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Eye on Ethics: Boundary Challenges in the Digital Age
No full textToday\u27s social workers now face a wide range of boundary challenges that are unprecedented because of the relatively recent emergence of digital and other forms of technology. Digital technology has transformed the ways in which social workers are delivering services to clients, including distance counseling using video, live chat, avatars, smartphone apps, and text messages, among other tools; communicating with clients using social media and social networking sites (e.g., Facebook); searching online for information about clients (e.g., Facebook, Google, and LinkedIn); storing sensitive information (e.g., in the cloud) and permitting clients to access their electronic records remotely; and being the subject of online searches by clients (e.g., when clients seek personal information online about their service providers). These phenomena have created new forms of boundary issues that could not have been imagined by earlier generations of social workers
The Ethics of Whistle Blowing
Get PDFWe can begin with the good news: the vast majority of behavioral health professionals – including psychologists, social workers, psychiatrists, mental health counselors, marriage and family therapists, addictions counselors, and psychiatric nurses – are ethical and avoid profound moral lapses. That said, the unfortunate reality is that some behavioral health professionals, a nontrivial minority, misbehave or otherwise violate widely accepted ethical standards
Social Work Education in a Digital World: Technology Standards for Education and Practice
No full textTechnology has transformed the nature of social work education. Whether it is used to supplant or supplement face-to-face instruction, social worker educators must keep pace with rapidly developing standards of practice and related ethical standards. Standards promulgated jointly by the Council on Social Work Education, National Association of Social Workers, Association of Social Work Boards, and Clinical Social Work Association create new benchmarks for social work educators. This article provides an overview of the new standards, especially related to the diverse ways in which technology is being used in social work education, instructor competence, academic standards, and field education. This article explores the new standards’ broad implications for contemporary social work education in the digital age
Eye on Ethics: When Ethical Standards Collide
No full textInterprofessional collaboration is vitally important, especially when it advances clients’ interests. A potential challenge, however, is that the respective professionals’ ethical duties may conflict. If and when such conflicts arise, social workers have a moral duty to seek a reasonable solution that adheres to social work’s ethical standards. This may require perseverance, discipline, and principled creativity
Attribution of Responsibility for Intimate Partner Violence: Role of Directionality and Racial Dyadic Composition
Get PDFCulpability perceptions of intimate partner violence (IPV) are influenced by factors such as level of violence, gender, race, and who initiated the violence. The present study examined the impact of the racial composition of heterosexual relationship dyads on observers’ perception of either male-to-female intimate violence or female-to-male intimate violence. Several hypotheses were posed such that men and African Americans were attributed more responsibility for the violence. Respondents were presented with a vignette depicting a violent incident that manipulate whether the perpetrator is male or female, the racial identity of the perpetrator (White vs. African American), and the racial identity of the victim (White vs. African American) and is given a series of attributional questions assessing actors’ culpability for the violence. (dependent variables: temporal focus and focal actor) The analysis for this study will be a 2 X 2 X 2 X 2 X 2 factorial design. The results showed that there was only an effect of direction of violence (men were perceived more responsible than women overall for the violence) on IPV but not race (however there were tendencies indicating a potential relationship)
Exploring Interprofessional Education Among Nursing and Chemical Dependency/Addiction Studies Through Simulation
Get PDFThe opioid epidemic has become a public health crisis and as the need for comprehensive prevention, identification, and treatment grows, it is imperative that nurses and other professionals are well equipped to work collaboratively to provide high quality care. Interprofessional education (IPE), which involves joint learning by practitioners or students of more than one profession, was the conceptual framework used for this project. Available evidence suggests that structured IPE could equip learners with the tools and skills necessary to participate in collaborative practice (Hallin, Kiessling, Waldner, & Henriksson, 2009, Mcpherson, Headrick, & Moss, 2001). Students participated in a socialization exercise, in which they explored their perceptions and understanding of each other’s roles. Students then participated in a simulation where groups of Nursing and Chemical Dependency/Addiction Studies (CDAS) students interviewed standardized clients with an opioid addiction after which students generated a collaborative treatment plan. The open-source Interprofessional Socialization and Valuing Scale-21 (ISVS-21) was used to collect data pre and post simulation. Mean increase in scores following the simulation ranged from 0.62-1.88 indicating students found the simulation increased their interprofessional collaboration. Financial support for this project was provided by the Anne and Bob De Stefano research program
Why Can\u27t We Sleep? Impact of Race and Social Status on Sleep in College
