Social Work in Health Care最新文献

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Fear of contamination, perceived social support and physical health of health social workers in Hong Kong: A cross-sectional survey 香港卫生社工对污染的恐惧、感知的社会支持与身体健康:一项横断面调查

IF 2.2 4区社会学 Q1 SOCIAL WORK

Social Work in Health Care

Pub Date : 2022-04-21 DOI: 10.1080/00981389.2022.2076766

A. Chow, M. Suen, Keyuan Jiao, Yong Hao Ng, Juan Wang, C. Chan

ABSTRACT Hong Kong experienced the SARS pandemic in 2003. Seventeen years later, the Covid-19 pandemic now challenges Hong Kong and the world. This study aims to unveil the impact of the pandemic on health social workers. One hundred and sixty-six health care social workers in Hong Kong were recruited to join a cross-sectional online survey from November 2020 to March 2021. This paper includes the analysis of the demographic information, fear of contamination, resilience, perceived social support and physical health only. Irrespective of the demographic background, the level of fear of contamination, resilience, perceived social support and physical health were similar. The mean scores of the two dimensions of fear of contamination (Harm avoidance: m = 7.49, s.d. = 3.25; Disgust avoidance: m = 7.75, s.d. = 2.90) were higher than those of general public and clinical samples with Obsessive-Compulsive Disorder. No moderation effects were found in resilience and perceived social support in the relationship of fear of contamination and physical health. Instead, direct effects were shown.The impact of the pandemic on health social workers was universal. Psychoeducational programs to alleviate the fear of contamination and organizational-level interventions to improve workplace social support are highly needed.

摘要香港在2003年经历了SARS大流行。17年后，新冠肺炎疫情现在对香港和世界构成挑战。这项研究旨在揭示疫情对卫生社会工作者的影响。从2020年11月到2021年3月，香港共有一百六十六名卫生保健社会工作者参加了一项横断面在线调查。本文仅包括对人口统计信息、对污染的恐惧、复原力、感知的社会支持和身体健康的分析。无论人口背景如何，对污染的恐惧程度、复原力、感知到的社会支持和身体健康都是相似的。对污染恐惧的两个维度的平均得分（避免伤害：m=7.49，s.d.=3.25；避免厌恶：m=7.75，s.d.=2.90）高于一般公众和患有强迫症的临床样本。在对污染的恐惧和身体健康的关系中，韧性和感知的社会支持没有发现适度影响。相反，显示出了直接影响。疫情对卫生社会工作者的影响是普遍的。迫切需要心理教育计划来减轻对污染的恐惧，以及组织层面的干预措施来改善工作场所的社会支持。

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引用次数: 1

Perceived support and preparedness for the next pandemic among Israeli social workers in hospital settings during the COVID-19 pandemic 在2019冠状病毒病大流行期间，医院环境中的以色列社会工作者对下一次大流行的支持和准备

IF 2.2 4区社会学 Q1 SOCIAL WORK

Social Work in Health Care

Pub Date : 2022-04-21 DOI: 10.1080/00981389.2022.2076765

Shiri Shinan-Altman, M. Schiff, Hadas Rosenne, Wendy Chen, Hanna Kaofer, Sagit Zeevi, R. Nir-Paz

ABSTRACT This study describes the conditions under which Israeli social workers in hospital settings operated s during the COVID-19 pandemic, and assesses their perceived support (informal and organizational support) and preparedness for the next pandemic. It further assesses correlates for perceived support and associations between perceived support and preparedness. The participants were 163 social workers from four hospitals who completed an on-line survey. The findings revealed that the level of exposure to COVID-19 and fear of contracting COVID-19 were unrelated to perceived informal and organizational support. Age and having children who are minors living at home moderated the relationship between fear of contracting COVID-19 and both types of perceived support. Each type of perceived support was significantly associated with preparedness beyond age, having minors at home, exposure to COVID-19, and fear of contracting COVID-19. Implications for research and practice are discussed.

