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1.
Dent Clin North Am ; 63(4): 663-668, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31470920

RESUMO

This article explores psychosocial barriers to dental care and implications for caries management. At-risk populations experience an increased potential for stressors and obstacles that interrupt oral health care and lessen the potential for these groups to pursue dental treatment. These impediments may include financial restrictions, lack of reliable transportation, or inappropriate informed consent. Involving a social worker in dental caries management can help patients to overcome the barriers that hinder oral health care. An increased awareness of these barriers, along with the resources that are available, may help dental providers to better reach their patients and manage dental caries.


Assuntos
Cárie Dentária , Assistência Odontológica , Humanos , Saúde Bucal , Assistentes Sociais
2.
West Afr J Med ; 36(2): 138-143, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31385600

RESUMO

BACKGROUND: Holistic ward round (HWR) is a polyadic, multiphasic, holistic model of neurosurgical patient care. It is a multidisciplinary ward round where all healthcare providers involved in patients care, the patients, the relations, as well as clergymen (depending on the patients' faith and need) collectively work to review patient's condition and make decisions in the patient's best interest. OBJECTIVES: The study assessed the effectiveness of the holistic model of care and identified the challenges facing this model of healthcare delivery. METHODS: The study was qualitative in design and In-depth Interviews (IDIs) were conducted with eighteen (18) participants who were purposively selected. They include neurosurgeons, nurses, medical social workers and physiotherapists. The data were thematically content analysed with the help of ATLAS.ti (v.7) software. RESULTS: The study found that patients and relations have immensely benefitted from the model of care through psychosocial support. The major challenges facing HWR were logistic, timing and common problems found in the Nigerian healthcare system. CONCLUSION: It was concluded that for HWR to effectively help spinal cord injured patients further, the healthcare providers, patients and their families require support in different forms from outside the hospital.


Assuntos
Saúde Holística , Equipe de Assistência ao Paciente , Assistência ao Paciente , Assistência Centrada no Paciente/métodos , Adulto , Feminino , Hospitais Universitários , Humanos , Relações Interprofissionais , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Neurocirurgiões , Neurocirurgia , Nigéria , Fisioterapeutas , Pesquisa Qualitativa , Assistentes Sociais
3.
Trials ; 20(1): 406, 2019 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-31287010

RESUMO

INTRODUCTION: End-of-life (EoL) care professionals are prone to burnout given the intense emotional nature of their work. Previous research supports the efficacy of art therapy in reducing work-related stress and enhancing emotional health among professional EoL caregivers. Integrating mindfulness meditation with art therapy and reflective awareness complementing emotional expression has immense potential for self-care and collegial support. Mindful-compassion art therapy (MCAT) is a novel, empirically informed, and highly structured intervention that aims to reduce work-related stress, cultivate resilience, and promote wellness. This study aims to assess the potential effectiveness of MCAT for supporting EoL care professionals in Singapore. METHODS: This is an open-label waitlist randomized controlled trial. Sixty EoL care professionals, including doctors, nurses, social workers, and personal care workers, are randomly allocated to one of two groups: (i) an intervention group that receives MCAT immediately and (ii) a waitlist-control group that receives MCAT after the intervention group completes treatment. Face-to-face self-administered outcome assessments are collected at three different time points-baseline (T1) for both groups, post-intervention (T2), and 6-week follow-up (T3) for intervention group-as well as pre-intervention (T2) and post-intervention (T3) for the waitlist-control group. The primary outcome measure is burnout, and secondary measures include emotional regulation, resilience, compassion, quality of life, and death attitudes. Between- and within-participant comparisons of outcomes are conducted, and the appropriate effect size estimates are reported. An acceptability and feasibility study is to be conducted by using a triangulation of qualitative data with framework analysis. DISCUSSION: The outcomes of this study will contribute to advancements in both theories and practices for supporting professional EoL caregivers around the world. It will also inform policy makers about the feasibility, acceptability, and effectiveness of delivering a multimodal psycho-socio-spiritual intervention within a community institutional setting. The study has received ethical approval from the institutional review board of Nanyang Technological University. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT03440606 . Retrospectively registered February 21, 2018.


