Is Self-Care a Stand-In for Feminized Social Privilege? A Systematic Review of Self-Care Facilitators and Barriers to Self-Care Practices in Social Work.
Is Self-Care a Stand-In for Feminized Social Privilege? A Systematic Review of Self-Care Facilitators and Barriers to Self-Care Practices in Social Work.
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自我保健是女性化社会特权的替代品吗？
DOI：
10.1080/26408066.2023.2231446
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Figley,CharlesR
中科院分区：
文献类型：
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作者：
Barks,Lauren;McKinley,CatherineE;Ka'apu,Kristi;Figley,CharlesR
本系统综述的目的是填补对自我护理实践的同行评议实证研究的批判性理解的空白，以确定社会工作中自我护理实践的结构、关系和个人层面的促进因素和障碍。方法对成人社会工作从业人员和学生在社会工作中自我照顾的同行评议的定量和定性实证研究文章进行系统综述和荟萃分析。结果在系统回顾的过程中，共收集到21篇与自我照顾相关的实证研究，样本包括社会工作从业人员（n= 15）、社会工作学生（n= 3）和社会工作教育工作者（n= 3）。从事自我护理实践的社会工作者更有可能是健康的，工作量更少，是白人，并且具有更高的社会经济专业地位和特权，这表明当前的自我护理概念可能对许多社会工作者来说是不可接近的，并且与上下文和文化相关。结论：绝大多数结果表明，社会工作者在社会结构、经济、专业和身体健康方面享有更大的特权，从事更多的自我照顾。没有文章直接评估可能导致社工和案主痛苦的制度因素。相反，在社会政治和历史背景下，自我保健被视为一种个人责任，没有融入女性化和种族化的不平等。这种框架可能会复制而不是纠正社会工作者和客户所经历的不可持续的不平等。
PurposeThe purpose of this systematic review is to fill the gap in a critical understanding of peer-reviewed empirical research on self-care practices to identify structural, relational, and individual-level facilitators and barriers to self-care practices in social work.MethodWe followed the preferred reporting items for systematic reviews and meta-analysis for this systematic review of peer-reviewed quantitative and qualitative empirical research articles focusing on self-care in social work among adult social work practitioners and students.ResultsTwenty-one articles related to empirical studies of self-care were identified in the systematic review process with samples of social work practitioners (n= 15), social work students (n= 3), and social work educators (n= 3).DiscussionSocial workers engaged in self-care practices are more likely to be healthy, work less, be White, and have higher socioeconomic professional status and privilege, indicating current conceptualizations of self-care may not be accessible and contextually and culturally relevant for many social workers.ConclusionOverwhelmingly, results indicated social workers reporting greater sociostructural, economic, professional, and physical health privilege engaged in more self-care. No articles directly assessed institutional factors that may drive distress among social workers and clients. Rather, self-care was framed as a personal responsibility without integration of feminized and racialized inequities in a sociopolitical and historical context. Such framings may replicate rather than redress unsustainable inequities experienced by social workers and clients.