Oxhandler Holly K, Giardina Traber D
Diana R. Garland School of Social Work, Baylor University, One Bear Place, #97320, Waco, TX 76798.
Houston VA Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center; and the Baylor College of Medicine, Department of Medicine.
Soc Work. 2017 Oct 1;62(4):323-332. doi: 10.1093/sw/swx036.
This article describes the qualitative responses from a national sample of licensed clinical social workers (LCSWs) on their views regarding integrating clients' religion and spirituality (RS) in practice. Two open-ended questions were asked to assess what helps or assists LCSWs in assessing and integrating clients' RS in practice and what hinders or prevents LCSWs from considering this area of clients' lives. A total of 329 responded to either item, with 319 responses to the first item and 279 responses to the second. The authors used open-coding procedures, developed a codebook to analyze the data, and reached consensus on each response. Overarching themes that emerged from LCSWs' responses to what helps them consider this area included personal religiosity, education, and having an RS-sensitive practice. Regarding what hinders RS integration, LCSWs reported that nothing hinders such integration; that it was not relevant; or listed various barriers, including a lack of training, client discouraging the discussion, or experiencing fear or perceiving RS as a taboo topic. The article concludes with a discussion of the implications for social work education and practice.
本文描述了全国范围内持牌临床社会工作者（LCSW）样本对其在实践中整合客户宗教与灵性（RS）观点的定性回应。研究提出了两个开放式问题，以评估哪些因素有助于或协助LCSW在实践中评估和整合客户的RS，以及哪些因素阻碍或阻止LCSW考虑客户生活的这一领域。共有329人回答了其中一项问题，对第一个问题有319份回答，对第二个问题有279份回答。作者采用开放式编码程序，编制了一个编码手册来分析数据，并就每份回答达成了共识。LCSW对有助于他们考虑这一领域因素的回应中出现的总体主题包括个人宗教信仰、教育以及拥有对RS敏感的实践。关于阻碍RS整合的因素，LCSW报告称没有什么阻碍这种整合；认为这不相关；或者列出了各种障碍，包括缺乏培训、客户不鼓励讨论、感到恐惧或认为RS是一个禁忌话题。文章最后讨论了对社会工作教育和实践的启示。
