Wurzweiler School of Social Work, Yeshiva University, New York, NY.
Graduate School of Social Service, Fordham University, New York, NY.
Palliat Support Care. 2019 Oct;17(5):536-541. doi: 10.1017/S1478951518001049.
Palliative social workers have taken steps to increase the numbers of social workers trained and competent to deliver effective psychosocial palliative care. Despite these developments, masters of social work (MSW) programs have only begun to develop curricula preparing students for entry-level practice. This study sought to determine the type and extent of content areas included in MSW courses dedicated to palliative care or with content related to palliative care practice.
A cross-sectional study using an online questionnaire was conducted. All 248 accredited MSW programs in the United States and 32 programs in Canada were invited to participate. Participants were asked to name the courses in their MSW program that were dedicated to, or included content on, palliative care, and submit the syllabi for these courses. Data comprised course content for each class session and required readings. A grounded theory approach was used to identify the topics covered.
Of the 105 participating programs that responded to the survey, 42 submitted 70 syllabi for courses with at least some palliative care content. There were 29 topics identified. The most common topic was grief, loss, and bereavement, followed closely by behavioral and mental health issues, and supporting family and friends; cultural perspectives and advance care planning were also common topics. For the 10 syllabi from courses dedicated to palliative care, supporting family was the most common topical area, followed closely by interprofessional practice and advance care planning.
Although there are many challenges to introducing palliative care content into MSW programs, including unqualified faculty and competing course material and electives of equally compelling content, there are model curricula for dedicated palliative care courses. With the large growth of palliative care programs, the time is ripe to add specialty palliative care courses and to add palliative care content into existing courses.
姑息治疗社会工作者已经采取措施增加接受过培训且有能力提供有效心理姑息治疗的社会工作者数量。尽管取得了这些进展，但是社会工作硕士（MSW）课程才刚刚开始制定课程，以使学生为入门级实践做好准备。本研究旨在确定专门针对姑息治疗或包含与姑息治疗实践相关内容的 MSW 课程中包含的内容领域的类型和范围。
使用在线问卷进行了横断面研究。邀请了美国所有 248 个获得认可的 MSW 课程和加拿大的 32 个课程参与。要求参与者列出其 MSW 课程中专门针对姑息治疗或包含姑息治疗内容的课程，并提交这些课程的教学大纲。数据包括每个课程的课程内容和必读读物。采用扎根理论方法来确定涵盖的主题。
在对调查做出回应的 105 个参与计划中，有 42 个提交了至少有一些姑息治疗内容的 70 个课程教学大纲。确定了 29 个主题。最常见的主题是悲伤、失落和丧亲之痛，其次是行为和心理健康问题以及支持家庭和朋友；文化视角和预先护理计划也是常见的主题。对于专门针对姑息治疗的 10 个课程教学大纲，支持家庭是最常见的主题领域，其次是跨专业实践和预先护理计划。
尽管将姑息治疗内容引入 MSW 课程存在许多挑战，包括不合格的教师以及具有同等吸引力的课程材料和选修内容的竞争，但已经有专门的姑息治疗课程的示范课程。随着姑息治疗计划的大量增长，现在是时候增加专业姑息治疗课程，并将姑息治疗内容添加到现有课程中了。
