When Social Work Client Self-Determination Principle Meets Confucius Culture: A Living Will Decision-Making Case Study in China.

Autor:	Sun W; School of Philosophy and Sociology, Lanzhou University, China., Zhang Q; School of Philosophy and Sociology, Lanzhou University, China., Lee S; College of Health and Human Services, California State University, Sacramento, CA, USA., Luo Z; Radiotherapy Center, Gansu Provincial Hospital, China.
Jazyk:	angličtina
Zdroj:	Omega [Omega (Westport)] 2025 Feb; Vol. 90 (3), pp. 1177-1192. Date of Electronic Publication: 2022 Aug 08.
DOI:	10.1177/00302228221117864
Abstrakt:	Background . In western countries like the United States of America, living will is seen as a vehicle for achieving greater wisdom and skill in a fundamental aspect of health care and a civilized approach to mortality. However, the inception of living will in China emerged only a decade ago. Although, nowadays, Chinese medical social workers can provide living will service in health settings, their services are in a preliminary status. Objective . This exploratory case study aims to present an ethical dilemma and analyzes the reasons the social work client self-determination principle failed in living will decision-making in the oncology ward that has Confucius as a cultural context. Results . This case illustrates that the patient's family has the final say in living will decision-making. The social work principle of client self-determination exemplifies the difficulties of applying medical social work practices with living will to Chinese patients in hospital wards. Conclusions . Chinese patients and their families are still bound to Confucianism's long tradition. In China, individuals are still being defined by relationships, and the "self" exists only in a hierarchical interpersonal network known as the differential pattern. The Chinese people do not like to talk about death. Even in modern society, it will take time for the Chinese people to come to terms with the end-of-life planning with living will, mainly for cancer patients after diagnosis. Practice Implications . Future social work practices that implied living will similar to this case that has Confucius culture in the background should consider the cultural context where the social worker-client are situated and the types of social work values the profession hold. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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