Social Work in Health Care最新文献

{"title":"Healthcare equity in tribal areas in West Bengal, India: a social work inquiry into women's satisfaction with public health services.","authors":"Mafuza Yasmin, Sumita Saha, Sajahan Molla, Sk Nazibar Rahaman, Kazi Monjur Ali, Amitava Pal","doi":"10.1080/00981389.2026.2723823","DOIUrl":"10.1080/00981389.2026.2723823","url":null,"abstract":"<p><p>Despite numerous government health programs designed to improve healthcare accessibility among tribal populations, disparities in implementation, cultural relevance, and systemic support may contribute to varying levels of satisfaction and limited overall impact. Evaluating tribal women's experiences with government health programs is important because it can help social work researchers identify service gaps and propose sustainable improvements in healthcare delivery for marginalized communities. The study surveyed 710 tribal women who had either utilized or were aware of government health schemes during the preceding year. Using a structured questionnaire, data were collected on socio-demographic characteristics, lifestyle patterns, and satisfaction with healthcare services. Despite substantial infrastructural deficits, the study found a relatively high level of satisfaction with public health schemes among tribal women. Women from lower-income and less-educated groups reported greater satisfaction than those from higher-income and better-educated groups, while younger women reported comparatively higher levels of satisfaction with healthcare services. More than 70% of respondents expressed satisfaction with the healthcare services available in their communities. However, respondents also highlighted the need for additional hospitals (64%), more medical staff (76%), improved healthcare facilities (56%), and better transportation services (42%). To advance health equity, social work professionals should promote localized, culturally sensitive, and participatory approaches to public health in tribal areas. Government and non-governmental organizations should adopt a multipronged strategy to address persistent healthcare disparities and improve access to healthcare among tribal populations.</p>","PeriodicalId":47519,"journal":{"name":"Social Work in Health Care","volume":" ","pages":"489-508"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"It's like a fireball dropped in my lap\": Experiences of social workers working in pediatric palliative care.","authors":"Cihangir Karakaya","doi":"10.1080/00981389.2026.2717506","DOIUrl":"10.1080/00981389.2026.2717506","url":null,"abstract":"<p><p>The aim of this qualitative study is to examine the experiences of social workers in pediatric palliative care. In-depth interviews were conducted with eight social workers in pediatric palliative care clinics. Data were analyzed using content analysis, producing five themes. Findings show that social workers assume multifaceted roles. Social workers develop strategies to cope with the intense emotional labor involved. Despite being essential multidisciplinary team members, limited recognition and resources restrict their effectiveness. Social workers emphasized the need for specialized knowledge and skills in pediatric palliative care, but noted that limited training, mentorship, supervision, and systemic support restrict professional capacity.</p>","PeriodicalId":47519,"journal":{"name":"Social Work in Health Care","volume":" ","pages":"459-488"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is burnout included in this job?: Factors associated with burnout among forensic social workers - an interfactorial analysis model.","authors":"Merve Karaman, Taner Artan, Ahmed Taha Arifoglu","doi":"10.1080/00981389.2025.2594209","DOIUrl":"10.1080/00981389.2025.2594209","url":null,"abstract":"<p><p>There is limited research in the literature examining the factors that may be associated with social workers' burnout symptoms using an inter-factorial analysis model. This study aimed to investigate the relationships between empathy fatigue, case management skills, years in profession, perception of professional power and problem-focused coping factors on the burnout levels of forensic social workers working in the Republic of Türkiye Ministry of Justice. This study aims to provide solutions regarding social workers' burnout based on the data obtained. A quantitative method and convenience sampling were employed in this study. The population consisted of 463 social workers employed in forensic support and victim services directorates under the Ministry of Justice in Türkiye, while the sample consisted of 291 social workers selected from this population. A significance level of <i>p</i> < .01 and a confidence interval of 99% was deemed reliable for statistical analyses. The data were evaluated using the moderated mediation method. According to the data obtained, the inter-factorial analysis model explained 61% of the variance in factors related to social workers' burnout. At the end of the study, various professional and psychological suggestions were made to reduce social workers' burnout.</p>","PeriodicalId":47519,"journal":{"name":"Social Work in Health Care","volume":" ","pages":"55-65"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145655880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating social support, mental well-being, and health-seeking behavior among African immigrant women in Türkiye: Implications for social work in health care.","authors":"Yaser Snoubar, Gizem Çelik Özkan","doi":"10.1080/00981389.2026.2675216","DOIUrl":"10.1080/00981389.2026.2675216","url":null,"abstract":"<p><p>This study examines social support, mental well-being, and health-seeking behavior among 226 African immigrant women in Türkiye using the Multidimensional Scale of Perceived Social Support (MSPSS), Warwick-Edinburgh Mental Well-being Scale (WEMWBS), and Health Seeking Behavior Scale (HSB). Participants reported moderate social support (<i>M</i> = 4.92), average mental well-being (<i>M</i> = 3.22), and modest health-seeking behavior (<i>M</i> = 3.08). Social support improved mental well-being (B = 0.106, <i>p</i> < .001) but reduced health-seeking behavior (B = -0.220, <i>p</i> < .001). Social work practice should promote culturally sensitive support systems to enhance healthcare access. These findings highlight the role of clinical social workers in designing evidence-based interventions that support mental well-being and promote equitable healthcare access for immigrant women.