School of Social Work, University of Maryland, Baltimore, MD 21201, USA.
J Psychosoc Oncol. 2012;30(6):652-66. doi: 10.1080/07347332.2012.721490.
The purpose of this pilot study was to explore oncology social workers experiences with the introduction and use of distress screening tools with patients who are diagnosed with cancer. Focus groups were conducted with 15 oncology social workers, who were primarily employed in large hospitals or cancer centers. The results fell into three broad areas: initiating distress screening, adapting distress screening to the setting, and evaluating distress screening. Findings revealed that social workers face many decisions as they adapt distress screening to their settings, including when and how to measure distress, and how to refer patients to services. Social workers were concerned about being overwhelmed with referrals and sought to manage the screening to better identify those who are likely to benefit from services. This research suggests a need for further study, the development of practice guidelines, and training of oncology social workers.
本试点研究旨在探讨肿瘤社会工作者在为确诊癌症的患者引入和使用痛苦筛查工具方面的经验。对 15 名主要在大型医院或癌症中心工作的肿瘤社会工作者进行了焦点小组讨论。研究结果分为三个广泛的领域:启动痛苦筛查、使痛苦筛查适应环境、以及评估痛苦筛查。研究结果表明,社会工作者在根据自身环境调整痛苦筛查时面临许多决策,包括何时以及如何衡量痛苦,以及如何将患者转介至服务机构。社会工作者担心被转介淹没,并试图通过管理筛查来更好地确定那些可能受益于服务的人。这项研究表明需要进一步研究、制定实践指南和培训肿瘤社会工作者。