Quality of Care

Author(s):  
Enola Proctor ◽  
J. Curtis McMillen

Assessing and improving the quality of social services is one of the most pressing concerns for social work practice and research. Practice in nearly every setting is affected by stakeholder expectations that agencies monitor and improve quality. This entry addresses the meaning of the phrase “quality of care” with respect to social work services, considers this topic in relation to quality improvement, quality assurance, and evaluation of services, and points to the research that is needed in order to assess and improve quality.

2020 ◽  
Vol 5 (2) ◽  
pp. 68-85
Author(s):  
Siti Hajar Abu Bakar Ah ◽  
Haris Abd. Wahab ◽  
Noralina Omar ◽  
Mashitah Hamidi ◽  
Zaiton Azman ◽  
...  

Tujuan dan Latarbelakang: Kualiti penyampaian khidmat kerja sosial oleh pegawai kebajikan masyarakat dipengaruhi oleh latar belakang pengetahuan dan kemahiran kerja sosial yang mereka miliki. Kajian ini bertujuan untuk menilai tahap pengamalan praktis kerja sosial dalam kalangan pegawai kebajikan di Malaysia.   Metodologi: Pendekatan kuantitatif yang menggunakan reka bentuk tinjauan telah dilakukan ke atas 305 orang Penolong Pegawai dan Pembantu Pembangunan Masyarakat Gred 19 hingga Gred 38 terpilih yang berkhidmat di Jabatan Kebajikan Masyarakat di seluruh negara. Persampelan rawak mudah digunakan bagi mendapatkan responden. Tahap pengamalan terhadap praktis kerja sosial diukur berdasarkan Kerangka Kompetensi Kerja Sosial Nasional Singapura dan Piawaian Kompetensi Praktis Kerja Sosial Kebangsaan.   Dapatan: Tahap pengamalan terhadap praktis kerja sosial dalam kalangan responden menunjukkan skor yang tinggi.   Sumbangan: Bersandarkan dapatan kajian, tiga inisiatif bagi meningkatkan lagi kualiti pengamalan dan penyampaian praktis kerja sosial dalam kalangan pegawai kebajikan di negara ini telah dicadangkan iaitu i) pengukuhan program latihan; ii) penetapan semula maksud kecekapan dalam pengamalan; dan iii) penetapan pengamalan berdasarkan kod etika.   Kata kunci: Tahap pengamalan, praktis kerja sosial, penyampaian khidmat kerja sosial, pegawai kebajikan, Jabatan Kebajikan Masyarakat Malaysia (JKM).   ABSTRACT Background and Purpose: The quality of social service delivery by welfare officers is influenced by the knowledge and social work skills they possess. This paper aims to study the level of social work practice among welfare officers in Malaysia.   Methodology: A quantitative approach using survey design was used to collect data from 305 Community Development Assistant Officers and Community Development Helper Grades 19 through 38 who served in the Social Welfare Department across Malaysia.  The respondents were selected using simple random sampling. The level of social work practice was measured using the Singapore National Social Work Competency Framework and the National Social Work Practise Competency Standards.   Findings: The findings showed that the level of social work practice among the respondents is at high score.   Contribution: Based on the findings, three initiatives to improve the quality of social work practce among welfare officers are recommended: i) strengthening training programs; ii) redefining the meaning of practice; and iii) establishing practice based on ethical code.   Keywords: Level of practise, social work practise, welfare officer, delivery of social services, Department of Social Welfare Malaysia (JKM)   Cite As: Siti Hajar, A. B. A., Haris, A. W., Noralina, O., Mashitah, H., Zaiton, A., Al Azmi, B., ... Azreen, R. (2020). Tahap pengamalan praktis kerja sosial dalam kalangan pegawai kebajikan  di Malaysia [The level of social work practice among Malaysian social welfare officers]. Journal of Nusantara Studies, 5(2), 68-85. http://dx.doi.org/10.24200/jonus.vol5iss2pp68-85


2009 ◽  
Vol 21 (4) ◽  
pp. 55-63 ◽  
Author(s):  
Kathy Martindale ◽  
Ross Phillips

The use of Quality of Life (QOL) indicators has become increasingly common in health and social services. This article proposes a framework to strengthen mental health social work practice by outlining subjective wellbeing, a component of the QOL construct. Following a discussion on the current policy influences on mental health service provision in Aotearoa New Zealand the QOL construct is outlined. The application of a QOL framework to mental health social work practice draws parallels between QOL principles and the current mental health philosophies of recovery, social inclusion and community care. The authors maintain that a focus on applying QOL in mental health social work will see its contribution to the mental health sector enhanced and its role and function more clearly described.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Nataliya Brima ◽  
Nick Sevdalis ◽  
K. Daoh ◽  
B. Deen ◽  
T. B. Kamara ◽  
...  