摘要本研究描述了新冠肺炎大流行期间医院环境中的以色列社会工作者的操作条件，并评估了他们感知到的支持（非正式和组织支持）和对下一次大流行的准备情况。它进一步评估了感知支持的相关性以及感知支持和准备之间的关联。参与者是来自四家医院的163名社会工作者，他们完成了一项在线调查。研究结果显示，接触新冠肺炎的程度和对感染新冠肺炎的恐惧与感知到的非正式和组织支持无关。年龄和有未成年子女在家生活缓和了对感染新冠肺炎的恐惧与两种类型的感知支持之间的关系。每种类型的感知支持都与年龄以外的准备、家里有未成年人、接触新冠肺炎以及对感染新冠肺炎的恐惧显著相关。讨论了对研究和实践的启示。

引用次数: 2

Mental health care needs in cystic fibrosis: A scoping review. 囊性纤维化患者的精神卫生保健需求:范围综述

IF 2.2 4区社会学 Q1 SOCIAL WORK

Social Work in Health Care

Pub Date : 2022-04-14 DOI: 10.1080/00981389.2022.2060422

Campbell Tickner, Lucy Holland, Peter Wark, Jodi Hilton, Cathy Morrison, Frances Kay-Lambkin, Milena Heinsch

People with cystic fibrosis experience rates of anxiety and depression that are considerably higher than those of the general population. Research suggests low mental health functioning can lead to poor health outcomes and quality of life for this population. Consequently, recognition of the need for routine mental health screening and referral in cystic fibrosis care is increasing. Yet to date, less is known about the actual mental health care needs of people with cystic fibrosis. This scoping review sought to address this gap by examining the mental health care needs of adults and adolescents living with cystic fibrosis, and how are these needs are (or are not) being met. Findings suggest current efforts at mental health care provision do not adequately meet the needs of people with cystic fibrosis, highlighting the urgency of conducting high quality intervention research to support effective mental health care for this population.

囊性纤维化患者的焦虑和抑郁发生率明显高于普通人群。研究表明，心理健康功能低下会导致这一人群的健康状况和生活质量不佳。因此，越来越多的人认识到在囊性纤维化治疗中需要进行常规心理健康筛查和转诊。然而，迄今为止，人们对囊性纤维化患者的实际精神卫生保健需求知之甚少。这项范围审查试图通过检查患有囊性纤维化的成人和青少年的精神卫生保健需求以及这些需求如何得到满足(或未得到满足)来解决这一差距。研究结果表明，目前在精神卫生保健方面的努力不能充分满足囊性纤维化患者的需求，强调了开展高质量干预研究以支持这一人群有效精神卫生保健的紧迫性。

引用次数: 0

Factors associated with involving the social worker in whole person, team based outpatient musculoskeletal care. 与社会工作者参与全人、团队门诊肌肉骨骼护理相关的因素

IF 2.2 4区社会学 Q1 SOCIAL WORK

Social Work in Health Care

Pub Date : 2022-04-14 DOI: 10.1080/00981389.2022.2060420

Prakash Jayakumar, Joost Tp Kortlever, David Ring, Melissa Miller, Donna Shanor

The musculoskeletal community is increasingly recognizing the importance of addressing mental and social health opportunities and incorporating psychosocial support in outpatient care. This secondary analysis of a longitudinal study evaluating the management of upper extremity conditions in a musculoskeletal integrated practice unit involving 102 adult patients (63% women, mean age 49 ± 13 years), aimed to identify demographic, clinical and psychosocial variables associated with involvement of an immediately available social worker. Additionally, we assess factors associated with patients seeking second opinions and level of self-efficacy. The only factor independently associated with meeting a social worker was greater symptoms of depression. There were no factors associated with presenting for advice from a second specialist. Self-efficacy score below 10 was independently associated with higher BMI, conditions involving the shoulder or upper arm compared to the hand or wrist, and greater symptoms of depression. When a social worker is available in an upper extremity practice, they are most welcomed and helpful for people with notable symptoms of depression, likely because a depression screen was used as a trigger for involvement. Less adaptive response to painful illness may be easier to measure and discuss, with the potential to increase attention to mental and social health.

