SOCIAL WORK IN HEALTH CARE

Is burnout included in this job?: Factors associated with burnout among forensic social workers - an interfactorial analysis model
Karaman M, Artan T and Arifoglu AT
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  < .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.
Addressing shortages of hospital social workers in Vietnam: Findings from a national survey
Nam PT, Dung NH, Hung NT, Minh Nguyet VT, Thu LT, Van Trung N and Khac Liem N
Studies on the hospital social work workforce in global contexts remain unexplored. This study aims to describe the workforce status for hospital social work in Vietnam. This study involved 676 central, provincial, and district hospitals in Vietnam. The number of hospital social workers in Vietnam increased 2.71 times, from 591 people in 2016 to 1,605 people in 2020. However, Vietnam continues to face challenges in the workforce for hospital social work, such as inadequate staffing patterns and poor compensation packages, and the proportion of hospital social workers professionally trained at the master's level in social work is still limited. Moreover, hospitals at central and provincial levels have a better workforce for hospital social work than district hospitals. The study provides policy suggestions to improve the quality of hospital social services by ensuring adequate hiring and compensation of fully trained social workers.
Facilitating best clinical practice in domestic violence work with hospital social workers
Andrews P, Sheridan Magro A, Childs E and Christie LJ
Domestic and family violence (DFV) is a major public health issue mainly affecting women and children. Health services are an important site in the identification and initial response to DFV. Social Workers often lead the psychosocial response to DFV. This study aimed to explore the experiences of internal referrers to a hospital-based social work led DFV Service.
Weight's impact on life's quality: A comparative study of emotional appetite and psychological health across BMI categories
Özbay A and Kahraman S
This study examined the relationship between the impact of weight on quality of life (QoL), emotional appetite, and psychological well-being. The study included 124 individuals with obesity with a body mass index (BMI) of more than 30 kg/m, 129 individuals with overweight with a BMI between 25 and 29.9 kg/m, and 123 normal-weight individuals with a BMI less than 25 kg/m who applied to certain nutrition and dietetics clinics in Istanbul. We administered the Impact of Weight on Quality of Life Scale (IWQOL), Emotional Appetite Questionnaire (EAQ), and Psychological Well-Being Scale (PWS) to the individuals. The QoL and psychological well-being scores in the group with a normal BMI showed a strong positive association. Positive emotional appetite ratings, psychological well-being, and QoL showed a noteworthy positive link in the BMI group with overweight. The study revealed a negative relationship between a bad emotional appetite and psychological well-being. The QoL and psychological well-being scores in the BMI group with obesity showed a strong positive association. In addition, the psychological well-being scores of those in the normal and overweight BMI groups were significantly higher than those in the BMI group with obesity. The negative emotional appetite scores in the BMI groups with obesity and overweight were significantly higher than those in the normal BMI group. Those in the normal BMI group had significantly higher positive emotional appetite scores than those in the BMI group with overweight did. Findings indicate significant associations between BMI, QoL, and psychological well-being, with potential interventions identified to enhance patient care and support. These results underscore the critical role of social work in addressing weight-related psychological and emotional challenges within health care settings.
Psychosocial burden and sociodemographic characteristics of cancer survivors seeking support for work-related issues in outpatient cancer counseling centers
Breidenbach C, Hiltrop K, Ernstmann N, Heidkamp P, Bruns G, Degenhardt M, Heier L, Schellack S, Soff J and Kowalski C
Outpatient cancer counseling centers (OCCs) are important social work facilities that provide support for cancer survivors who have psychosocial and sociolegal challenges. This paper explores clinical and sociodemographic characteristics, psychosocial burden as well as access routes of clients in OCCs seeking work-related counseling.
"I think we feel a lot of their devastation": social workers' perspectives on primary and secondary psychological trauma in pediatric emergency rooms
Eads R, Benavides JL, Wernekinck UK and Yoon S
This qualitative study used in-depth interviews with 23 pediatric emergency room social workers to explore the interplay of the primary trauma experienced by children and families and the secondary trauma experienced by social workers. The analysis used a grounded theory approach and developed a conceptual model of the cycle of primary and secondary trauma, whereby child and family trauma can lead to social workers' secondary trauma, which can further lead to impacts on client care that may exacerbate the primary trauma. To interrupt this cycle, trauma-informed hospitals should address both primary and secondary trauma in pediatric emergency rooms.
