The unique role of the social worker within the Hospital at Home care delivery team

Drawing on an ethnographic study of teamwork in critical care units (CCUs), this chapter applies Henri Lefebvre’s ([1974] 1991) theoretical insights to an analysis of clinicians’ and patients’ embodied spatial practices. Lefebvre’s triadic framework of conceived, lived, and perceived spaces draws attention to the role of bodies in the production and negotiation of power relations among nurses, physicians, and patients within the CCU. Three ethnographic vignettes—“The Fight,” “The Parade,” and “The Plan”—explore how embodied spatial practices underlie the complexities of health care delivery, making visible the hidden narratives of conformity and resistance that characterize interprofessional care hierarchies. The social orderings of bodies in space are consequential: seeing them is the first step in redressing them.

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High-Tech Home Care – von der Intensivstation ins Wohnzimmer

Public Health Forum ◽

10.1016/j.phf.2009.09.007 ◽

2009 ◽

Vol 17 (4) ◽

pp. 11-13

Author(s):

Michael Ewers

Keyword(s):

Home Care ◽

High Tech ◽

Hospital At Home ◽

At Home

EinleitungPatienten in kritischen Gesundheitssituationen und solche mit therapeutisch-technischem Unterstützungsbedarf sollen auch in Deutschland vermehrt im häuslichen Umfeld versorgt werden. Die Voraussetzungen der als High-Tech Home Care (HTHC) oder Hospital-at-Home (H@H) international bekannten Versorgungsform und die mit dem Transfer der Medizintechnik von der Intensivstation ins Wohnzimmer verbundenen (un-)erwünschten Effekte – besonders für die Nutzer – erfahren aber noch selten die notwendige Aufmerksamkeit.

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The role of the social worker

Psychiatry ◽

10.1016/j.mppsy.2007.12.003 ◽

2008 ◽

Vol 7 (2) ◽

pp. 76-79

Author(s):

Sandra Dwyer

Keyword(s):

Social Worker ◽

The Social

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The Role of the Social Worker

Substance Abuse ◽

10.1007/978-1-4939-1951-2_19 ◽

2015 ◽

pp. 249-263

Author(s):

Janet Lucas ◽

Anne Riffenburgh ◽

Bill Mejia

Keyword(s):

Social Worker ◽

The Social

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Connected care for endocarditis and heart failure patients: a hospital-at-home programme

Netherlands Heart Journal ◽

10.1007/s12471-021-01614-2 ◽

2021 ◽

Author(s):

J. van Ramshorst ◽

M. Duffels ◽

S. P. M de Boer ◽

A. Bos-Schaap ◽

O. Drexhage ◽

...

Keyword(s):

Heart Failure ◽

Home Care ◽

Nurse Practitioners ◽

Care Group ◽

Proof Of Concept ◽

Home Setting ◽

Curative Care ◽

Care At Home ◽

Hospital At Home ◽

At Home

Abstract Background Healthcare expenditure in the Netherlands is increasing at such a rate that currently 1 in 7 employees are working in healthcare/curative care. Future increases in healthcare spending will be restricted, given that 10% of the country’s gross domestic product is spent on healthcare and the fact that there is a workforce shortage. Dutch healthcare consists of a curative sector (mostly hospitals) and nursing care at home. The two entities have separate national budgets (€25 bn + €20 bn respectively) Aim In a proof of concept, we explored a new hospital-at-home model combining hospital cure and nursing home care budgets. This study tests the feasibility of (1) providing hospital care at home, (2) combining financial budgets, (3) increasing workforces by combining teams and (4) improving perspectives and increasing patient and staff satisfaction. Results We tested the feasibility of combining the budgets of a teaching hospital and home care group for cardiology. The budgets were sufficient to hire three nurse practitioners who were trained to work together with 12 home care cardiovascular nurses to provide care in a hospital-at-home setting, including intravenous treatment. Subsequently, the hospital-at-home programme for endocarditis and heart failure treatment was developed and a virtual ward was built within the e‑patient record. Conclusion The current model demonstrates a proof of concept for a hospital-at-home programme providing hospital-level curative care at home by merging hospital and home care nursing staff and budgets. From the clinical perspective, ambulatory intravenous antibiotic and diuretic treatment at home was effective in safely achieving a reduced length of stay of 847 days in endocarditis patients and 201 days in heart-failure-at-home patients. We call for further studies to facilitate combined home care and hospital cure budgets in cardiology to confirm this concept.

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Comparative Study of the Perception of the Role of a Social Worker in Hospitals in the Czech Republic and Slovakia during the COVID-19 Pandemic

Clinical Social Work and Health Intervention ◽

10.22359/cswhi_12_4_03 ◽

2021 ◽

Vol 12 (4) ◽

pp. 23-30

Author(s):

P. Laca ◽

s. Laca

Keyword(s):

Czech Republic ◽

Social Worker ◽

Professional Education ◽

Research Study ◽

Slovak Republic ◽

University Education ◽

Online Questionnaire ◽

The Czech Republic ◽

The Social

This research study is focused on the perception of the role of asocial worker by hospital nurses in the Czech and Slovak Re- public during the COVID-19 pandemic. Aim of the study:The main aim of the research study was to find the opinions of nurses from the Czech and Slovak Repub- lic on asocial worker who works in ahospital during acoron- avirus - COVID-19 pandemic and then compare their opinions in helping patients Research sample and setting:The research sample of the study consisted of 75 nurses with higher professional education (Czech Republic), university education of the first and second degree (Czech Republic, Slovak Republic), who were together with social workers in the front line in hospitals at the time of the coronavirus pandemic COVID-19. All participating respon- dents were informed about the purpose of the research study and the completion of the online questionnaire. Statistical analysis:The mathematical-statistical method chi- square test of the independence of the criteria of individual re- search hypotheses was used to compare the interviewed re- spondents in the Czech Republic and Slovakia. Results of the study:Medical staff at the time of the COVID- 19 pandemic was satisfied with the social worker, as evidenced by the research study and their answers in the questionnaire survey. It is clear from the results of the research survey that the participants perceived the social worker positively during the COVID-19 pandemic.

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