Social Work in Health Care最新文献

This study examined the relationship between the impact of weight on quality of life (QoL), emotional appetite, and psychological well-being. The study included 124 individuals with obesity with a body mass index (BMI) of more than 30 kg/m², 129 individuals with overweight with a BMI between 25 and 29.9 kg/m², and 123 normal-weight individuals with a BMI less than 25 kg/m² who applied to certain nutrition and dietetics clinics in Istanbul. We administered the Impact of Weight on Quality of Life Scale (IWQOL), Emotional Appetite Questionnaire (EAQ), and Psychological Well-Being Scale (PWS) to the individuals. The QoL and psychological well-being scores in the group with a normal BMI showed a strong positive association. Positive emotional appetite ratings, psychological well-being, and QoL showed a noteworthy positive link in the BMI group with overweight. The study revealed a negative relationship between a bad emotional appetite and psychological well-being. The QoL and psychological well-being scores in the BMI group with obesity showed a strong positive association. In addition, the psychological well-being scores of those in the normal and overweight BMI groups were significantly higher than those in the BMI group with obesity. The negative emotional appetite scores in the BMI groups with obesity and overweight were significantly higher than those in the normal BMI group. Those in the normal BMI group had significantly higher positive emotional appetite scores than those in the BMI group with overweight did. Findings indicate significant associations between BMI, QoL, and psychological well-being, with potential interventions identified to enhance patient care and support. These results underscore the critical role of social work in addressing weight-related psychological and emotional challenges within health care settings.

Background: Domestic and family violence (DFV) is a major public health issue mainly affecting women and children. Health services are an important site in the identification and initial response to DFV. Social Workers often lead the psychosocial response to DFV. This study aimed to explore the experiences of internal referrers to a hospital-based social work led DFV Service.

Methods: Qualitative study design. Participants were purposively sampled from health professionals referring to the DFV service at a single, tertiary metropolitan hospital in Sydney, Australia and invited to participate in an online focus group. The focus groups explored participants' experiences of referring to a specialist DFV service and any practice change that occurred from working with the service. Focus group transcripts were analyzed using reflexive thematic analysis.

Results: A total of 10 internal referrers participated across two focus groups; all were social workers. Four key themes were identified; i) integration of the DFVS with existing services; ii) consultation and complexity, iii) professional development and iv) the importance of social work values. Integration of the DFV service into the Social Work Department enhanced professional relationships and avenues for collaboration. Responsive consultation helped to build social workers' skills and confidence and to manage their anxiety when dealing with safety concerns and addressing complex needs, such as the needs of people with mental health conditions or violence experienced by multiple perpetrators. Education from the DFV service further assisted referrers with developing their knowledge and skills in identifying various forms of violence, assessing risk and providing intervention. Alignment of social work values enabled a shared practice lens especially in trauma informed care.

Discussion: A social work-led hospital-based DFV Service has benefits for the practice of hospital and health social workers who identify and provide the initial response to DFV. Implementation of such models in practice provides opportunities for increased awareness, assessment and responsiveness to the complex needs of people experiencing DFV.

Studies on the hospital social work workforce in global contexts remain unexplored. This study aims to describe the workforce status for hospital social work in Vietnam. This study involved 676 central, provincial, and district hospitals in Vietnam. The number of hospital social workers in Vietnam increased 2.71 times, from 591 people in 2016 to 1,605 people in 2020. However, Vietnam continues to face challenges in the workforce for hospital social work, such as inadequate staffing patterns and poor compensation packages, and the proportion of hospital social workers professionally trained at the master's level in social work is still limited. Moreover, hospitals at central and provincial levels have a better workforce for hospital social work than district hospitals. The study provides policy suggestions to improve the quality of hospital social services by ensuring adequate hiring and compensation of fully trained social workers.

This qualitative study used in-depth interviews with 23 pediatric emergency room social workers to explore the interplay of the primary trauma experienced by children and families and the secondary trauma experienced by social workers. The analysis used a grounded theory approach and developed a conceptual model of the cycle of primary and secondary trauma, whereby child and family trauma can lead to social workers' secondary trauma, which can further lead to impacts on client care that may exacerbate the primary trauma. To interrupt this cycle, trauma-informed hospitals should address both primary and secondary trauma in pediatric emergency rooms.

Introduction: Outpatient cancer counseling centers (OCCs) are important social work facilities that provide support for cancer survivors who have psychosocial and sociolegal challenges. This paper explores clinical and sociodemographic characteristics, psychosocial burden as well as access routes of clients in OCCs seeking work-related counseling.

Methods: Between May 2022 and December 2023, data were collected in 19 OCCs, using questionnaires and documentation by counselors.

Results: The 719 cancer survivors surveyed had a mean age of 50 and were predominantly female (78%); 46% had been diagnosed with breast cancer. Most respondents had university entrance certificates (42%). The respondents rated their overall life and job satisfaction at a mean of 5 and distress at a mean of 7. The majority of respondents had received information about the OCC from the hospital.

Discussion: The results show that especially women with breast cancer and high socioeconomic status made use of counseling in the CARES study. The respondents also had a high sense of burden and dissatisfaction and access routes to the OCCs were mainly through recommendations of the treating hospitals or physicians. These findings can be used to ensure need-based counseling in the OCC, as well as to address additional target groups that are currently underrepresented.

The study aims to examine the perspectives of healthcare workers in the emergency departments of private hospitals in Türkiye regarding the social work needs in these units. Twenty emergency department specialists participated in this qualitative research. The data were obtained by conducting in-depth interviews using a semi-structured interview form. In the analyses made with MAXQDA, 3 themes, and 7 sub-themes were created. The study results show that healthcare professionals encounter patients in need of social work in emergency departments and hospital administrators do not employ social workers due to neoliberal policies.