A qualitative interpretive meta-synthesis of social workers’ experience in end-of-life care

IF 1.5 3区 社会学 Q2 SOCIAL WORK Journal of Social Work Pub Date : 2023-01-04 DOI:10.1177/14680173221144223
Simone Dewar, Jo Mensinga, M. Redman-Maclaren, Lise Johns
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Abstract

Summary Social workers are an integral part of end-of-life (EOL) care interdisciplinary services and provide comprehensive psychosocial support to dying people. However, despite the rewards, EOL care social work is wrought with challenges. There is currently limited research into the experience of EOL care social workers. Therefore, this qualitative interpretive meta-synthesis (QIMS) study examines the experience of EOL care social workers as revealed in existing literature. The QIMS methodology was used to synthesize and interpret findings from four original qualitative studies to elicit an in-depth response to the research question: What is the experience of social workers who work in EOL care? Findings The theme “EOL care social work is a privilege and a struggle” emerged, with six associated contributing factors: Privilege—(1) death is sacrosanct, (2) death is an opportunity for growth and healing, and (3) the religious/spiritual element of EOL care. Struggle—(1) ongoing pain and heightened emotions, (2) conflict of values, and (3) contextual challenges. This QIMS study serves as a preliminary phase to a subsequent, larger study. Applications This QIMS study provides a foundation for further narrative research into the experience of EOL care social workers. In addition, findings from this QIMS study highlights areas for further attention to foster the well-being of EOL care social workers. Finally, findings from this QIMS study could augment relevant EOL care content in undergraduate social work education.
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社会工作者临终关怀经验的定性解释元综合
社会工作者是临终关怀跨学科服务的组成部分,为垂死的人提供全面的心理社会支持。然而,尽管有回报,EOL护理社会工作也面临挑战。目前对EOL护理社会工作者的经验研究有限。因此,这项定性解释元综合(QIMS)研究考察了现有文献中揭示的EOL护理社会工作者的经验。QIMS方法用于综合和解释四项原始定性研究的结果,以引发对研究问题的深入回应:从事EOL护理的社会工作者的经历是什么?调查结果“EOL护理社会工作是一种特权和斗争”的主题出现了,有六个相关的促成因素:特权——(1)死亡是神圣不可侵犯的,(2)死亡是成长和治愈的机会,以及(3)EOL护理的宗教/精神因素。斗争——(1)持续的痛苦和情绪高涨,(2)价值观冲突,以及(3)背景挑战。该QIMS研究是后续更大规模研究的初步阶段。应用这项QIMS研究为进一步对EOL护理社会工作者的经历进行叙述性研究奠定了基础。此外,这项QIMS研究的结果突出了需要进一步关注的领域,以促进EOL护理社会工作者的福祉。最后,这项QIMS研究的结果可以增加本科生社会工作教育中的相关EOL护理内容。
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来源期刊
Journal of Social Work
Journal of Social Work SOCIAL WORK-
CiteScore
3.60
自引率
0.00%
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0
期刊介绍: The Journal of Social Work is a forum for the publication, dissemination and debate of key ideas and research in social work. The journal aims to advance theoretical understanding, shape policy, and inform practice, and welcomes submissions from all areas of social work.
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