Assuntos
Terapia pela Arte , Esgotamento Profissional/prevenção & controle , Empatia , Pessoal de Saúde/psicologia , Atenção Plena , Resiliência Psicológica , Assistentes Sociais/psicologia , Assistência Terminal/psicologia , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/psicologia , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto , Singapura , Fatores de Tempo , Resultado do Tratamento , Listas de Espera
4.
BMC Health Serv Res ; 19(1): 527, 2019 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-31357993

RESUMO

BACKGROUND: The PRagmatic trial Of Video Education in Nursing homes (PROVEN) aims to test the effectiveness of an advance care planning (ACP) video intervention. Relatively little is known about the challenges associated with implementing ACP interventions in the nursing home (NH) setting, especially within a pragmatic trial. To address this research gap, this report sought to identify facilitators of and barriers to implementing PROVEN from the perspective of the Champions charged with introducing the ACP video program delivery to patients and families. METHODS: In semi-structured telephone interviews at 4 and 15 months of the 18-month implementation period, ACP Champions at all PROVEN intervention facilities (N = 119) were asked about their perceptions of program implementation. Forty interviews were purposively sampled, transcribed, and analyzed using a hybrid deductive/inductive approach to thematic analysis incorporating the Consolidated Framework for Implementation Research's domains: Intervention Characteristics (IC), Inner Setting (IS), Characteristics of Individuals (CI), Outer Setting (OS), and Process (P). RESULTS: Implementation facilitators identified by Champions included: the intervention's adaptable mode of presentation and minimal time burden (IC) as well as the program's customizable delivery to patients and families and opportunity for group reflection on implementation among ACP Champions (P). Barriers included mandated protocol-driven aspects of the program (OS), limited time to deliver the intervention (IS), and lack of perceived relevance and emotional readiness for ACP amongst stakeholders (CI). CONCLUSIONS: Despite the promise of PROVEN's intervention for improving ACP in nursing homes, unchangeable setting and characteristics of Champions, patients, and family members presented implementation barriers. Researchers need to engage all program participants (i.e., facility staff, patients, and families), in addition to corporate-level stakeholders, in early pragmatic trial design to minimize such obstacles. Further, despite the facilitating nature of PROVEN's implementation processes, the study encountered tension between scientific rigor and real-world demands. Researchers need to optimize the real-world authenticity of pragmatic trial design while avoiding excessive implementation protocol deviations. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT02612688. Registered 19 November 2015.


Assuntos
Planejamento Antecipado de Cuidados , Casas de Saúde , Educação de Pacientes como Assunto , Gravação em Vídeo , Atitude do Pessoal de Saúde , Feminino , Pessoal de Saúde/educação , Humanos , Capacitação em Serviço , Entrevistas como Assunto , Masculino , Educação de Pacientes como Assunto/métodos , Assistentes Sociais/educação
5.
Artigo em Inglês | MEDLINE | ID: mdl-31159237

RESUMO

This article examines how health, allied health and social service professionals' personal perspectives about alcohol and the risks associated with alcohol consumption become non-clinical factors that may influence their professional practice responses in relation to fetal alcohol spectrum disorder (FASD). It presents findings derived from a qualitative, interview-based study of professionals from a range of health, allied health and social service professions in New Zealand. The data derived from these interviews revealed four frames of reference that practitioners use when thinking about alcohol and risk: reflection on personal experience; experiences of friends, relatives and colleagues; social constructions of alcohol use and misuse; and comparisons to other types of drug use. The article concludes that these non-clinical factors are important considerations in professional decision making about FASD.


