Ethical Dilemmas: Current and Projected Concerns Reported by Certified Rehabilitation Counselors

IF 1.9 4区医学 Q2 REHABILITATION

Rehabilitation Counseling Bulletin Pub Date : 2023-01-04 DOI:10.1177/00343552221146159

Julie C. Hill, Lindsay E. Stokes, R. Froelich, Diona Emmanuel, T. Landon, Simone Hicks

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引用次数: 3

Abstract

The purpose of this study was to investigate ethical dilemmas faced by certified rehabilitation counselors. Using a mixed-method survey approach, both quantitative and qualitative data were collected and analyzed. Thematic analysis was used to identify common themes among responses including the ethically challenging incident, additional resources to clarify the situation or reach resolution, projecting future ethical issues, approach to resolution for current ethical issues, and additional issues to address or consider in the code of ethics. Results indicated that participants most frequently encountered ethical dilemmas related to Section B. Confidentiality, Privileged Communication and Privacy of the Commission on Rehabilitation Counselor (CRC) Certification Code of Professional Ethics, followed by Section A. The Counseling Relationship. When addressing recognized ethical dilemmas, participants also identified consideration of the counseling relationship and maintaining confidentiality, privileged communication and privacy as the most important sections of the code to consider. Implications include topics identifying current and projected ethical dilemmas faced by CRCs, as well as the need for a variety of topics to be addressed or considered in the new revisions of the CRC Code of Ethics.

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道德困境：注册康复顾问报告的当前和预期问题

摘要本研究旨在探讨注册康复咨询师所面临的伦理困境。采用混合调查方法，收集和分析定量和定性数据。主题分析用于确定回应中的共同主题，包括具有道德挑战性的事件，澄清情况或达成解决方案的额外资源，预测未来的道德问题，解决当前道德问题的方法，以及在道德准则中要解决或考虑的其他问题。结果表明，参与者最常遇到的伦理困境涉及康复咨询委员会(CRC)职业道德认证准则的b部分保密、特权沟通和隐私，其次是a部分咨询关系。在处理公认的道德困境时，参与者还认为，考虑咨询关系、保密、特权通信和隐私是守则中最重要的考虑部分。影响包括确定CRC当前和预计面临的伦理困境的主题，以及在新的CRC道德准则修订中需要解决或考虑的各种主题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Rehabilitation Counseling Bulletin REHABILITATION-

CiteScore

2.90

自引率

15.40%

发文量

期刊介绍： Rehabilitation Counseling Bulletin (RCB) publishes articles on rehabilitation counseling with a major emphasis on data-based research reports, although other types of contributions to professional knowledge in rehabilitation counseling will be considered. Examples include articles that explain an innovative technique or application, point/ counterpoint debates on a current controversy challenging the profession, or insightful essays on an important issue. Contributions of these kinds may be considered for a special section of RCB. Article topics cover a wide range—from ethical dilemmas related to counseling clients with HIV/AIDS to clinical problem solving in micro–case management.