Craig Shelley L, Muskat Barbara
Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada.
Health Soc Work. 2013 Feb;38(1):7-16. doi: 10.1093/hsw/hls064.
Social workers delivering services in health care settings face unique challenges and opportunities. The purpose of this study was to solicit input from social workers employed in urban hospitals about their perceptions of the roles, contribution, and professional functioning of social work in a rapidly changing health care environment. Using qualitative methods, the university and hospital-based research team conducted seven focus groups (n = 65) at urban hospitals and analyzed the data using an interpretive framework with ATLAS.ti software. Seven major themes emerged from the participants' description of their roles: bouncer, janitor, glue, broker, firefighter, juggler, and challenger. Along with descriptions of the ways social workers fulfilled those roles, participants articulated differences in status within those roles, the increasing complexity of discharge planning, and expectations to provide secondary support to other health care professionals on their teams. Implications for practice and research are discussed.
在医疗环境中提供服务的社会工作者面临着独特的挑战和机遇。本研究的目的是征求城市医院雇佣的社会工作者对社会工作在快速变化的医疗环境中的角色、贡献和专业职能的看法。大学和医院的研究团队采用定性方法，在城市医院开展了7个焦点小组（n = 65），并使用带有ATLAS.ti软件的解释性框架对数据进行分析。参与者对其角色的描述中出现了七个主要主题：保镖、门卫、黏合剂、经纪人、消防员、杂耍艺人以及挑战者。除了对社会工作者履行这些角色的方式的描述外，参与者还阐述了这些角色中地位的差异、出院计划日益增加的复杂性，以及为团队中的其他医疗专业人员提供二级支持的期望。文中还讨论了对实践和研究的启示。
