Globerman J
Faculty of Social Work, University of Toronto, Ontario, Canada.
Soc Work Health Care. 1999;28(4):13-30. doi: 10.1300/J010v28n04_02.
In the shifts to programmatic hospital organizations, social workers are having to learn to reframe their work, reorganize their thinking, and restructure their professional disciplines in order to survive. The experience is frequently one of frustration, anger, and impotence. Yet, social workers are masters of systems thinking in hospitals, and are well positioned to effect change. The beauty of shifting to a flattened hierarchy that is patient focused, is that it endorses change consistent with the social work mission in health. The challenge for social work is to grapple with the big issues: our belief in ourselves; defining our roles and functions and priorities; defining our vision in programmatic hospital organizations; being critical of what we do; and articulating what we have to offer. This paper identifies ways social workers can position themselves to effect positive change in hospitals undergoing restructuring.
在向程序化医院组织转变的过程中，社会工作者不得不学会重新构建他们的工作、重新组织他们的思维，并重组他们的专业学科以求得生存。这种经历常常伴随着挫折、愤怒和无力感。然而，社会工作者是医院系统思维的行家，并且具备推动变革的良好条件。转向以患者为中心的扁平化层级结构的美妙之处在于，它支持与健康领域社会工作使命相一致的变革。社会工作面临的挑战是应对一些重大问题：我们对自身的信念；明确我们的角色、职能和优先事项；在程序化医院组织中明确我们的愿景；审视我们所做的工作；以及阐明我们能提供的东西。本文确定了社会工作者在正在进行重组的医院中为实现积极变革而定位自己的方法。
