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Bilateral Terson Syndrome Secondary to Anterior Communicating Artery Aneurysm Rupture Associated With Spontaneous Subarachnoid Hemorrhage. 自发性蛛网膜下腔出血伴前交通动脉瘤破裂继发的双侧Terson综合征。
IF 2.9 3区 社会学 Q2 SOCIAL WORK Pub Date : 2023-12-01 Epub Date: 2022-03-23 DOI: 10.1097/WNO.0000000000001547
Xin-Zhi Song, Ling Li, Jie Pan, Xue-Mei Zhang, Jian-Jun Ma
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引用次数: 0
Social work at the end of life: Humanization of the process 生命末期的社会工作:过程的人性化
3区 社会学 Q2 SOCIAL WORK Pub Date : 2023-11-06 DOI: 10.1177/14680173231206713
Juan Mª Prieto-Lobato, Pablo De la Rosa-Gimeno, Carmen Rodríguez-Sumaza, Alfonso Marquina-Márquez, Jezabel A Lucas-García
This article examines the role of social workers involved in a pilot home care project undertaken to attend to the social needs of people at the end of their lives and their carers. Mixed methods approach and evidence-based, constructivist, and comprehensive evaluation were chosen to achieve this aim. Analyses are based on 235 responses from a survey addressed to professionals working in the project, 22 in-depth interviews with a selected group of these professionals, and 114 semi-structured interviews with the sick people and their caregivers. The analysis of the data has considered the theoretical development and professional experience systematized in the Spanish and international literature on social work in end-of-life care. The results highlight the relevance that professionals, patients, and carers attribute to social care at the end of life and to the role, skills, and qualities of social workers. Their contribution has been valued in terms of the management of services and supports (speed, availability, kindness, sensitivity), the establishment of teamwork (coordination, facilitation), and the recognition of the basic principles of the care process (individualization, respect for privacy, confidentiality). Findings demonstrate that social work is a profession well placed to help in the recognition of people's dignity at the end of life, in the exercise of their self-determination, and in the humanization of the care process. Some challenges facing consolidation of this professional practice are also indicated within a framework constrained by a predominantly biomedical culture.
本文探讨了社会工作者在试点家庭护理项目中所扮演的角色,该项目是为了照顾临终之人及其照顾者的社会需求而开展的。采用混合方法、循证、建构主义和综合评价来实现这一目标。分析基于对参与该项目的专业人员进行的235项调查,对这些专业人员进行的22次深度访谈,以及对患者及其护理人员进行的114次半结构化访谈。数据分析考虑了西班牙和国际文献中关于临终关怀社会工作的理论发展和专业经验。研究结果强调了专业人员、患者和护理人员对临终社会护理的相关性,以及社会工作者的角色、技能和素质。他们的贡献体现在服务和支持的管理(速度、可用性、友善、敏感性)、团队合作的建立(协调、便利)以及对护理过程基本原则(个性化、尊重隐私、保密)的认可。研究结果表明,社会工作是一种很好的职业,可以帮助人们在生命结束时认识到他们的尊严,行使他们的自决,并使护理过程人性化。在以生物医学文化为主的框架内,还指出了巩固这一专业实践所面临的一些挑战。
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引用次数: 0
Social work scope of practice with Parkinson's disease: A qualitative study 帕金森病的社会工作实践范围:一项定性研究
3区 社会学 Q2 SOCIAL WORK Pub Date : 2023-10-31 DOI: 10.1177/14680173231207959
Linda Kreitzer, Jessica Shurer, Elaine Book, Lisa Zerden, Ting Guan
Summary The field of social work has seen increased recognition across many sectors in recent years. Evolving racial, political, and medical paradigms and the COVID-19 pandemic have shown the importance of a person-centered approach to health and mental health. One such area of practice is neurology, specifically work with people with Parkinson's disease (PD), which is the second most common neurodegenerative disease, currently impacting more than 10 million people worldwide. While social workers have long played key roles in multidisciplinary teams in PD care settings, research and literature offering assessment and evidence in this area remain limited. This research study used a mixed-methods approach with additional in-depth qualitative interviews conducted with 11 social workers. This article presents findings from the 11 interviewees who are presently working with people with PD using thematic analysis. Findings Themes emerging were an in-depth detailed role of the social worker, the importance of strong relationships working with people with PD and their families, multidisciplinary teams, and the community. Institutional challenges were highlighted concerning supporting social work positions and encouraging social work intervention from the beginning of diagnosis to the end stages of the disease. COVID-19 proved very challenging for social workers, multidisciplinary teams, and families, and yet positive practices were identified as well. Applications The impact of this study reinforces the essential role specialized PD social workers play in multidisciplinary PD teams and recognition needed to increase their role through early intervention reflected in increasing social work positions in neurology.
