Addressing Psychosocial Barriers to Hospital Discharge: A Social Work Led Model of Care

Harrison, Gai; O’Malia, Angela; Napier, Sarah

doi:10.1080/0312407x.2019.1593469

Cited by 6 publications

(5 citation statements)

References 21 publications

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“…8,39 Social workers supporting older people are therefore compelled to employ strategic and multi-agency approaches involving internal (executive staff) and external (Public Guardian, aged care providers) stakeholders to broker partnerships and facilitate smooth transition to the discharge destination. 40 The aim of this review was to systematically assess the processes social workers undertake to facilitate effective and safe discharge planning for older people in a resource-scarce environment. The review sought to address the question 'What support measures do social workers implement when discharge planning for older people returning home from hospital admission within a resource-scarce environment?…”

Section: Practice Impactmentioning

confidence: 99%

“…The demand for shorter admission, limited available resources and lack of access to community services pose challenges to metropolitan, regional, rural and remote social workers, restricting their ability to co‐ordinate services for older patients 8,39 . Social workers supporting older people are therefore compelled to employ strategic and multi‐agency approaches involving internal (executive staff) and external (Public Guardian, aged care providers) stakeholders to broker partnerships and facilitate smooth transition to the discharge destination 40 …”

Section: Introductionmentioning

confidence: 99%

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Hospital discharge planning: A systematic literature review on the support measures that social workers undertake to facilitate older patients' transition from hospital admission back to the community

et al. 2022

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Objectives To systematically review the literature on measures social workers undertake to facilitate discharge planning for older people in a resource‐scarce environment. Methods Systematic search of electronic databases for peer‐reviewed articles published in English between January 1990 and August 2020. Articles on hospital discharge planning facilitated by social workers for older patients returning home from hospital admission were included. The Mixed Method Appraisal Tool (MMAT) was used to assess quality and risk of bias. The systematic literature review protocol has been registered with PROSPERO on 27 August 2021. Results Six studies from Canada and the United States met the eligibility criteria. The most common support measures employed by hospital social workers when discharge planning for older patients were assessment, education, care co‐ordination, liaison and engagement with families and providers, conflict resolution, counselling and postdischarge follow‐up. Barriers to effective discharge planning were medical complexity, lack of communication, time constraints, limited family support, availability of resources and patient safety. These studies were published between 1993 and 2014 and were not within the Australian context. Conclusions There are limited studies on Social Work discharge planning within the Australian context, particularly on how this important service has been impacted by recent aged care reforms. More research on the topic is necessary to fully understand how aged care reforms such as the National Prioritisation System for Home Care Packages have influenced hospital discharge planning and how social workers have adapted their practice to this challenge.

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Section: Practice Impactmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Hospital discharge planning: A systematic literature review on the support measures that social workers undertake to facilitate older patients' transition from hospital admission back to the community

et al. 2022

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“…Thus, in future we need to pay more attention to how the social workers' competencies could be integrated with health care, so that these patients could receive adequate services in a timely fashion (Pinelli et al, 2017). Timely provision also cuts costs in the long run (Harrison et al, 2019). Both health and social care professionals need competencies to achieve this.…”

Section: Integrating Competencies Between and Within Professionsmentioning

confidence: 99%

“…Social workers' competencies play a central role in this process. Studies have highlighted that social workers have the knowhow to promote the well-being of individuals and groups through social and family interaction and as a part of health and social care (Harrison et al, 2019). In addition, they have the competencies to follow-up patients after they are discharged from hospital, to prevent the readmission (Goldman et al, 2016).…”

Section: Integrating Competencies Between and Within Professionsmentioning

confidence: 99%

The value that social workers’ competencies add to health care: An integrative review

Kangasniemi

Karki

Voutilainen

et al. 2021

Health Social Care Comm

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Health and social care professionals' competencies have traditionally been separated because of the different aims of the two professions. These competencies need to be integrated, to make sure that seamless services are provided that meet the often complex needs of patients and clients in a coordinated and timely way. The aim of this integrative review was to identify, describe and synthetise previous studies on integrated competencies in health and social care. Electronic literature searches were carried out on the CINAHL, ProQuest, PsycInfo, PubMed, Scopus and SocIndex databases for peer-reviewed scientific papers that were published in English between 1 January 2007 and 31 December 2019. This identified 3,231 papers, after duplicates were removed, and 18 focused on the integration of social workers' competencies with health care. Other types of integration were not found. The value added by integrating social workers' competencies with health care focused on engaging working orientation, improving communication with family members, increasing understanding of service resources and mastering successful discharge procedures so that they met comprehensive, complex health and well-being needs. Social workers added value when they worked with multi-professional teams, but there were challenges to integrating competencies and these were related to professional collaboration and fragmented leadership. In future, more attention needs to be paid to diversifying and optimising the integration of professional health and social care competencies that meet clients' and patients' care and service needs. It is also vital to focus on developing the professional and leadership strategies that are needed to combine those competencies.

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“…This is particularly true for hospital-based social workers, immersed in a quantitative research culture, dominated by medical and nursing colleagues and driven by evidence-based methodologies (Beddoe et al 2007). Over time, there has been an increase in nursing and allied health engagement in qualitative methodologies and published research from and with hospital social workers in Australia although now present, is slow to rise (Short et al 2017;Miller 2018;Harrison et al 2019). I had many social workers previously ask me to aid them in publishing their case studies or to work with them on issues that had been raised for them in practice.…”

Section: My Identity As a Social Work Researchermentioning

confidence: 99%

Compassion Fatigue and Vicarious Trauma in Everyday Hospital Social Work: A Personal Narrative of Practitioner–Researcher Identity Transition

Fox

2019

Social Sciences

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The story of my evolution as a practice-based collaborative researcher is a story that comes full circle. Through exploring my own experiences of compassion fatigue and vicarious trauma as a hospital-based social worker, I am able to investigate the phenomenon across the profession and provide a critique of the needs of practitioners working in the complex environment of hospitals and health care. Parallel to this is an investigation into the need for practice research in this complex environment and in the profession overall as seen through the lens of a collaborative research partnership with social work hospital colleagues that transformed my approach to research. I have drawn on personal narrative, autoethnography and reflexive processing to investigate my own impact on and from this research. I conclude with an understanding of the power of storytelling in participatory action research and in the potential in collaborative research methodologies for authentic reciprocity and relationship to traverse the practice–research divide.

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Addressing Psychosocial Barriers to Hospital Discharge: A Social Work Led Model of Care

Cited by 6 publications

References 21 publications

Hospital discharge planning: A systematic literature review on the support measures that social workers undertake to facilitate older patients' transition from hospital admission back to the community

Hospital discharge planning: A systematic literature review on the support measures that social workers undertake to facilitate older patients' transition from hospital admission back to the community

The value that social workers’ competencies add to health care: An integrative review

Compassion Fatigue and Vicarious Trauma in Everyday Hospital Social Work: A Personal Narrative of Practitioner–Researcher Identity Transition

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