suggest that in order to reach a balance between the wishes and interests of people with dementia and their informal carers, there is a need for active involvement of the professional carers to aid in the decision-making process.
The role of ethical theories in decision making by social workers
- Authors:
- OSMO Rujla, LANDAU Ruth
- Journal article citation:
- Social Work Education (The International Journal), 25(8), December 2006, pp.863-876.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study analyses the arguments provided by a convenience sample of 62 Israeli social workers for their preferred ethical principles in terms of ethical theories. Content analysis of arguments given in four different contexts shows that the large majority of social workers in the study based their arguments on either deontological or utilitarian ethical concepts, less frequently using concepts from virtue theory, rights theory and care theory of ethics. However, the analysis reveals a discrepancy: when social workers were requested to justify their rank ordering of ethical principles without reference to a specific practice situation, they most frequently preferred concepts reflecting deontological theory of ethics, such as right intention, universalism, and duty. In contrast, when confronted with a specific practice situation, the social workers' most frequently chosen concepts were relating to results, consequences, and utility, concepts identified with the utilitarian theory of ethics. In view of the findings, the need for more thorough knowledge of a variety of ethical theories and their potential role in ethical decision making in social work practice and education are discussed.
The Promise of Post-Menopausal Pregnancy (PMP)
- Author:
- LANDAU Ruth
- Journal article citation:
- Social Work in Health Care, 40(1), 2004, pp.53-69.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Postmenopausal pregnancy (PMP) is presented as a means of alleviating women's suffering by helping them realize their wish for a child of their “own.” The availability of IVF technology and oocyte donation, both necessary for PMP, create the illusion of unlimited female fertility. The aim of this paper is twofold: (1) to examine the psychosocial, health, and ethical aspects of PMP; and (2) to answer the question of whether PMP's promise of unlimited fertility really offers more personal freedom and control for women. The paper concludes that PMP seems to increase, rather than to decrease, human suffering. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
The need for explicit argumentation in ethical decision-making in social work
- Authors:
- OSMO Rujla, LANDAU Ruth
- Journal article citation:
- Social Work Education (The International Journal), 20(4), August 2001, pp.483-492.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article addresses the need for social workers' explicit argumentation in ethical decision-making, i.e. the justification offered in adopting a particular course of action with their clients. It is the main assumption of this article that social workers need to be aware and explicit of the personal and professional ideas, concepts, values, and assumptions that guide their practice. In the following sections the authors clarify central concepts such as argumentation and its explicitness, present a conceptual framework for analyzing ethical decisions in social work, illustrate its applicability on social work dilemmas, and discuss possible implications for social work practice and education. Finally, they recommend that social work education put emphasis on: (1) developing more awareness for inner deliberations and making these explicit and amenable for evaluation; and (2) developing specific skills for explicit argumentation in ethical decision-making.
Ethical dilemmas in general hospitals: social workers' contribution to ethical decision-making
- Author:
- LANDAU Ruth
- Journal article citation:
- Social Work in Health Care, 32(2), 2001, pp.75-92.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Thirty-two hospital social workers were interviewed about their perception of the factors influencing social workers' contribution to the resolution of ethical dilemmas in general hospitals in Israel. Findings revealed that while ethical decision-making in hospitals is an interdisciplinary process, social workers' contribution to the process is affected by rivalry between social workers and other members of the health team, personality differences, type of ward and the nature of the ethical dilemma. The findings also implied that in order to gain more power and be accepted as equal partners in multidisciplinary teams, hospital social workers should improve their communication skills when interacting with representatives of other health care professions.
Ethical dilemmas in general hospitals: differential perceptions of direct practitioners and directors of social services
- Author:
- LANDAU Ruth
- Journal article citation:
- Social Work in Health Care, 30(4), 2000, pp.25-44.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This Israeli study interviews two distinct groups of social workers in general hospitals, directors of social work services and direct practitioners, who were interviewed concerning their perception, ranking and resolution patterns of ethical dilemmas. The reverse order of importance and somewhat different content of ethical dilemmas identified by the two groups reflect their differential position in the hierarchy of hospitals and the difference in their experience in dealing with ethical dilemmas vis-a-vis clients. The findings emphasise the need for social workers' knowledge of ethical theories, rules and principles, and ethical self-knowledge.
Professional socialization, ethical judgement and decision making orientation in social work
- Author:
- LANDAU Ruth
- Journal article citation:
- Journal of Social Service Research, 25(4), 1999, pp.57-75.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This cross-sectional study collects data at three points of time in the course of social workers' professional socialisation, and aims to examine the impact of professional socialisation on ethical judgment and decision making orientation. The findings found no support for the hypothesis that professional socialisation significantly affects the ethical judgement of either social work students or social workers. Religiosity was the only background variable that significantly affected the respondents' ethical judgement. However, there was some evidence to suggest that social work education does have an important role in conveying central social work values in respect of greater client orientation and nonintervention orientation.
Secrecy anonymity and deception in donor insemination: a genetic psycho-social and ethical critique
- Author:
- LANDAU Ruth
- Journal article citation:
- Social Work in Health Care, 28(1), 1998, pp.75-89.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The number of medically assisted conceptions involving donors is increasing. At the same time, due to advances in medicine, greater emphasis has been placed on an individual's genetic origins. This trend places individuals who have no access to information on their genetic origins in a vulnerable position. In view of the accumulated evidence concerning the detrimental effect of secrecy, anonymity and deception in donor insemination, this paper argues that these practices are not only psychologically and socially harmful but also ethically unacceptable.
Terrorism and the social worker
- Author:
- LANDAU Ruth
- Journal article citation:
- Practice: Social Work in Action, 9(4), 1997, pp.5-12.
- Publisher:
- Taylor and Francis
Discusses how the as volume of natural and man made traumatic events are increasing, so are the provision of counselling and support services following disasters. This means that there is a growing population of social workers at psychological risk. This article summarises the impressions and conclusions derived from the author's talks with social workers who worked with the victims of two terrorist acts that occurred within a week of one another, and draw implications for policy, training and research.