Defining Core Competencies for Generalist-Level Palliative Social Work

Glajchen, Myra; Berkman, Cathy S.; Otis‐Green, Shirley; Stein, Gary L.; Sedgwick, T. O.; Bern‐Klug, Mercedes; Christ, Grace; Csikai, Ellen L.; Downes, Deirdre; Gerbino, Susan; Head, Barbara; Parker-Oliver, Debra; Waldrop, Deborah P.; Portenoy, Russell K.

doi:10.1016/j.jpainsymman.2018.09.002

Cited by 45 publications

(37 citation statements)

References 21 publications

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“…46 Health-care providers who lack adequate time to delve into prolonged ACP discussions 47 can connect with social workers to ensure consistent and deliberate conversations take place. However, it is important to note some research suggests that in generalist social work practice 48 and without specialized training for palliative care or MI counseling, social workers may not be prepared to guide such complex ACP discussions impacting patient-provider family decision-making in EOL care. More research is needed in the area of interprofessional/interdisciplinary practice for working together, with medical and nonmedical health-care providers, toward early ACP and EOL care interventions.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Motivational Interviewing to Enhance Advance Directive Completion in Latinos With Chronic Illness: A Randomized Controlled Trial

Nedjat-Haiem

Cadet

Amatya

et al. 2019

Am J Hosp Palliat Care

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Background: End-of-life (EOL) care for Latinos with chronic illness is a critically important problem. Latinos with chronic illness suffer worse health outcomes and poorer quality of care due to various issues occurring in care delivery systems. Latinos are less likely than non-Hispanic whites to prepare an advance directive (AD) for health-care decision-making that impacts treatment decisions for when EOL is near. Advance care planning (ACP) interventions tailored specifically for Latinos have rarely been implemented. Objective: The primary aim examines whether a motivational interviewing (MI) intervention increased rates of AD documentation among older Latinos. The secondary aim was to examine whether MI improved communication with providers and family members. Methods: We pilot tested a randomized controlled trial with older Latinos >50 years with one or more chronic illnesses, including cancer. Participants were randomly assigned to usual care (UC) receiving ACP education alone versus treatment (TX), which received ACP education, plus MI counseling including interactive decisional support, emotional support, and barrier navigation. Results: Results of logistic regression indicate TX group participants were significantly more likely to document an AD than UC, however were less ready to talk with health-care providers or family members. Those reporting navigational barriers for talking about dying is difficult showed a significant negative relationship for AD completion even with significant intervention effects. Conclusion: When using MI to motivate individuals toward ACP EOL conversations other factors are important to consider. Further research is needed, especially among Latinos to understand best practices for ACP education and counseling for EOL care.

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Section: Discussionmentioning

confidence: 99%

Efficacy of Motivational Interviewing to Enhance Advance Directive Completion in Latinos With Chronic Illness: A Randomized Controlled Trial

Nedjat-Haiem

Cadet

Amatya

et al. 2019

Am J Hosp Palliat Care

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“…Por ello, el área de Asistencia social debe formar parte del equipo de CP, para evaluar el núcleo familiar, recursos económicos, tipo de cobertura de salud, etc. Esta evaluación es sumamente importante pues, de ser ignorada, impacta negativamente en la salud, calidad de vida y adecuación de plan de cuidados [74,75] .…”

Section: áMbito Socioeconómicounclassified

Las personas con enfermedad terminal y la necesidad de cuidados paliativos: una deuda pendiente de los servicios de salud

et al. 2019

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On top of all competences that a healthcare professional should have achieved during his/her training, palliative care is a growing need for patients from different age groups affected with cancer, cardiovascular diseases, degenerative conditions, and the like. Palliative care is a huge challenge for healthcare services, because this requires adequate teamwork, human resources and adequately functioning systems. Management, public health, service integration, ethical dilemmas, and ethical issues are the main barriers that physicians taking care of terminally ill patients must deal with. One of our main strategies for tackling this situation is to consolidate educational programs, so healthcare professionals may become empowered with knowledge; so, they may disclose the need for humanizing healthcare of terminally ill subjects.

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“…Comprehensive evidence-based standards for palliative social work have been developed (Bosma et al, 2010; Gwyther et al, 2005; National Association of Social Workers, 2004). In addition, the National Consensus Project to Establish Care Competencies for Generalist-Level Social Work released a report in 2018 on the palliative care competencies necessary for social work practice (Glajchen et al, 2018). Although a credential for advanced certification has been established based on continuing education and experience in hospice and palliative care (National Association of Social Workers, 2018), the Hospice and Palliative Care Certification Project expects to inaugurate a new specialty certification for palliative social workers in 2019 based on a comprehensive examination of the significant activities, skills, and knowledge base for specialty practice (Head, 2018).…”

Section: Introductionmentioning

confidence: 99%

What are social work students being taught about palliative care?

2019

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ObjectivePalliative social workers have taken steps to increase the numbers of social workers trained and competent to deliver effective psychosocial palliative care. Despite these developments, masters of social work (MSW) programs have only begun to develop curricula preparing students for entry-level practice. This study sought to determine the type and extent of content areas included in MSW courses dedicated to palliative care or with content related to palliative care practice.MethodA cross-sectional study using an online questionnaire was conducted. All 248 accredited MSW programs in the United States and 32 programs in Canada were invited to participate. Participants were asked to name the courses in their MSW program that were dedicated to, or included content on, palliative care, and submit the syllabi for these courses. Data comprised course content for each class session and required readings. A grounded theory approach was used to identify the topics covered.ResultOf the 105 participating programs that responded to the survey, 42 submitted 70 syllabi for courses with at least some palliative care content. There were 29 topics identified. The most common topic was grief, loss, and bereavement, followed closely by behavioral and mental health issues, and supporting family and friends; cultural perspectives and advance care planning were also common topics. For the 10 syllabi from courses dedicated to palliative care, supporting family was the most common topical area, followed closely by interprofessional practice and advance care planning.Significance of resultsAlthough there are many challenges to introducing palliative care content into MSW programs, including unqualified faculty and competing course material and electives of equally compelling content, there are model curricula for dedicated palliative care courses. With the large growth of palliative care programs, the time is ripe to add specialty palliative care courses and to add palliative care content into existing courses.

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Defining Core Competencies for Generalist-Level Palliative Social Work

Abstract: The 41 consensus-derived competencies for generalist-level palliative social work may inform the development of training curricula and standards for high-quality care.

Cited by 45 publications

References 21 publications

Efficacy of Motivational Interviewing to Enhance Advance Directive Completion in Latinos With Chronic Illness: A Randomized Controlled Trial

Efficacy of Motivational Interviewing to Enhance Advance Directive Completion in Latinos With Chronic Illness: A Randomized Controlled Trial

Las personas con enfermedad terminal y la necesidad de cuidados paliativos: una deuda pendiente de los servicios de salud

What are social work students being taught about palliative care?

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