Difficult Conversations: A Collaborative Interprofessional Simulation for Social Work, Athletic Training and Physician Assistant Programs.

Students graduating from professional healthcare programs are expected to demonstrate competence in their area of study to enter the workforce and immediately start working with people. High expectations and a fast-paced environment are typical aspects of these professional positions and often result in higher rates of burnout, compassion fatigue, and lack of empathy, leading to an overall decrease in patient satisfaction. As a result, patients who face difficult situations may often feel as though their needs are not being addressed. The purpose of this study was to examine the effectiveness of a shared educational module and simulated patient encounters on improving student confidence and competence engaging in difficult conversations with patients regarding intimate partner violence, substance abuse, and suicidal ideation. Students in the social work (n=14), athletic training (n=7), and physician assistant degree programs (n=20) participated in a collective learning module focusing on patient-centered care (PCC) skills required for having difficult conversations with patients. After students completed the shared learning module and prior to the simulated experience, students were given the Inter-professional Teams in Difficult Conversations Self-Assessment survey, a self-assessment tool measuring level of competence in engaging in difficult conversations. Students were then assigned to one of three rooms at random and varied in topic from intimate partner violence, substance abuse, or suicidal ideation. After the simulation, students completed the Inter-professional Teams in Difficult Conversations Self-Assessment survey again. Standardized patients (SP) also completed the Patient-Professional Interaction Questionnaire (PPIQ) immediately after the simulated experience. As hypothesized, students self-reported very high confidence in their ability to engage in difficult conversations using PCC, but SPs reported feeling little empathy or understanding of their situation from the students. Findings from this research demonstrate the disconnect in transfer of knowledge from understanding what PCC skills are to implementing them during difficult conversations.

How Attitudes Toward Evidence-Based Practice Impacts Burnout: A Sequential Mediation Model.

PURPOSE: With the rapid development of China's social work sector, the increasing job pressures, and risks of professional burnout among social workers have become more prevalent. This study examined the relationship between Chinese social workers' attitudes toward evidence-based practice (EBP) and burnout, exploring the mediating mechanisms of evidence-based knowledge (EBK) and service quality perception (SQP). MATERIALS AND METHODS: We applied PROCESS 4.2 macro in SPSS to analyze the data from 5,931 social workers, testing the sequential mediation effects of EBK and SQP between their attitudes toward EBP and burnout. RESULTS: The findings revealed: (1) Attitudes toward EBP had significant indirect positive effects on burnout; (2) EBK partially mediated the relationship between EBP attitude and burnout; (3) SQP partially mediated the relationship between attitudes toward EBP and burnout; (4) Attitudes toward EBP had a sequential mediated effect on burnout through EBK and SQP. DISCUSSION: The findings emphasize the need to implement targeted interventions and training programs to foster positive attitudes toward EBP, promote continuous professional development, and provide access to EBP resources. Moreover, nurturing EBK and SQP could help alleviate burnout by improving social workers' ability to address client issues and enhance their sense of confidence and accomplishment. CONCLUSION: This study fills a research gap by providing empirical evidence on the negative correlation between Chinese social workers' attitudes toward EBP and burnout, while demonstrating the mediating roles of EBK and SQP.

The Importance of Emotional Intelligence in Social Work Students and Its Relation to Perceived Efficacy.

Social workers have a greater than average risk of suffering burnout syndrome. In the same way as the professionals, students too can suffer academic burnout. However, few empirical studies have studied burnout and protective factors in social work students exclusively. Emotional intelligence (EI) has been described as a protective factor for burnout both in the professional and the academic context. The present study aims to explore which components of EI predict the burnout domains in students studying a degree in social work, in Spain. To this end, 87 social work students completed a questionnaire in which information was gathered on EI, burnout, average grade in the degree, and sociodemographic variables. The regression analysis results indicate that the students with poorer academic success and from higher years reported greater symptoms of burnout. Regarding the components of EI, emotional clarity and emotional repair predict the academic efficacy perceived by the students. These results highlight the importance of including EI in academic policies to promote the design of EI training programs aimed at developing EI skills, particularly emotional clarity and emotional repair, as a way of improving the perception of efficacy in social work students.

