a Monash Health , Melbourne , Australia.
Soc Work Health Care. 2013;52(10):899-912. doi: 10.1080/00981389.2013.834032.
We report on a qualitative study exploring health social workers' understanding of complexity in relation to inpatients in subacute wards at three sites across a large health network in Melbourne, Australia. Findings indicate that social workers' understanding of complexity refers to five interrelated themes: multiple competing demands; uncertainty; patient and family characteristics; pending breakdown; systems challenges. Social workers with less practice experience report that complex clients present more challenges than do social workers with greater experience. Implications of these findings for advancing practitioners' capacities in working with complex patients are discussed, as are the limitations of the study.
我们报告了一项定性研究，该研究探讨了卫生社会工作者对与澳大利亚墨尔本一家大型医疗网络的三个地点的亚急性病房住院患者相关的复杂性的理解。研究结果表明，社会工作者对复杂性的理解涉及五个相互关联的主题：多重相互竞争的需求；不确定性；患者和家庭特征；潜在的崩溃；系统挑战。实践经验较少的社会工作者报告说，与经验更丰富的社会工作者相比，复杂客户带来的挑战更多。讨论了这些发现对提高从业者与复杂患者合作能力的意义，以及该研究的局限性。
