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Self-care and home dialysis-role of social work.

Social work intervention in Self-Care involves evaluation, preparation, crisis-intervention and ongoing assessment and support. Early introduction of this modality is considered vital and factors of age, education, socio-economic level, sensory and environmental conditions are considered in the evaluation process. The social work relationship with patients is described within the context of family and community supports. Experience has demonstrated that patients with pre-existing adaptation problems may require more concentrated social work counseling. The goals of independence and rehabilitation are shown to be effected by patient motivation and economic restrictions. The social worker participating in the team approach is described as contributing to the patients opportunity for self-determination through patient advocacy, supportive services and social action. Self-Care patients are considered as having high potential for achievement and satisfaction.

Activities of Daily Living

How satisfaction with hospital field work affects social work students' willingness to accept employment in hospital settings.

This study of 238 social work students in 27 hospital field work programs examined how student satisfaction with field work affects their willingness to accept employment in host hospitals. Job willingness was positively correlated with five measures of student satisfaction. Factors predictive of each measure were identified. Findings suggest strategies that can be used by hospital social work managers and field work supervisors to enhance student satisfaction with the field work experience, in order to maximize the benefit of providing field work education as a way of recruiting graduating students for employment in hospital settings.

Adult

Measuring attitudes toward the physically disabled: testing the 'Attitude Towards Disabled Persons' scale (A.T.D.P. Form O) on social work and non-social work students.

The aim of the study was to test the U.S.A. Validated 'Attitude Towards Disabled Persons' Inventory (A.T.D.P. Form O) on a British student population to establish norms. The objectives were to test specific hypotheses related to the sex of the respondent, contact with physically disabled people and whether social work students had different attitude scores than non social work students. In addition, a comparison was made between the British and U.S.A. 'norms'. The student population of four specific British Universities comprised the sampling frame. The sample was a non probability accidental sample of social work and non social work students. Standardised A.T.D.P. Form Os were administered in group situations. Each form was accompanied by a letter explaining the study, together with a short questionnaire eliciting the sex of respondent and type and extent of any contact with disabled people. The findings demonstrated that there are probably differences between U.S.A. and British norms but that there are general similarities between the two countries. In both countries females, scored higher than males, which by interpretation indicates possibly a more favourable attitude. Contact with the disabled is also a contributing factor in higher scores. Social work students also tended to score more highly than non social work students. The implications of these findings are discussed with regard to the possible development of professional attitudes for those who work with the disabled. It is postulated that 'idealisation' may be reflected in attitudes of students who intend to work with the disabled which, after general and professional life experience gives way to less favourable attitudes. Closeness of contact of respondents to disabled people is a factor which needs further exploration in connection with changing attitude scores.

Adult

The beginning development of a model for joint research between a hospital social work department and a school of social work.

Efforts of agencies and schools of social work to encourage goals of research and professional writing among their staff and faculty have brought uneven results. A medical center and a graduate school of social work are in the process of implementing a joint research model which encourages practice based research and publication. This paper describes the beginning structures of the model and the questions addressed in the formative process.

Humans

Implementing the Public Health Social Work Forward Plan: a research-based prevention curriculum for schools of social work.

In 1985, the Division of Maternal and Child Health of the U.S. Public Health Service funded a major working conference entitled "Public Health Social Work in Maternal and Child Health: A Forward Plan." Curriculum recommendations for schools of social work were made, including a recommendation for the integration of health and mental health content in the education of social workers within a public health conceptual framework. In 1986, the National Institute of Mental Health funded a three-year program to develop and evaluate a research-based prevention training curriculum for dissemination to schools of social work and other primary care professional schools. This article examines the Michigan Prevention Training and Curriculum Development Project from the perspective of the recommendations of the Public Health Social Work Forward Plan.

Curriculum

Time management in health care social work.

Health care social workers face significant problems in controlling and managing time. Among the causes are increased demands for service, economy measures in health care, and the concurrent responsibility which social workers often have for both ongoing case management and crisis coverage. Individuals and social work departments can increase productivity through streamlining case management, increasing use of available resources, and generating new resources. With planning and preparation, many emergencies can be moved into the expected work flow. The social work profession needs to address time management problems and expectations in a more realistic and systematic way.

Crisis Intervention

Terminal cancer: a challenge for social work.

The social worker interested in providing service to terminally ill cancer patients and their families must begin with careful self-assessment and with clarity about her goals. The tasks to which she can then address herself are: helping her clients (1) explore their feelings and behavioral options, (2) communicate as openly as possible with their significant others, and (3) become aware of resources outside themselves. A fourth task is helping her co-professionals from other disciplines increase their effectiveness.

Attitude to Death

Peer review of social work documentation.

Peer review of social work documentation has helped promote the uniformity and consistency with which services are delivered; and social workers are exposed to the professional practice of their colleagues, since all staff members participate in conducting peer reviews. The system also helps identify areas of weakness or deficiency common to staff members. The detection of such patterns is the responsibility of the peer review committee, which brings them to the attention of the social work service management and of the service's QA committee. Corrective action is then taken to remedy identified problems. The system also has the potential to help identify patient problems and needs not met by the existing system of health care delivery; such gaps in service can then be brought to the attention of the management of the medical center for consideration and possible resolution. By focusing on documentation elements as indicators of high-quality and appropriate social work intervention, the peer review system used by the social work service has helped enhance social worker performance and service delivery.

Documentation

Hospice: social work's response to a new form of social caring.

Social work's response to hospice, as a new form of social caring, is portrayed by a social work process paradigm, conceptualized from the practice and research experiences of the authors. Guidelines are suggested for working with patients, families, care providers, and other concerned persons through the four phases of hospice care. As changes occur in the patient and the hospice settings, the participants join together to bring about a satisfactory fit between the person needing care and the environment. By anticipating the needs and reactions of the terminally ill patient to each transition in the care process, the social worker assists in orchestrating proactive interventions through the continuum of hospice care. Future research studies are recommended for determining what difference social work actions make toward ensuring a "safe passage."

Adaptation, Psychological

Observations on the scientific base of health social work.

This article examines aspects of social work in health care from a philosophy of science perspective, which suggests different ways of conceptualizing and defining variables ranging from service recipients to principles undergirding social work intervention. Focus is given to the relationships among theory, practice, and research in social work by considering the nature of clinical theory; health social work theory; and theory grounded research.

Health Services Research