School of Social Sciences, Education and Social Work, Queen's University Belfast, Northern Ireland, UK.
Queen's University Belfast and Ulster University, Northern Ireland, UK.
Palliat Med. 2023 Jun;37(6):884-892. doi: 10.1177/02692163231167938. Epub 2023 Apr 10.
The SARS-Cov-2 (COVID-19) pandemic affected the delivery of health and social care services globally. However, little is known about how palliative care social work services were impacted.
The aim of this study was to capture and analyse data from palliative care social workers who provided professional support in a range of settings across 21 countries during the COVID-19 pandemic.
A cross-sectional survey-based design was used for this empirical study and this paper primarily focuses on the quantitative responses.
SETTING/PARTICIPANTS: Participants, palliative care social workers, were drawn internationally via members of the EAPC Social Work Task Force and the World Hospice Palliative Care Social Work network.
We received 362 survey responses from 21 countries. Most (79%) respondents worked with adults in in-patient units or hospitals. The number of referrals during COVID-19 increased more in non-European countries, compared to European countries. The full range of social work services could no longer be delivered, existing services changed and 65.3% of participants reported higher levels of pressure during the pandemic, which was linked to higher levels of staff absence and additional duties. For many respondents (40.8%), this included facilitating online communication between patients and their families.
Our findings indicate that restrictions to limit the spread of COVID-19 resulted in adaptations to service delivery, increased pressure on staff and moral distress, like other health and social care professions. All members of the palliative team need support and supervision to ensure effective interdisciplinary working and team cohesion.
SARS-CoV-2(COVID-19)大流行在全球范围内影响了医疗和社会保健服务的提供。然而,人们对姑息治疗社会工作服务受到的影响知之甚少。
本研究旨在收集和分析在 COVID-19 大流行期间,在 21 个国家的一系列环境中为姑息治疗提供专业支持的姑息治疗社会工作者的数据。
本实证研究采用横断面调查设计,本文主要关注定量反应。
设置/参与者:参与者,姑息治疗社会工作者,通过 EAPC 社会工作组和世界临终关怀姑息治疗社会工作网络的成员在国际上招募。
我们收到了来自 21 个国家的 362 份调查回复。大多数(79%)受访者在住院部或医院为成年人工作。与欧洲国家相比,在非欧洲国家,COVID-19 期间的转介数量增加更多。无法再提供全面的社会工作服务,现有服务发生变化,65.3%的参与者报告在大流行期间压力更高,这与更高的员工缺勤率和额外职责有关。对许多受访者(40.8%)来说,这包括促进患者及其家属之间的在线沟通。
我们的研究结果表明,为了限制 COVID-19 的传播而实施的限制措施导致服务提供方式发生了变化,工作人员的压力和道德困境增加,就像其他卫生和社会保健专业一样。姑息治疗团队的所有成员都需要支持和监督,以确保有效的跨学科工作和团队凝聚力。