[Social work in medical rehabilitation - Development of an empirically grounded programme theory].

IF 1.4 4区 医学 Q3 REHABILITATION
Rehabilitation Pub Date : 2024-06-01 Epub Date: 2023-11-03 DOI:10.1055/a-2134-2243
Tobias Knoop, Nadja Scheiblich, Stephan Dettmers, Thorsten Meyer-Feil
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引用次数: 0

Abstract

Purpose: Social workers are part of the interprofessional rehabilitation team. However, evidence for the effectiveness and a theoretically compatible description of their work are lacking. The aim of the research project "Sozialarbeiterischer Wirkmechanismen in der medizinischen Rehabilitation (SWIMMER)" was the development of a programme theory of social work in medical rehabilitation.

Methods: In this qualitative research project, we conducted interviews with social workers and leading staff, recorded counselling sessions, and made participant observation in rehabilitation facilities. Sampling and analysis were based on grounded theory.

Results: Data from 42 interviews, 14 counselling sessions and 140 hours of participant observations were analysed. Three core categories of a programme theory regarding practice of social work were developed: (i) work types (e. g., information work and supporting applications), (ii) interaction settings (exchange with rehabilitants, the rehabilitation team and external actors) and (iii) tasks of social services (e. g., development of vocational perspectives or professional/social participation, financial and social security). The consequences of social work practice were differentiated into output (e. g., number of applications submitted or options mentioned for a return to work) and outcome factors (e. g., participation in the society or a perspective on this and the well-being of the rehabilitants). A central characteristic is presented (co-production with the rehabilitants).

Conclusion: The hypotheses of the mechanisms of action are grounded in the data and should be explored in further studies. In addition to being useful for practitioners, the model is also suitable for classifying the results of scientific studies.

[医疗康复中的社会工作——基于经验的方案理论的发展]。
目的:社会工作者是跨专业康复团队的一部分。然而,缺乏有效性的证据和对其工作的理论上兼容的描述。“Sozialarbeiterischer Wirkmechanismen in der medizinischen Rehabilitation(SWIMMER)”研究项目的目的是发展医疗康复中社会工作的计划理论。方法:在这个定性研究项目中,我们采访了社会工作者和领导人员,记录了咨询会议,并在康复设施中进行了参与者观察。抽样和分析是基于有根据的理论。结果:来自42次访谈、14次咨询和140次咨询的数据 对参与者数小时的观察结果进行了分析。关于社会工作实践的程序理论有三个核心类别:(i)工作类型(e)。 g.信息工作和支持应用程序),(ii)互动设置(与康复者、康复团队和外部参与者的交流),以及(iii)社会服务任务(e。 g.职业观点的发展或专业/社会参与、财务和社会保障)。社会工作实践的结果被区分为产出(e。 g.提交的申请数量或提到的重返工作岗位的选项)和结果因素(e。 g.参与社会或对此的看法以及康复者的福祉)。提出了一个中心特征(与康复者共同生产)。结论:作用机制的假设是基于数据的,应该在进一步的研究中探索。除了对从业者有用之外,该模型还适用于对科学研究结果进行分类。
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来源期刊
Rehabilitation
Rehabilitation REHABILITATION-
CiteScore
0.90
自引率
11.10%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Die Zeitschrift Die Rehabilitation richtet sich an Mitarbeiterinnen und Mitarbeiter in Einrichtungen, Forschungsinstitutionen und Trägern der Rehabilitation. Sie berichtet über die medizinischen, gesetzlichen, politischen und gesellschaftlichen Grundlagen und Rahmenbedingungen der Rehabilitation und über internationale Entwicklungen auf diesem Gebiet. Schwerpunkte sind dabei Beiträge zu Rehabilitationspraxis (medizinische, berufliche und soziale Rehabilitation, Qualitätsmanagement, neue Konzepte und Versorgungsmodelle zur Anwendung der ICF, Bewegungstherapie etc.), Rehabilitationsforschung (praxisrelevante Ergebnisse, Methoden und Assessments, Leitlinienentwicklung, sozialmedizinische Fragen), Public Health, Sozialmedizin Gesundheits-System-Forschung sowie die daraus resultierenden Probleme.
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