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Tara C Healy

Publications and source records attributed to Tara C Healy.

2 recordsLinked to original sources

Levels of directiveness: a contextual analysis.

Practitioners' decisions concerning levels of directiveness, reflecting their efforts to persuade clients, parallel their decisions about autonomy and beneficence. This qualitative study explores the levels of directiveness employed by social workers with the goal of expanding our understanding of the factors related to these practice decisions. An interview guide was used with a convenience sample of seventeen home health care social workers. Through the use of constant comparative analysis, six levels of directiveness and five related factors were found. This study calls our attention to the ethical dimensions of practice decisions and raises questions about the possible influence of practice context on practitioners' use of levels of directiveness.

Adult↗

Ethical decision making: pressure and uncertainty as complicating factors.

This qualitative study examines social workers' ethical tension as they evaluate decisional capacity of elderly individuals experiencing some degree of cognitive impairment. An interview guide of open-ended questions was used with a convenience sample of 17 home health care social workers. Constant comparative analysis was used to examine factors contributing to ethical tension. Three areas emerged as highly relevant to participants ethical decisions: (1) clinical uncertainty, (2) pressure from other professionals, and (3) a combination of pressure from other professionals and clinical uncertainty. Clinical uncertainty was influenced by partial cognitive impairment, mental health problems, the interplay of health and mental health, and unclear etiology of poor decisional capacity. Pressure from other professionals typically involved issues of compliance and medical safety. Ethical tension was particularly strong when participants experienced both pressure from other professionals and clinical uncertainty.

Adult↗