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安宁疗护中的社会工作培训:弥合差距。

Social Work Training in Palliative Care: Addressing the Gap.

机构信息

Michigan Medicine, 21614University of Michigan Health System, Ann Arbor, MI, USA.

143265University of Michigan School of Social Work, Ann Arbor, MI, USA.

出版信息

Am J Hosp Palliat Care. 2021 Aug;38(8):893-898. doi: 10.1177/1049909120960709. Epub 2020 Sep 24.

Abstract

As people live longer with chronic disease and serious illness in the U.S., palliative care teams are called upon to support patients and their families. Social workers are an integral part of the palliative care interprofessional team, and yet there are disproportionately few training programs for social workers who wish to specialize in this area. The curriculum of a post-graduate palliative care training program for social workers should be based on the current standards for palliative care and social work, as described by the National Association of Social Workers (NASW), Council for Social Work Education (CSWE) and the Center to Advance Palliative Care (CAPC). Trainees should develop skills to care for patients who have chronic or life-limiting illness, patients who are nearing their end of life, patients who are in the active dying phase and their families around end of life planning, medical decision making, grief and bereavement. A post-graduate social work training program that aims to prepare social workers to work in the field of palliative care should consist of clinical rotations at multiple sites, robust didactic curriculum and clinical supervision. Interprofessional learning is necessary and training should include opportunities for scholarly work, quality improvement activities, leadership, and teaching. Post-graduate training programs in palliative care will prepare future social workers to be experts in a sub-specialty skill set to meet the needs of people living with chronic disease. These needs and opportunities call on the social work profession to take action to develop post-graduate training programs in palliative care.

摘要

随着美国患有慢性病和重病的人寿命延长,姑息治疗团队被要求为患者及其家属提供支持。社会工作者是姑息治疗跨专业团队的重要组成部分,但希望在这一领域专业化的社会工作者培训计划却少之又少。为社会工作者设立的姑息治疗研究生培训课程的课程设置应基于全国社会工作者协会(NASW)、社会工作教育委员会(CSWE)和推进姑息治疗中心(CAPC)所描述的姑息治疗和社会工作的现行标准。学员应培养照顾患有慢性或生命有限疾病的患者、接近生命终点的患者、处于积极死亡阶段的患者以及他们在临终规划、医疗决策、悲伤和丧亲之痛方面的家属的技能。旨在培养社会工作者在姑息治疗领域工作的研究生社会工作培训计划应由多个地点的临床轮转、扎实的教学课程和临床监督组成。专业间的学习是必要的,培训应包括学术工作、质量改进活动、领导力和教学的机会。姑息治疗方面的研究生培训计划将使未来的社会工作者成为亚专业技能方面的专家,以满足患有慢性病的人们的需求。这些需求和机会呼吁社会工作专业采取行动,制定姑息治疗方面的研究生培训计划。

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