整合社会工作到专业的息家庭服务中
Janice Lee Wartchow1, Stefan Bär2, Bernd Alt-Epping3
1Heidelberg University Hospital - Department of Palliative Medicine, INF 305, Heidelberg, Baden-Württemberg 69120, Germany.
Palliative care and social practice
|January 28, 2025
概括
德国的专业息家庭护理 (SAPV) 需要社会工作 (SW) 才能有效,但目前的合同忽略了这一点. 医务人员的看法影响了SW整合,突出了需要更多的SW小时和在家访中的存在.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 社会工作 整合 社会工作 整合
- 医疗保健政策 医疗保健政策
背景情况:
- 德国联邦专业息家庭护理 (SAPV) 框架合同到2028年,除了护士和医生之外,没有授权第三个专业群体.
- 息护理本质上涉及心理社会层面,需要一个跨专业的方法.
研究的目的:
- 探索医务人员在将社会工作 (SW) 整合到专业息家庭护理 (SAPV) 团队中的作用.
- 从医生和护士的角度来看,识别SW整合的障碍和促进者.
主要方法:
- 采用了定性案例研究设计.
- 采用理论和定性配额抽样,收集各种观点.
- 应用了序列分析来解释发现并产生假设.
主要成果:
- 医务人员 (医生和护士) 认为社会工作至关重要,将社会医学知识和咨询等核心能力归因于这个行业.
- 在研究的案例中,SW的整合是有效的,人们希望增加SW的存在和工作时间.
- 医生和护士注意到社会工作者和心理学家之间的相似之处,并将社会工作者视为SAPV的核心能力.
结论:
- 专业的息家庭护理 (SAPV) 需要有效的社会工作 (SW) 整合来解决心理社会需求.
- 目前的联邦合同对SW资源分配的监督构成了有效息护理的障碍.
- 未来的研究应该调查社会工作者和医疗管理人员的经验,以了解缓慢的整合,并为增强战略提供信息.
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