Graduate School of Social Service,Fordham University,New York,New York.
Wurzweiler School of Social Work,Yeshiva University,New York,New York.
Palliat Support Care. 2018 Apr;16(2):180-188. doi: 10.1017/S147895151700013X. Epub 2017 Mar 30.
ABSTRACTObjective:There is a shortage of social workers who have palliative care expertise. The aging U.S. population and advances in extending life for seriously ill persons require social workers in a wide range of health care and other settings with specialized palliative care expertise, as well as those with basic competence in palliative care. The objective of the present study was to document course content on palliative care in MSW programs in the United States and Canada.
A cross-sectional design with an online questionnaire was used. All 248 accredited MSW programs in the United States and 32 programs in Canada were invited to participate. The measures included the characteristics of the courses on palliative care.
Of the 105 participating programs, only 10 had courses dedicated to palliative care, 9 of which were part of a specialization/certificate program. Few programs had plans to develop a dedicated course. There were 106 courses in 63 MSW programs with some content on palliative care. The majority of these had <25%, and few had at least 50%, of palliative care content.
Curricula are needed for preparing MSW graduates for specialty hospice and palliative care practice and non-specialty practice. While there are practice competencies for specialty practitioners, consensus on a core curriculum for all MSW students would be beneficial. Consensus on basic palliative care knowledge and skills for non-specialty social workers in health care and other settings and subsequent curriculum development are also needed. Innovative ways in which to introduce basic and more specialized content on palliative care into the already-crowded MSW curricula will be needed.
摘要
具有姑息治疗专业知识的社会工作者短缺。美国人口老龄化和延长重病患者生命的技术进步，需要在广泛的医疗保健和其他环境中拥有专业姑息治疗知识的社会工作者，以及具备基本姑息治疗知识的社会工作者。本研究的目的是记录美国和加拿大社会工作硕士（MSW）课程中姑息治疗的课程内容。
采用横断面设计和在线问卷的方法。邀请了美国所有 248 个经认可的 MSW 课程和加拿大的 32 个课程参加。测量方法包括姑息治疗课程的特点。
在参与的 105 个课程中，只有 10 个课程专门开设了姑息治疗课程，其中 9 个是专业/证书课程的一部分。很少有课程计划开设专门的课程。在 63 个 MSW 课程中有 106 个课程涉及姑息治疗的某些内容。这些课程中大多数的姑息治疗内容不到 25%，很少有课程的姑息治疗内容至少达到 50%。
需要为 MSW 毕业生提供姑息治疗专业实践和非专业实践的课程。虽然有针对专业从业者的实践能力要求，但为所有 MSW 学生制定核心课程的共识将是有益的。还需要在医疗保健和其他环境中为非专业社会工作者制定基本姑息护理知识和技能的共识，并随后制定课程。需要创新的方法将基本和更专业的姑息治疗内容引入已经拥挤的 MSW 课程。
