Volume 20, Issue 2 (2024)                   ioh 2024, 20(2): 103-118 | Back to browse issues page


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Mohaghegh B, Sabzi M, Javadi S M H, Noruzi S, Sayar S, Abedi A A et al . Workload Measuring in Social Work Services: Iran's Governmental Hospitals. ioh 2024; 20 (2) :103-118
URL: http://ioh.iums.ac.ir/article-1-3469-en.html
, Department of Social Work, School of Behavioral Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran , m.khoshnam64@gmail.com
Abstract:   (1017 Views)
Introduction: One of the most important but neglected services in hospitals is social work services(SWSs), which, due to the increase in social harms and treatment costs as well as psychosocial and social needs of patients, are of great importance. This study aimed to measure the workload of SWSs in Iranian governmental hospitals.
Methods and Materials: This descriptive-explanatory study was conducted cross-sectional and with quota sampling method in 58 government hospitals in 2019-2020. The samples were purposefully selected from 10 regions of higher education spatial planning of the country. Considering the importance of measuring the volume of SWSs in all types of specialized and sub-specialized hospital beds, 3 general hospitals were selected from each region, and according to the frequency of single-specialty hospitals in the country, 1 to 5 cases of each were included, so that the number 32 general hospitals and 26 single specialty hospitals including pediatrics, psychiatry, gynecology and obstetrics, heart, eye, burn, dermatology and oncology were considered. The main tool for data collection was a researcher-made form for registering SWSs to patients, which was completed by social workers for six non-consecutive working days. The average time of interventions as well as the additional activities of social workers were collected using two forms; that were finalized in an expert group. The data was analyzed through Excel software.
Results: The results showed that the norm of required FTE Social work per hundred hospital bed ranged from 0.42 to 5.48. The highest values belonged to adult oncology (3.85) and psychiatry (4.51) beds, and the lowest values were immunology (0.42), postpartum (0.70) and sub-specialty ophthalmology beds. Among outpatient beds, the most and least norm were related to the chemotherapy (9.35) and thalassemia (0.13) beds, respectively.
Conclusion: The volume of SWSs in hospitals varies according to the composition of patients. Therefore, using the norms of SWs per occupied beds could be a practical method for estimating the needed social workers in hospitals. 
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Full-Text [PDF 733 kb]   (213 Downloads)    
Type of Study: Research | Subject: Qualitative and quantitative studies
Received: 2022/12/22 | Accepted: 2023/10/17 | Published: 2023/12/31

