[Hospital social work department--social work in the hospital].
Explore the source record for details and available documents.
SEARCH · Search PubMed
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Explore the source record for details and available documents.
The professional staff in five hospital social work departments participated in an exploratory study to assess the impact of organizational reengineering on job satisfaction, professional identity and other work related attitudes. A survey was used to explore how job functions had changed; whether or not staff felt adequately prepared to perform the new tasks; and whether the changes were consistent with their professional identities and academic preparation. Follow up focus group interviews were held to enrich the quantitative findings. The results of the study indicate that reengineering has a negative effect on job satisfaction and results in role changes that are experienced as inconsistent with the professional identity and academic preparation of social work staff. In addition to describing the results of the study, this paper provides a brief overview of reengineering, describes models of reengineering for hospital social work departments and suggests strategies for lessening the negative effect on staff.
This article reports the results of a study which examined the performance priorities of 55 hospital social service departments, as reported by their directors. The findings indicate that departments give highest priority to certain output/productivity goals such as timely discharge and documenting service activities. Performance goals dealing with service quality and domain maintenance do not have as high priorities, but they do receive attention. The data suggest that how departments set priorities may be influenced, in part, by what important constituents, such as hospital administrators, consider important. Implications of these findings for the management of hospital social work departments are discussed.
Computerized information systems can be valuable tools in the total quality assurance program of hospital social work departments. This paper presents a matrix of potential roles for the information system at various levels of assessment-structural, process, and outcome. It then illustrates these roles, based on examples from a country-wide information system developed for hospital social work departments in Israel.
This study compares the perceived influence of several factors, each representing a popular perspective, on priority setting in hospital social work departments: (1) leader characteristics of the director; (2) organizational characteristics of the department and hospital; and (3) the preferences of constituency groups. The authors surveyed the views of directors to ascertain influences on their allocation of resources. We find that organizational factors and the preferences of constituents are the strongest determinants of departmental priorities, with leader attributes playing a less influential role. An interesting discovery is that each factor's influence varies depending on the nature of the priority area. We conclude that all three explanations for how performance priorities are shaped-a political model, a leader influence model and an institutional model-find support. The authors interpret and assess the significance of these findings to the practice of social work administration in hospitals.
This article describes the establishment of a research unit as an integral part of a hospital social work department on the basis of the authors' experience in a cancer center over a 13-year period. Methods are described for building support within the institution, for the process of initiating the unit, for deciding on study topics, and finally for bridging the gap between clinical and research staff. The evolution of the relationship between clinical and research staff was characterized by four different phases: curiosity, competitiveness, cooperation, and collaboration. A childhood bereavement project is used to exemplify the developmental processes and the ongoing interaction of research and clinical staff. The professional practice of all staff benefited from the increased academic rigor and productivity, although some staff remained unconvinced of the value of such a major research effort. The benefits and costs of the unit are also discussed.
Concepts in the financial management of social work departments such as the utilization of cost-benefit as a way of thinking, the identification of funding sources for the department, and development of an understanding of budgetary practices are explored. Examples are offered of revenue production in in-patient and ambulatory care programs. Ideas about the contribution of social work to a hospital in an organized matrix structure are discussed. Social work can become a revenue rather than expense center by translating key functions into financial management terms.
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.
This article describes a study undertaken to evaluate the Walk-In and Telephone Inquiry Service provided by a social work department in a general hospital division of a large, voluntary, metropolitan teaching hospital. The major social work function provided in such a service is information and referral; to provide this service, a psychosocial evaluation and counseling are essential. This service is valuable to and utilized by many individuals, professionals and community agencies. It can become the point where individuals enter the health care system. Issues related to policy making, institutional costs and cost benefits are discussed.
Information systems have been proposed as a valuable resource for promoting the efficient and effective operation of hospital social service departments. However, the development and implementation process must overcome the tensions inherent to collection and utilization of structured information by social work practitioners. These include the need for quantified data about qualitative phenomena, compatibility with existing work routines, compatibility with norms and perceptions of information needs at different levels, and potential versus actual utilization of the data. The authors examine these issues and present strategies for dealing with them, in the context of a project to develop a country-wide information system for social work departments in general hospitals in Israel.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The nature of the Gulf War and its consequences for the public at the personal and community levels, called for considerable alterations in organization and management at the Chaim Sheba Medical Center, the largest government general hospital in Israel, with constant adaptation to the changing situation. The preparations and exercises preceding the state of emergency, combined with the knowledge and experience gained in similar situations in the past, equipped the staff of the Social Work Department to function adequately and to make appropriate decisions and changes in the face of moral and ethical dilemmas, as well as immediate physical threat. This article presents the rationale for the model of intervention that guided the hospital during the Gulf War in offering services to casualty victims and their families. Also discussed are the process of developing an organizational framework and its content that meets wartime demands, and the implications for social work practice in dealing with a war crisis.
Explore the source record for details and available documents.
It has become increasingly important, as an administrative aid in assessing the functioning of hospital social work departments and improving their services, to determine and evaluate their activities. This article reports on a study conducted by the social work department in a Canadian university psychiatric hospital to determine the work load of social workers, aspects of the process of referring persons for social work services, and differences between hospitalized persons who do or do not receive social work services.
Promoting and sustaining a staff of reflective social work practitioners requires a supportive departmental structure and culture. Providing such support is a particular yet necessary challenge to social work administrators in the current health care environment. This article discusses an array of administrative strategies employed in one hospital social work department to promote reflective social work practice. More specifically, it describes the role of practice-based research in enhancing worker reflectiveness.
This is a report of a study which examined the impact of New Jersey's four-year experience with all-payer DRG's upon 82 hospital social work departments as these were reported by their directors. Although DRG's have made discharge planning, and thus social work, central to hospitals' financial health, departments have faced increased caseloads and some refocus of staff deployment, not always with compensatory increases in staff. Strategies to survive the cost-containment policies and other implications are noted.
Despite the time and resources that The George Washington University Medical Center (GWUMC) put into training and forming QI teams, QI staff found that CQI was not being used to carry out critical day-to-day departmental functions. In other words, CQI didn't affect the way staff did "real work." In response, the medical center developed an approach that integrates CQI with departmental leadership, structure, culture, and work routine. With the help of a coach, willing departments at GWUMC choose from a series of 155 activities that they complete at their own pace (eg, setting departmental CQI goals, developing a departmental mission). The department deployment process moves staff through three levels of increasing sophistication and maturity with CQI methods: awareness, understanding, and bonding. It is intended to make quality a habit for staff, or a part of the organizational mind set, rather than an isolated "project." This article will describe how the department deployment approach was developed, its philosophical underpinnings, and its methodology and tools. Then, an example will illustrate how one hospital department--social work and utilization case management--successfully used this approach.