近年来,社会工作领域在许多领域都得到了越来越多的认可。不断演变的种族、政治和医学范式以及2019冠状病毒病大流行表明,以人为本的方法对健康和精神健康至关重要。其中一个实践领域是神经病学,特别是与帕金森病(PD)患者合作,这是第二大最常见的神经退行性疾病,目前影响全球超过1000万人。虽然社会工作者长期以来在PD护理环境的多学科团队中发挥着关键作用,但在这一领域提供评估和证据的研究和文献仍然有限。本研究采用混合方法,并对11名社会工作者进行了深入的定性访谈。本文介绍了11位受访者的调查结果,他们目前正在使用主题分析与PD患者一起工作。出现的主题是深入详细的社会工作者的角色,与PD患者及其家人,多学科团队和社区建立牢固关系的重要性。强调了在支持社会工作职位和鼓励社会工作从诊断开始到疾病末期进行干预方面的体制挑战。事实证明,COVID-19对社会工作者、多学科团队和家庭来说非常具有挑战性,但也确定了积极的做法。本研究的影响加强了专业PD社会工作者在多学科PD团队中的重要作用,以及通过早期干预增加其作用的认识,这反映在神经病学社会工作职位的增加上。
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引用次数: 0
Online learning experiences of social work students in India 印度社会工作专业学生的在线学习经验
3区 社会学 Q2 SOCIAL WORK Pub Date : 2023-10-18 DOI: 10.1177/14680173231207962
S. Rama Gokula Krishnan, Jeffine J. Joseph
Summary Ever since the pandemic first broke out in 2020, there has been a swift shift from offline to online mode of education. The present study is aimed at examining the online learning experience among a sample of social work students in India (n = 202) in order to understand the crucial factors that can help improve their learning experience and so that they become effective social workers in the future. Findings The results have highlighted several independent factors such as the mode of connecting to the internet, number of hours of online classes per day, type of field work, rural/urban location of the students, and hours of sleep, among other variables, that are significantly associated with important indicators of the online learning experience of students. Applications The results point to the urgent need to reduce the number of hours of online classes, educate students on the importance of sleep, improve internet accessibility along affordability of learning tools such as laptops, especially for those residing in rural areas, and promote classroom discussion during online classes, so as to improve the online learning experience of social work students in India and to produce effective social work practitioners.
自2020年新冠肺炎疫情首次爆发以来,教育模式迅速从线下转向线上。本研究旨在研究印度社会工作学生(n = 202)的在线学习体验,以了解有助于改善他们学习体验的关键因素,从而使他们在未来成为有效的社会工作者。研究结果强调了几个独立的因素,如连接互联网的模式、每天在线课程的小时数、实地工作的类型、学生在农村/城市的位置、睡眠时间,以及其他变量,这些因素与学生在线学习体验的重要指标显著相关。研究结果表明,迫切需要减少在线课程的课时数,教育学生睡眠的重要性,提高互联网的可访问性以及笔记本电脑等学习工具的可负担性,特别是对于居住在农村地区的学生,并促进在线课程中的课堂讨论,从而改善印度社会工作学生的在线学习体验,并培养有效的社会工作从业者。
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引用次数: 0
Environmental factors’ influence on criminal legal involvement for people with serious mental illness 环境因素对严重精神疾病患者刑事法律介入的影响
3区 社会学 Q2 SOCIAL WORK Pub Date : 2023-10-17 DOI: 10.1177/14680173231206715
Kathryn Frances, Matt Epperson, Briana Payton, Julian Thompson
Summary Efforts to assess the risk of criminal legal system involvement among people with serious mental illness (SMI) often rely on strategies that locate the risk at the individual level. The present study examines environmental factors that contribute to criminal legal involvement for people with SMI in mental health treatment settings. Thirty-one people with serious mental illness and prior criminal legal involvement were interviewed in this qualitative study. Interviews focused on factors that contributed to and protected against criminal legal involvement. The research team engaged in inductive thematic analysis of interview data. Findings Findings reveal that understanding of physical, social, and treatment environments is critical to risk assessment with this population. In highlighting the role of the environment, we offer findings that may lead to improved strategies for service delivery with this population. Complicating contemporary approaches to risk assessment, our findings suggest that mental health treatment systems that serve individuals with serious mental illness should engage in meaningful consideration of environmental factors. Applications Identification of protective and risk factors in clients’ physical, social, and treatment environments is critical for social work practice with individuals who have a history of criminal legal involvement and serious mental illness. Treatment settings can create opportunities for the development of protective factors by integrating wrap-around services, treatment services that follow an empowerment-participation strengths model, and post-incarceration services with clients.
