The Role of Ethical Theories in Decision Making by Social Workers

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.     

Developing Anti‐oppressive Ethics in the New Curriculum

This paper describes the development of an anti‐oppressive ethics and values module appropriate for the new social work degree. It is contended that there has been insufficient attention paid to ethics teaching in social work education generally in the UK, and in particular there has been:

• ?failure to develop discrete modules on ethics and values in social work;

• ?minimal critique of conventional ethics with social work values that take oppression and diversity seriously;

• ?insufficient use of recent feminist ethical contributions relevant to social work;

• ?limited development of interprofessional ethics teaching that take service user and social work values seriously; and

• ?neglect of ethical decision‐making guides that can encompass legal, ethical and social work values.

The paper proposes a rationale for an anti‐oppressive ethics module that will enable traditional ethical theories to be placed within an anti‐oppressive social work values context, and aim to provide students with a more adequate guide for decision‐making. The module will be developed in consultation with service users and interprofessional colleagues. It will take into account the British legal and policy framework, the General Social Care Council code of practice, as well as the Quality Assurance Agency for Higher Education requirements, but placing them within an anti‐oppressive framework drawn from the authors' current and previous work in this area, and will have special reference to recent feminist moral philosophy. The authors have recently been re‐located into a Faculty of Health and Applied Social Studies and will be developing the new module on ethics in consultation with health lecturer colleagues specialising in ethics with the aim of developing interprofessional co‐operation and sharing of perspectives between staff and students. They write with long experience of both practising and teaching social work, and with diverse experiences of ‘race’, gender, class, and also being both service users and providers.     

Using Decision Analysis: Connecting Classroom and Field

This paper reports on the findings of a small‐scale research project investigating the views of social work students on the use of decision analysis. After giving the context of the research, the article reports on what was found when students, who had just completed a Decision Making and Risk module, were asked for their opinions on the component parts of decision analysis, its use as a practice tool and their attitudes to using it on placement. The research found that the respondents in general took a critical and supportive stance towards the use of decision analysis in social work and, with extra teaching and a positive approach from their practice assessor, would be happy to use decision analysis. When the same group of students completed a follow‐up questionnaire on a placement recall day, half of them had thought about using decision analysis but only three had gone on to discuss this with their practice assessors. Some issues in relation to connecting ‘classroom’ and ‘field’ are identified and the paper concludes that a number of further steps would be necessary to realise the potential of decision analysis to help students be more systematic and analytical in their approach to decision making.     

Ethical Dilemmas of Practicing Social Workers Around Psychiatric Medication

Abstract

It is acknowledged that social workers in mental health and other settings routinely experience client-related ethical dilemmas. Further, there is wide recognition of the potential impact of ethical dilemmas on social work practice with clients who use psychotropic medication. Little is know empirically, however, about the experiences of practitioners with these dilemmas. This article describes the results of a national survey of practicing social workers regarding the nature of ethical dilemmas they face related to their work with clients on medication issues. The results make it clear that social workers regularly confront a variety of ethical dilemmas in this type of practice. Many of these dilemmas are related to ambiguities around the knowledge base of practice, appropriate roles of providers, and basic personal and professional values. The authors present implications of these findings for social work practice and further research.     

Self-Determination and Confidentiality

ABSTRACT

This article seeks to further clarify the ambiguous nature of two of social work's most important values: self-determination and confidentiality. Previous research indicates that many ethical decisions in social work practice are difficult to make; and, many times decisions are made based on the worker's values and experiences rather than on written ethics, laws, and agency policy. To explore this concept further, an open-ended survey instrument was distributed to 82 social work students after completing the required practice classes. The participants were asked whether they would break confidentiality based on a specific vignette and describe what decision was made and why. Results indicated that degree level (MSW versus BSW) proved to be a significant factor related to whether and/or why the respondent would break confidentiality. In addition, students with more paid work experience were more likely to question the issue of confidentiality and were more likely to break it. Two issues reflected in the decision-making process involved ensuring client safety and self-determination. In conclusion, this article explores possible reasons for breaching confidentiality and pitfalls that can occur for all professionals in making these types of decisions. Furthermore, it explores the ambiguous nature of problem solving in this area, and suggests ways that social workers can improve their decision-making skills.     