Implicit Biases and Racial Microaggressions: Examining the Impact on Black Social Work Students' Well-Being.

This paper explores the concept of racial microaggressions, everyday slights and offensive behaviors experienced by people of color, particularly focusing on their manifestation within social work education programs. Black social work students, in particular, frequently encounter instances tied to stereotypes about their intellectual abilities, perpetuating historical prejudices and contributing to mental health challenges such as anxiety and impostor phenomenon (IP). The historical trauma endured by Black individuals adds a distinct layer to the struggles faced by Black, Indigenous, and People of Color (BIPOC) students in social work education. Despite the evident impact, there exists a significant gap in scholarship addressing these issues, emphasizing the urgent need for the social work profession to confront and comprehend how implicit biases and racial microaggressions impede the success of Black social work students. This theoretical exploration aims to spark vital dialogue on the manifestations of implicit biases and racial microaggressions, probing their link to feelings of IP and historical trauma. Central to this inquiry is the examination of the critical consciousness framework's efficacy in social work education, uncovering its role in raising awareness among professionals regarding their inadvertent perpetuation of oppressive systems. By leveraging this framework, the paper seeks to unearth structures of oppression and privilege, promoting awareness of unintentional complicity in upholding these structures. Recommendations align with the critical consciousness framework, advocating for future dialogues and the implementation of effective microaggression scales to incorporate and analyze frequencies and the impact of racism in social work research.

Factors Associated with the Intention to Work with Older Adults Among First Year Social Work Students in Israel.

This study examined a model based on the Terror Management Theory and the Theory of Planned Behavior (TPB) to identify factors associated with social work students` intention to work with older adults. A cross-sectional study with a sample of 375 first-year Israeli social work students was undertaken. Attitudes, subjective norms and perceived behavioral control were directly associated with this intention. Contact with older adults was related to anxiety about older adults, which along with anxiety about self-aging, was related to the TPB constructs. The model explained 63% of the variance of the students` intention to work with older adults.

Services for Latino Family Dementia Caregivers: Is the Workforce Prepared?

The American healthcare system is ill-fitted to meet the needs of the growing population with Alzheimer's and Related Dementias (ADRD) and their caregivers, which disproportionately affects Latinos. This paper describes the caregiving process for Latino patients with ADRD from the perspective of caregivers and service providers to reveal service areas in need of improvement. Ten providers and 24 Latino caregivers were interviewed through the Miami-Dade County Aging Network. Interviews were analyzed using a grounded theory approach. Five themes emerged: lack of social service connectivity, case management challenges, unmet mental health needs, language barriers, and the need for alternative service models. Our analysis indicates insufficient training and the need to improve dementia competencies, support strategies, and understanding of cultural nuances among service providers. These findings can help inform the development of a required ADRD provider education curriculum that incorporates cultural competency training to improve the quality and effectiveness of care.

Exploring the Evidence-Based Practice Process with Social Work Practitioners.

PURPOSE: This study investigates social work practitioners' feasibility, attitudes, and familiarity with the Evidence Based Practice (EBP) process in their work and their ability to access and integrate research into their practice. MATERIALS AND METHODS: Social work practitioners (N = 256) were recruited through Reddit and Facebook and completed an online survey. Participants completed demographic questions (e.g. time in practice, degree type, practice role), research-seeking behaviors, and completed three subscales of the Rubin & Parish Evidence-Based Practice Process Assessment Scale. RESULTS: The three EBP process subscales assessed participants' familiarity, attitudes, and perceived feasibility of the EBP process. The familiarity subscale could range from zero to 40, and the mean in this sample was 26.75 (SD = 5.55). The attitudes subscale could range from 0 to 56, and the mean in this sample was 37.03 (SD = 5.49). Finally, the feasibility subscale could range from zero to 20, and the mean in this sample was 12.18 (SD = 2.81). A linear regression was run to predict familiarity, feasibility, and attitudes toward the EBP process. Those who reported seeking out research more often found the process more familiar and feasible. Those who were in practice longer found the EBP process less familiar and had more negative attitudes. DISCUSSION: Strategies to address research familiarity, feasibility, and attitudes toward the EBP process include continuing experiential learning in education, accessing research in social media, and the use of continuing education. CONCLUSION: Continuing to address the research-practice gaps is an essential step toward delivering EBP to clients.