评估严重精神疾病(SMI)患者卷入刑事法律体系风险的努力往往依赖于将风险定位在个人层面的策略。本研究考察了环境因素对精神健康治疗环境中重度精神障碍患者的刑事法律介入的影响。本研究对31名患有严重精神疾病且有刑事法律前科的人进行了访谈。面谈的重点是促成和防止刑事法律介入的因素。研究团队对访谈数据进行归纳性专题分析。研究结果表明,了解身体、社会和治疗环境对这一人群的风险评估至关重要。在强调环境的作用时,我们提供的研究结果可能会导致改善为这一人群提供服务的策略。我们的研究结果表明,为患有严重精神疾病的个体提供服务的精神健康治疗系统应该考虑环境因素,这使当代的风险评估方法复杂化。识别客户的身体、社会和治疗环境中的保护因素和风险因素对于有刑事法律介入史和严重精神疾病的个人的社会工作实践至关重要。治疗环境可以通过整合一揽子服务、遵循赋权-参与优势模式的治疗服务以及与客户的监禁后服务,为保护因素的发展创造机会。
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引用次数: 0
Mindfulness and cognitive training interventions that address intersecting cognitive and aging needs of older adults 正念和认知训练干预,解决老年人交叉的认知和衰老需求
3区 社会学 Q2 SOCIAL WORK Pub Date : 2023-10-16 DOI: 10.1177/14680173231207961
Andrew D Eaton, Sean B Rourke, Shelley L Craig, Barbara A Fallon, Charles A Emlet, Ellen Katz, Sharon L Walmsley
Summary Mindfulness and cognitive training interventions are promising models to address impacts (e.g., anxiety and stress) of cognitive impairment among older adults. Combining strategies may yield better outcomes than models offered in isolation. However, there are numerous uncertainties about these interventions, potential for combination, and implementation. Social workers are well placed to offer these interventions. Findings From an initial search of 3,538 records, 13 studies were included in the final review. Mindfulness studies focused on stress reduction or cognitive behavioral therapy. Cognitive training studies applied stimulation or activity approaches. Results indicate that the field is still emerging, as most studies were pilot or feasibility trials. A combination of mindfulness-based stress reduction and brain training activities may offer the most promising model for older adults with cognitive impairment, based on outcome assessments and other factors. A common limitation among the reports was detailed on engaging older adults with cognitive challenges in the design and implementation of these interventions. Applications This realist review deepens the understanding of how, why, for whom, and in what circumstances a combination of mindfulness and cognitive training could be most successful for social workers to address intersecting cognitive and aging needs of older adults. Building evidence on combining mindfulness-based stress reduction and brain training activities among older adults with cognitive impairment could yield promising results, and this review identifies implementation considerations. The review also found a need for psychometric scale development on the benefits of brain training activities.
