התמודדותם של עובדים סוציאליים בבתי חולים עם תהליך מינוי אפוטרופוס לזקנים במסגרת אשפוז

Translated title of the contribution: Coping Mechanisms of Social Workers Managing the Guardianship Process of Hospitalized Senior Citizens

ליאת איילון, נעמה שרעבי

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Social workers in the health care system are required to urgently handle the appointment of a guardian for the older patient's body during the hospitalization framework when the patient is required to give informed consent for treatment, but his or her physical or mental conditions do not allow obtaining this consent or refusal of treatment as required by law. Despite the research reference to the place of the social worker in the process of appointing a guardian and his or her role, in the field of health there is insufficient reference to how the social worker copes with this procedure. Goal: The purpose of the study was to examine how social workers in hospitals cope with the process of appointing a guardian for older patients in the hospital, to learn about their attitudes, experiences and thoughts regarding their role, and to become familiar with the tools they use and the professional knowledge that assists them in fulfilling their duties.This is because social workers in hospitals play a central role in the process of appointing a guardian for hospitalized older patients and are the responsible and coordinating factor in appealing to the court. Method: Due to the paucity of studies in this field, a qualitative research method was chosen. The study involved 16 social workers from five general and geriatric hospitals, who are engaged in appointing a guardian for older patients in the hospital. The interviews were conducted using a semi-structured interview guide, and the data were analyzed using thematic analysis.Method: Due to the paucity of studies in this field, a qualitative research method was chosen. The study involved 16 social workers from five general and geriatric hospitals, who are engaged in appointing a guardian for older patients in the hospital. The interviews were conducted using a semi-structured interview guide, and the data were analyzed using thematic analysis. Findings: Subcategories and categories were constructed from the interviews, from which three main themes were identified: social workers perception of their role, dilemmas in fulfilling the role, and tools to deal with the dilemmas. Three prototypes were identified from the themes that characterize social workers in hospitals when dealing with the appointment of a guardian: social workers who work with a reflective emphasis, social workers who operate with a systematic emphasis, and social workers who operate with a systemic emphasis. In addition, the findings of the study regarding the sources of knowledge of social workers in fulfilling their duties were examined in light of an evidence-based approach to practice. Conclusions: The findings of the study provide information concerning the ways in which social workers in hospitals cope with their duties in appointing a guardian for older patients and enhance our understanding of social workers' needs in fulfilling these duties. Based on the findings of the study, it is possible to recommend practical steps to assist social workers as well as further research recommendations.
Translated title of the contributionCoping Mechanisms of Social Workers Managing the Guardianship Process of Hospitalized Senior Citizens
Original languageHebrew
Pages (from-to)57-78
Number of pages22
Journalגרונטולוגיה וגריאטריה: כתב-עת בנושאי הזיקנה
Volumeנ
Issue number4
StatePublished - 2023

IHP Publications

  • ihp
  • Attitude (Psychology)
  • Capacity and disability -- Israel
  • Guardian and ward
  • Hospitals
  • Informed consent (Medical law)
  • Older people
  • Social workers
  • Social workers -- Legal status, laws, etc

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