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1.
Health Aff (Millwood) ; 41(5): 630-634, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35500183

RESUMO

A Washington State fire department dispatches nurses and social workers to address the underlying health and social needs of repeat 911 callers.


Assuntos
Socorristas , Humanos , Assistentes Sociais , Washington
2.
BMC Prim Care ; 23(1): 84, 2022 Apr 18.
Artigo em Inglês | MEDLINE | ID: mdl-35436845

RESUMO

BACKGROUND: The implementation of evidence-based innovations is incentivized as part of primary care reform in Canada. In the Province of Québec, it generated the creation of interprofessional care models involving registered nurses and social workers as members of primary care clinics. However, the scope of practice for these professionals remains variable and suboptimal. In 2019, expert committees co-designed and published two evidence-based practice guides, but no clear strategy has been identified to support their assimilation. This project's goal is to support the implementation and deployment of practice guides for both social workers and registered nurses using a train-the-trainer educational intervention. METHODS/DESIGN: This three-phase project is a developmental evaluation using a multiple case study design across 17 primary care clinics. It will involve trainers in healthcare centers, patients, registered nurses and social workers. The development and implementation of an expanded train-the-trainer strategy will be informed by a patient-oriented research approach, the Kirkpatrick learning model, and evidence-based practice guides. For each case and phase, the qualitative and quantitative data will be analyzed using a convergent design method and will be integrated through assimilation. DISCUSSION: This educational intervention model will allow us to better understand the complex context of primary care clinics, involving different settings and services offered. This study protocol, based on reflective practice, patient-centered research and focused on the needs of the community in collaboration with partners and patients, may serve as an evidence based educational intervention model for further study in primary care.


Assuntos
Enfermeiras e Enfermeiros , Assistentes Sociais , Prática Clínica Baseada em Evidências , Humanos , Atenção Primária à Saúde , Quebeque
3.
Artigo em Russo | MEDLINE | ID: mdl-35439386

RESUMO

The article reflects main problems and opinions of social workers about possibilities of improving medical social care of population and providing social medical services. This group of specialists is forced to implement significant amount of work that is not regulated by their official duties. The lack of necessary competencies does not allow social workers to provide medical social assistance to consumers of medical social services to sufficient extent. To ensure interaction between medical and social workers largely falls on shoulders of the latter ones. They have to undertake a number of medical functions (examination, temporary stop of bleeding, blood pressure measurement, etc.). It conceives appropriate to transfer some of functions of junior and paramedical staff to social workers. The study results can be applied as methodological basis of increasing accessibility of medical social care and provided social and medical services to various groups of population.


Assuntos
Serviço Social , Assistentes Sociais , Humanos , Assistência ao Paciente , Apoio Social
4.
Soc Work ; 67(2): 135-144, 2022 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-35134241

RESUMO

Professionals in social work and nursing meet people who, due to trauma, struggle with self-regulation of emotions and social behavior. Caring for trauma survivors requires connection and compassion. Previous research has indicated that many professionals, some with their own trauma histories, do not feel sufficiently equipped to practice self-care or cope with challenging communication. To address how insecurity and trauma are rooted in deeper individual and structural causes of social injustice, social workers and nursing students (N = 29) were invited to participate in action research and a restorative circle process. The aim was to provide professionals the opportunity to challenge and reflect upon their own practices by introducing them to a trauma-informed and restorative practice based on the importance of building emotional safety and connection. The findings suggest that given time and space for reflection in a setting characterized by equality and safety, professionals can develop increased (a) self-awareness and compassion, (b) emotional safety and tolerance of stress in challenging communication, (c) trauma understanding, and (d) personal growth. A change to a more restorative and trauma-informed practice could lead to increased interpersonal competence and well-being among professionals and clients.


Assuntos
Empatia , Serviço Social , Adaptação Psicológica , Humanos , Percepção , Assistentes Sociais
5.
Soc Work ; 67(2): 175-183, 2022 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-35137237

RESUMO

Across cultures, the majority of individuals will have a sibling relationship in their lifetime. Of particular importance to parents and children is the transition to siblinghood, which refers to the process wherein a child becomes a sibling. Although many parents are concerned about how their children will adjust during the transition to siblinghood, scant empirical work on this subject exists. Available empirical work on the transition to siblinghood has stemmed from developmental psychology; however, social work researchers have yet to deeply explore this body of work. The transition to siblinghood is a topic that is rife with opportunity for social work researchers, who have the ability to study this transition from culturally sensitive, person-in-environment, and social justice perspectives. This article provides an overview of the elements and importance of the transition to siblinghood, introduces a theoretical framework relevant to social workers, reviews existent empirical work on the transition to siblinghood, and elucidates limitations in the literature that social work researchers are adept to address. The article concludes with four recommendations to researchers who are interested in studying the transition to siblinghood through a social work lens.


