Cowles L A, Lefcowitz M J
Department of Sociology and Social Work, Indiana State University, Terre Haute 47809.
Health Soc Work. 1992 Feb;17(1):57-65. doi: 10.1093/hsw/17.1.57.
Nearly 500 physicians, nurses, and social workers affiliated with four general hospitals participated in a mailed questionnaire survey designed to compare interprofessional expectations of the medical social worker role in the hospital. As hypothesized, physicians and nurses expect the exclusive role of the social worker to be more limited to working with families, resolving social-environmental problems, and providing referrals than social workers expect of their role. In general, physicians and nurses do not disagree with medical social workers on what social workers expect to do in the hospital setting; rather, they disagree more on what social workers expect to be their exclusive role. Furthermore, it does not appear that other groups discredit either the biopsychosocial health care model or social worker competency. Instead, these groups perceive the special focus of the medical social worker in the hospital as enhancing the environmental support and resources of the patient, viewing the patient's family as part of that support system. These other groups may not understand or accept the person-in-environment focus of social work.
来自四家综合医院的近500名医生、护士和社会工作者参与了一项邮寄问卷调查，该调查旨在比较医院中不同专业人员对医务社会工作者角色的期望。正如所假设的那样，医生和护士期望社会工作者的专属角色更多地局限于与家庭合作、解决社会环境问题以及提供转介服务，而社会工作者对自身角色的期望则并非如此。总体而言，医生和护士在社会工作者期望在医院环境中从事的工作方面与医务社会工作者并无分歧；相反，他们在社会工作者期望的专属角色方面分歧更大。此外，其他群体似乎并未诋毁生物心理社会医疗模式或社会工作者的能力。相反，这些群体将医院中医务社会工作者的特殊关注点视为增强患者的环境支持和资源，将患者的家庭视为该支持系统的一部分。这些其他群体可能不理解或不接受社会工作中“人在环境中”的关注点。