摘要肌肉骨骼界越来越认识到解决心理和社会健康机会以及将心理社会支持纳入门诊护理的重要性。这项纵向研究评估了102名成年患者（63%为女性，平均年龄49±13岁）在肌肉骨骼综合实践单元中上肢状况的管理，旨在确定与立即可用的社会工作者参与相关的人口统计学、临床和心理社会变量。此外，我们评估了与患者寻求第二意见和自我效能水平相关的因素。唯一与会见社会工作者独立相关的因素是更大的抑郁症状。没有与向第二位专家提出建议相关的因素。自我效能感得分低于10与较高的BMI、与手或手腕相比涉及肩膀或上臂的情况以及更大的抑郁症状独立相关。当有社会工作者参与上肢实践时，他们对有明显抑郁症状的人最受欢迎，也最有帮助，这可能是因为抑郁症筛查被用作参与的触发因素。对痛苦疾病的适应性较差的反应可能更容易测量和讨论，有可能增加对心理和社会健康的关注。

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引用次数: 0

Exploring dementia care in acute care settings: Perspectives of nurses and social workers on caring for patients with behavioral and psychological symptoms 探索急性护理环境中的痴呆护理:护士和社会工作者对有行为和心理症状患者的护理观点

IF 2.2 4区社会学 Q1 SOCIAL WORK

Social Work in Health Care

Pub Date : 2022-03-16 DOI: 10.1080/00981389.2022.2076764

R. Dunkle, Katherine Cavignini, Joonyoung Cho, Laura Sutherland, H. Kales, C. Connell, Amanda N. Leggett

ABSTRACT This qualitative study compares perspectives of nurses (n = 5) and social workers (n = 12) about their role in caring for patients with dementia with behavioral and psychological problems in an acute care setting. A thematic qualitative analysis was conducted using the Rigorous and Accelerated Data Reduction Technique (RADaR). Three themes emerged: engagement of the patient and coordination with family and professionals, treatment and medical management of behavioral and psychological symptoms of dementia (BPSD) in the hospital, and barriers to care. Barriers to care are identified by both professions, with each having its own care niche. Social workers and nurses work as a team with the understanding that they face care challenges. Person centered care is a successful approach for the care team working with patients with BPSD.

摘要:本定性研究比较了护士(n = 5)和社工(n = 12)在急性护理环境中照顾有行为和心理问题的痴呆症患者中的角色。使用严格和加速数据简化技术(RADaR)进行了专题定性分析。出现了三个主题:患者的参与以及与家属和专业人员的协调、医院中痴呆症行为和心理症状的治疗和医疗管理，以及护理的障碍。护理障碍由两个专业确定，每个专业都有自己的护理利基。社会工作者和护士作为一个团队工作，了解他们面临的护理挑战。以人为本的护理是治疗BPSD患者的一种成功方法。

引用次数: 1

Social work, Parkinson’s disease care, and COVID-19 社会工作、帕金森病护理和COVID-19

IF 2.2 4区社会学 Q1 SOCIAL WORK

Social Work in Health Care

Pub Date : 2022-03-16 DOI: 10.1080/00981389.2022.2069902

L. Zerden, Ting Guan, Jessica Shurer, Linda Kreitzer, E. Book

ABSTRACT Parkinson’s Disease is a neurological disease affecting over 10 million people worldwide. Interdisciplinary teams provide integrated care to people with Parkinson’s Disease, including care for non-motor symptoms such as anxiety and depression, and many of these teams include social workers. This study sought to learn more about (a) clinical social work utilization across the continuum of care of PWP and their family care partners and (b) how patterns in utilization and service provision have shifted during the pandemic. This mixed method study identifies the breadth of roles performed by social workers in the comprehensive care of people with Parkinson’s Disease (PWP). Findings underscore the important roles social workers play in providing comprehensive care for PWP and their families and their contributions to interdisciplinary teams providing holistic, integrated care, particularly during COVID-19 and into the future.

帕金森病是一种影响全球超过1000万人的神经系统疾病。跨学科团队为帕金森病患者提供综合护理，包括治疗非运动症状，如焦虑和抑郁，其中许多团队包括社会工作者。本研究旨在更多地了解(a)残疾人及其家庭护理伙伴在整个护理过程中的临床社会工作利用情况，以及(b)在大流行期间，利用和提供服务的模式发生了怎样的变化。这项混合方法研究确定了社会工作者在帕金森病(PWP)患者的综合护理中所扮演的角色的广度。调查结果强调了社会工作者在为残疾人及其家人提供全面护理方面发挥的重要作用，以及他们对跨学科团队提供全面综合护理的贡献，特别是在2019冠状病毒病期间和未来。

引用次数: 3

A designated trauma social worker improves coordination of patient care by coordinating ancillary consults 指定的创伤社会工作者通过协调辅助咨询来改善患者护理的协调