Assuntos
Transtornos do Espectro Alcoólico Fetal/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde/psicologia , Consumo de Bebidas Alcoólicas/efeitos adversos , Atitude do Pessoal de Saúde , Tomada de Decisões , Feminino , Humanos , Entrevistas como Assunto , Nova Zelândia , Gravidez , Pesquisa Qualitativa , Assistentes Sociais/psicologia
6.
Indian J Tuberc ; 66(2): 253-258, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31151493

RESUMO

BACKGROUND: India accounts for 25% of global TB burden and majority of TB patients seek care from private practitioners. It becomes imperative to involve private practitioners with newer strategies to strengthen the Revised National Tuberculosis Control Program (RNTCP). A study was conducted to assess the knowledge, attitude and practices among private practitioners with regards to tuberculosis case detection and referral and to demonstrate the feasibility of utilizing existing medico-social worker of a medical college in sensitizing the private practitioners. METHODS: An intervention study was conducted during 2017. In an urban field practice area of a medical college, 34 allopathic private practitioners (PP) from six slums formed the study population. The RNTCP trained Medico social workers (MSW) of medical college provided repeated sensitization to private practitioners on case referrals. The data of KAP among private practitioners was collected. The output of repeated sensitization was measured by comparing the number of cases referred by Private Practitioners to DMC during the pre and post intervention period. RESULTS: Only 1 in 2 practitioners were aware about the duration of cough in presumptive TB cases. Nearly 44% of them were not aware about the first investigation of choice under RNTCP; 53% of the doctors did not know about the total number of sputum samples to be collected. After the sensitization of PPs by MSWs the number of presumptive pulmonary cases was increased by more than two folds. CONCLUSION: The strategy of utilizing the services of medico-social workers employed in a medical college to sensitize the private practitioners is feasible and has demonstrated the increase in number of presumptive TB case referrals to DMCs.


Assuntos
Competência Clínica , Padrões de Prática Médica , Assistentes Sociais , Tuberculose Pulmonar/epidemiologia , Adulto , Idoso , Feminino , Hospitais Universitários , Humanos , Índia/epidemiologia , Masculino , Pessoa de Meia-Idade , Programas Nacionais de Saúde , Áreas de Pobreza , Prática Privada , Tuberculose Pulmonar/prevenção & controle , População Urbana
7.
Rev Gaucha Enferm ; 40: e20180062, 2019 Jun 10.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31188983

RESUMO

OBJECTIVE: To understand the motives behind the actions of harm reducers when working with drug users. METHOD: Qualitative research conducted in the municipality in Rio Grande do Sul (RS), Brazil, in May 2017, by means of phenomenological interviews with 17 harm reducers. We analyzed and interpreted the data using the social phenomenology of Alfred Schütz. RESULTS: Data analysis led to the following three categories: expectation of changes in the user's sphere of life, motivation at work from the recognition of their actions, and relationship with others as a life-learning experience. CONCLUSION: The reasons harm reducers work with drug users are related to the family, search for a home, employment, access to health care, rights, and stigma, as well as the positive results of their work, personal satisfaction, and learning with drug users.


Assuntos
Usuários de Drogas , Redução do Dano , Entrevista Psicológica , Motivação , Transtornos Relacionados ao Uso de Substâncias/reabilitação , Adulto , Brasil , Emprego/psicologia , Família , Feminino , Acesso aos Serviços de Saúde , Habitação , Humanos , Masculino , Pessoa de Meia-Idade , Satisfação Pessoal , Pesquisa Qualitativa , Estigma Social , Assistentes Sociais/psicologia , Adulto Jovem
8.
Asian Pac J Cancer Prev ; 20(6): 1871-1877, 2019 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-31244312

