大專院校輔導人員之倫理判斷及對倫理問題的因應

Survey of Ethical Judgment and Coping among College Counselors

蘇以青(Yi-Ching Su) ； 董力華(Li-Hua Tung) ； 黃瑛琪(Ying-Chi Huang)

《醫護科技期刊》 11卷4期 (2009/12) Pp. 248-257

https://doi.org/10.6563/TJHS.2009.11(4).4

摘要

本研究是以問卷調查法，探討大專院校輔導人員，對發生於諮商情境的倫理議題，其倫理判斷爲何？此情境發生於其職場或相關專業領域的可能性如何？面對倫理問題時，其可能採取的因應方式是什麼？研究對象爲全國大專院校輔導人員，48位回覆同意接受填寫問卷並寄回問卷。問卷內容包括二大部份：第一部份是以包含十種倫理議題的36則情境爲題幹，每一情境包含5個子題的題組，請研究對象對該情境做出判斷。第二部份是研究對象個人基本資料，並調查關於研究對象會採用的解決方法以及這個解決方法的助益程度。研究結果顯示：1在36則情境中，研究對象同意該情境是倫理議題的百分比最高100%，最低60.4%；最多研究對象(66.7%)擔心違反的倫理情境是測驗的議題。2研究對象非常不同意情境中諮商心理師的做法，且不同意百分比超過一半以上者有7則情境，其中有4則屬於知情同意的倫理議題，有2則屬於關係界限的議題；被認爲嚴重違反倫理規範的十則情境，分別屬於四種倫理議題：知情同意，關係的界限，保密，利益衝突。3經常有類似案例發生比率最高的議題是有關測驗的情境。4所有研究對象都會採納的方法有閱讀倫理守則和求助於督導或老師。研究結果可以提供教育訓練方案設計的參考。

關鍵字

學校諮商心理師 ； 倫理判斷 ； 問卷調查法

並列摘要

This work investigates the moral judgments of school counselors working in colleges or universities using scenarios involving ethical issues. This study employed a questionnaire survey. Specifically, college counselors were asked to assess case scenarios to determine the likelihood of counselors encountering these scenarios and to identify counselor responses to ethical issues. Participants comprised college counselors from colleges or universities who provided informed consent. A total of 48 participants completed the questionnaires. The questionnaires comprised two sections. The first section detailed 36 scenarios, in ten categories involving counseling regarding ethical issues, each presenting an ethical problem together with the actions or response of the counselor. The second section comprised the demographic data and professional background of the participants, including coping methods and the success of their implementation. This study obtained the following analytical results: (1) In 36 situations, 60.4%~100% of frequency were identified by participants as ethical issues. Furthermore, 66.7% of participants were worried about violating ethics in assessment. (2) In 7 of the 36 situations, over 50% of participants disagreed with the actions of the counselor. Four situations related to informed consent and two related to relationship boundaries. Ten of the most serious ethical issues were as follows: four of ten involved informed consent, three involved the relationship boundaries, two issues involving confidentiality and one regarding assessment. (3) One situation relating to assessment was rated as the most frequently occurring ethical issue. (4) All of the participants replied that their methods of solving ethical conflict involved following the professional ethical code and accepting supervision by supervisors or mentors. Both these replies were helpful. Finally, the questionnaire situations can be employed as training program materials.

並列關鍵字

College counselor ； ethical judgment ； questionnaire survey

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