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加纳老年患者及其照护者寻求医疗保健时社工的角色和能力。

The roles and capacities of social workers in the lives of older adults seeking healthcare and their caregivers in Ghana.

机构信息

Priority Research Centre for Generational Health and Ageing, School of Medicine and Public Health, University of Newcastle, Newcastle, Australia.

School of Health Sciences, The University of Newcastle, Newcastle, Australia.

出版信息

Health Soc Care Community. 2021 Jul;29(4):877-888. doi: 10.1111/hsc.13121. Epub 2020 Aug 16.

Abstract

As Ghana's older population increases in number and proportion, the social and healthcare needs of older adults and their caregivers become more critical highlighting the relevance of social workers' contribution in assisting older adults and their caregivers. The purpose of this study was to explore social workers' contributions, discussed against the International Federation of Social Workers (IFSW) Policy on Ageing and Older Person framework. The study employed a descriptive qualitative approach making use of semi-structured interviews to collect information from eight social workers at the Social Welfare Unit in Komfo Anokye Teaching Hospital in Ghana. Themes and codes were developed from the interviews using thematic analysis, employing In-vivo and descriptive coding, and N-Vivo v12 as a management tool. Analysis of interviews revealed three interrelated themes; (a) "We provide it accordingly": Talking about their contributions as systematic, (b) "I think we can do more": Talking about their contributions as insufficient, and (c) "Our efforts are being hampered": Complaints of inadequate resources for working with older adults and their caregivers. The study offers areas of opportunities for social workers per the IFSW policy framework to reflect and examine their current knowledge and skill to address the challenges population ageing presents in Ghana. While social workers contribute towards helping older adults seeking healthcare and their caregivers, their needs cannot be ignored. The findings draw attention to effective policies and programs that can provide social workers with the needed resources to be independent and be able to devise novel approaches unique to older adults and their caregivers.

摘要

随着加纳老年人口数量和比例的增加,老年人及其照顾者的社会和医疗保健需求变得更加紧迫,这凸显了社会工作者在帮助老年人及其照顾者方面的贡献的重要性。本研究旨在探讨社会工作者的贡献,这些贡献是根据国际社会工作者联合会(IFSW)的老龄化和老年人政策框架讨论的。该研究采用描述性定性方法,利用半结构化访谈从加纳 Komfo Anokye 教学医院社会福利股的 8 名社会工作者那里收集信息。使用主题分析从访谈中开发主题和代码,采用现场和描述性编码,并使用 N-Vivo v12 作为管理工具。对访谈的分析揭示了三个相互关联的主题:(a)“我们相应地提供它”:谈论他们作为系统的贡献,(b)“我认为我们可以做得更多”:谈论他们作为不足的贡献,(c)“我们的努力受到阻碍”:抱怨为与老年人及其照顾者合作提供的资源不足。该研究为社会工作者提供了根据 IFSW 政策框架进行反思和检查其当前知识和技能的机会,以应对加纳人口老龄化带来的挑战。虽然社会工作者为寻求医疗保健的老年人及其照顾者做出了贡献,但不能忽视他们的需求。研究结果提请注意可以为社会工作者提供必要资源的有效政策和方案,使他们能够独立并能够为老年人及其照顾者设计独特的新方法。

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