</p>","PeriodicalId":47519,"journal":{"name":"Social Work in Health Care","volume":" ","pages":"347-365"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospital social workers' use of heuristics and fast-and-frugal decision trees when prioritizing referrals: A qualitative interview study.","authors":"Joanne Hilder, Maree Petersen, Jill Wilson","doi":"10.1080/00981389.2026.2707928","DOIUrl":"10.1080/00981389.2026.2707928","url":null,"abstract":"<p><p>Prioritizing referrals is a challenging and common task in hospital social work practice. However, it is not well understood what influences prioritization decisions. We drew on the psychosocial rationality model and fast-and-frugal decision trees to consider how Australian hospital social workers prioritize their referrals. In-depth interviews with 15 hospital social workers were completed. The qualitative analysis identified seven heuristics influencing decision-making: (1) imminent harm, (2) likelihood of death, (3) discharge status, (4) social workers' ability to help the patient, (5) risk factors, (6) protective factors, and (7) time needed to resolve the referral. Heuristics are simple to learn and provide assistance to social workers to enable them to make quick, transparent, and consistent prioritization decisions.</p>","PeriodicalId":47519,"journal":{"name":"Social Work in Health Care","volume":" ","pages":"443-458"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring social work practice patterns of advance care planning conversations across Ontario: a pilot study.","authors":"Julie Burnett, Bailey Hollister, Sara Morassaei, Brooke MacDonald, Megan McPolland, Lisa Jensen, Laura Scrafield, Carolyn Hutcheson, Lina Gagliardi, Lisa Di Prospero, Tracey DasGupta, Sarah Torabi, Samantha Timla","doi":"10.1080/00981389.2026.2625459","DOIUrl":"10.1080/00981389.2026.2625459","url":null,"abstract":"<p><p>Advance care planning (ACP) is a communication process whereby capable individuals can express, discuss, and document their thoughts, values, and wishes as they relate to their future health care. ACP conversations are now widely recognized as a critical part of providing person centered, holistic care to patients at all points in their health-care journey. Social workers (SW) are uniquely situated to lead these important conversations. A cross-sectional online survey was made available to all registered wocial workers in Ontario, Canada, through the Ontario College of Social Workers and Social Service Workers (OCSWSSW) to explore practice characteristics as they relate to ACP conversations (<i>n</i> = 159). The research team sought to identify similarities and differences in ACP conversations with social workers practicing within Ontario and to answer what social workers' practice patterns are when engaging in ACP conversations in hospital and community settings. We aimed to examine contextual and respondent characteristics (practice setting, years of experience) and ACP training with view to apply results to make training, onboarding, and practice recommendations for ACP conversations for clinicians and trainees. Eligible social workers had access to the survey via the OCSWSSW website. Participants were also contacted via e-mail through professional associations, including the Ontario Association of Social Workers and invited to participate. The survey instrument, created by the research team, included three stages of design and testing. Results of the survey indicated that hospital social workers were significantly more likely to report participation in ACP conversations compared to those working in a non-hospital setting (56.5% versus 20.8%, respectively, <i>p</i> < 0.001, two-sided Fisher's exact test). There was also a significant association between having received ACP training and reporting participation in ACP conversations in practice setting (<i>p</i> < 0.001, two-sided Fisher's exact test). Specifically, 48.8% of those who received ACP training reported engaging in ACP conversations in comparison to 27.9% who did not receive any ACP training. Thematic analysis of responses also indicated the importance of patient and family readiness as a critical factor in practicing ACP. Future research should look to examine types of ACP training and its impact on ACP practice, the role of ACP for community social workers, and specific approaches for supporting patients and families at different stages of readiness for these important conversations.</p>","PeriodicalId":47519,"journal":{"name":"Social Work in Health Care","volume":" ","pages":"131-146"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"People, not tasks\": A critical perspective on the transformation of work in long-term care.","authors":"Jason Schneck, Nicolas Pons-Vignon","doi":"10.1080/00981389.2026.2684448","DOIUrl":"10.1080/00981389.2026.2684448","url":null,"abstract":"<p><p>Aging populations and persistent staff shortages driven by high turnover are putting long-term care (LTC) systems under growing pressure. Existing research has mostly examined the symptoms of this staffing challenge - such as job dissatisfaction - rather than its underlying organizational and governance structures. This article addresses that gap by examining how LTC reforms have reshaped the labor process and negatively affected care provision. We conducted a conceptual review of academic and policy literature in English, German, French, and Italian, combining interdisciplinary database searches with selected policy documents. Our analysis draws on a framework that combines critical perspectives on New Public Management, as well as labor process theory, and the \"logic of care.