IF 2.2 4区社会学 Q1 SOCIAL WORK

Social Work in Health Care

Pub Date : 2022-03-16 DOI: 10.1080/00981389.2022.2076763

N. Dhillon, Riley C Kolus, Kavita A. Patel, G. Conde, Jazmin Perez, Heidi Holtz, Eric J. Ley

ABSTRACT Trauma patients face unique challenges that require coordination by social workers knowledgeable in the intricacies of trauma patient psychosocial support which is often achieved by obtaining ancillary consultations. The impact of employing a designated trauma social worker (DTSW) in the utilization of these consults has not been described. A retrospective review was conducted of trauma patients admitted to an academic, urban Level 1 trauma center. The pre-intervention cohort (n = 272) corresponded to patients admitted before the presence of a DTSW (01/2013 to 06/2013), while the post-intervention cohort (n = 282) corresponded to patients admitted afterward (09/2015 to 01/2016). Data collection included demographics, injury profile, and types of interdisciplinary or therapy consultations. Post-intervention patients were found to be older and admitted with more injuries. Supportive care, physical therapy and occupational therapy consultations were more likely to be obtained in the post-intervention cohort. Hospital length of stay remained unchanged. This study suggests that the implementation of a DTSW significantly facilitates the utilization of interdisciplinary consultations. Length of stay remains unchanged, suggesting that a DTSW helps to coordinate care in a timely manner without increasing the hospital stay. DTSW implementation may be considered in trauma centers where one does not currently exist.

创伤患者面临着独特的挑战，需要社会工作者在创伤患者复杂的心理社会支持方面的知识协调，这通常是通过获得辅助咨询来实现的。雇用指定的创伤社会工作者(DTSW)在利用这些咨询的影响还没有被描述。回顾性审查的创伤患者入院的学术，城市一级创伤中心。干预前队列(n = 272)对应于出现DTSW前(2013年1月至2013年6月)入院的患者，干预后队列(n = 282)对应于出现DTSW后(2015年9月至2016年1月)入院的患者。数据收集包括人口统计、损伤概况和跨学科或治疗咨询的类型。干预后患者年龄较大，入院时损伤较多。在干预后队列中，支持性护理、物理治疗和职业治疗咨询更有可能获得。住院时间保持不变。本研究表明，DTSW的实施大大促进了跨学科咨询的利用。住院时间保持不变，这表明DTSW有助于及时协调护理，而不会增加住院时间。在目前没有DTSW的创伤中心，可以考虑实施DTSW。

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引用次数: 0

Enhancing satisfaction and respect for health care personnel: a mixed-methods case study of a community-based intervention 提高对卫生保健人员的满意度和尊重:社区干预的混合方法案例研究

IF 2.2 4区社会学 Q1 SOCIAL WORK

Social Work in Health Care

Pub Date : 2022-02-07 DOI: 10.1080/00981389.2022.2062635

L. Baig, Zaeema Ahmer, Hira Tariq, Mirwais Khan, Muhammad Naseem Khan, Muhammad Sohaib, Shiraz Shaikh

ABSTRACT Health care personnel (HCP) face violence as a result of lack of satisfaction and respect among community members. It is imperative for HCP to engage in social work by involving communities for enhancing satisfaction and respect for them. This study attempted to provide insight on this phenomenon by using a mixed-methods concurrent embedded approach. Communities were selected based on modified Solomon four-group design from Karachi in southern province and from three cities of northern province, Khyber Pakhtunkhwa of Pakistan. Focus group discussions and in-depth interviews took place for formulating the quantitative tool. Six hundred pretests were done prior to introducing low-cost community-based interventions followed by 601 posttests. We found increased levels of satisfaction in both provinces, whereas level of respect increased significantly in Karachi in the southern province only. Qualitative interviews revealed the important role played by media and religious leaders. These findings suggest that satisfaction and respect for HCP can be enhanced through community support, involvement of religious leaders, and effective media campaigns.

