A Typology of Social Workers in Long-Term Care Facilities in Israel

Sagit Lev, Liat Ayalon

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


This article explores moral distress among long-term care facility (LTCF) social workers by examining the relationships between moral distress and environmental and personal features. Based on these features, authors identified a typology of LTCF social workers and how they handle moral distress. Such a typology can assist in the identification of social workers who are in a particular need for assistance. Overall, 216 LTCF social workers took part in the study. A two-step cluster analysis was conducted to identify a typology of LTCF social workers based on features such as ethical environment, support in workplace, mastery, and resilience. The variance of the identified clusters and their associations with moral distress were examined, and four clusters of LTCF social workers were identified. The clusters varied from each other in relation to their personal and environmental features and in relation to their experience of moral distress. The article concludes with a discussion of the importance of developing programs for LTCF social workers that provide support and enhancement of personal resources and an adequate and ethical environment for practice.

Original languageEnglish
Pages (from-to)171-178
Number of pages8
JournalSocial Work
Issue number2
StatePublished - 1 Apr 2018

Bibliographical note

Publisher Copyright:
© 2018 National Association of Social Workers.


  • aging and older adults
  • ethics
  • long-term care facilities
  • residential care


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