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eBook details

• Title: Nurse Social Work Practitioner: A New Professional for Health Care Settings (Practice FORUM)
• Author : Health and Social Work
• Release Date : January 01, 2008
• Genre: Health & Fitness,Books,Health, Mind & Body,
• Pages : * pages
• Size : 211 KB

Description

Hospital systems are merging, cutting back, and dismantling as a result of the shift in delivery of care to ambulatory settings and the continuing shift to managed care (Berkman, 1996; Pecukonis, Cornelius, & Parrish, 2003). Cutbacks and downsizing are occurring at a greater rate than hospital social work leaders predicted (Mizrahi & Berger, 2005). Social workers are often frustrated and challenged by increasing demands of a health care system in crisis. As a result of the market-driven cost-containment strategy that hospitals are adopting, many social workers are forced to either adapt or leave their jobs. The social workers who remain must do more with less, with an eye on the bottom line. Even field education of social work students in hospitals has been compromised by these changes (Globerman & Bogo, 2002). Along with the threats to social work has come a call for a more integrated health care workforce, with fewer silos of practice and an emphasis on how the patient (consumer) experiences the system (Institute of Medicine of the National Academies, 2003; O'Neil, 2005). The present silo system is burdened with a multitude of differing scopes of practice and responsibilities for delivery of patient care. The integration of the varied health care professions, including social work, is made more difficult by the early discharge of patients from acute care facilities requiring coordination with continuing care settings such as nursing homes, and the increasing use of outpatient departments and surgicenters for serious and extensive surgeries that used to require inpatient days both before and after surgery.

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