RESUMO

Background: As professionals, social workers have a special position in relation to considering the needs of children with cancer and their families. Hence, it is important to recognize the experiences and challenges of social workers to improve care of their clients. Method: This study was a qualitative content analysis that aimed to determine a comprehensive understanding of pediatric oncology social workers' experiences in Iran. In total, 19 social workers participated in the study. A purposeful sampling method was applied until reaching data saturation. Data were collected using semi-structured interviews and field observations. Then, the gathered data were analyzed through face content analysis. The study lasted from 2015 to 2017. Finding: Concepts extracted from social workers' experiences consisted of the nature of oncology work, lack of professional competence, low organizational support and professional inferiority that were related to main concept of "exhausting and stressful service". The results indicated that social workers' involvement in stressful and emotionally demanding situations and facing with professional and organizational challenges caused personal exhaustion. Conclusion: In addition to explaining the social workers' experiences and related factors, the results emphasize the importance of taking care of service providers to prevent them becoming stressed and exhausted. It is also important to protect patients from the consequences of stressed and exhausted care providers so further research is recommended to develop specific intervention.


Assuntos
Determinação de Necessidades de Cuidados de Saúde , Neoplasias/psicologia , Pais/psicologia , Assistentes Sociais/psicologia , Adulto , Criança , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Pesquisa Qualitativa
9.
Rev. Soc. Cardiol. Estado de Säo Paulo ; 29(Suppl. 2b): 299-299, Jun. 2019.
Artigo em Português | Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP | ID: biblio-1015067

RESUMO

INTRODUÇÃO: O paciente cardiopata hospitalizado vive momentos de ansiedade, expectativa e sofrimento que podem desestabilizar seu processo saúde/doença. Diante dessas necessidades e observações do assistente social foi realizado o presente estudo que versa sobre uma proposta de atividade lúdica, socioeducativa grupal com pacientes cardiopatas internados, na enfermaria da Retaguarda de Pronto Socorro de uma instituição pública, especializada em saúde cardiovascular. OBJETIVO: Demonstrar como a atividade socioeducativa pode ser uma estratégia de intervenção do assistente social na atuação com cardiopata hospitalizado, em Unidade de Retaguarda de Pronto Socorro de numa instituição pública de alta complexidade. METODOLOGIA: Realizada uma pesquisa qualitativa, por meio de uma ação participativa. A amostra do estudo foi composta por 20 pessoas: 18 pacientes e 2 acompanhantes, distribuídos em três grupos, com uma média de 06 participantes, de ambos os sexos, com idades que variaram de 35 a 81 anos. A atividade foi desenvolvida em três dias, do mês de novembro de 2018, com duração de 2 horas, num espaço de convivência comum dos pacientes. Ao mesmo tempo em que era realizada a atividade socioeducativa com os pacientes, o assistente social interagia diretamente com os mesmos de forma lúdica, dialogando e esclarecendo suas dúvidas sobre a Seguridade Social e o acesso aos direitos sociais. Simultaneamente, a prática socioeducativa ocorreu uma avaliação por meio da análise, dialogo e reflexão entre participantes e profissional. RESULTADOS: Ao ser avaliada pelos participantes dos grupos, a atividade socioeducativa foi considerada como ótima pela maioria, vista como um elemento facilitador para a interação, sociabilidade, vivência compartilhada, disseminação de informações e esclarecimentos sobre os direitos sociais e ainda, como importante espaço de descontração para escuta e fala dos participantes. A atividade participativa, conjunta repercutiu positivamente tanto para o profissional como para os pacientes ao proporcionar a participação, a interação, o diálogo, a troca de experiências, reflexão, compartilhamento de conhecimentos. CONCLUSÕES: Ao concluir o estudo pode-se assegurar que a atividade socioeducativa grupal pode ser uma estratégia de intervenção do assistente social na atuação com cardiopata hospitalizado, ao promover o seu bem-estar e fortalecimento, qualificar a ação profissional na saúde e na busca de novos conhecimentos. (AU)


Assuntos
Humanos , Serviços Médicos de Emergência , Assistentes Sociais , Cardiopatias
10.
BMC Health Serv Res ; 19(1): 302, 2019 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-31077203