Assuntos
Irmãos , Serviço Social , Criança , Família/psicologia , Humanos , Pais , Irmãos/psicologia , Assistentes Sociais
6.
PLoS One ; 17(2): e0263611, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35113976

RESUMO

The growing complexity of cancer care necessitates collaboration among different professionals. This interprofessional collaboration improves cancer care delivery and outcomes. Treatment decision-making within the context of a multidisciplinaire team meeting (MDTMs) may be seen as a particular form of interprofessional collaboration. Various studies on cancer MDTMs highlight a pattern of suboptimal information sharing between attendants. To overcome the lack of non-medical, patient-based information, it might be recommended that non-physician care professionals play a key patient advocacy role within cancer MDTMs. This study aims to explore non-physician care professionals' current and aspired role within cancer MDTMs. Additionally, the perceived hindering factors for these non-physician care professionals to fulfil their specific role are identified. The analysis focuses on nurses, specialist nurses, head nurses, psychologists, social workers, a head of social workers and data managers. The results show that non-physician care professionals play a limited role during case discussions in MDTMs. Neither do they actively participate in the decision-making process. Barriers perceived by non-physician care professionals are classified on two main levels: 1) team-related barriers (factors internally related to the team) and 2) external barriers (factors related to healthcare management and policy). A group of non-physician care professionals also belief that their information does not add value in the decision-making proces and as such, they underestimate their own role in MDTMs. To conclude, a change of culture is needed towards an interdisciplinary collaboration in which knowledge and expertise of different professions are equally assimilated into an integrated perspective to guarantee a true patient-centred approach for cancer MDTMs.


Assuntos
Comunicação Interdisciplinar , Oncologia/organização & administração , Neoplasias/terapia , Equipe de Assistência ao Paciente/organização & administração , Bélgica , Tomada de Decisões , Feminino , Grupos Focais , Pessoal de Saúde , Humanos , Masculino , Enfermeiras e Enfermeiros , Psicologia , Pesquisa Qualitativa , Assistentes Sociais , Resultado do Tratamento
7.
Soc Work Health Care ; 61(1): 36-51, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35138996

RESUMO

Continued provision of essential services is critical to maintaining society's functioning during a crisis. During COVID-19, lockdowns and restrictions designed to preserve the public's health forced an examination of what it means to be an essential worker. Drawing from thematic analyses of focus group data from 55 social workers employed in a large, urban, pediatric, quaternary hospital, this study examines the perspectives of hospital social workers on the meaning of the essential status designation of social work. Findings revealed themes pertaining the substance of social work, the ways in which essential status is carried out, and implications of the designation not only for the future of the profession but also for the populations who receive social work services. The discussion raised important questions about the essential role of social workers in broader health care settings. Our findings suggest that health care systems need to engage in ongoing discussions of how to maximize the efficacy of the social work workforce, both in terms of integration with medical teams and recognition of the important roles social workers play across the hospital system, and facilitate the performance of their essential functions.


Assuntos
COVID-19 , COVID-19/epidemiologia , Criança , Controle de Doenças Transmissíveis , Atenção à Saúde , Humanos , Pandemias , SARS-CoV-2 , Assistentes Sociais
8.
J Appl Res Intellect Disabil ; 35(3): 826-833, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35146852

RESUMO

BACKGROUND: Following the convention on the rights of persons with disabilities (CRPD), various countries have recently amended their legal capacity laws with the aim of restricting the use of guardianship and increasing the use of other, less restrictive practices, mainly supported decision making. As social workers have a key role in carrying out these reforms, this study examines how Israeli social workers make legal capacity-related decisions. METHOD: Semi-structured interviews with 27 Israeli social workers. RESULTS: Thematic analysis identified three factors driving social workers' recommendations regarding guardianship and supported decision-making: the person's diagnosis and functioning level, and the presence of a supportive family. A fourth factor, the person's preferences, played a complex and more limited role. CONCLUSIONS: Many changes have yet to be made to fully apply the support paradigm in Israel, since social workers still tend to base their recommendations on factors not fully aligned with the CRPD.