References
1. Organization WH, Research SPo, Reproduction RTiH. WHO recommendations on maternal and newborn care for a positive postnatal experience: World Health Organization; 2022.
2. Buchan J, Ball J, O'May F. Determining skill mix in the health workforce: guidelines for managers and health professionals. 2000.
3. Sanaei far MM, A. Mogharry. Tabatabaei. Estimating the required manpower of the Accelerator Department of Reza Radiotherapy-Oncology Center based on workload index. health Management. 2021;24(1):21-3. [DOI:10.52547/jha.24.1.23]
4. Boutwell AE, Johnson MB, Watkins R. Analysis of a social work-based model of transitional care to reduce hospital readmissions: Preliminary data. Journal of the American Geriatrics Society. 2016;64(5):1104-7. [DOI:10.1111/jgs.14086]
5. Gibbons J, Plath D. Single session social work in hospitals. Australian and New Zealand Journal of Family Therapy. 2012;33(1):39-53. [DOI:10.1017/aft.2012.5]
6. Judd RG, Sheffield S. Hospital social work: Contemporary roles and professional activities. Social work in health care. 2010;49(9):856-71. [DOI:10.1080/00981389.2010.499825]
7. Bronstein LR, Gould P, Berkowitz SA, James GD, Marks K. Impact of a social work care coordination intervention on hospital readmission: a randomized controlled trial. Social work. 2015;60(3):248-55. [DOI:10.1093/sw/swv016]
8. Mizrahi T, Berger CS. Effect of a changing health care environment on social work leaders: Obstacles and opportunities in hospital social work. Social Work. 2001;46(2):170-82. [Persian] [DOI:10.1093/sw/46.2.170]
9. Sabzi, M. Javadi, M. Sayar,S. Noruzi, S. Arshi, M. Ostadhashemi, L. Shatta, M. Mohammadi, E. Specialized social work protocols in the health system. Roshd Farhang. 2021;1. [Persian].
10. Mohabati F, Arab M, Tajvar M, Mohaghegh B, Salarian Zadeh MH. Analyzing the Agenda Setting of the Reforming Policy of the Structure of the Central Staff of Medical Universities in Iran in 2013 Using the Model of Multiple Streams of Kingdon. Journal of Contemporary Medical Sciences. 2021;7(5). [Persian]. [DOI:10.22317/jcms.v7i5.1105]
11. Coquillette M, Cox JE, Cheek S, Webster RA. Social work services utilization by children with medical complexity. Maternal and child health journal. 2015;19:2707-13. [DOI:10.1007/s10995-015-1795-x]
12. Mostaghaci M, Haji Hosseini S, Behnamfar R. Higher Education Spatial Planning Program in Iran and the Role of Centers of Excellences for Medical Sciences: A Way to Achieve to Scientific Authority in the Field of Health. Future of Medical Education Journal. 2016;6(3):41-2. [Persian].
13. Sabzi Khoshnami M, Javadi MH, Noruzi S, Azari Arghun T, Sayar S, Arian M. Planning and Implementing the Protocol for Psychosocial Interventions by Social Workers in Iranian Healthcare Centers against COVID-19. Social Work in Public Health. 2021:1-9. [Persian]. [DOI:10.1080/19371918.2021.1997863]
14. Ponnert L, Svensson K. Standardisation-the end of professional discretion? European Journal of Social Work. 2016;19(3-4):586-99. [DOI:10.1080/13691457.2015.1074551]
15. Shore C, Wright S. Governing by numbers: audit culture, rankings and the new world order. Social Anthropology/Anthropologie Sociale. 2015;23(1):22-8. [DOI:10.1111/1469-8676.12098]
16. McFadden P, Ross J, Moriarty J, Mallett J, Schroder H, Ravalier J, et al. The role of coping in the wellbeing and work-related quality of life of UK health and social care workers during COVID-19. International journal of environmental research and public health. 2021;18(2):815. [DOI:10.3390/ijerph18020815]
17. Deshields TL, Wells‐Di Gregorio S, Flowers SR, Irwin KE, Nipp R, Padgett L, et al. Addressing distress management challenges: Recommendations from the consensus panel of the American Psychosocial Oncology Society and the Association of Oncology Social Work. CA: A Cancer Journal for Clinicians. 2021;71(5):407-36. [DOI:10.3322/caac.21672]
18. Jones B, Currin-Mcculloch J, Pelletier W, Sardi-Brown V, Brown P, Wiener L. Psychosocial standards of care for children with cancer and their families: a national survey of pediatric oncology social workers. Social work in health care. 2018;57(4):221-49. [DOI:10.1080/00981389.2018.1441212]
19. Isaksson J, Lilliehorn S, Salander P. A nationwide study of Swedish oncology social workers: Characteristics, clinical functions, and perceived barriers to optimal functioning. Social work in health care. 2017;56(7):600-14. [DOI:10.1080/00981389.2017.1316340]
20. Sheppard M. Mental health work in the community: theory and practice in social work and community psychiatric nursing: Routledge; 2004. [DOI:10.4324/9780203215074]
21. Pfoh ER, Hohman JA, Alcorn K, Vakharia N, Rothberg MB. Linking Primary Care Patients to Mental Health Care via Behavioral Health Social Workers: A Stepped-Wedge Study. Psychiatric Services. 2022:appi. ps. 202100322. [DOI:10.1176/appi.ps.202100322]
22. McGregor J, Mercer SW, Harris FM. Health benefits of primary care social work for adults with complex health and social needs: a systematic review. Health & social care in the community. 2018;26(1):1-13. [DOI:10.1111/hsc.12337]
23. Hsu HT, Chiang YC, Lai YH, Lin LY, Hsieh HF, Chen JL. Effectiveness of multidisciplinary care for chronic kidney disease: a systematic review. Worldviews on Evidence‐Based Nursing. 2021;18(1):33-41. [DOI:10.1111/wvn.12483]
24. Srinivasa D, Siddegowda Y. Rural health care towards a healthy rural India: A social work response. 2018.
25. Nazari A, Salsali M, Ahmadi F. To assess role of staffing in nursing productivity: a qualitative research. Journal of hayat. 2006;12(3):5-15. [Persian].
26. Bogo M, Regehr C, Hughes J, Power R, Globerman J. Evaluating a measure of student field performance in direct service: Testing reliability and validity of explicit criteria. Journal of Social Work Education. 2002;38(3):385-401. [DOI:10.1080/10437797.2002.10779106]

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