The Perceived Impact of Substance Use Education on Social Work Students' Knowledge, Attitudes, and Skills.

BACKGROUND: In 2021, the Substance Abuse and Mental Health Services Administration (SAMHSA) published a report revealing that over 46 million individuals in the United States had a substance use disorder (SUD). In the same year, a record number of drug-related overdose deaths were reported. Social workers play an important role in connecting with people who use substances and providing adequate care and treatment; yet, negative attitudes and lack of holistic knowledge about individuals who use substances create challenges in providing effective care. Social work curricula that integrates substance use content has been identified as one way to address this. METHODS: A 14-week course was introduced in one institution's Master of Social Work curriculum with the goal of providing students with a comprehensive education on SUDs. Foundational knowledge and practical skill development were covered. Seventeen trained instructors taught a total of 1204 students between May 2020 and January 2022. Quantitative and qualitative data were collected to explore changes in student's self-perceived knowledge, attitudes, and skills related to substance use. RESULTS: Among those who completed the survey (N = 553), the majority felt that the course would have a positive impact on their future work and professional development. Specifically, 96.4% reported being satisfied or very satisfied with the course overall. Among those who completed a 30-day follow-up survey (n = 69), data revealed an increase in students' self-perceived knowledge, accompanied by a shift in attitudes and positive changes in self-perceived client-centered care skills. CONCLUSIONS: Findings from this article support the development, implementation, and evaluation of evidence-based substance use content within social work curricula. This has implications for improving knowledge, attitudes, and skills among social workers who work with people who use substances.

Educating Social Workers in Palliative and End-of-Life Care: Development and Implementation of a New National Training Program.

Background: Educating Social Workers in Palliative and End-of-Life Care (ESPEC) is a nationally scalable continuing education program designed to improve the knowledge and skills of frontline health social workers caring for patients with serious illness. Objectives: This article describes ESPEC's rationale, development, and initial implementation. Design: Following the creation of consensus-derived core primary palliative care competencies for health primary care social workers based on the eight domains of palliative care outlined in the National Consensus Project Guidelines for Quality Palliative Care, an evidence-based curriculum was developed. This was used to develop a hybrid training model with a self-study component, synchronous instructor-led skills-based training, leadership training, and mentorship. The interactive curriculum incorporates patient scenarios highlighting the health social work role. Training targets high-impact skills-the biopsychosocial-spiritual assessment, advance care planning, family meetings, and interprofessional communication-and professional development. Settings/Subjects: ESPEC was launched in the United States in collaboration with the National Association of Social Workers (NASW) and the Social Work Hospice and Palliative Care Network (SWHPN). Results: The preliminary launch demonstrated high user acceptability, positive ratings for content and format, and gains in knowledge and competence. Conclusions: Data suggest that ESPEC can increase health social workers' knowledge and confidence as providers of palliative care interventions. National dissemination is ongoing.

Training Master of Social Work Students in Brief Intervention for Unhealthy Alcohol Use: Results of a Validated Adherence Assessment.

BACKGROUND: Many social workers receive limited training in working with clients engaged in unhealthy substance use. As a result, national organizations and agencies such as the Council on Social Work Education and individual social work programs are beginning to address this need by incorporating training into higher education social work programs. The purpose of this study was to examine Master of Social Work (MSW) students' adherence to a brief intervention protocol for unhealthy alcohol use. METHODS: A total of 91 MSW students consented to the assessment of their digital, audio-recorded class assignment by independent raters. RESULTS: Although 90% of MSW student participants were found to be overall adherent to the protocol, gaps in training quality were also identified. CONCLUSIONS: Lessons learned for addressing the gaps are discussed, along with future directions for teaching and learning in social work related to substance use.

