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社会处方转接员——澳大利亚的定性视角。

Social prescribing link workers-A qualitative Australian perspective.

机构信息

School of Psychology, University of Queensland, St Lucia, Australia.

Nottingham Trent University, Nottingham, UK.

出版信息

Health Soc Care Community. 2022 Nov;30(6):e6376-e6385. doi: 10.1111/hsc.14079. Epub 2022 Oct 22.

Abstract

Social prescribing (or community referral) is a model of healthcare designed to address social needs that contribute to poor health. At the heart of social prescribing programs is the link worker, who liaises between clients, health professionals and community organisations. Social prescribing is newly emerging in Australia but there are already calls for a large-scale roll out. This research, therefore, aimed to understand Australian link workers' role and skills required, to determine where such a workforce could be drawn from in Australia, and to identify what training and resources are needed to support this potential new workforce. To explore these questions, interviews were conducted with 15 link workers in Queensland, New South Wales and Victoria, and the transcripts were analysed using thematic analysis. Participants were predominantly female (87%); and primarily had qualifications in social work (47%) or nursing (27%). Three overarching themes were identified: (1) skills of successful social prescribing, identifying that link work requires multifaceted social and emotional skills; (2) workforce issues, presenting that link workers experienced challenges such as a lack of available support and training, lack of public awareness of social prescribing and a lack of sustained funding; and (3) job fulfilment, related to link workers' sense of reward and accomplishment from the job. We suggest that fostering job fulfilment in conjunction with the provision of increased support, training and security will reduce feelings of overwork and burnout among link workers and likely lead to longevity in the role. Social prescribing has the potential to be hugely beneficial to clients and the community and fulfilling for link workers, provided that sufficient advocacy and resources are put in place.

摘要

社会处方(或社区转介)是一种医疗保健模式,旨在解决导致健康状况不佳的社会需求。社会处方项目的核心是联络工作者,他们在客户、卫生专业人员和社区组织之间进行联络。社会处方在澳大利亚是一个新兴事物,但已经有人呼吁大规模推广。因此,这项研究旨在了解澳大利亚联络工作者的角色和所需技能,确定澳大利亚可以从哪里获得这样的劳动力,并确定支持这一潜在新劳动力所需的培训和资源。为了探讨这些问题,对昆士兰州、新南威尔士州和维多利亚州的 15 名联络工作者进行了访谈,并使用主题分析对访谈记录进行了分析。参与者主要为女性(87%);主要具有社会工作(47%)或护理(27%)方面的资格。确定了三个总体主题:(1)成功社会处方的技能,表明联络工作需要多方面的社会和情感技能;(2)劳动力问题,提出联络工作者面临的挑战,例如缺乏可用的支持和培训、公众对社会处方的认识不足以及缺乏持续的资金;(3)工作满意度,与联络工作者从工作中获得的回报和成就感有关。我们建议,在提供更多支持、培训和保障的同时,培养工作满意度,将减少联络工作者的过度工作和倦怠感,并可能导致该角色的长期存在。社会处方有可能对客户和社区非常有益,对联络工作者也非常有意义,前提是要投入足够的宣传和资源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e3c/10092430/cbcaec313749/HSC-30-e6376-g001.jpg

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