正念和认知训练干预是解决老年人认知障碍影响(如焦虑和压力)的有希望的模型。综合策略可能比单独提供的模型产生更好的结果。然而,这些干预措施、组合的可能性和实施存在许多不确定性。社会工作者有能力提供这些干预措施。从最初对3538份记录的检索中,有13项研究被纳入最终综述。正念研究侧重于减压或认知行为疗法。认知训练研究应用刺激或活动方法。结果表明,该领域仍处于新兴阶段,因为大多数研究都是试点或可行性试验。基于结果评估和其他因素,以正念为基础的减压和大脑训练活动的结合可能为患有认知障碍的老年人提供最有希望的模式。在这些报告中,一个共同的限制是详细说明了在设计和实施这些干预措施时如何让有认知挑战的老年人参与进来。这种现实主义的回顾加深了对如何,为什么,为谁,以及在什么情况下,正念和认知训练的结合对于社会工作者解决老年人交叉的认知和老龄化需求是最成功的理解。在认知障碍的老年人中,将基于正念的减压和大脑训练活动结合起来的证据可能会产生有希望的结果,本综述确定了实施时的考虑因素。这篇综述还发现,需要对大脑训练活动的益处进行心理测量量表的开发。
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引用次数: 0
Asian American social workers’ experiences and perspectives on anti-Asian hate 亚裔美国社会工作者对反亚裔仇恨的经验与看法
3区 社会学 Q2 SOCIAL WORK Pub Date : 2023-10-12 DOI: 10.1177/14680173231206727
Sophia B Lau, Clifford S Bersamira, Yeonjung Jane Lee, Jaron Yamauchi
Summary The rise in anti-Asian hate since the COVID-19 pandemic highlighted the challenges that Asian Americans in the United States (U.S.) experience with xenophobia, racism, and the “model-minority stereotype.” The model-minority stereotype is a misleading myth that has been pervasively attached to the Asian American identity and experiences. Thus, it can serve as a useful framework to understand experiences in the current anti-Asian hate climate. In this exploratory qualitative study, the investigators interviewed Asian American social workers ( N = 17), highlighting their perspectives and experiences during the anti-Asian hate climate, with attention paid to how the model minority stereotype was contextualized among participants. Findings The resounding tone underlying participants’ model-minority stereotype-related discussions was the need to counter the model minority stereotype. Notably, the model-minority stereotype was contextualized differently for participants and three themes were identified: (1) limbo between model minority and perpetual foreigner status; (2) impacts on the social worker role and in the organizational setting; and (3) impacts on advocacy work. Applications Study findings suggest a need for continued support and opportunities to unlearn and relearn the purpose of the model-minority stereotype and its broad sweep and attacks on various health dimensions (physically, psychologically, socially, and spiritually) across Asian Americans ethnic groups. Countering the model-minority stereotype can play a pivotal role in transforming the narratives surrounding Asian American's identity and experiences in the U.S., in addition to organizational culture and dynamics to support Asian Americans social workers practice and advocacy work across practice levels.
自2019冠状病毒病(COVID-19)大流行以来,反亚裔仇恨情绪的上升凸显了美国亚裔美国人在仇外心理、种族主义和“模范少数族裔刻板印象”方面面临的挑战。模范少数族裔的刻板印象是一种误导性的神话,它普遍与亚裔美国人的身份和经历联系在一起。因此,它可以作为一个有用的框架来理解当前反亚洲仇恨气氛中的经历。在本探索性质的研究中,研究者采访了17名亚裔美国社会工作者,突出了他们在反亚裔仇恨气候中的观点和经历,并关注模范少数族裔刻板印象如何在参与者中被语境化。研究结果:参与者对模范少数民族刻板印象的讨论的基调是需要对抗模范少数民族刻板印象。值得注意的是,参与者对模范少数民族刻板印象的语境化存在差异,并确定了三个主题:(1)模范少数民族与永久外国人身份之间的不确定性;(2)对社工角色和组织设置的影响;(三)对倡导工作的影响。研究结果表明,需要持续的支持和机会来忘记和重新学习模范少数族裔刻板印象的目的,以及它在亚裔美国人种族群体中对各种健康方面(身体、心理、社会和精神)的广泛影响和攻击。反对模范少数族裔的刻板印象可以在改变围绕亚裔美国人的身份和经历的叙述方面发挥关键作用,除了组织文化和动态之外,还可以支持亚裔美国社会工作者在实践层面的实践和倡导工作。
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引用次数: 0
Colonial constructions: Systemic racism in child welfare practice 殖民建构:儿童福利实践中的系统性种族主义
3区 社会学 Q2 SOCIAL WORK Pub Date : 2023-10-10 DOI: 10.1177/14680173231197988
Shelagh Roxburgh, Megan Sinclair
Summary Drawing on historical constructions of Indigenous peoples, this paper analyses the continued impact of settler discourses of Indigenous families, parenting, and children on child welfare policy in Canada today. Findings In this work, two provincial children's Advocate reports on the deaths of Indigenous children in care, Tina Fontaine and Alex Gervais, are critically assessed in order to explore the processes through which these colonial constructions operate to create adverse outcomes for Indigenous people. Through this analysis, a number of contemporary colonial narratives are made visible, including the belief that Indigenous parents are inherently incapable of caring for their children, and the gendered construction of Indigenous men and boys as criminal and deviant and Indigenous girls as sexually exploitable. Application These findings suggest that greater critical reflection is needed when working with Indigenous peoples, including greater awareness of the ongoing impact of settler colonialism and the necessity of engaging in anti-colonial work.