Serviço social em empresa: reflexões sobre as demandas do setor de energia elétrica de Minas Gerais / Social service in a company: reflections on the demands of the electricity sector in Minas Gerais / Servicio social en una empresa: reflexiones sobre las demandas del sector eléctrico en Minas Gerais

Este artigo apresenta uma reflexão sobre o Serviço Social no setor empresarial e as demandas para os assistentes sociais que enfrentaram os desafios presentes nas décadas de 1960 e 1990. Realiza uma contextualização da inserção desse profissional em uma empresa de energia elétrica no estado de Minas Gerais e apresenta elementos para se compreender esse espaço sócio-ocupacional e contribuir para o aprimoramento teórico, técnico e acadêmico de assistentes sociais inseridos nesse campo de atuação

This article presents a reflection on Social Service in the business sector and the demands for social workers who faced the challenges present in the 1960s and 1990s. It contextualizes the insertion of this professional in an electric energy company in the state of Minas General and presents elements to understand this socio-occupational space

Este artículo presenta una reflexión sobre el Servicio Social en el sector empresarial y las demandas de los trabajadores sociales que enfrentaron los desafíos presentes en las décadas de 1960 y 1990. Contextualiza la inserción de este profesional en una empresa de energía eléctrica en el estado de Minas General y. presenta elementos para comprender este espacio sociolaboral y contribuir al perfeccionamiento teórico, técnico y académico de los trabajadores sociales insertados en este campo de actividad

Sites of Possibilities: A Scoping Review to Investigate the Mentorship of Marginalized Social Work Doctoral Students.

PURPOSE: This scoping review investigates the state of mentorship for marginalized Social Work doctoral students. METHOD: A three member scoping review was performed to identify critical features and benefits of mentorship for marginalized Social Work doctoral students. RESULTS: A thorough review found eight articles discussing mentorship of marginalized Social Work doctoral students across different universities in the United States, with perspectives that prioritized comprehensive mentorship that addresses academic and personal goals. Themes were identified around the definitions of mentorship, applied theories of mentorship, and how mentorship is beneficial in the recruitment, retention, and success of Social Work doctoral students. DISCUSSION: There is limited research on the perspectives of Social Work doctoral students on their mentorship experiences and the capacity for faculty and institutions to provide positive mentoring experiences. Mentorship is crucial to the success of marginalized Social Work doctoral students. Marginalized doctoral students in Social Work, who may require additional support throughout the recruitment and retention processes, have limited opportunities for strong mentorship experiences. Further research and focus on mentorship for marginalized Social Work students is required.

High Interest in Pursuing Trauma-Informed Care in Nursing Home Social Services Directors.

This study explored nursing home social services directors' interest in pursuing trauma-informed care (TIC) training, and individual and organizational characteristics associated with their interest. Data from the 2019 National Nursing Home Social Services Directors Survey, a national cross-sectional survey, were used. Measures sought information on participants' interest in TIC training, sociodemographic characteristics, and characteristics of employing nursing homes. Descriptive statistics and multivariate binary logistic regression analyses were used. Of the 924 respondents, 880 (95.2%) were included in the analysis. Most (71.7%) expressed high interest in TIC training. Younger age, fewer years of nursing home social services experience, being degreed and licensed in social work, and being a person of color were associated with greater odds of high interest in TIC training. Neither nursing home ownership nor social services staffing ratio was significantly associated with interest in TIC training. As policy requires TIC in nursing homes, these findings present a first step towards understanding implementation.

Social Work Education & Support of Gender Expansive People: A Qualitative Analysis of MSW Student Experiences.

This study examined Master of Social Work (MSW) student experiences with social work education related to support of transgender, nonbinary, queer or other gender expansive people. Sixty-seven students from a sample of thirty-four MSW programs in the United States provided brief qualitative reflections on their educational experiences related to gender identity or expression. Thematic content analysis of these data revealed five primary emergent themes related to; MSW program capacity, persistent bias/tension, safety issues, emotional and academic burden, and lived-experiences external to social work education. Findings suggest there remains a disconnect between the stated intent of social work to support gender expansive communities and the reality of social work education. Specifically, although most students appear to want more from their schools of social work regarding trans-affirming education, most programs reflect persistent discomfort with this domain, or a hesitance or inability to address the topic appropriately and consistently. Examples of how social work education might work to improve its capacity to reflect support of gender expansive people and communities are discussed.