Abstract Background There is an urgent need to improve quality of care to reduce avoidable mortality and morbidity from surgical diseases in low- and middle-income countries. Currently, there is a lack of knowledge about how evidence-based health system strengthening interventions can be implemented effectively to improve quality of care in these settings. To address this gap, we have developed a multifaceted quality improvement intervention to improve nursing documentation in a low-income country hospital setting. The aim of this pilot project is to test the intervention within the surgical department of a national referral hospital in Freetown, Sierra Leone. Methods This project was co-developed and co-designed by in-country stakeholders and UK-based researchers, after a multiple-methodology assessment of needs (qualitative, quantitative), guided by a participatory ‘Theory of Change’ process. It has a mixed-method, quasi-experimental evaluation design underpinned by implementation and improvement science theoretical approaches. It consists of three distinct phases—(1) pre-implementation(project set up and review of hospital relevant policies and forms), (2) intervention implementation (awareness drive, training package, audit and feedback), and (3) evaluation of (a) the feasibility of delivering the intervention and capturing implementation and process outcomes, (b) the impact of implementation strategies on the adoption, integration, and uptake of the intervention using implementation outcomes, (c) the intervention’s effectiveness For improving nursing in this pilot setting. Discussion We seek to test whether it is possible to deliver and assess a set of theory-driven interventions to improve the quality of nursing documentation using quality improvement and implementation science methods and frameworks in a single facility in Sierra Leone. The results of this study will inform the design of a large-scale effectiveness-implementation study for improving nursing documentation practices for patients throughout hospitals in Sierra Leone. Trial registration Protocol version number 6, date: 24.12.2020, recruitment is planned to begin: January 2021, recruitment will be completed: December 2021.


2020 ◽  
Vol 30 (5) ◽  
pp. 505-514
Author(s):  
Walter A. Lorenz ◽  
Silvia Fargion ◽  
Urban Nothdurfter ◽  
Andrea Nagy ◽  
Elisabeth Berger ◽  
...  

Purpose: The measurement of quality in social work practice has become an area of growing interest and relevance in the social services field. Our starting point is that quality in interventions with human beings has to be defined in ways that incorporate the multiple perspectives of all the subjects involved. Methods: The study, adopting qualitative and quantitative methods, explored issues of quality in social services provision in South Tyrol in Italy from the point of view of the main stakeholders. Results: It was possible to identify four dimensions of quality that stakeholders considered important: the political role of practitioners, the ability to take an active role in the organization, the capacity to connect with other professionals, and the quality of direct relationships with users. Conclusions: Results provide an understanding of the common and differing expectations evident in stakeholders’ perspectives and ideas for better quality systems


Groupwork ◽  
2021 ◽  
Vol 29 (3) ◽  
Author(s):  
Joaquin Castillo de Mesa ◽  
Antonio López Peláez ◽  
Paula Méndez Domínguez

Isolation is a clear indicator of social exclusion. To tackle it, we wondered if it would be possible to improve digital skills and strengthen bonds through online groups on a social networking site. This paper presents the results of an experimental study carried out in Malaga (Spain) with unemployed users of social care services. From the perspective of social work practice with groups, this study aims at strengthening bonds and mutual help through improving digital skills. This was carried out using a Facebook group as a shared space for community empowerment. To know the impact of these interactions, netnography and social network analysis were conveyed, as well as algorithms to identify communities and assess cohesion. Results showed that Facebook groups may be effective tools to promote active learning and mutual support and which can be used effectively by social workers.


2017 ◽  
Vol 27 (4) ◽  
pp. 25-31
Author(s):  
Jacquelyn Elkington

Pakiwaitara (Elkington, 2001) came about as a gap identified in social service delivery between western, middle class, dominant culture and the healing of Māori whānau in crisis. While education has responded to this gap by offering bicultural training, ensuring more Māori components within degree programmes, etc, social services statistics are still high for Māori and indigenous peoples. It has helped to shift the definition of cultural supervision to inside the definition of specialised professional supervision (Elkington, 2014), but now continued invisibility of values and beliefs, particularly that of Tauiwi, exacerbate the problem. The challenge must still be asserted so that same-culture practitioners are strengthened in same-culture social work practice (eg, by Māori, for Māori), and to avoid when possible, or otherwise by choice, white dominant-culture practice, for all-and-every-culture social work practice (eg, by Pākehā, for everyone).