RESUMO

BACKGROUND: Extensive research documents that child abuse is widespread and that it has detrimental effects on victims' physical, psychological and social well-being. Efforts to help abused children by removing stressors and administering restorative care can reverse these negative effects, but the evidence suggests that professionals often fail to expose child abuse. This study aims to generate insight into professionals' experiences with facilitators in handling the challenges of addressing abuse in child interviews. We expect that this knowledge can improve interventions that qualify professionals in the identification, protection and care of abused children. METHODS: Within the qualitative approach and an Interpretive Description framework, we performed in-depth interviews with nineteen participants from southern Norway, specifically ten social workers from child protective services and nine psychologists from child mental health services. Then, Interpretive Description analysis was performed by using constant comparison, reflexive and critical examinations, and contextualized theoretical interpretations. RESULTS: The participants' accounts revealed that various facilitators relative to the stages of the skill development and intrinsic motivation of the practitioner enhance the explorative work of the professional. We identified the following five main themes: (a) alleviating personal choice; (b) collective accountability; (c) sharing vulnerability; (d) finding your own way; and (e) doing it for the right reasons. CONCLUSIONS: To facilitate explorative work, our findings suggest that competence development should apply goal-directed reflective practice combined with positive feedback on performance. Furthermore, our results indicate that developing personal competence is contingent on supporting individual choice and volition while decreasing demands towards following rules and guidelines. To promote the relatedness and the emotion regulation of professionals, we suggest endorsing shared vulnerability with colleagues and promoting an organizational culture that supports openness and allows professionals to discuss their emotions when addressing difficult and complex issues. It is also advisable to promote autonomy by helping professionals to find meaning in their work that is compatible with their personal values.


Assuntos
Maus-Tratos Infantis/psicologia , Emoções , Pessoal de Saúde , Entrevistas como Assunto , Assistentes Sociais , Criança , Feminino , Humanos , Masculino , Noruega , Pesquisa Qualitativa
13.
J Altern Complement Med ; 25(6): 593-605, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31033341

RESUMO

Objective: The purpose of this pragmatic controlled trial was to examine changes in psychological and occupational well-being in professionals who attended a yoga-based program. Setting: The 5-day RISE (resilience, integration, self-awareness, engagement) program was delivered at the Kripalu Center for Yoga & Health. RISE included 5 h per day of yoga, meditation, lectures, and experiential activities. Subjects: Adult professionals from education, corrections, and social service institutions were pragmatically assigned to the RISE group (n = 61) or a waitlist control group (n = 60). Outcome measures: Measures of psychological and occupational well-being were completed before RISE (baseline), immediately after RISE (postprogram), and 2 months after RISE (follow-up). Analyses of covariance were conducted to compare change scores between groups. Results: Eighty-two participants (RISE n = 41, control n = 41) completed baseline and postmeasures and were included in the analysis, and 57 (RISE n = 27, control n = 30) also completed the follow-up. Relative to controls, the RISE group reported improvements in stress (p = 0.001, r2 = 0.51), resilience (p = 0.028, r2 = 0.34), positive affect (p = 0.001, r2 = 0.52), negative affect (p = 0.001, r2 = 0.52), mindfulness (p = 0.021, r2 = 0.13), and job satisfaction (p = 0.034, r2 = 0.08) from baseline to postprogram. From baseline to follow-up, compared with controls the RISE group showed improvements in stress (p = 0.001, r2 = 0.33), resilience (p = 0.001, r2 = 0.24), positive affect (p = 0.006, r2 = 0.49), negative affect (p = 0.043, r2 = 0.32), mindfulness (p = 0.001, r2 = 0.28), empowerment (p = 0.005, r2 = 0.20), and self-compassion (p = 0.011, r2 = 0.19). Conclusions: The RISE program was associated with improvements in psychological and occupational well-being immediately after and 2 months after the program. Future research is needed to confirm these results.