Assuntos
Pessoas com Deficiência , Deficiência Intelectual , Tomada de Decisões , Humanos , Israel , Assistentes Sociais
9.
Soc Work ; 67(2): 123-133, 2022 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-35079841

RESUMO

Given the paucity of research on the experiences of women who are sexually abused by clergy as adults and the advent of the #ChurchToo movement in 2017, the results of a mixed-methods national study highlight the experiences of those who survived the abuse and report on what factors are most healing in their recovery. Internet-based surveys with both quantitative and qualitative items were completed by 159 respondents. Less than 10 percent reported receiving help and support from their congregation after they reported the abuse, and about half of the respondents were blamed for the abuse and ignored by people in their congregations. In spite of the poor responses from their churches, these respondents reported positive beliefs regarding their ability to recover and heal. Mental health counseling was listed as a primary mechanism for healing. Multiple regression was used to develop a model of resilience. Faith in God was the most salient predictor. Those who survived sexual abuse need social workers who can navigate the complex set of factors and issues at the intersection of religion/spirituality, mental health treatment, and policy advocacy, including the ability to see what has been helpful about religious experiences and what has not.


Assuntos
Clero , Assistentes Sociais , Adulto , Feminino , Humanos , Comportamento Sexual , Serviço Social , Inquéritos e Questionários
10.
Soc Work ; 67(2): 114-122, 2022 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-35092291

RESUMO

COVID-19 has disproportionally affected people living in poverty; new immigrants; and those living in healthcare settings (hospitals, clinics, and nursing homes), shelters, detention centers, and prisons. The pandemic has also significantly impacted social workers who face hidden mental health consequences. The resultant feelings and behaviors are similar to disaster-induced trauma, including excessive rumination, hypervigilance, exhaustion, and excessive crying as a result of the adrenaline-driven fight-or-flight response. This article aims to provide information for social workers to protect their own mental health while caring for their clients and raise awareness about social workers' needs in frontline duties. It summarizes five challenges for first responder social workers: (1) COVID-19 impacts on resource constraints, (2) employment insecurity, (3) disenfranchised guilt, (4) physical distancing and caution fatigue, and (5) managing self-care. The article offers recommendations to ameliorate distress and promote advocacy efforts for readjustment. As COVID-19 cases continue to rise, social workers who provide essential care in the field need self-assessment to better understand the impacts these challenges have on them as helpers. The article ends with recommendations to encourage social workers to apply the strengths-based approach to exemplify their professional values in times of pandemic distress.


Assuntos
COVID-19 , Socorristas , Pessoal de Saúde/psicologia , Humanos , Saúde Mental , SARS-CoV-2 , Serviço Social , Assistentes Sociais/psicologia
11.
Prax Kinderpsychol Kinderpsychiatr ; 71(1): 72-93, 2022 Jan.
Artigo em Alemão | MEDLINE | ID: mdl-35023821

RESUMO

This paper examines the distribution of attachment representations among social work professionals using the Adult Attachment Projective Picture System (AAP; George, West, Pettem, 1997). In this sample, the influence of attachment on the occurrence of burnout syndrome is investigated, as this is considered as a trigger for further mental and physical illnesses. For this purpose, 79 social pedagogical professionals from the German-speaking part of Switzerland were examined over four time points using the Burnout Screening Scales - BOSS. The following distribution of attachment representations was found using the AAP: 25.3 % secure, 38.0 % insecure dismissing, 27.8 % insecure preoccupied, and 8.9 % unresolved trauma. This distribution differs significantly from other samples of non-clinical adults and psychotherapists. Interestingly, no general associations emerged between insecure attachment representations and burnout. A significant positive correlation was shown between "unresolved trauma" and the suspected diagnosis of "burnout occupation". The so far few but contradictory empirical findings on attachment representations among professionals require further research activities as well as an intensive sensitization with regard to attachment theory in basic and further training courses and a further establishment of self-awareness and supervision components in all psychosocial fields of work.


