Cowles L A, Lefcowitz M J
Department of Sociology, Social Work, and Criminal Justice, Idaho State University, Pocatello 83209-8114, USA.
Health Soc Work. 1995 Nov;20(4):279-86. doi: 10.1093/hsw/20.4.279.
This second part of a survey report focuses on the views of physicians, nurses, and social workers concerning the role of medical social workers in addressing health-related patient problems. All three groups, but particularly physicians and nurses, were more likely to see counseling services as a social worker's job when the client was a family member of the patient, rather than the patient, and when the objective was to modify social-environmental problems of the client rather than to support or modify the person. Also, all three groups, but particularly physicians and nurses, were likely to perceive environmental problems of patients, more than emotional or behavioral ones, as an area distinctive of social work. In contrast to previous study findings, physicians and nurses did not wish to exclude social workers in hospitals from counseling patients and from addressing psychosocial problems; they just did not see these activities as distinctive of social work.
这份调查报告的第二部分聚焦于医生、护士和社会工作者对于医疗社会工作者在解决与健康相关的患者问题中所扮演角色的看法。所有这三个群体，尤其是医生和护士，当服务对象是患者的家庭成员而非患者本人时，以及当目标是改善服务对象的社会环境问题而非支持或改变个人时，他们更倾向于将咨询服务视为社会工作者的工作。此外，所有这三个群体，尤其是医生和护士，相较于患者的情感或行为问题，更倾向于将患者的环境问题视为社会工作的一个独特领域。与之前的研究结果相反，医生和护士并不希望将医院中的社会工作者排除在为患者提供咨询和解决心理社会问题之外；他们只是不认为这些活动是社会工作的独特之处。