Social workers amidst the crisis of medical neoliberalism and welfare state: Perspectives of healthcare workers in private hospitals regarding social work needs in emergency departments in Türkiye
Pak Güre MD, Uğurlu Z, Karataş M, Başcıllar M and Karakaya C
The study aims to examine the perspectives of healthcare workers in the emergency departments of private hospitals in Türkiye regarding the social work needs in these units. Twenty emergency department specialists participated in this qualitative research. The data were obtained by conducting in-depth interviews using a semi-structured interview form. In the analyses made with MAXQDA, 3 themes, and 7 sub-themes were created. The study results show that healthcare professionals encounter patients in need of social work in emergency departments and hospital administrators do not employ social workers due to neoliberal policies.
Breathlessness: Dr. Richard Cabot's 1908 conceptualization of social work burnout
Rappaport C
Since the 1970s much attention has been directed in the professional literature to burnout and compassion fatigue in social workers. This article will present documentation that as early as 1908 Dr. Richard Cabot, who started the first hospital social work department at Massachusetts General Hospital (MGH) in Boston, was concerned about the same phenomenon, though he referred to it as "breathlessness." He explored what he considered to be common causes of this difficulty as well as some possible remedies for overcoming it. Primary research conducted in the collected professional papers of the late Ida Cannon, located in the Social Service Department (SSD) at MGH (Rappaport, 1996), revealed his level of concern about this phenomenon, which he shared with Ida Cannon, Director of the SSD. Cabot's conceptualization has many points in common with what has been discussed since then as social work burnout and compassion fatigue. This adds significantly to our understanding of how long this problem has occurred in social workers in the medical field and how long we have been seeking solutions for it.
Associations between depression, psychological resilience, and gratitude levels of patients with chronic diseases: Implications for medical social work practice
Başerer Berber Z, Pak M and Taşci Ç
This cross-sectional study aims to examine the relationships between psychological resilience, gratitude, and depression levels of patients with chronic diseases (cancer, cardiovascular, and kidney diseases) in the context of medical social work practice. A survey model, one of the quantitative research methods, was used in the study. The sample consisted of 160 patients with chronic diseases who were regularly followed up for treatment in the polyclinics of Oltu State Hospital and Erzurum City Hospital operating in Türkiye. The hierarchical logistic regression model was used in the analysis of the data. According to the results, psychological resilience was the strongest predictor of depression in chronic patients, even when some sociodemographic and disease-related variables were controlled. While gratitude was found to have depression risk-reducing effects, some of this may be related to age. Also, high dependence levels and previous depression diagnosis were determined as important risk factors against depression. Medical social workers may benefit from interventions aimed at increasing psychological resilience and gratitude in the prevention and treatment of depression in patients with chronic diseases.
Developing and trialling a social work outcomes framework in a community rehabilitation health setting
Patterson M, Dowd T, Watts L and Hodgson D
This article explores the development of an outcome framework for social workers in a health service called Rehabilitation in the Home (RITH). The lack of established outcome measures for social workers prompted a quality improvement (QI) project that led to the development of this research. A literature review was conducted to identify other outcome measures in health and social work-related outcome measures, and consultations with social workers and health department services were carried out. A social work outcomes framework was developed and trialed, demonstrating the effectiveness of the social work service interventions, as well as the utility of outcomes measures for social work health services. In this article, we begin by examining the role of outcome measures in social work within an evidence-based practice framework, before describing the process for developing the measures. We present evidence of the outcomes data collected to illustrate the framework. This article adds to the literature on outcomes reporting on social work interventions in health and rehabilitation practice settings, particularly with identifying and responding to risk.
Experiences of contact tracing teams in Turkey during the COVID-19 pandemic and Implications for social work
Kapisiz SG, Arslan Özdemir E, Tekin Y and Gültekin F
In this research, the aim is to examine the experiences and life situations of healthcare professionals assigned to contact tracing during the Covid-19 pandemic in Turkey. The study utilizes a qualitative approach, specifically employing the phenomenological approach. The study was conducted with 20 participants, and the data were collected between May and August 2022. In-depth interviews were conducted with 20 healthcare professionals who had been involved in contact tracing in Ankara. The findings revealed that before participating in contact tracing teams, the participants experienced uncertainty, fear, and confusion. During the fieldwork, individuals had feelings of anxiety, insensitivity, pride, and honor. After the completion of their duties, participants expressed thoughts of unfair treatment and unmet expectations. Overall, the results indicated that healthcare workers require social work interventions throughout the entire process, covering aspects orientation to the task, psychosocial support, grief counseling and advocacy.
