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Eye on Ethics: Novel Boundary Challengers - Military Social Workers
In recent years I have had the opportunity to provide ethics training and education in various parts of Asia and Europe to U.S. military social workers who serve active-duty personnel and their dependents. Typically we spend a number of days together exploring complicated ethical issues related to client confidentiality, privileged communication, conflicts of interest, boundaries and dual relationships, informed consent, documentation, digital technology and social media, and termination of services. During my presentations I distinguish between ethical challenges military social workers face that are comparable to those encountered by colleagues in civilian settings and those that are truly unique to military settings
Eye on Ethics: The Concept of Standard of Care
I imagine that architect Coombs never anticipated that his judgment about managing his relationship with Beede would have such profound reverberations. In fact, the way contemporary social workers think about their professional relationships and ethical decisions is linked inextricably to this small-town dispute in the 19th century
Eye on Ethics: The Evolution of Social Work Ethics
Social work was formally inaugurated in the late 19th century. In my view, social workers’ ideas on ethical issues have evolved since then during the course of five conceptually distinct, albeit sometimes overlapping, periods
Eye on Ethics: Social Work\u27s Moral Soul - The Challenge of Faustian Bargins
For decades, social workers have discussed—and debated—whether the profession has strayed from its ideological and moral roots. Critics such as Harry Specht and Mark Courtney, in their challenging book Unfaithful Angels: How Social Work Has Abandoned Its Mission, argue that social work has lost its soul, as evidenced by the large number of practitioners who train for and engage in private clinical practice that sometimes excludes low-income people. Others, in contrast, argue that social work’s tent is, and should be, very large, and that it is reasonable for social workers to assist all of society, which for some practitioners may focus on those who are relatively affluent and do not struggle economically
Melvillian Whiteness in Johnson\u27s \u3ci\u3ePym\u3c/i\u3e
Henry Louis Gates write that Afro-American literary history is characterized by ... formal revision, wherein black writers read and critique other ... texts as an act of rhetorical self-definition (992). This revision is accomplished by a unique process of signification, an Afro-American rhetorical strategy... [that] turns on the play and chain of signifiers (989) drawn from literary and cultural texts, utilizing techniques such as figuration, troping, ... parody ... [and] pastiche (992)
Your Doctor Knows the Symbols
In Bodily Natures: Science, Environment, and the Material Self, Stacy Alaimo effectively formulates the concept of “trans-corporeality,” a theoretical frame for thinking about the human body as a site of exchange with the environment. Trans-corporeality “grapples with the ways in which environmental ethics, social theories, popular understandings of science, and conceptions of the human self are profoundly altered by the recognition that ‘the environment’ is not located somewhere out there, but is always the very substance of ourselves” (4). In this, trans- corporeality highlights that while human action is imposed onto the environment, actions of the environment are simultaneously imposed upon our bodies. For example, one might come to know the toxicity of his or her physical location by learning about the toxins which permeate his or her body. Trans-corporeality argues that the environment is always already embedded within the human. Alaimo encourages us to consider the material exchanges between the human and its environment as site where seemingly stable and discrete entities such as “body” or “earth” overlap in ways that create meaning. Furthermore, trans-corporeality can call our attention to the “the traffic in toxins” which highlights the ways a “chemical substance may poison the workers who produce it, the neighborhood in which it is produced, and the web of plants and animals who end up consuming it” (18). Trans-corporeality teaches us that when looking at the environment, we are also gazing at ourselves. Similarly, when considering the material forces that constitute our own bodies, we are also in dialogue with the environment
The College Experience of Commuter Students and the Concepts of Place and Space
The demographics of the college student population, the dearth of research on commuter students, and the pervasive negative stereotypes of commuters indicate that an appreciation of the commuter student experience is important for the future of higher education (Dugan et al., 2008; Jacoby, 1989; Krause, 2007). The Digest of Education Statistics 2011 reports that in academic years 2003-04 and 2007-08 85.8% of all students enrolled at postsecondary institutions did not live in on-campus housing (Snyder & Dillow, 2012). Despite their status as the numerical majority, commuter students are still considered nontraditional (Orgren, 2003). Due to the variations in commuter student populations, it is important for each institution to study its commuters, and to use that information to guide policy and programs, instead of basing decisions on data collected nationwide or at a particular institution (Dugan et al., 2008; Jacoby, 1989). As the vast majority of State College undergraduate students commute (Office of Institutional Research and Planning, 2012), it is necessary to have an understanding of the phenomenon of commuting. To gain this understanding, the theoretical frames of critical theory, campus ecology, and phenomenology were used to guide the exploration of two research questions: How do commuter students make meaning of their college experience? How do commuter students describe the role of campus space and place in their college experience?
For this study I interviewed ten participants, asked them to collect photos that represented their college lives, interviewed them about their photos (participant-driven photo elicitation), and conducted gallery walk focus groups in which the participants’ photos were displayed and they had an opportunity to discuss the themes present in the photos. Through general inductive thematic analysis, as well as the trustworthiness measures of member checking, peer debriefing, and triangulation, three overarching themes emerged: commuter students and dorm people, “How difficult it is for commuters” (Victoria), but we’re used to it, and finding a “second home” (Lindsay). These themes, along with a review of the findings through the lenses of the theoretical frameworks, were used to develop recommendations for both practice and research related to commuter students
Exploring Nurses\u27 Knowledge about Heart Failure before and after the Implementation of a Heart Failure Education Program
Heart failure (HF) has become a national epidemic, with 5.7 million Americans currently living with HF. Although HF is incurable, it is manageable if health care professionals apply current practice guidelines to patient teaching. Nurses are charged with providing comprehensive education about HF self-‐management and it is imperative they stay abreast of evidence-‐based guidelines. The purpose of this project was to explore the current HF knowledge of Home Based Primary Care (HBPC) registered nurse Care Managers employed at the Providence Veterans Administration Medical Center (PVAMC). The logic model and Knowles andragogy theory assisted this researcher in the creation of a clear, organized and systematic approach to assessing Care Managers’ knowledge and in planning a HF education program that was sensitive to the needs of adult learners. Nine Care Managers participated in two HF educational meetings and completed the Texas Tech University HF on-‐line module. The Nurses Knowledge of Heart Failure Principles (NKHFP) questionnaire was administered to the Care Managers as pre and post-‐tests to identify gaps in knowledge prior to and following this HF education program. The Care Managers incorrectly answered pivotal questions related to HF, indicating they may not have the most current knowledge of HF principles. Although the study was limited by a small sample size, it confirmed similar results found in the literature from studies that included larger numbers of participants. These findings suggest the need for continuing education programs that develop nursing competencies in patient teaching of high risk populations, such as HF patients, to enhance disease self-‐management
Eye on Ethics: Hobson\u27s Choices in Social Work Ethics - The Illusion of Options
When faced with difficult ethical decisions, social workers sometimes identify what appear to be several reasonable options and must decide among them. In other instances, social workers have only one choice, the moral equivalent of Hobson’s choice. Put differently, social workers must be mindful of the important distinction between what they may believe is the right thing to do in the midst of an ethical dilemma and what they have a right to do
Eye on Ethics: Ethics Consultation - The Wisdom of Crowds
Social workers do not always agree when they first assess complex ethical dilemmas. And, of course, groups sometimes reach poor conclusions. However, earnest group consultation that factors in diverse views often yields sound judgments—and that’s trusting the wisdom of the crowd