Between therapeutics and therapy: the continuum of therapeutic practice and the role of ethical blind spots in decision-making

Hammond, Ν. G. L.; Palmer, Nicola

doi:10.1080/02667363.2021.1896478

Cited by 3 publications

(4 citation statements)

References 41 publications

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“…On the other hands, the failure to observe ethics and ethical incorrect decisions can lead to medical malpractice, loss of clinical privileges or medical, injury to the patient, discomfort, dissatisfaction and distrust to the staff ( 10 ). Therefore, it is necessary for healthcare professionals to be aware of blind spots that may affect their ethical decisions ( 11 , 12 ). Ethical blind spots is defined as a person's temporary inability to see the ethical aspect of a decision they are making ( 12 ).…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, it is necessary for healthcare professionals to be aware of blind spots that may affect their ethical decisions ( 11 , 12 ). Ethical blind spots is defined as a person's temporary inability to see the ethical aspect of a decision they are making ( 12 ). It is often caused by external factors due to which an individual is unable to see the immoral aspect of their behavior in that particular situation ( 12 , 13 ).…”

Section: Introductionmentioning

confidence: 99%

“…Ethical blind spots is defined as a person's temporary inability to see the ethical aspect of a decision they are making ( 12 ). It is often caused by external factors due to which an individual is unable to see the immoral aspect of their behavior in that particular situation ( 12 , 13 ). One good way to avoid blind spots is to focus on patients as individuals ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

“…One good way to avoid blind spots is to focus on patients as individuals ( 11 ). So, Health care professionals should speak with patients and be aware about their cultural backgrounds, religious values and beliefs, thoughts, ethnic values, social norms and their stress and tensions ( 11 , 12 ). Because if professionals are not aware of blind spots, they may recommend treatments that are against a patient's wishes and lead to wrong and unethical decisions severely affect professional performance ( 11 , 14 ).…”

Section: Introductionmentioning

confidence: 99%

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Psychometrics assessment of ethical decision-making around end-of-life care scale for adolescents in the final stage of life

Mohammadi,

Masoumi,

Khazaei

et al. 2024

Front. Pediatr.

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IntroductionHealthcare professionals have a critical role in ethical decision-making around end-of-life care. Properly evaluating the ethical decision-making of health care professionals in end-of-life care requires reliable, tailored, and comprehensive assessments. The current study aimed to translate and assess psychometrically a Persian version of the ethical decision making in end-of-life care scale for Iranian adolescents in the final stages of life.MethodsThe present study investigates the methodology and multicenter research. 310 healthcare professionals who treat/care for adolescents at the end of life were selected from 7 cities in Iran. The original version of the end-of-life care decision-making scale was translated into Persian using the forward-backward translation method, and its psychometric properties were evaluated using COSMIN criteria.ResultsExploratory factor analysis revealed that the factor loadings of the items ranged from 0.68 to 0.89, all of which were statistically significant. Furthermore, three factors had eigenvalues greater than 1, accounting for 81.64% of the total variance. Confirmatory factor analysis indicated a proper goodness of fit in the hypothesized factor structure. The internal consistency reliability of the tool was assessed in terms of its homogeneity, yielding a Cronbach's alpha coefficient of 0.93.ConclusionThe Persian version of the End-of-Life Care Decision-Making Scale demonstrates satisfactory validity and reliability among healthcare professionals working with adolescents in the final stages of life. Therefore, nursing managers can utilize this tool to measure and evaluate ethical decision-making in end-of-life care for adolescents in the final stages of life and identify the most appropriate strategies, including educational interventions, to improve ethical decision-making in end-of-life care if necessary.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Psychometrics assessment of ethical decision-making around end-of-life care scale for adolescents in the final stage of life

Mohammadi,

Masoumi,

Khazaei

et al. 2024

Front. Pediatr.

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Educational psychologists’ use of cognitive behavioural therapy in professional practice

Rutter¹,

Atkinson²

2022

bpsecp

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AimThere is increasing recognition of the centrality schools have in supporting children and young people’s mental health and wellbeing, and the role of educational psychologists (EPs) in supporting this. Cognitive behavioural therapy (CBT) is a frequently-used, evidence-based approach for supporting a range of outcomes. The purpose of this study is to explore how EPs are operationalising CBT in their practice, and which therapeutic competencies are demonstrated.MethodSemi-structured interviews were completed with a self-selecting sample of eight EPs reporting to be knowledgeable about CBT and to regularly use it in their practice. Transcribed data were analysed using inductive and deductive thematic analysis.FindingsKey themes related to CBT in applied practice, the EP role, drawing on other psychological approaches, ethical practice, external influences and having a holistic view of the child. EPs were using CBT across a continuum of formality in therapeutic work and multi-faceted casework. A range of CBT competencies was demonstrated in practice with children and young people, and adults.LimitationsAs an exploratory research study the sample size was very small. The self-selecting sample does not claim to be representative of the wider EP population. The extent to which findings enable an understanding of the effectiveness of CBT within wider EP practice is extremely limited.ConclusionsThe flexibility of CBT as a therapeutic modality gives insight into its potential wider contribution across EP practice. Potential implications for EP professional training and practice are considered.

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Perspectives of the educational psychologist’s role in a multi-agency children’s social care team: A cultural-historical activity theory framework

Warwick¹

2023

bpsecp

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Aim(s)This study explored views of the role of the Educational Psychologist (EP) working in multi-agency teams (MATs) supporting care experienced children (CEC), from both the perspectives of EPs and Social Workers (SWs) in Wales.Method/RationaleNumbers of children in care is rising in Wales, and the diversification of the role sees greater involvement of EPs in MATs supporting CEC. Online semi-structured individual interviews were conducted with five SW and EP pairs from MATs in Wales. EP and SW transcripts were analysed separately using reflexive Thematic Analysis (TA), before further analysis using the Cultural-Historical Activity Theory (CHAT) framework to explore tensions and contradictions.FindingsTA findings are presented in two thematic maps. TA of EP interviews highlighted EP’s core and bespoke contributions to multi-agency working, the unique EP input, as well as their skills in working at a variety of levels through direct working with CEC, families, other stakeholders, and the MAT. Analysis of SW interviews highlighted the unique contributions of the EP as well as their essential role in supporting the collaboration of the MAT. The complexity of findings is further examined through application to the CHAT framework.LimitationsLimitations include the absence of the voice of CEC, families, educational and residential settings, as well as the limitations of the semi-structured interview approach to exploring and unpicking the complexity of MATs.ConclusionsBest practice involves the integration of models of practice, and clarifying purpose, roles, and responsibilities. Suggestions for using CHAT to support MAT establishment and functioning are provided.

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Between therapeutics and therapy: the continuum of therapeutic practice and the role of ethical blind spots in decision-making

Cited by 3 publications

References 41 publications

Psychometrics assessment of ethical decision-making around end-of-life care scale for adolescents in the final stage of life

Psychometrics assessment of ethical decision-making around end-of-life care scale for adolescents in the final stage of life

Educational psychologists’ use of cognitive behavioural therapy in professional practice

Perspectives of the educational psychologist’s role in a multi-agency children’s social care team: A cultural-historical activity theory framework

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