Applying Layder's theory of social domains to assess and address healthcare interprofessional team cohesion
Giamportone KE
Cohesion within interprofessional healthcare teams is essential for high-quality patient care yet remains uneven across settings. This paper explores how power dynamics, role expectations, and professional identity influence team cohesion with particular attention to the positioning of social workers. Layder's Theory of Social Domains is applied to examine how structural and relational factors shape interprofessional collaboration and the visibility of social work within medical hierarchies. Drawing on qualitative interviews with physicians, nurses, and social workers in healthcare settings, the study highlights how participants navigate language, rituals, and expectations that often reflect dominant professional norms. Findings suggest that while social workers are integral to team functioning, they must regularly adapt to environments that may undervalue their contributions. The analysis demonstrates how Layder's framework can support a more nuanced assessment of team dynamics by attending to micro- and macro-level structures and interactions. Implications for strengthening interprofessional collaboration through greater recognition of social work's unique perspective are discussed.
From theory to praxis: conceptualizing communities of practice for social workers in healthcare settings
Samson PL, Nicholas D, Gloeckler T, Samek D and Zawaski N
Grounded in participatory action research (PAR), this study advanced social work knowledge surrounding Communities of Practice (CoPs). Central areas covered: 1) examining the CoPs phenomenon via existing understandings around it; 2) elucidating an understanding of CoPs within the healthcare practice context of rural/remote areas of Canada; and 3) understanding the lived experience of CoPs for participants. A sample of 24 social workers ( = 24) participated in one of 5 focus groups. Findings highlighted themes important for social workers in honoring their commitment to lifelong learning. Results helped define, contextualize, and consider existing theories and definitions of CoPs, as they apply to healthcare environments.
The impact of psychosocial determinants of HbA1c level: Implications for social work care management
Kim YM and Noyori-Corbett C
Diabetes impacts approximately 37.3 million Americans. The majority of HbA1c studies focused on independent variables while there are possibilities of some variables serving as an antecedent to other variables. Furthermore, most of the research has been skewed toward either objective or subjective data, thus overlooking the possible importance of the use of both data sources in tandem. As such, the purpose of this study is to investigate factors impacting glycated hemoglobin (HbA1c) levels both directly and indirectly with the use of both objective and subjective sources of information. The data are obtained from 2017 to 2018 National Health and Nutrition Examination Survey (NHANES). IBM SPSS Amos 29 was used for the purpose of structural equation modeling to investigate paths related to HbA1c levels. The finding shows that diets impact HbA1c levels directly diet and exercise impact HbA1c indirectly through BMI. Diets alone can directly reduce HbA1c levels, but exercise alone cannot reduce HbA1c levels. Unexpectedly, socioeconomic construct does not have a direct impact on diet or exercise. However, as expected, the depression construct has a significant effect on both exercise and diet.
Healthcare professionals' understanding of addiction, treatment and recovery
Narciso I, Albuquerque S and Nunes S
This study sought to explore and understand healthcare professionals' meanings and experiences with regard to the addiction concept, treatment and recovery. Semi-structured interviews with 18 healthcare professionals in the area of addiction were conducted: nine nurses, six psychologists, a psychiatrist, a social worker and a psychosocial technician. Based on a qualitative methodology, a thematic analysis was conducted using the NVivo software. A global consensus regarding the understanding of addiction was observed: as a disease and on the role of intrinsic motivation for intervention success; and as a severe problem of mental health with a physical impact. Addiction as also conceptualized as a multi-determined process as well as entailing a multiplicity of effects implying suffering and destruction. Regarding treatment main assumptions toward a recovery trajectory: unique interventions, respect for individuals' needs and choices, contextualizing the problem and the person, family and network involvement, collaborative context, and multidisciplinary intervention. By portraying a multidisciplinary perspective and close to the lived experience in the field, this study can contribute to a better understanding of the beliefs and attributions regarding addiction and treatment and, consequently, inform the general population as well as the services providing care to clients.
Social work in emergency departments: A multi-dimensional analysis of social determinants, interventions, and outcomes
Çamcı M, Soğanda ŞY, Baran MF and Alpaslan MŞ
This retrospective cohort study examined social work interventions in the emergency department (ED) of a high-capacity tertiary care center in Türkiye, between February 2019 and February 2024. Data from 714 adult patients referred to the hospital's social work unit were analyzed. Of these patients, 54.8% were female, the mean age was 46.3 years, and over 40% required multidisciplinary interventions. The most common diagnoses were lack of family support and homelessness (35.0%), physical disorders (28.7%), and assault (20.0%). The leading interventions were psychosocial support (40.8%), facilitation of housing and transportation (32.8%), and contact with relatives (25.1%). A significant difference was found between daytime and nighttime consultations, with unmet needs more frequent during off-hours ( < .001). Among survivors of the 2023 Türkiye earthquakes, 96.7% required hospitalization or referral to support services, underscoring the importance of post-disaster hospital-based social work in addressing ongoing psychosocial needs. These results emphasize the role of ED social workers in meeting urgent psychosocial needs, supporting disaster-affected patients, and ensuring continuity of care, thereby enhancing patient outcomes, improving care continuity, and optimizing healthcare resource utilization. Policies ensuring 24/7 social work coverage in EDs may further strengthen these benefits.