Mapeamento das pesquisas sobre o mercado de trabalho do serviço social brasileiro: características e contradições / Mapping of research on the Brazilian social service labor market: characteristics and contradictions

A proposta deste artigo consiste em apresentar resultados parciais de pesquisa sobre o mercado de trabalho do Serviço Social no Brasil. A pesquisa objetiva mapear e analisar a produção bibliográfica relativa ao tema, tendo como recorte temporal os anos de 2000 a 2019. Para tanto, recorre à metodologia estado da arte e à técnica de análise de conteúdo temática ou categorial das produções. Os resultados apontam a prevalência de pesquisas desenvolvidas nas regiões Sudeste, Sul e Nordeste do país, pelos Programas de Pós-Graduação da área, com destaque para a PUCSP, no Sudeste; a PUC-RS no Sul; e a UFRN e UFPB, no Nordeste; sendo que 81,2% das produções foram publicadas a partir de 2010. Além disso, a concentração das pesquisas, nessas regiões, não tem garantido a predominância de análises agregadas entre elas, ainda assim é possível identificar duas dimensões centrais e interligadas na análise do mercado de trabalho do Serviço Social: a) sua determinação estrutural, vinculada à sociedade do capital e configurada por transformações sócio-políticas e histórico-conjunturais; e b) suas manifestações objetivas, por meio das áreas de atuação, dos tipos de contrato, do vínculo de trabalho, do salário, da carga horária de trabalho e dos índices de desemprego, dentre outros

The purpose of this article is to present preliminary results of Brazil's Social Work labor market research. The research aims to map and analyze the bibliographic productions related to the theme, having as temporal cut the years from 2000 to 2019. For this purpose, we use state-of-art methodology and thematical or categorical content analysis technique. The results point towards the prevalence of researches developed in Southeast, South and Northeast regions of the country by Postgraduate programs in the area, with emphasis on PUCSP, in Southeast; PUC-RS, in South; UFRN and UFPB, in Northeast; albeit 81.2% of the productions were published from 2010 onward. Furthermore, the concentration of research in these regions has not ensured the predominance of aggregated analysis between them. Nonetheless, it is possible to identify two central and interconnected dimensions in the analysis of Social Work labor market: a) its structural determination, associated to the capitalist society and configured by sociopolitical and historical-contextual transformations; and b) its objectives expressions, through fields of action, type of contract, employment relationship(s), salary, working load, unemployment rates, among other things

The Nature of Social Work: An Ecocentered Analysis of Key Social Work Statements.

This article addresses references to people's natural environments in some of the central declarative statements that shape social work worldwide. Four types of documents were analyzed, including statements associated with the Global Definition of Social Work, the Global Standards for Social Work Education and Training, the Global Social Work Statement of Ethical Principles, and the Grand Challenges for Social Work initiative. The analysis was driven by a critical-interpretive approach, seeking explicit and possibly implied references to nature and the environment across documents, with special attention to themes concerning the relationship between micro and macro perspectives, disciplinarity and inter- or transdisciplinarity, and relations between humankind and nature. In general, direct references to social work's possible intersections with issues related to nature and the natural environment were scarce in the materials examined. That having been said, our analysis did find that ecocentered interpretations enable locating prospective "bridges" for the incorporation of deeper ecological perceptions of social work into statements. Such findings constitute a call to action, and the possible implications of continuing to broadly disregard ecological aspects of social work in core materials published by influential professional institutions are discussed.

Defining Core Competencies and a Call to Action: Dissecting and Embracing the Crucial and Multifaceted Social Work Role in Pediatric Palliative Care.