Assuntos
Apego ao Objeto , Assistentes Sociais , Adulto , Esgotamento Psicológico , Humanos , Suíça
12.
BMC Health Serv Res ; 22(1): 67, 2022 Jan 14.
Artigo em Inglês | MEDLINE | ID: mdl-35031046

RESUMO

BACKGROUND: The development of medical social work is an indispensable part of the Healthy China Strategy. However, the medical service field has the fewest social workers in all service fields in China. Creating favorable working conditions can reduce the turnover intention of social workers in the medical service field. So it is necessary to integrate the existing theoretical models to deeply analyze the multiple influencing paths of working conditions on the medical social workers' turnover intention in the context of China. METHODS: The data we used came from the China Social Work Longitudinal Survey (CSWLS) conducted in 56 cities across the country in 2019. It adopted a multi-stage random sampling method and the sample of medical social workers was selected according to their current service field and the sample size finally entering the model was 382. We tested the relationships with the Structural Equation Model (SEM) by STATA 16.0. RESULTS: Job-related stress play the most significant role in explaining the formation mechanism of medical social workers' turnover intention. On the one hand, job-related stress can reduce the job satisfaction of medical social workers, further increasing their turnover intention; on the other hand, job-related stress can increase job burnout of medical social workers, further reducing their job satisfaction and ultimately increasing the turnover intention. Job satisfaction plays a full mediating effect between the job burnout of medical social workers and their turnover intention. The social support and job autonomy provided by social work agencies have limited effects on decreasing the turnover intention of medical social workers. CONCLUSIONS: The two paths of job-related stress affecting turnover intention successfully integrate the Job Demands-Resources Model and the Price-Mueller Turnover Model into the same theoretical framework providing a theoretical basis for reducing the turnover intention and behavior of social workers in the medical service field, improving the management level in the medical service system and promoting the overall healthy and sustainable development of medical social work in China.


Assuntos
Esgotamento Profissional , Intenção , Esgotamento Profissional/epidemiologia , China/epidemiologia , Estudos Transversais , Humanos , Satisfação no Emprego , Reorganização de Recursos Humanos , Assistentes Sociais , Inquéritos e Questionários
13.
Contemp Clin Trials ; 113: 106680, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-35032664

RESUMO

BACKGROUND: In sub-Saharan Africa (SSA), hospitalized HIV-infected patients who are discharged home have been shown to experience extremely high mortality rate. Daraja is an individual-level, time-limited, five-session case management intervention aiming to link hospitalized HIV-infected patients to outpatient HIV care upon discharge. METHODS: A randomized control trial will aim at evaluating the efficacy of Daraja intervention on reducing mortality in hospitalized HIV-infected patients upon discharge from hospital. The study will recruit 500 hospitalized HIV-infected adults who are ART naïve or defaulted for >7 days from hospitals in Mwanza region, Tanzania. Participants will be enrolled during hospitalization and a baseline assessment will be done. Participants will be randomized to receive either the standard of care HIV linkage, or the Daraja intervention a day before the expected hospital discharge date. The Daraja intervention includes five sessions delivered by a social worker over a 3-month period. All participants will complete follow-up assessment at month 12 and 24. Measures will include 1-year survival, HIV care continuum outcomes (linkage, retention, antiretroviral adherence, and viral suppression), and cost (incremental cost of the intervention and cost per life saved). Quality assurance data will be collected, and the feasibility and acceptability of the intervention will be described. Statistical analysis will assess the effectiveness of the Daraja intervention on improving survival and HIV care continuum outcomes. DISCUSSION: Hospitalized HIV-infected patients who are being discharged home have higher mortality due to poor linkage to primary HIV care. The Daraja intervention has the potential to address barriers that prevent successful transition from hospital to primary HIV care. TRIAL REGISTRATION: ClinicalTrials.gov, NCT03858998. Registered on 01 March 2019.


Assuntos
Infecções por HIV , Assistentes Sociais , Adulto , Antirretrovirais , Infecções por HIV/tratamento farmacológico , Mortalidade Hospitalar , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto , Tanzânia/epidemiologia
14.
Soc Work Health Care ; 61(1): 52-68, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35098903

RESUMO

Unique challenges exist for hospital social workers tasked with the care of patients experiencing homelessness. These challenges affect patient care, impact social work practice, and emphasize the need to better understand the experience of providing services to this vulnerable population. Research is limited and focuses upon the experiences of unhoused patients and of medical management, not upon the experiences of the social workers positioned to meaningfully impact care. To address this gap, the current study utilized Interpretive Phenomenological Analysis (IPA) to examine the lived experiences of hospital social workers providing services to homeless patients. Respondents identified fulfilling aspects of this work but also emphasized the deeply personal and professional challenges it engendered. Recommendations were offered for supporting hospital social workers' self-care, incorporating effective practice perspectives, and providing meaningful patient support. Alignment of respondent experiences with literature on compassion satisfaction, compassion fatigue, work life conditions, and burnout was considered.