Attachment, self-compassion, parental feelings and emotion regulation in high-stress parenting: implications for social work practice in health care
Shenaar-Golan V, Gur A and Yatzkar U
Parenting children with behavioral and emotional difficulties often involves significant stress and emotional challenges, requiring targeted interventions to support parental well-being. This study examines how attachment styles (anxious and avoidant) influence emotion regulation (ER) difficulties in parents, focusing on the mediating roles of self-compassion and parental feelings. Data were collected from 662 parents of children receiving care in a psychiatric center. Path analysis revealed that insecure attachment styles are directly linked to increased ER difficulties. Self-compassion emerged as a protective mediator, while parental anger uniquely mediated the relationship between anxious attachment and ER challenges. These findings underscore the need for social work interventions that enhance self-compassion and address parental emotions, particularly in high-stress caregiving contexts. This study highlights actionable pathways for improving parental ER capacities, which can strengthen family resilience and enhance outcomes for children receiving mental health care.
Hearing impairment, psychological resilience, and physical functioning among older Chinese adults: Implications for social work practice
Zhang Y, Fu Z and Gao J
Age-related hearing loss is prevalent and is associated with diminished physical performance. In Chinese community settings, social work practitioners have the potential to implement psychosocial interventions for older adults with hearing impairment (HI), which could help to mitigate the burden of HI. This longitudinal study is based on a stress-processing theoretical framework and aims to examine the association between self-perceived HI and physical functioning. It also evaluates the potential mediating role of psychological resilience. The sample consisted of 32,207 community-dwelling older Chinese adults aged 65 years and over. The results showed that HI was associated with five domains of physical decline, with psychological resilience partially mediating between 3.9% and 14.1% of the total effect. This special population may benefit from resilience-based interventions to prevent hearing loss and manage physical functional decline caused by hearing-related stress, which provide insights for social work practice and education.
China's macro environment and LGBTQ+ rights: The benefits of an online support community to promote marriage equality
Chen Z and Chen J
Many LGBTQ+ communities have been actively campaigning to influence their countries to promote equality and protect human rights, including the right to same-sex marriage. However, the macro environment in China, including public policy and social attitudes, heavily influences such activism, which is progressing almost silently. The social environment shaped by traditional values still discriminates against and marginalizes sexual minorities, making it challenging to establish marriage equality. With literature review, this paper argues that grassroots LGBTQ+ communities should strengthen communication through non-confrontational online networks.
Cognitive decline, depression, and protective factors among middle aged and older Indigenous women
Talbot EP, Lee YS, Dinata E, Yoon S, Roh S and Tietze J
This study investigated the direct relationship between cognitive decline and depressive symptoms among Indigenous women aged 40 to 70 from a Northern Plains tribe, examining the indirect associations between cognitive decline and depressive symptoms through the importance of religious and spiritual beliefs and the frequency of exercise. Data from 133 participants were analyzed using path analysis, which included the PHQ-9 and the Alzheimer's Disease 8 scale. Results indicate a significant link between cognitive decline and depressive symptoms, with 39.1% showing probable depressive symptoms. The importance of religious and spiritual beliefs was negatively associated with depressive symptoms, while exercise was positively associated with depressive symptoms. However, there was no indirect effect between cognitive decline and depressive symptoms through either the importance of religious and spiritual beliefs or the frequency of exercise. These findings highlight the importance of cognitive health and resilience factors.
Through the lens of social workers: Issues raised in the family talk intervention in pediatric oncology
Ayoub M, Eneslätt M, Lövgren M, Kreicbergs U and Udo C
Families affected by cancer need psychosocial support, however few family interventions have been scientifically evaluated. The Family Talk Intervention (FTI) was pilot tested in pediatric oncology with 26 families. Issues raised and addressed during FTI meetings were explored by analyzing hospital social workers' (HSWs) fieldnotes. The findings show a range of severity in the family issues raised. These encompassed families' wellbeing, communication, conflicts, strengths, and needs for further support. Findings indicate that FTI can be a structured, yet flexible, way for HSWs to identify and address the complex psychosocial needs of these families.