Get PDFThis study assessed the impacts of discrimination, microaggressions, and socioeconomic status (SES) on sleep in college students. The study also assessed moderators of racial identity and sleep hygiene as potential buffers of the impact from discrimination. Method: The impacts of lifetime discrimination and microaggressions over the past six months on sleep over the past month was assessed using an online survey (Study 1), and daily impacts of microaggressions on sleep was assessed from a daily diary study (Study 2). Results: The results showed modest correlations for the impact of discrimination, microaggressions, and SES on sleep, with the overall patterns suggesting a detrimental impact on sleep for students of color. The moderators of racial identity and sleep hygiene did not indicate significant effects. Conclusion: The impact of discrimination and microaggressions on sleep for students of color is promoting poorer sleep outcomes in comparison to White students. Additionally, higher SES contributed to better sleep outcomes; however, for students of color, higher SES was not shown to buffer the impact of discrimination on sleep outcomes
Increasing Participation in the American Nurses Association\u27s Healthy Nurse Healthy Nation Grand Challenge in a College Setting
Get PDFThe health status of Americans ranks poorly compared to other nations. The health behaviors of American nurses are worse than the general population. Healthy Nurse Health Nation (HNHN) is the American Nurses’ Association’s (ANA’s) program to encourage healthy lifestyle practices among nurses with the ultimate goal of improving population health by creating a healthier nursing workforce able to be more credible as health coaches. This paper reviews literature on workplace and college health programs, health behaviors of nurses and student nurses, and the idea of nurses as role models. The Logic Model was used to guide implementation of the program and the Ecological Model was used for evaluating the project. This project promoted HNHN in a college setting through in person presentations. Thirty-two students and faculty completed retrospective pre/post surveys, and results showed small self-reported changes in participation. There was an increase from five to 10 members of the RIC HNHN online group. Limitations included limited contact between the researchers and participants, reliance on university email for communication, a lack of graduate student data, and a lack of changes to the environment. The author recommends increasing contact between the researchers and students/faculty and making changes to the environment to make healthy choices the default option. The role of the advanced practice nurse is discussed and includes implications for practice related to education, practice, policy, and research
Does High Concentration Oxygen Decrease Surgical Site Infections?
Get PDFSurgical site infections (SSIs) are among the most preventable infections acquired in the healthcare setting today. The potential for improved patient care and reduced healthcare spending by decreasing SSIs could save millions of US healthcare dollars and at the same time lead to better patient outcomes. The purpose of this systematic review was to explore whether high concentration oxygen delivered to surgical patients undergoing intraabdominal surgery decreases SSI. A systematic review was conducted to determine if high concentration oxygen decreases surgical site infection. Databases were searched, and inclusion and exclusion criteria were applied to select the articles for this systematic review. The PRISMA framework was used to guide the review and a total of six studies were critically analyzed. Two data collection tables were created for each article, one that illustrated the design of the study and one that illustrated the results. The CASP checklist was utilized to appraise each article critically. Finally, a cross-study analysis was conducted to compare the studies. Of the six studies, two were statistically significant 1and showed a decrease in SSI, contradicting earlier findings. Based on all the available research at this time, the use of high concentration oxygen during the intraoperative phase to decrease SSI should be followed if patient specifics and facility resources allow. Further studies will need to focus on standardized protocols specific to each abdominal surgery
Evaluating IV Acetaminophen for Pain Management After Cardiac Surgery: A Retrospective Chart Review
Get PDFPain after surgery is one of greatest complaints patients have in the surgical process. It is important to decrease pain after surgery to promote a quicker recovery and minimize complications. Opioids alone have been used to manage post-operative pain in cardiac surgery; However, recently multimodal approaches to pain management are now being explored. This approach involves using multiple medications with varying mechanisms of action for pain relief in addition to decreased adverse effects. Ofirmev (IV acetaminophen) is a relatively new medication for use in cardiac surgery that has few contraindications and side effects. The purpose of this study was to investigate if utilizing the current pain management approach in addition to Ofirmev impacted pain scores in post-operative cardiothoracic patients in a non-experimental retrospective chart review. A two group comparative chart review was conducted for a total of 30 charts to meet inclusion criteria. Group 1 (n=15) received opioid only for pain management were compared to Group 2 (n=15) who received Ofirmev and opioids for pain management after cardiac surgery. Results showed that pain scores at hour 6 and 24 showed significance in favor of Group 2, the Ofirmev group. Results also showed Group 2, the Ofirmev group, consumed less morphine on average than Group 1, opioid only. Unexpectedly, length of stay was on average longer for the Ofirmev group than the non- ofirmev group. The research supports the need to utilize multimodal pain management and alternative techniques to manage pain. This study shows there is a need for further research for pain management with a multimodal approach in cardiac surgery