Reese Dona J, Raymer Mary, Orloff Stacy F, Gerbino Susan, Valade Rita, Dawson Steve, Butler Charlotte, Wise-Wright Michele, Huber Ruth
J Soc Work End Life Palliat Care. 2006;2(2):65-95. doi: 10.1300/J457v02n02_05.
This paper reports on the last of three National Hospice and Palliative Care Organization initiatives to move hospice and palliative care social workers into the patient/family outcomes arena: the development of the Social Work Assessment Tool. The experience of a team of practitioners and researchers is described, including results of two pilot studies and subsequent SWAT revisions. The major focus is on the current model performance improvement project, in which 19 social workers from 14 hospice and palliative care programs used the SWAT with 101 patients and 81 primary caregivers for a median of 44 days. Quantitative analysis indicated significant improvement in SWAT scores for patients from the first to the second social work visit (t = -2.60, df = 47, p .01). Qualitative interviewing of the social workers indicated some lack of readiness in the field to conduct quantitative outcomes measurement. Additional measures are needed in addition to the SWAT, including qualitative measures, and measures of mezzo and macro practice. Participants indicated that the SWAT was appropriate for use with economically and culturally diverse clients.
本文报告了美国国家临终关怀与姑息治疗组织开展的三项举措中的最后一项，该举措旨在促使临终关怀与姑息治疗社会工作者投身于患者/家庭结局领域：社会工作评估工具（SWAT）的开发。文中描述了一个由从业者和研究人员组成的团队的经历，包括两项试点研究的结果以及随后对SWAT的修订。主要关注点是当前的模型性能改进项目，在该项目中，来自14个临终关怀与姑息治疗项目的19名社会工作者对101名患者和81名主要照料者使用了SWAT，为期中位数44天。定量分析表明，从首次到第二次社会工作访视，患者的SWAT评分有显著改善（t = -2.60，自由度 = 47，p <.01）。对社会工作者的定性访谈表明，该领域在进行定量结局测量方面尚缺乏一定准备。除了SWAT之外，还需要其他措施，包括定性措施以及中观和宏观实践的措施。参与者表示，SWAT适用于经济和文化背景各异的客户。
