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In the rural setting, ethical issues are unavoidable, creating dilemmas unique to rural social work practice. This systematic analysis aimed to assess the research on ethical issues identified in rural social work. Dual relationships, boundary issues, conflict of interest, and competency emerged as the main themes.
Rural ethics conflicts commonly involve concerns such as privacy, confidentiality, trust, professional duties, and boundaries. These conflicts may differ in nature and frequency from those encountered in urban areas.
Rural Characteristics Influencing Ethics Issues: Limited availability and accessibility of health care services. Cultural and personal values. Dual and overlapping professional-patient relationships. Caregiver stress.
The major 10 ethical issues, as perceived by the participants in order of their importance, were: (1) Patients Rights, (2) Equity of resources, (3) Confidentiality of the patients, (4) Patient Safety, (5) Conflict of Interests, (6) Ethics of privatization, (7) Informed Consent, (8) Dealing with the opposite sex, (9)
The proposed agenda calls for increasing awareness and understanding of rural healthcare ethics through the development of evidenceinformed, rural‐attuned research, scholarship and education in collaboration with rural healthcare professionals, healthcare institutions and the diverse rural population.
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Some rural areas have characteristics that put residents at higher risk of death, such as long travel distances to specialty and emergency care or exposures to specific environmental hazards. Rural Americans tend to have higher rates of cigarette smoking, high blood pressure, and obesity.

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