. - Navigating Ethical Tensions When Working to Address Social

Journal article

Hannah McArdle, T. Barlott, Cathy McBryde, Lynda Shevellar, Nataya Branjerdporn
American Journal of Occupational Therapy, 2023

Semantic Scholar DOI PubMed

Cite

APA Click to copy
McArdle, H., Barlott, T., McBryde, C., Shevellar, L., & Branjerdporn, N. (2023). Navigating Ethical Tensions When Working to Address Social Inequities. American Journal of Occupational Therapy.

Chicago/Turabian Click to copy
McArdle, Hannah, T. Barlott, Cathy McBryde, Lynda Shevellar, and Nataya Branjerdporn. “Navigating Ethical Tensions When Working to Address Social Inequities.” American Journal of Occupational Therapy (2023).

MLA Click to copy
McArdle, Hannah, et al. “Navigating Ethical Tensions When Working to Address Social Inequities.” American Journal of Occupational Therapy, 2023.

BibTeX Click to copy

@article{hannah2023a,
  title = {Navigating Ethical Tensions When Working to Address Social Inequities.},
  year = {2023},
  journal = {American Journal of Occupational Therapy},
  author = {McArdle, Hannah and Barlott, T. and McBryde, Cathy and Shevellar, Lynda and Branjerdporn, Nataya}
}

Abstract

IMPORTANCE When providing services, occupational therapists encounter social inequities that affect the health and well-being of their clients and create ethical tensions.

OBJECTIVE To develop an understanding of the ethical tensions encountered by occupational therapists working with clients experiencing social inequity and how such tensions are navigated.

DESIGN This qualitative study used an interpretive description methodology.

SETTING Community and tertiary health settings.

PARTICIPANTS Fifteen occupational therapists who identified as working with clients experiencing social inequity.

OUTCOMES AND MEASURES Semistructured interviews were used to explore participants' practice experiences. Data were analyzed using thematic analysis.

RESULTS Two themes were identified in relation to participants' experiences of ethical tensions: (a) perpetuating inequities and (b) experiencing conflicting values. A further three themes were identified in relation to how participants identified and navigated these tensions: (a) taking action, (b) seeking support, and (c) ensuring integrity and accountability.

CONCLUSIONS AND RELEVANCE Ethical tensions frequently emerged when systemic health contexts were not responsive to social inequities or created barriers to health care access. Occupational therapists felt a sense of responsibility to take action to address inequity, which led them to stretch boundaries and roles. Having informal and formal supports, and confidence in the scope of their practice, helped the occupational therapists to navigate ethical tensions with integrity and accountability. Increased avenues for support that incorporate reflexivity offer an opportunity for occupational therapists to engage in dialogue about social inequities and ethical practice. What This Article Adds: This article explores the types of ethical tensions occupational therapists experience when addressing social inequities and provides insights into how such tensions are managed.