2015 ◽  
Vol 16 (3) ◽  
pp. 367-375 ◽  
Author(s):  
Hong-Jae Park

Death is often a taboo topic and, consequently, there is a reluctance to address matters such as the cultural importance of after-life reputations and ancestor remembrance in the social work field. Reflecting on filial piety studies with Korean participants, this article aims to call attention to such death-related issues and their implications for end-of-life, palliative social work practice and research. The term ‘memorial social work’ is used to help practitioners broaden the scope and quality of social work associated with people who have died and their surviving families. The discussion in this paper includes issues related to filial piety and attitudes towards ageing parents, ancestor honour and remembrance and family continuity. The areas to which memorial social work are particularly pertinent are suggested for further development.


2021 ◽  
pp. bmjqs-2021-013110
Author(s):  
Sanjay Mahant ◽  
Jun Guan ◽  
Jessie Zhang ◽  
Sima Gandhi ◽  
Evan Jon Propst ◽  
...  

BackgroundTonsillectomy is among the most common and cumulatively expensive surgical procedures in children, with known variations in quality of care. However, evidence on health system interventions to improve quality of care is limited. The Quality-Based Procedures (QBP) programme in Ontario, Canada, introduced fixed episode hospital payment per tonsillectomy and disseminated a perioperative care pathway. We determined the association of this payment and quality improvement programme with tonsillectomy quality of care.MethodsInterrupted time series analysis of children undergoing elective tonsillectomy at community and children’s hospitals in Ontario in the QBP period (1 April 2014 to 31 December 2018) and the pre-QBP period (1 January 2009 to 31 January 2014) using health administrative data. We compared the age-standardised and sex-standardised rates for all-cause tonsillectomy-related revisits within 30 days, opioid prescription fills within 30 days and index tonsillectomy inpatient admission.Results111 411 children underwent tonsillectomy: 51 967 in the QBP period and 59 444 in the pre-QBP period (annual median number of hospitals, 86 (range 77–93)). Following QBP programme implementation, revisit rates decreased for all-cause tonsillectomy-related revisits (0.48 to −0.18 revisits per 1000 tonsillectomies per month; difference −0.66 revisits per 1000 tonsillectomies per month (95% CI −0.97 to −0.34); p<0.0001). Codeine prescription fill rate continued to decrease but at a slower rate (−4.81 to −0.11 prescriptions per 1000 tonsillectomies per month; difference 4.69 (95% CI 3.60 to 5.79) prescriptions per 1000 tonsillectomies per month; p<0.0001). The index tonsillectomy inpatient admission rate decreased (1.12 to 0.23 admissions per 1000 tonsillectomies per month; difference −0.89 (95% CI −1.33 to −0.44) admissions per 1000 tonsillectomies per month; p<0.0001).ConclusionsThe payment and quality improvement programme was associated with several improvements in quality of care. These findings may inform jurisdictions planning health system interventions to improve quality of care for tonsillectomy and other paediatric procedures.


Author(s):  
Michal Krumer-Nevo

This book describes the new Poverty-Aware Paradigm (PAP), which was developed in Israel through intense involvement with the field of social work in various initiatives. The paradigm was adopted in 2014 by the Israeli Ministry of Welfare and Social Services as a leading paradigm for social workers in social services departments. The book draws from the rich experience of the implementation of the PAP in practice and connects examples of practice to theoretical ideas from radical/critical social work, critical poverty knowledge, and psychoanalysis. The PAP addresses poverty as a violation of human rights and emphasizes people’s ongoing efforts to resist poverty. In order to recognize these sometimes minor acts of resistance and advance their impact, social workers should establish close relationship with service users and stand by them. The book proposes combining relationship-based practice and rights-based practice as a means of bridging the gap between the emotional and material needs of service users. In addition to introducing the main concepts of the PAP, the book also contributes to the debate between conservative and cultural theories of poverty and structural theories, emphasizing the impact of a critical framework on this debate. The book consists of four parts. The first, “Transformation”, addresses the transformational nature of the paradigm. The second, “Recognition”, is based on current psychoanalytic developments and “translates” them into social work practice in order to deepen our understanding of relationship-based practice. The third, “Rights”, describes rights-based practice. The fourth, “Solidarity”, presents various ways in which solidarity might shape social workers’ practice. The book seeks to reaffirm social work’s core commitment to combating poverty and furthering social justice and to offer a solid theoretical conceptualization that is also eminently practical.


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