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Biomedical subjects

R Kulys

Publications and source records attributed to R Kulys.

12 recordsLinked to original sources

Job satisfaction among social work discharge planners.

Eighty social workers working with elderly patients in 36 acute care hospitals provided information about their overall job satisfaction as discharge planners and identified sources of satisfaction and dissatisfaction in their jobs. Twenty-eight percent were very satisfied and 50 percent somewhat satisfied with their jobs. Sources of satisfaction were the ability to help patients and families, concrete resource provision, job challenge, and autonomy. Dissatisfaction resulted from organizational constraints and lack of support from other health care professionals. Educational and theoretical implications are discussed.

Acute Disease↗

Discharge planning revisited: what do social workers actually do in discharge planning?

The professional literature reflects a lack of clarity regarding the activities performed in discharge planning. Does discharge planning primarily focus on the provision of concrete services, counseling, or both? Within a structured interview format, 80 social workers in 36 acute care hospitals were asked to estimate the amount of time they spent on and the importance of 73 discharge planning tasks. Respondents were also asked to locate themselves on an activity continuum. The survey results are discussed in terms of the prospective payment system's emphasis on expeditious discharge and the challenge to social workers in enabling patients and families to have some control over decision making in this climate.

Aged↗

Nurses and social workers: rivals in the provision of social services?

As nurses strive to expand the areas in which they provide services, they may seek to perform tasks traditionally regarded by social workers as their own. This study asked hospice staff whether social workers or nurses were better qualified to perform social service tasks, and its findings suggest that role overlap may develop into a matter for social work concern.

Hospices↗

Are schizophrenics a burden to their families? Significant others' views.

Concern about the effects of deinstitutionalization has generally related to the plight of former mental patients rather than to that of patients' families. In examining whether schizophrenic clients attending a community mental health center were burdensome to their families, this study focused on the perceptions of clients' significant others and concluded that burden and social supports might be related in important ways.

Adolescent↗

Good health: whose responsibility?

The individual responsibility ideology with respect to health is examined. First the concept of health is discussed, then the factors that determine health are analyzed and finally questions are raised regarding the impact of this ideology on health and the provision of health care services. Implications for social work are also considered.

Attitude to Health↗

Future crises and the very old: implications for discharge planning.

Elderly people were interviewed to determine to what extent they anticipate, plan for, and prepare to deal with predictable future crises in the areas of living arrangements, finances, and health. The author of this article found that most of the old people in the sample did not make arrangements to cope with crises. Implications for social workers involved in discharge planning are discussed.

Aged↗

Interpreting the lack of future concerns among the elderly.

The lack of concern among the elderly with future crises has been related either to the presence of security or to the avoidance of threat. To explore these conflicting hypotheses a measure of anticipation, planning and preparation in the areas of health, living arrangements and finances (APP) was correlated with measures of demographic characteristics, functional status, past experience, emotional states, futurity, interpersonal relationships an self-in-interaction. For the sample of sixty, all seventy years or over, the security explanation was supported: low APP was associated, for example, with less anxiety, more perception of self as dominant and affiliative in interaction, and more appropriate expectations of responsible others. Concern with future adversities is apparently nonfunctional, reflecting a preoccupation with events that may not occur because of "event uncertainty" and "timing of event uncertainty."

Aged↗

An analysis of social services in hospices.

Data were obtained in 34 hospices from social workers, nurses, and volunteers on how frequently they performed 27 social service activities and how much time they spent performing them. Findings revealed that social workers were employed part time and did not play an unique role in service provision. In contrast, nurses were employed full time and provided services commonly associated with social work practice. The authors discuss the study's implications for the future of social workers in hospice settings.

Data Collection↗