Razon Sharon, Levin Lia
Bob Shapell School of Social Work, Tel Aviv University, Tel Aviv, Israel.
Health Soc Care Community. 2022 Sep;30(5):e1844-e1852. doi: 10.1111/hsc.13614. Epub 2021 Oct 26.
Service-users' inclusion (SUI) in decision-making regarding services provided by public social services has numerous benefits for both users and providers. However, studies show a gap between the evolution of inclusive discourse and policy, and the implementation of SUI in social services' daily practice. Focusing on the organisational context, the present study is the first to empirically test the relationship between social workers' perception of the services' participative organisational culture (POC), their actual participation in organisational decision-making (SWAP) and their inclusive praxes with service-users (SUI). Data were collected between January and March of 2019 via an online survey of 317 Israeli social workers from 173 public departments of social services. Findings show that social workers who find the organisational culture at their workplace to be more participative, do in fact take a significantly greater part in decision-making at the organisational level, and include service-users more in decision-making throughout the intervention. Furthermore, SWAP mediates the connection between services' POC and SUI. Findings suggest that establishing a POC is not enough to increase users' inclusion, as social workers' active participation in decision-making is vital for their ability to include their marginalised users.
服务使用者参与公共社会服务决策（SUI）对使用者和提供者都有诸多益处。然而，研究表明，包容性话语和政策的发展与社会服务日常实践中SUI的实施之间存在差距。本研究聚焦于组织背景，首次实证检验了社会工作者对服务的参与式组织文化（POC）的认知、他们在组织决策中的实际参与情况（SWAP）以及他们与服务使用者的包容性实践（SUI）之间的关系。2019年1月至3月期间，通过对来自173个公共社会服务部门的317名以色列社会工作者进行在线调查收集数据。研究结果表明，那些认为其工作场所的组织文化更具参与性的社会工作者，实际上在组织层面的决策中参与程度显著更高，并且在整个干预过程中让服务使用者更多地参与决策。此外，SWAP在服务的POC与SUI之间起中介作用。研究结果表明，建立POC不足以增加使用者的参与度，因为社会工作者积极参与决策对于他们让边缘化使用者参与进来的能力至关重要。
