Research
Research
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DOI：
10.1055/a-0751-2328
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发表时间：
1945-09
期刊：
影响因子：
--
通讯作者：
Royce Kimmons
中科院分区：
文献类型：
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作者：
Royce Kimmons
在新公共管理[NPM]在塑造日常工作实践方面变得越来越有影响力的背景下，社会工作者经常使用正式的官僚程序等策略来处理日常工作中的风险。随着新冠肺炎疫情的发展，瑞典的老年人护理发生了快速变化，要求社会工作者在日常工作中解决这些问题。社工之间的专业个案会议提供了一个机会，让他们讨论个人的观点，并听取同事对如何处理个案的建议。到目前为止，这些讨论几乎没有得到学术界的关注。在这项研究中，我们使用由39个录音案例会议组成的数据集来分析社会工作者关于新冠肺炎大流行期间的风险的专业内讨论。在案例会议上，社会工作者讨论了疫情加剧的风险，例如将新冠肺炎传播给客户的风险，客户的护理需求未得到满足的风险，与问责相关的风险，以及不同组织之间界限模糊的风险。个案会议的合议性讨论包括让社工有机会利用他们的集体专业经验和能力，在不断转变和未知的情况下，建立具创意的解决方案，并讨论处理和平衡不同风险的各种方法。我们的发现突显了在应对大流行期间突出的风险时，在社会工作中提供合作支持的重要性。
Within a context where New Public Management [NPM] has become increasingly influential in shaping everyday working practices, social workers often handle risks in their everyday work using formalised bureaucratic procedures, among other strate-gies. As the COVID-19 pandemic progressed, rapid changes occurred in Swedish elder care that social workers were required to address in their everyday work. Intra-professional case conferences amongst social workers provide one opportunity to discuss individual viewpoints and obtain suggestions from colleagues on how to proceed with a case. These discussions have so far received little scholarly attention. In this study we used a data set consisting of 39 audio-recorded case conferences to analyse social workers’ intra-professional discussions about risks during the COVID-19 pandemic. In the case conferences, social workers discussed the risks that were accentuated by the pandemic, such as the risk of spreading COVID-19 to clients, the risk of unmet care needs amongst clients, risks related to accountability, and the risks pertaining to blurred boundaries between different organisations. The collegial dis- cussions in case conferences included opportunities for social workers to use their collective professional experience and competency to establish creative solutions ‘on the go’ and to discuss various ways of handling and balancing different risks while continuing to carry out their work in the changing and unknown situation. Our findings highlight the importance of collegial support in social work in dealing with accentuated risks during the pandemic.