While social workers are a well-established, part of the pediatric palliative care team, this manuscript presents the first published definition of the core competencies of a pediatric palliative care social worker. National experts in the field, guided by the pediatric special interest group of the Social Work Hospice and Palliative Network (SWHPN), worked together to articulate, and define core competencies. As the field of pediatric palliative care (PPC) continues to grow and develop, these competencies will help to better delineate the specific skill base of social workers in PPC. Such competencies may also create clearer role definition for emerging PPC social workers, guide training, clinical supervision, and mentorship in the field. They can also support improved interdisciplinary practice by assisting interprofessional colleagues in understanding and articulating the critical role of social workers as part of the PPC team. Additionally, such competencies may contribute to the growing development of role descriptions necessary for the hiring of social workers onto growing PPC teams, while also providing a framework for the creation and support of curricula centered on the subspeciality education and training of the next generation of PPC social workers.

Current and Future Needs of Gerontological Social Work Practice in Alberta: Findings from the World Café at the Gerontological Symposium in Edmonton, Canada.

The growing aging population in Canada has multi-faceted psycho-social needs. Social workers are well-positioned to address these needs, despite many challenges. This paper reports findings from the World Café at the Gerontology Symposium in Alberta, Canada, held in 2018. The goal was to learn from social work practitioners, researchers, and educators (N = 49) about current and future needs of gerontological social work in Alberta. There were two research questions: 1) What strategies do social workers need on the micro, mezzo, and macro levels to help better serve the growing older adult population in Alberta? (R1) 2) How can social workers promote the value and contribution of gerontological social work within the interprofessional community? (R2) The data were analyzed using qualitative content analysis. Ten R1-related themes emerged: personal traits of a social worker; professional skills; bio-psycho-social needs of older adults; community connections; access to benefits; gerontological social work education; integrated healthcare; aging policy; ageism; and advocacy to strengthen the voice of older adults. The three R2-related themes include strengthening the status of the social work profession; building trust through demonstrated skills; and interprofessional education and practice.

Asistencia sanitaria y servicios sociales: enseñanza y aprendizaje significativo en talleres técnicos por el método de proyecto / Healthcare and social services: meaningful teaching and learning in technical workshops by the project method

Los derechos humanos, incluyendo la concreción del derecho a la salud, en Perú, contempla el mandato dirigido a los poderes públicos para que organicen la asistencia sanitaria, como elemento causal, específico y adopten el conjunto de medidas necesarias para lograr la prevención de las enfermedades o la mejora de las condiciones sanitarias generales, mediante el método de proyecto en el proceso enseñanza-aprendizaje se abordan los principios rectores de la política social y económica, contenidos del Estado social, y los mecanismos de justiciabilidad y exigibilidad. Se estudió el proceso enseñanza y aprendizaje significativo sobre asistencia sanitaria y servicios sociales en los talleres técnicos, en la Facultad de Derecho y Ciencias Políticas, de la Universidad Peruana Los Andes, durante el periodo lectivo 2019-II. En el egresado conlleva la interacción entre los conocimientos y la información nueva que recibe, en este proceso se construye un nuevo conocimiento o profundiza en los ya existentes. Este conocimiento es organizado y sistemático con conexiones interdisciplinarias entre ideas, se promueve desde el trabajo en equipo y colaborativo, capaz de vencer ambigüedades, complejidades y a lo impredecible; y aprovecha los recursos o herramientas de la vida real, por lo que el método de proyecto es una herramienta pedagógica aplicable a la formación del abogado(AU)

Human rights, including the realization of the right to health, in Peru, contemplates the mandate directed to the public powers to organize health care, as a causal, specific element and adopt the set of measures necessary to achieve the prevention of diseases or the improvement of general sanitary conditions, through the project method in the teaching-learning process, the guiding principles of social and economic policy, contents of the social State, and the mechanisms of justiciability and enforceability are addressed. The teaching and meaningful learning process on health care and social services was studied in technical workshops at the Faculty of Law and Political Sciences, Universidad Peruana Los Andes, during the 2019-II school period. In the graduate, it involves the interaction between knowledge and the new information received, in this process a new knowledge is built or deepens existing ones. This knowledge is organized and systematic with interdisciplinary connections between ideas, it is promoted from team and collaborative work, capable of overcoming ambiguities, complexities and the unpredictable; and it takes advantage of the resources or tools of the real life, reason why the project method is a pedagogical tool applicable to the training of the lawyer(AU)