Assuntos
Fadiga por Compaixão , Pessoas em Situação de Rua , Hospitais , Humanos , Serviço Social , Assistentes Sociais
15.
Subst Abus ; 43(1): 615-622, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34666634

RESUMO

Background: In response to the opioid epidemic, addiction consultation services (ACS) increasingly provide dedicated hospital-based addiction treatment to patients with substance use disorder. We assessed hospitalist and medical staff perceptions of how the presence of 2 hospitals' ACS impacted care for hospitalized patients with opioid use disorder (OUD). We inquired about ongoing challenges in caring for this patient population.Methods: We conducted a qualitative study of hospital-based providers utilizing focus groups and key informant interviews for data collection. Transcripts were analyzed using a mixed inductive-deductive approach. Emergent themes were identified through an iterative, multidisciplinary team-based process using a directed content analysis approach.Results: Hospitalists (n = 20), nurses (n = 13), social workers (n = 11), and pharmacists (n = 18) from a university hospital and a safety-net hospital in Colorado participated in focus groups or key informant interviews. In response to the availability of an ACS, hospitalists described increased confidence using methadone and buprenorphine to treat opioid withdrawal, which they perceived as contributing to improved patient outcomes and greater job satisfaction. Participants expressed concern about inconsistent care provided to patients with OUD that varied by the admitting team's specialty and the physician's background and training. Nurses and hospitalists reported frustrations with achieving adequate pain control among patients with OUD. Last, pharmacists reported practice variations when physicians dosed buprenorphine for acute pain among patients with OUD. A lack of standardized dosing led to concerns of inadequate analgesia or return to opioid use following hospital discharge.Conclusions: An ACS reportedly supports hospitalists and medical staff to best care for hospitalized patients with OUD. Notably, care provided to patients with OUD may not be uniform depending on various physician-level factors. Future work to address the concerns reported by study participants may include education for OUD treatment, early involvement of the ACS, and incorporation of buprenorphine prescribing algorithms to standardize care.


Assuntos
Buprenorfina , Médicos Hospitalares , Transtornos Relacionados ao Uso de Opioides , Analgésicos Opioides/uso terapêutico , Buprenorfina/uso terapêutico , Humanos , Transtornos Relacionados ao Uso de Opioides/tratamento farmacológico , Farmacêuticos , Encaminhamento e Consulta , Assistentes Sociais
16.
Artigo em Inglês | MEDLINE | ID: mdl-34637690

RESUMO

For palliative care social workers, utilizing clinical practice theories in an acute hospital setting can be challenging but important. This article describes a process improvement project designed to increase intentionality in the implementation and documentation of social work interventions. It details the process of identifying major social work domains, interventions deployed and how the interventions specifically connect back to clinical practice theory.


Assuntos
Cuidados Paliativos , Assistentes Sociais , Documentação , Hospitais , Humanos , Serviço Social
17.
Am J Orthopsychiatry ; 92(1): 109-120, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34881961

RESUMO

We examined social workers' recommendations regarding the possible appointment of a guardian, a supported decision maker (SDM), or neither for persons with disabilities. Social workers (N = 328) were presented with four vignettes that contained factors potentially relevant to guardianship and SDM judgments. They expressed higher support of SDM and maintaining the status quo (without a guardian or SDM) and lower support for guardianship. Social workers were more likely to recommend guardianship when the person depicted in the vignette was labeled as having an intellectual disability, needed support in decision-making, lacked familial support, and agreed to guardianship. They were more inclined to support the status quo for individuals with mental illness, when there was little need for decision-making support, when the family was supportive, and when the individual refused guardianship. Social workers who had not heard of the SDM reform, and those with positive attitudes toward guardianship, supported guardianship. Findings are discussed in light of the status and functional approaches to guardianship and the relational notion of autonomy. As part of the SDM reform, decision-making capacity should not be assessed based on diagnosis or on independent decision-making, but rather on the ability to make decisions when receiving appropriate support. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Pessoas com Deficiência , Deficiência Intelectual , Tomada de Decisões , Humanos , Tutores Legais , Assistentes Sociais
18.
J Am Geriatr Soc ; 70(2): 398-407, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34752635