卫生保健人员(HCP)面临的暴力是由于缺乏满意度和社区成员的尊重。HCP必须参与社会工作，让社区参与进来，以提高对社区的满意度和尊重。本研究试图通过使用混合方法并发嵌入式方法来深入了解这一现象。根据改进的所罗门四组设计，从巴基斯坦南部省份卡拉奇和北部省份开伯尔-普赫图赫瓦的三个城市中选择了社区。为制订量化工具，进行了焦点小组讨论和深入访谈。在引入低成本社区干预措施之前进行了600次前测，然后进行了601次后测。我们发现两个省的满意度都有所提高，而只有南部省份的卡拉奇的尊重水平显著提高。定性访谈揭示了媒体和宗教领袖的重要作用。这些发现表明，通过社区支持、宗教领袖的参与和有效的媒体宣传，可以提高对HCP的满意度和尊重。

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引用次数: 0

Caregiver burden in Iranian caregivers of patients undergoing hemodialysis: a qualitative study 伊朗血液透析患者护理人员负担:一项定性研究

IF 2.2 4区社会学 Q1 SOCIAL WORK

Social Work in Health Care

Pub Date : 2022-02-07 DOI: 10.1080/00981389.2022.2060421

S. Hejazi, M. Hosseini, A. Ebadi, H. Alavi Majd

ABSTRACT So far, limited studies have investigated the caregivers of hemodialysis patients and the concept of caregiver burden from their own perspective. The present study aimed to explore the issue of caregiver burden among family caregivers of patients undergoing hemodialysis. A total of 21 family caregivers, patients, and formal caregivers were enrolled using the purposive sampling method. In-depth, semi-structured interviews were conducted to collect the data. For data analysis, a directed qualitative content analysis method was applied. Finally, five dimensions of caregiver burden were extracted, including physical, psychological, emotional, spiritual, financial, social, and time-dependent burdens.

摘要到目前为止，有限的研究从他们自己的角度对血液透析患者的护理人员和护理人员负担的概念进行了调查。本研究旨在探讨血液透析患者家庭护理人员的护理负担问题。共有21名家庭护理人员、患者和正式护理人员采用目的性抽样方法进行了登记。深入地，进行了半结构化访谈来收集数据。对于数据分析，采用了一种直接的定性内容分析方法。最后，提取了照顾者负担的五个维度，包括身体、心理、情感、精神、经济、社会和时间依赖性负担。

引用次数: 3

A call for a new perspective in social work and health care: the developmental-clinical social work perspective. COVID-19 pandemic through the human rights perspective 呼吁社会工作和卫生保健的新视角:发展-临床社会工作视角。从人权角度看待COVID-19大流行

IF 2.2 4区社会学 Q1 SOCIAL WORK

Social Work in Health Care

Pub Date : 2022-01-02 DOI: 10.1080/00981389.2022.2027847

R. K. Chigangaidze

ABSTRACT Human rights are essential in shaping the pandemic response both for the public health emergency and the broader impact on people’s well-being. Utilizing the human rights lenses, this article expatiates on a developmental-clinical social work approach to the COVID-19 pandemic response. The disquisition explores human rights to health, education, adequate food and nutrition, water and sanitation, and development. It conducts projections and a cost–benefit analysis of remedial and developmental focus on health. The paper emphasizes that it is criminal to deprive human beings of their entitlements. The paper argues that socio-economic inequalities deprive people of their human rights. To this end, it calls for the equal distribution of wealth to end poverty and ultimately address human rights concerns. It advances for the integration of health in all policies. The article calls for the social work profession and other helping professions to rethink of their priorities in the enhancement of people’s welfare: either to be an agent of social control or an agent of social change. Social work should face the socio-economic inequalities head-on if it is to truly reflect its professional philosophy of social justice.

人权对于制定流行病应对措施至关重要，既要应对突发公共卫生事件，也要应对对人民福祉的更广泛影响。本文运用人权视角，阐述了发展-临床社会工作方法在COVID-19大流行应对中的应用。这篇论文探讨了健康、教育、充足的食物和营养、水和卫生设施以及发展方面的人权。它对保健方面的补救和发展重点进行预测和成本效益分析。本文强调剥夺人的权利是犯罪行为。文章认为，社会经济不平等剥夺了人们的人权。为此，它呼吁平等分配财富，以消除贫困，并最终解决人权问题。它推动将卫生纳入所有政策。这篇文章呼吁社会工作专业和其他帮助专业重新思考他们在提高人民福利方面的优先事项:要么成为社会控制的代理人，要么成为社会变革的代理人。社会工作要真正体现社会正义的专业理念，就必须直面社会经济不平等。

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引用次数: 0

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