宁养服务中的个案工作介入研究

发布时间：2018-10-19 10:25

【摘要】：宁养服务是临终关怀事业发展的重要组成部分,然就以往的实践探索和经验来看,更侧重于医学、护理学角度对患者的关注,忽略了社会工作视角的介入及对患者家属需求的研究。本文以马斯洛需求理论、社会支持理论及心理社会治疗模式为指导,通过个案工作方法介入,协助癌症逝者家属纾缓压力并适应新生活,以实践经验的总结与反思,推进社会工作本土化与职业化发展。本文通过抽样选择癌症逝者家属为研究对象,通过参与式观察法、访谈法和文献研究法开展个案工作介入研究。服务对象选定后,通过接案与建立关系、需求评估、制定目标与服务计划、实施计划、结案与评估及跟进计划等步骤展开具体的个案工作介入过程。通过对实务过程的经验总结与反思,认为个案工作中注重专业关系的重要性,制定出具有可行性的方案并实施以及从多维度开展评估有益于个案工作成效的提升。但是,在介入过程中由于社会工作专业方法运用不当,工作员个人经验及能力有限,对于专业关系中的“度”把握不足以及伦理内化程度不够等原因,影响到了个案工作介入的进度及成效。因此,个案工作介入实务领域时,一方面需要通过综合运用专业方法和加深对专业关系的理解把握中提高实务能力。另一方面注重社会工作伦理价值的内化及专业督导的发展,从而推进个案工作成效的提高及社会工作本土化发展。
[Abstract]:Health care service is an important part of the development of hospice care. However, from the point of view of past practice, exploration and experience, more emphasis is placed on medical and nursing care for patients. The intervention of social work perspective and the research on the needs of patients' family members were ignored. Guided by Maslow's demand theory, social support theory and psycho-social treatment model, this paper, through the intervention of case work method, helps the family members of the cancer deceased to relieve the stress and adapt to the new life, and to sum up and reflect on the practical experience. We will promote the localization and professionalization of social work. In this paper, the family members of the cancer deceased were selected as the objects of study, and the case study was carried out by means of participatory observation, interview and literature research. After the service object is selected, the specific case work intervention process is carried out through the steps of accepting and establishing the relationship, needs assessment, formulating the target and service plan, implementing plan, closing and evaluating and following up the plan. Through summing up and reflecting on the practical process, the author thinks that it is important to pay attention to the professional relationship in the case work, to make the feasible plan and implement it and to carry out the evaluation from many dimensions is beneficial to the improvement of the case work effect. However, in the process of intervention, due to the improper use of professional methods of social work, the limited personal experience and ability of the staff, the lack of grasp of the "degree" in the professional relationship and the insufficient degree of ethical internalization, etc. It affects the progress and effectiveness of case work intervention. Therefore, when the case work is involved in the field of practice, on the one hand, we need to improve the practical ability through the comprehensive application of professional methods and a deeper understanding of the professional relationship. On the other hand, we should pay attention to the internalization of social work ethics value and the development of professional supervision, so as to promote the improvement of case work and the localization of social work.
【学位授予单位】：新疆师范大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：C916

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