RESUMO

BACKGROUND: With increasing complexity of our aging inpatient population, we implemented an interprofessional geriatric and palliative care intervention on a hospitalist service. This study aimed to measure the intervention's impact on length of stay (LOS), 30-day readmission, and the daily intensity of inpatient services utilization. METHODS: Using a nonrandomized controlled intervention at a 1000-bed U.S. academic quaternary medical center, we studied 13,941 individuals admitted to a general medicine hospitalist service (of which 5644 were age > =65 years); 1483 were on intervention teams (576 age > =65 years), 5413 concurrent controls, and 7045 historical controls. On 2 of 11 hospitalist teams, a geriatrician, palliative care physician and social worker attended multidisciplinary discharge rounds twice weekly, to recommend inpatient geriatric or palliative care consult (GPCC), postacute nursing or home care, versus postdischarge outpatient consultation. We measured the difference in improvement over time between intervention and control team patients for the following: (1) LOS adjusted for case-mix index, (2) 30-day readmissions, and (3) intensity of hospital service utilization (mean services provided per patient per day). RESULTS: Adjusted LOS (in hospital days) was decreased by 0.36 days (p = 0.039) for the 1483 patients in the intervention teams, with greater LOS reduction of 0.55 days per admission (p = 0.022) on average among the subset of 576 older patient admissions. Readmissions were unchanged (-1.17%, p = 0.48 for all patients; 1.91%, p = 0.46 for older patients). However, the daily relative value unit (RVU) utilization was modestly increased for both the overall and older subgroup, 0.35 RVUs (p = 0.041) and 0.74 RVUs (p < 0.001) per patient-day on average across the intervention teams, respectively. CONCLUSION: An interprofessional intervention of geriatric and palliative care consultation in collaboration with a hospitalist service may reduce LOS, especially for geriatric patients, without an increase in readmissions. This model may have broader implications for hospital care and should be further studied.


Assuntos
Geriatria , Tempo de Internação/estatística & dados numéricos , Cuidados Paliativos , Equipe de Assistência ao Paciente , Idoso , Feminino , Humanos , Pacientes Internados/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde , Alta do Paciente , Readmissão do Paciente/estatística & dados numéricos , Escalas de Valor Relativo , Assistentes Sociais
19.
Soc Work Public Health ; 37(3): 244-257, 2022 04 03.
Artigo em Inglês | MEDLINE | ID: mdl-34816769

RESUMO

Cancer is a disease common in every country around the globe with high incidences and deaths. Receiving a breast cancer diagnosis is often associated with a death sentence which makes the individual exhibit self-denial attributes, mixed negative emotions, depression, and anxiety. This study investigated the gap in supportive care and the role of social workers in the management of metastatic breast cancer patients in Nigeria. This study employed a qualitative method using Key Informant Interviews (KII). A total of 12 healthcare professionals in the area of medical social work, palliative care, and medical oncology were engaged in collecting the required information. The result revealed that social workers play significant roles in every aspect of the cancer care continuum - diagnosis, treatment, reintegration, or palliative care. Social workers help metastatic breast cancer patients in Nigeria, however, there are growing challenges to their roles. Most unskilled professionals often present themselves as social workers who do not meet professional standards or perform the best practice.


Assuntos
Neoplasias da Mama , Assistentes Sociais , Neoplasias da Mama/terapia , Feminino , Pessoal de Saúde/psicologia , Humanos , Nigéria , Cuidados Paliativos , Assistentes Sociais/psicologia
20.
J Interpers Violence ; 37(1-2): 681-704, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-32306834

RESUMO

The violence epidemic in Mexico is becoming more widespread. Using a social-ecological framework, the current study sought to understand interpersonal violence among those impoverished communities in Mexico City, Mexico. Participants were recruited from Community Health Centers located within districts that were densely populated, had high rates of poverty and marginalization, and where people experience complex social needs. Semi-structured interviews were conducted with patients, social workers, and medical doctors (N = 15) who were either receiving or providing services in these centers. Data were analyzed using an inductive, thematic approach. Analysis resulted in three themes: (a) interpersonal violence permeates all settings in which people live and interact; (b) social and cultural factors increase the risk of becoming a perpetrator or victim of interpersonal violence; and (c) interpersonal violence is closely intertwined with mental health. Rapid changes within gender roles and expectations in Mexico, combined with widening income inequality, are shifting dynamics within families that may be inherently linked to interpersonal violence. Our findings support the conceptualization of interpersonal violence at the four levels of the social-ecological framework: individual, relationship, community, and societal. Prevention and interventions for violence reduction must be applied across the four levels simultaneously. Community-level efforts should go toward strengthening existing community health centers and equipping primary care providers with training and resources on the screening and triaging of patients encountering interpersonal violence.


Assuntos
Assistentes Sociais , Violência , Cidades , Humanos , México , Pobreza
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