Defining Core Competencies for Generalist-Level Palliative Social Work
| Autor: | Susan Gerbino, Myra Glajchen, Grace H. Christ, Deborah P. Waldrop, Russell K. Portenoy, Ellen L. Csikai, Shirley Otis-Green, Cathy S. Berkman, Tom Sedgwick, Debra Parker-Oliver, Mercedes Bern-Klug, Barbara Head, Gary L. Stein, Deirdre Downes |
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| Rok vydání: | 2018 |
| Předmět: |
Social Work
Scope of practice Palliative care Delphi Technique Best practice education Delphi method Context (language use) 03 medical and health sciences 0302 clinical medicine 030502 gerontology Humans Medicine General Nursing Medical education Social work business.industry Palliative Care Core competency Anesthesiology and Pain Medicine Snowball sampling 030220 oncology & carcinogenesis Clinical Competence Neurology (clinical) 0305 other medical science business |
| Zdroj: | Journal of Pain and Symptom Management. 56:886-892 |
| ISSN: | 0885-3924 |
| DOI: | 10.1016/j.jpainsymman.2018.09.002 |
| Popis: | Context Care provided to seriously ill patients by frontline social workers is a component of generalist-level palliative care. The core competencies for high-quality generalist-level palliative social work are necessary to promote training curricula and best practices but have not yet been defined in the U.S. Objective The objective of this study was to develop consensus-derived core competencies for generalist-level palliative social work. Methods Fifty-five proposed social work competencies were categorized by the eight domains of palliative care identified by the National Consensus Project for Quality Palliative Care. The competencies were rated by 41 regionally dispersed, Master's level social workers selected through purposive and snowball sampling using a Delphi method. Each was rated as essential for generalist-level palliative social work, acceptable with modifications, or rejected based on the judgment that it was not essential for generalist-level palliative social work or was outside the scope of practice. Consensus was defined as >70% agreement to accept or reject a competency. Three review rounds were needed to achieve consensus on all competencies. Results Two competencies were added to the original list. Of the 57 proposed competencies, 41 were accepted (19 after modification) and 16 were rejected. Competencies in the social, spiritual, cultural, and ethical/legal aspects of care domains were relatively more likely to be accepted compared with those in structure and processes of care, physical care, psychological care, and care of patient at the end of life. Conclusion The 41 consensus-derived competencies for generalist-level palliative social work may inform the development of training curricula and standards for high-quality care. |
| Databáze: | OpenAIRE |
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