Professional Socialization and Social Work Values: Who Are We Teaching?

Despite the centrality of values to professional socialization, the social work literature lacks an extensive exploration of the readiness of students to be socialized into the profession and taught the theoretical framework and skills for ethical decision making. This study explored the relationship between age, academic class standing, and identity development. Results indicated that the Identity Achievement status occurs later than traditional university years and correlates with age but not with academic class standing. Important implications for teaching social work values, ethical decision making, and the significance of a liberal arts foundation are discussed.     

Notes on contributors

Ethics is a central area for professional education in social work. The main educational strategies for the ethics component in social work programmes are often a combination of explicit attention to principles and implicit grounding in practice examples (such as ‘case study’ vignettes). These approaches equip students to recognise and respond to the complexities of ethics in practice. However, they may also encourage students to understand ethics as ‘rules of conduct’, in which there are ‘correct answers’ that can be learned and applied. This paper advances the view that it is more helpful to consider ethics as a ‘framework for thinking’ about the means/ends relationship in practice. It is argued that, as a consequence, the goal of ethics education should be to enable student social workers to grasp the inherently moral nature of practice and the ambiguities that follow from this. Such a position points to the paradox of social work education, that it involves teaching about things that cannot ‘exist’ separately from their being created in action. To explore this paradox in teaching ethics, the paper considers inductive approaches in learning as a way of responding to the ambiguities that are inherent not only in the subject but also in the experience of professional education.     

Teaching self-care: The utilization of self-care in social work practicum to prevent compassion fatigue,burnout, and vicarious trauma

ABSTRACT

Field practicum is paramount to social work pedagogy in the preparation of emerging direct practice professionals. Field students integrate foundational knowledge as they implement practice skills learned in the classroom during the social work practicum experience. Working with clients who are suffering is inevitable in direct social work practice and field practicum students can be exposed to a broad range of intense emotional experiences as they assist clients in need. Integrating self-care skills, techniques and strategies into daily social work practice becomes essential to prevent compassion fatigue, burnout, and vicarious trauma. Incorporating self-care skills into the field practicum enhances opportunities for transformative student learning and helps to strengthen professional socialization during this critical educational experience. This article highlights the implementation of professional self-care instruction, use of activities and written student critical reflection assignments designed to enhance the practice experience through incorporating self-care education and strategies among undergraduate students within the field practicum seminar.     

The role of narrative in public relations ethics pedagogy

Competence in ethical decision making is one of the most important issues in the industry and practice of public relations, yet professionals entering the discipline overestimate their knowledge and skills related to ethical principles. This article features a pedagogical approach to strengthen ethics education in public relations through the use of collaborative student-professional ethics narratives. This technique attempts to move beyond a traditional case study approach and transcend traditional classroom boundaries through the development of narratives featuring real ethics situations experienced by public relations professionals. The project involved the development, implementation and assessment of the pedagogical approach that required students to interview local communication professionals (mostly in public relations) and to craft narratives that explore ethical dilemmas these professionals faced. Pre- and post-test surveys and group feedback helped explore the impact of narrative inquiry in helping students internalize ethical lessons.     

Social Media and Social Work: The Challenges of a New Ethical Space

ABSTRACT

Social media and other online technologies have transformed communication between social workers and service users, with many practitioners engaging and working with clients through social networking sites. While there are numerous ethical issues associated with online practice related to con?dentiality, dual relationships, and boundary crossing, there is lack of clarity about how to deal with such issues. This article uses a case example to develop a nuanced understanding of ethical issues and ethical behaviour in online spaces. We argue that social workers need to link their knowledge of the complex interplay between discourses that underpin daily practice like those related to power, permanency, authorship, audience, embodiment, and professionalism to social media created spaces. In doing this, social workers must retain their commitment to ethical values and critical reflective practice. We conclude with recommendations for education, research, and practice.     

