临终关怀与姑息治疗社会工作实践中的成就与障碍：一项定性研究
Achievements and Barriers in Hospice and Palliative Social Work Practice: A Qualitative Study.
作者信息
Jang Soo Mi, Lim Jung-Won, Choi Ji Eun
机构信息
Department of Social Welfare, Cheongju University, Cheongju, Korea.
Division of Social Welfare, Kangnam University, Yongin, Korea.
出版信息
J Hosp Palliat Care. 2024 Dec 1;27(4):131-148. doi: 10.14475/jhpc.2024.27.4.131.
PURPOSE
Hospice and palliative care is a multidisciplinary approach to treatment and care designed to meet the needs of patients and their families at the end of life. Social workers are essential members of the hospice team, but their role is not well understood. The purpose of this study was to explore achievements and barriers in hospice social work practice and to suggest strategies for enhancing the role of social workers.
METHODS
The participants were 10 social workers who had worked in hospice institutions for over 5 years and were recruited based on reputational case sampling. Data were collected through two focus group interviews, and were qualitatively analyzed using thematic analysis.
RESULTS
Through the data analysis, two topics (achievements in hospice social work practice, barriers to achievements in hospice social work practice), five categories, 17 subcategories, and 182 concepts were derived.
CONCLUSION
Based on an in-depth discussion of our key findings, we propose several types of institutional support, including expanding the hospice social work workforce, improving competence through education and supervision, developing professional programs and community resources, and refining methods for measuring achievements.
目的
临终关怀与姑息治疗是一种多学科的治疗与照护方法，旨在满足患者及其家属在生命末期的需求。社会工作者是临终关怀团队的重要成员，但其角色尚未得到充分理解。本研究的目的是探讨临终关怀社会工作实践中的成就与障碍，并提出加强社会工作者作用的策略。
方法
研究对象为10名在临终关怀机构工作超过5年的社会工作者，采用声誉抽样法招募。通过两次焦点小组访谈收集数据，并采用主题分析法进行定性分析。
结果
通过数据分析，得出了两个主题（临终关怀社会工作实践中的成就、临终关怀社会工作实践中成就的障碍）、五个类别、17个子类别和182个概念。
结论
基于对主要研究结果的深入讨论，我们提出了几种类型的机构支持，包括扩大临终关怀社会工作队伍、通过教育和监督提高能力、开发专业项目和社区资源，以及完善成就衡量方法。
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