Assuntos
Adaptação Psicológica , Satisfação no Emprego , Meditação , Ocupações , Resiliência Psicológica , Estresse Psicológico , Ioga , Adulto , Afeto , Análise de Variância , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Atenção Plena , Prisões , Professores Escolares , Autoimagem , Assistentes Sociais , Inquéritos e Questionários , Adulto Jovem
14.
Support Care Cancer ; 27(12): 4723-4732, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30972647

RESUMO

PURPOSE: To explore how oncologists, oncology nurses, and oncology social workers perceive suicidality (suicidal ideation, suicidal acts, and completed suicides) in patients with cancer that they are in contact with. METHODS: The grounded theory method of data collection and analysis was used. Sixty-one oncology healthcare professionals from two university-affiliated cancer centers in Israel were interviewed. RESULTS: The findings resulted in three main categories that included perceptions of suicidality, explanatory models of suicidality, and moral views on suicide. Healthcare professionals considered suicidality in their patients to be a cry for help, a sign of distress, or an attempt at attention seeking. Participants explained suicidality as stemming from a biological disease, from mental illness, as an aberration, or as an impulsive, irrational act. Moral views on suicidality were split among those who were mostly accepting of these patients' actions versus those who rejected it outright. A third group of healthcare professionals expressed ambivalence about suicidality in their patients. CONCLUSIONS: Healthcare professionals vary greatly in their perceptions on suicide. Some view the act as part of a patient's choice and autonomy while others view it negatively. Healthcare providers should receive support in handling patient's suicidality.


Assuntos
Pessoal de Saúde/psicologia , Princípios Morais , Suicídio/psicologia , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Israel , Masculino , Pessoa de Meia-Idade , Neoplasias/psicologia , Oncologistas/psicologia , Assistentes Sociais/psicologia
16.
Geriatr Gerontol Int ; 19(5): 438-443, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30895691

RESUMO

AIM: The purpose of the present study was to identify the relationship between staff mix in nursing homes and quality of care by level of case mix in Korea. METHODS: Data used in the present study came from Long-Term Care Insurance claims data with basic information of nursing homes with >29 beds (n = 1137) and quality evaluation reports. Staff mix was calculated as the number of nursing staff, social workers and care workers per total staff number. RESULTS: In multinomial logistic regression analyses, institutions with a higher ratio of social workers were classified as top-quality class institutes after controlling ownership, location, size and percentage of high level of care needs residents. In analyzing the higher case mix nursing homes, institutions with a high ratio of nursing staff and social workers were more likely to be classified as top-quality class than the lowest class institutions. However, there was no significant association between quality of care and ratio of staff mix in the lower case mix nursing homes. CONCLUSIONS: A higher staff mix was positively related to nursing home quality of care, but the relationship was affected by case mix of residents' care demand. Therefore, the current minimum staffing standard for personnel in nursing homes should be modified considering the acuity of the residents. Geriatr Gerontol Int 2019; 19: 438-443.


Assuntos
Grupos Diagnósticos Relacionados/estatística & dados numéricos , Instituição de Longa Permanência para Idosos/normas , Casas de Saúde/normas , Recursos Humanos de Enfermagem/estatística & dados numéricos , Qualidade da Assistência à Saúde/organização & administração , Adulto , Idoso , Feminino , Pessoal de Saúde/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde , Humanos , Masculino , Melhoria de Qualidade , República da Coreia , Assistentes Sociais/estatística & dados numéricos
17.
Artigo em Inglês | MEDLINE | ID: mdl-30892137