本文以原住民族的历史建构为背景,分析原住民家庭、父母教养和儿童的移民话语对今日加拿大儿童福利政策的持续影响。在这项工作中,对两份省级儿童权益倡导者报告————Tina Fontaine和Alex Gervais————进行了严格的评估,以探讨这些殖民建筑是如何为土著人民造成不利后果的。通过这种分析,可以看到一些当代殖民叙事,包括认为土著父母天生就没有能力照顾他们的孩子,以及将土著男子和男孩视为罪犯和越轨者,将土著女孩视为性剥削对象的性别建构。这些发现表明,在与土著人民合作时,需要更多的批判性反思,包括更多地认识到定居者殖民主义的持续影响以及从事反殖民工作的必要性。
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引用次数: 0
When support seekers encounter unsettling responses: A dual-factor approach 当寻求支持的人遇到令人不安的反应:双重因素方法
3区 社会学 Q2 SOCIAL WORK Pub Date : 2023-10-08 DOI: 10.1177/14680173231206710
Shih-Ying Cheng, Elizabeth Taylor, Sherry Hamby
Summary Accumulating evidence indicates the multifaceted nature of social support. Although support seekers may receive help, they may also encounter upsetting responses. It remains unclear how seeking and receiving social support, when differentiated, are associated with individuals’ strengths and well-being. This study collected survey data from 357 adults recruited from the southeastern United States. We classified participants using the factors of support seeking and support received into four groups: Interconnected (high on support seeking and receiving), Tended (low on support seeking, high on support receiving), Rebuffed (high on support seeking, low on support receiving), and Isolated (low on support seeking and receiving). We then examined the differences among groups. Findings The study found significant differences among the four groups in measures of regulatory strengths, meaning-making strengths, interpersonal strengths, and perceived well-being. In general, the Interconnected group scored highest among the four groups, followed by the Tended group, the Rebuffed group, and lastly, the Isolated group. Applications The finding that the Rebuffed group did not score significantly lower than the Isolated group underscores the importance of support seeking. Individuals may benefit from the support seeking process even though they do not obtain the support needed. Social work practitioners should facilitate and optimize their clients’ support seeking, including removing clients’ barriers to support seeking and addressing clients’ negative experiences in the support seeking process. Social work researchers should measure multiple aspects of social support, including support received and support seeking.
越来越多的证据表明社会支持的多面性。尽管寻求支持的人可能会得到帮助,但他们也可能会遇到令人沮丧的反应。目前尚不清楚寻求和接受社会支持与个人的优势和幸福之间的关系。这项研究收集了来自美国东南部的357名成年人的调查数据。我们使用寻求支持和获得支持的因素将参与者分为四组:相互联系(寻求支持和接受支持的程度高),倾向(寻求支持的程度低,接受支持的程度高),拒绝(寻求支持的程度高,接受支持的程度低)和孤立(寻求支持和接受支持的程度低)。然后我们检查了各组之间的差异。研究发现,四组在调节优势、意义制造优势、人际优势和感知幸福感方面存在显著差异。总的来说,“相互联系”组在四组中得分最高,其次是“倾向”组、“拒绝”组,最后是“孤立”组。被拒绝组的得分并不明显低于被孤立组,这一发现强调了寻求支持的重要性。个人可能会从寻求支持的过程中受益,即使他们没有获得所需的支持。社会工作从业人员应促进和优化案主寻求支持的过程,包括消除案主寻求支持的障碍,解决案主在寻求支持过程中的负面经历。社会工作研究者应该测量社会支持的多个方面,包括得到的支持和寻求的支持。
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引用次数: 0
Book Review: Violence against women during coronavirus: When staying home isn’t safe by Naomi Pfitzner, Kate Fitz-Gibbon, Sandra Walklate, Silke Meyer and Marie Segrave 书评:《冠状病毒期间对妇女的暴力:当呆在家里不安全》,作者:内奥米·菲茨纳、凯特·菲茨-吉本、桑德拉·沃克莱特、西尔克·迈耶和玛丽·塞格雷夫
3区 社会学 Q2 SOCIAL WORK Pub Date : 2023-10-05 DOI: 10.1177/14680173231206714
Tingting Hu, Yueying Wang
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引用次数: 0
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Journal of Social Work
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