A Glimpse of the Truth: Evaluating ‘Debate’ and ‘Role Play’ as Pedagogical Tools for Learning about Sexuality Issues on a Law and Ethics Module

Social work education is familiar with concepts such as social exclusion, marginalisation, anti-discriminatory and anti-oppressive practice. This familiarisation implies that students are adequately prepared to embrace equality and diversity, become ‘culturally competent’ and subscribe to moral and ethical standards including the rights of service users to respect and support regardless of sexual orientation. The ability of social work students to articulate and develop their own theories for practice and to handle personal issues when these conflict with ‘theories’ on equality and diversity are important aspects of learning. Educators teaching about sexual orientation issues however currently have fewer texts or support networks to draw on when addressing these. This paper looks at the effectiveness of ‘debate’ and ‘role play’ as pedagogical strategies and tools when teaching complex ethical issues on a law and ethics module. Dramatic and creative participative methods were used through the tools of debate and role play. These were used with students to explore a specific topic around gay adoption in the context of learning about anti-discriminatory law. The paper seeks to evaluate the outcomes of this approach by drawing on the students' post learning reflection.     

Ethical Research Involving Children: Encouraging Reflexive Engagement in Research with Children and Young People

Research involving children raises complex and well‐documented ethical questions and challenges that extend far beyond the reach of formal review and governance systems, where these exist. However, researchers collectively have a wealth of knowledge and experience in applying universal ethical principles in diverse social, cultural and methodological settings, which offers much potential for understanding how ethical concerns are responded to in situ. Through extensive consultation and research, the Ethical Research Involving Children (ERIC) project, discussed in this article, has drawn on this collective knowledge in generating evidence‐based resources that highlight best practice while grounding ethical decision‐making in lived experience.     

Threshold Theory and Social Work Education

Critical reflection is a concept in social work education that holds a significant place—it provides both foundational theoretical ideas about the practice of social work, and is also a process used in career-long learning. Understanding critical reflection as a threshold theory concept—a higher education learning and teaching concept—providing a framework which assists educators in teaching critical reflection. Threshold theory identifies certain concepts as foundational within a discipline—these are transformative in profoundly altering the way students understand the subject. As with critical reflection, they are also integrative, conceptually difficult or ‘troublesome’ and difficult to forget.

The intrinsic nature of critical reflection makes its use as a conceptual model in practice a complex task: it requires the integration of theoretical knowledge, in a multiple-step methodology. Students must fully engage with the process, in identifying the impact of their lived experience, values and beliefs on their practice, as well as power, social structures and influential discourses. This article argues that threshold theory assists educators in understanding the nature of learning that is required for students to master critical reflection in social work education     

Raising the Titanic: Rescuing Social Work Documentation from the Sea of Ethical Risk

Abstract

One of the most contentious issues in social work practice concerns what should be written about people who access social work services, how comprehensively, and in what format social work assessments, interventions, and outcomes should be documented. The present paper describes a structured approach linked to an action research project that was undertaken by hospital-based social workers to identify and minimise problems associated with documentation in the medical record. The Social Work Ethics Audit provided social work staff with a risk-management tool that highlighted documentation as a key area of ethical risk. Through a process of evaluating existing recording practices, social workers were able to meet the challenge of improving social work recording in medical records, returning it to its proper place as a vital component of clinical and ethical practice rather than an administrative task submerged beneath competing priorities. It was anticipated that the social work documentation proforma that resulted from the ethics audit process would have applicability in other health care settings.     

Preparing Social Work Graduates for Digital Practice: Ethical Pedagogies for Effective Learning

ABSTRACT

Debate has arisen in social work about the value of online education, with proponents providing examples of innovative approaches to online teaching and those against it citing the need for face-to-face interactions to suitably teach and assess social work skills. At the same time, social workers are increasingly making use of social media, websites, online databases, email, and text messaging services for work with clients. Consequently, social workers must be adequately prepared to make use of online technologies in their practice. Drawing on examples of online interactive activities used at two regional universities and informed by Chi’s conceptual framework of cognitive processes of learning, this article argues that learning via information and communications technology (ICT) helps prepare graduates for emerging digital practice and should be an integral part of social work education. Further, ICT enables educators to monitor the levels and quality of student rehearsal of practice skills and knowledge in interactive learning experiences helping promote competent practice, grounded in social work values.     

