By Invitation Only: Social Work Involvement at the End of Life in Long-Term Care

Munn, Jean; Adorno, Gail

doi:10.1080/15524250903081491

Cited by 17 publications

(17 citation statements)

References 42 publications

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“…For nursing home residents, up to two-thirds of them died in place [43, 50]. In 2015, there were 155,500 healthcare social workers in the US [51].…”

Section: Discussionmentioning

confidence: 99%

“…It should be noted that most of the included studies were conducted in the US, where 45–47% of all deaths occurred in hospitals and additional 22% (28% for those aged over 65 years) occurred in residential care facilities in the years 2003–2005 [ 49 ]. For nursing home residents, up to two-thirds of them died in place [ 43 , 50 ]. In 2015, there were 155,500 healthcare social workers in the US [ 51 ].…”

Section: Discussionmentioning

confidence: 99%

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Social workers’ involvement in advance care planning: a systematic narrative review

2017

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BackgroundAdvance care planning is a process of discussion that enables competent adults to express their wishes about end-of-life care through periods of decisional incapacity. Although a number of studies have documented social workers’ attitudes toward, knowledge about, and involvement in advance care planning, the information is fragmented. The purpose of this review was to provide a narrative synthesis of evidence on social workers’ perspectives and experiences regarding implementation of advance care planning.MethodsSix databases were searched for peer-reviewed research papers from their respective inception through December 2016. All of the resulting studies relevant to both advance care planning and social worker were examined. The findings of relevant studies were synthesized thematically.ResultsThirty-one articles met the eligibility criteria. Six research themes were identified: social workers’ attitudes toward advance care planning; social workers’ knowledge, education and training regarding advance care planning; social workers’ involvement in advance care planning; social workers’ perceptions of their roles; ethical issues relevant to advance care planning; and the effect of social work intervention on advance care planning engagement. The findings suggest that there is a consensus among social workers that advance care planning is their duty and responsibility and that social workers play an important role in promoting and implementing advance care planning through an array of activities.ConclusionsThis study provides useful knowledge for implementing advance care planning through illustrating social workers’ perspectives and experiences. Further studies are warranted to understand the complexity inherent in social workers’ involvement in advance care planning for different life-limiting illnesses or within different socio-cultural contexts.

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“…For nursing home residents, up to two-thirds of them died in place [43, 50]. In 2015, there were 155,500 healthcare social workers in the US [51].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Social workers’ involvement in advance care planning: a systematic narrative review

2017

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“…These inconsistencies have also been identified in primary care (Wiles et al, 2002) and acute hospital settings (Walsh et al, 2008). Additionally, as noted by these informants, studies in the UK and USA also suggest that social workers providing bereavement care can have difficultly articulating their role (Machin, 1998;Munn & Adorno, 2008). These organizational issues raise potential concerns around social care governance.…”

Section: Discussionmentioning

confidence: 94%

A Qualitative Evaluation of the Provision of Bereavement Care Accessed by Service Users Living in a Health and Social Care Trust Area in Northern Ireland

Montgomery

Campbell²

2012

Journal of Social Work in End-Of-Life & Palliative Care

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Within the health and social care sector in the United Kingdom, the management of death and bereavement has become increasingly challenging. This service evaluation sought to explore the bereavement care offered to individuals living in one Health and Social Care Trust catchment area of Northern Ireland. Qualitative interviews were conducted with key government and voluntary agency staff. The findings indicated that much of the bereavement provision is based on the interest and initiative of individual staff members, with few processes to assess the level of bereavement care needed and those best skilled to provide it. Recommendations are made for a bereavement care strategy that outlines a bereavement needs assessment process, identifying the scope of interventions and protocols for practice.

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“…For example, “less than 6 months to live” was used to define the end of life in three articles (Baker, 2005; Enguidanos, Cherin, & Rumley, 2005; Miller, Hedlund, & Soule, 2006). The end of life was also defined as a period of 12 months prior to death (Brown & Walter, 2014), a “few weeks or months of rapid decline” (Black, 2007), the “last month of life” (Munn & Adorno, 2008; Munn & Zimmerman, 2006), the “last weeks or months of life” (Waldron, Kernohan, Hasson, Foster, & Cochrane, 2013), the last “days or months” (Bern-Klug, Kramer, & Linder, 2005), the “final years” (Flowers & Howe, 2015), and “near the time of death” (Drolen, 2012).…”

Section: Resultsmentioning

confidence: 99%

“…Pediatric oncology social workers were also asked to share their experiences with children receiving end-of-life care (Jones, 2005). “Social workers who care for people facing death and bereavement issues” (Chow, 2013), “health-care social workers” who were “professionally involved in the care of dying patients” (Leichtentritt, 2011), hospital social workers (Aldredge & Conlon, 2012), and social workers at long-term care facilities (Munn & Adorno, 2008) were all asked about their professional experiences related to the end of life.…”

Section: Resultsmentioning

confidence: 99%

The End of Life Within Social Work Literature: A Conceptual Review

Holland

Prost

2019

Omega (Westport)

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The current conceptual review sought to identify and describe how the end of life was conceptualized and operationalized in top-ranking, peer-reviewed social work journals considering the highly individualized and multidimensional experience of dying put forth by modern scholars and social work practitioners. An iterative content analysis of included articles ( N = 103) revealed six themes within reported definitions and four themes within eligibility criteria. Definitions ( n = 66) related to treatment responsiveness, the death process, dying, prognosis, admission to specific services, and old age. Eligibility criteria ( n = 18) related to proxy assessment, diagnosis, prognosis, and functional ability assessments. Over one-third of included articles did not define what was meant by the end of life (36%; n = 37) and the majority did not include eligibility criteria (83%; n = 85). In conclusion, the complex lived experience of dying was not manifest within included articles raising important implications for research (e.g., measurement, meta-analysis) and social work practice (viz. service eligibility).

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By Invitation Only: Social Work Involvement at the End of Life in Long-Term Care

Cited by 17 publications

References 42 publications

Social workers’ involvement in advance care planning: a systematic narrative review

Social workers’ involvement in advance care planning: a systematic narrative review

A Qualitative Evaluation of the Provision of Bereavement Care Accessed by Service Users Living in a Health and Social Care Trust Area in Northern Ireland

The End of Life Within Social Work Literature: A Conceptual Review

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