RESUMO

The role of the hospice and palliative social worker is often ambiguous and misunderstood by colleagues and fellow team members. One reason for this is the lack of identified, clearly delineated roles, skills, and tasks employed by these specialty social workers in their daily work. This article summarizes the first nationwide job analysis of hospice and palliative social workers. A contextual, cross-sectional survey design was used to identify current and relevant job tasks from practicing hospice and palliative social workers. A sample of 482 social workers representing 46 states responded to a survey that included demographic questions and ranking of 152 tasks and importance to the position. Tasks were categorized into four broad categories: assessment and reevaluation; planning and intervention; death, grief, and bereavement; and professionalism; which includes subcategories consisting of multiple tasks and skills. Respondents identified performing a psychosocial assessment from a patient/family centered care perspective, assessment of the patient's current and desired quality of life and of coping skills as the tasks most important to their role. This outline of the role of the hospice and palliative social worker was then used in the development of an evidence-based certification exam that may be required of those who want to receive specialty certification in the field.


Assuntos
Cuidados Paliativos na Terminalidade da Vida/organização & administração , Cuidados Paliativos/organização & administração , Papel Profissional , Assistentes Sociais/psicologia , Adaptação Psicológica , Luto , Certificação , Comunicação , Estudos Transversais , Feminino , Cuidados Paliativos na Terminalidade da Vida/normas , Humanos , Masculino , Cuidados Paliativos/normas , Equipe de Assistência ao Paciente/organização & administração , Assistência Centrada no Paciente/organização & administração , Competência Profissional , Qualidade de Vida , Apoio Social , Assistentes Sociais/educação , Estados Unidos
18.
Vet Clin North Am Small Anim Pract ; 49(3): 565-574, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30846377

RESUMO

In veterinary hospice and palliative care practice, there is as much or more interaction with people as with the animal patient. It is an emotionally volatile environment, and veterinary professionals do not have the training to assess the mental health and emotional needs of clients. Nor are they qualified to counsel or provide therapy for humans. Providing veterinary treatment in this environment is emotionally draining for the treatment team, necessitating assistance to address workplace stress and compassion fatigue. Social workers are uniquely qualified to serve in these capacities. This article explains how they are essential to the interdisciplinary team.


Assuntos
Cuidados Paliativos na Terminalidade da Vida , Dor/veterinária , Cuidados Paliativos , Equipe de Assistência ao Paciente , Assistentes Sociais , Animais , Humanos , Dor/prevenção & controle , Medicina Veterinária/tendências
19.
Support Care Cancer ; 27(11): 4253-4264, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30850889

RESUMO

PURPOSE: Hematopoietic cell transplantation (HCT) often involves a long hospitalization and recovery period, with patients generally required to have a caregiver. This study aimed to identify transplant center (TC) requirements for a caregiver, describe challenges that impact caregiver availability, and identify potential solutions. METHODS: An exploratory sequential mixed-methods approach was used. Qualitative data was obtained from focus groups of TC social workers in the United States (US) (three focus groups; n = 15 total participants). Results informed the development of a national, web-based survey that was administered to the primary social worker contact at TCs in the National Marrow Donor Program (NMDP)/Be The Match Network (n = 133). RESULTS: Respondents included social workers from adult (n = 47) and pediatric (n = 19) TCs (response rate = 49%). The majority (89%) of both adult and pediatric TCs required a caregiver for a patient to proceed to transplant, but requirements varied in length of time, formality, transplant type, and HCT setting. Regardless of transplant type or patient population, social workers identified loss of caregiver income as the greatest challenge to caregiver availability, with the most common solution being allowing patients to have multiple caregivers throughout the transplant course. DISCUSSION: Caregiver availability is an important concern for patients considering and receiving HCT, and may be a barrier proceeding to HCT when a caregiver is unavailable. Results from this study highlight caregiver availability barriers and solutions of TCs across the US. These results can inform TCs about other center experiences with caregiver availability and identify potential practice changes for individual TCs.


Assuntos
Cuidadores/psicologia , Transplante de Células-Tronco Hematopoéticas/métodos , Assistentes Sociais/psicologia , Condicionamento Pré-Transplante/métodos , Feminino , Humanos , Masculino , Inquéritos e Questionários
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