Tutor and Student Experiences of Teaching and Learning Law in UK Social Work Education

In a project researching the outcomes of teaching law in social work education, students and tutors were asked to reflect on their experiences of both the academic curriculum and how learning was translated into practice. Curriculum documents in the eight participating universities were also analysed.

At times distinctive orientations emerged from approaches to teaching and practising social work law articulated by tutors and students, and captured in course documentation. On what contributed to effective teaching outcomes, both students and tutors emphasised the application of law learning to practice and the importance of considering learning styles. For students, law learning remains a complex challenge but with a clear interface with social work values. Teaching can help to reduce anxiety about practising social work law but familiar barriers to learning and its application in practice also surfaced. In addition to the time allocated to law learning, development of legal knowledge and skills was greatly affected by the priority given to this aspect of practice during placements.

The openness of practice assessors and managers towards the legal rules and students who use their legal and ethical literacy to advocate for particular outcomes for service users was a crucial factor positively affecting the student experience.     

Identifying underlying principles in social work law: A teaching and learning approach to the legal framework of decision making

Courses in social work law need to ensure that students know, understand and can apply specific rules of law. However, the sheer volume of law affecting social work and the rapidity with which that law changes require courses in social work law not just to ensure that, but that they are equipped to manage changes in the law. In order to be able to do this, it is argued, the general principles underlying those individual legal rules need to be identified and understood. Students and practitioners need to have educational and professional skills at a higher level of transferability than merely acquiring knowledge of specific legal rules can provide. We use the legal framework of decision making to explain the importance of this approach. The principles of administrative law have been identified as a major component in social work law, and, despite limited exposition in social work law texts, we outline the teaching and learning strategy we have pursued in relation to this topic. |em|We argue that there are thus both educational and practice based reasons for the approach advocated, which we also believe accord with wider imperatives of social work education.     

Aristotle’s virtue ethics as a conceptual framework for the study and practice of social work in modern times

ABSTRACT

This paper aims to highlight the importance of Aristotle’s model of virtue ethics for today’s social workers and students, as it can help them to build an ethical character and promote ethical conduct in both their personal and professional lives. In doing so, the paper first provides an overview of virtue ethics theory and its revival over the last decades in western societies and then, discusses the basic tenets of Aristotle’s ethics theory in relation to the social work profession. In addition, the main types of Aristotelian virtues are presented including cardinal virtues (courage, justice, practical wisdom/phronesis, temperance) and the concepts of eudaimonia and golden mean in relation to their applications in social work practice are described. The paper briefly explains cardinal virtues and provides a case example of moral courage that will help social workers and students to better understand the concept of Aristotle’s golden mean. Finally, it discusses and responds to the main criticisms of Aristotle’s virtue ethics, considering alternative ways to discuss and think about this approach to social work.     

An Interdisciplinary Ethics Module for MSW and Nursing Students

The teaching of ethics in social work can be incorporated in the curriculum in multiple ways. This article outlines an interdisciplinary module with nursing and social work students at a small United States Midwestern university as a means of developing awareness of multiple perspectives surrounding ethical dilemmas in healthcare. Background information related to teaching interdisciplinary ethics and use of case studies is presented. Discussion of the interdisciplinary ethics exercise includes a summary of observations relative to the exercise and challenges in its implementation are outlined.     

How to make good choices? Ethical perspectives guiding social workers moral reasoning

Framing and distinguishing mainstream social work ethical perspectives could be useful for social work students and practitioners facing moral choices in daily practice. The article presents a summary and classification of a range of ethical theories and provides some insights into the relationship between ethical thinking and practice issues. It distinguishes between classical approaches and ‘situated’ positions. The former – which includes teleological, deontological, and rights-based approaches – refer to universal and general principles. ‘Situated’ ethics are linked to specific and unique situations of professional practice. Finally, the article suggests some useful questions derived from each approach in order to help students to reflect on complex ethical choices occurring in daily practice.