\" We identify three mechanisms that generate tensions for LTC workers: the standardization of care into measurable tasks, intensified work with reduced autonomy, and the curtailment of relational care. We illustrate these dynamics through the case of Switzerland, where high levels of resources and care quality coexist with similar sectoral dysfunctions. Addressing staffing shortages in LTC will require structural and organizational reforms that better recognize and support the central role of relational care, which is crucial to both workers and residents.</p>","PeriodicalId":47519,"journal":{"name":"Social Work in Health Care","volume":" ","pages":"403-426"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"After the screen: A social work-led stepped referral pathway for perinatal mood and anxiety disorders and psychosocial risk in Ugandan antenatal clinics.","authors":"Brenda Nabukeera, Agnes Kyarisiima","doi":"10.1080/00981389.2026.2734611","DOIUrl":"10.1080/00981389.2026.2734611","url":null,"abstract":"<p><p>Antenatal services increasingly screen for perinatal mood and anxiety disorders (PMADs) and other psychosocial and contextual risks, yet many women do not reach care when referral pathways are fragmented, costly, or unsafe. This qualitative process evaluation, informed by implementation science and realist inquiry, examined a social work-led stepped referral pathway embedded in two public-sector antenatal clinics in Uganda. Data comprised clinic observations and interviews with pregnant and postpartum women and with the clinical, social work, community, and referral personnel involved in linkage and follow-up. Analysis examined implementation context, mechanisms, pathway breakdowns, and participant-reported early-postpartum engagement. Linkage depended on workflow fit, private space, role clarity, referral documentation, transport feasibility, and follow-up negotiated around phone access, mobility, and partner control. Same-day social work case formulation changed referral from passive direction-giving to a safety-sensitive and practically feasible plan. Consent-based village health team assistance supported navigation for some women but required strict confidentiality safeguards. Reported postpartum changes concerned functioning, perceived safety, and service use rather than standardized clinical outcomes. Integrating social work into antenatal teams, protecting privacy, and routinely tracking referrals may strengthen post-screening care in resource-constrained maternal health systems.</p>","PeriodicalId":47519,"journal":{"name":"Social Work in Health Care","volume":" ","pages":"535-555"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Roles of social workers and community health extension workers in enhancing access to maternal and child health services: reflection on a Nigerian intervention.","authors":"Patricia Uju Agbawodikeizu, Prince Chiagozie Ekoh","doi":"10.1080/00981389.2026.2675222","DOIUrl":"10.1080/00981389.2026.2675222","url":null,"abstract":"<p><p>Nigeria introduced Maternal and Child Health (MCH) programs to improve access to skilled care in response to persistently poor health outcomes among women and children. While existing assessments often emphasize the role of healthcare workers, the contributions of social workers and Community Health Extension Workers (CHEWs) remain largely overlooked. This study explores the roles played by social workers and CHEWs in enhancing access to MCH services through an intervention project in Anambra State, Nigeria. An exploratory qualitative design was employed, involving interviews with five social workers, ten healthcare workers, and three CHEWs. Thematic analysis revealed that both groups were instrumental in mobilizing pregnant women and other community members to utilize antenatal and postnatal services, facility-based deliveries, and basic noncommunicable disease care. Social workers, in particular, reported feeling undervalued despite their contributions to community health work. The findings underscore the importance of integrating social workers and CHEWs into strategies aimed at increasing demand for MCH services. This has significant implications for evidence-based policy development and health program planning in Nigeria. The study recommends the formal inclusion of social workers and CHEWs in MCH initiatives to strengthen community engagement and improve health outcomes.</p>","PeriodicalId":47519,"journal":{"name":"Social Work in Health Care","volume":" ","pages":"387-402"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147983812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of COVID-19 on the biopsychosocial and mental wellbeing of frontline healthcare social workers: A mixed method study.","authors":"Leighla Cuff,Darcee Cooper","doi":"10.1080/00981389.2025.2608053","DOIUrl":"https://doi.org/10.1080/00981389.2025.2608053","url":null,"abstract":"This study explored the biopsychosocial and mental health symptoms of frontline healthcare social workers from working during the COVID-19 pandemic. The two-phase concurrent mixed method study of 35 frontline healthcare social workers occurred between October 2021 and July 2022. The 35 social workers who participated in this two-phase study reported feelings of uncertainty of their biological, psychological, and social safety while working during the COVID-19 pandemic. This uncertainty negatively affected their mental health and contributed to an increase in symptoms of depression and anxiety.","PeriodicalId":47519,"journal":{"name":"Social Work in Health Care","volume":"173 1","pages":"1-16"},"PeriodicalIF":2.2,"publicationDate":"2025-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145801280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}