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社会工作者与获得性脑损伤:当前证据基础的系统评价。

Social workers and acquired brain injury: A systematic review of the current evidence-base.

机构信息

School of Nursing and Midwifery, Queen's University Belfast, Belfast, United Kingdom.

Head First Assessment Rehabilitation and Case Management LLP, Cranbrook, United Kingdom.

出版信息

PLoS One. 2023 Nov 10;18(11):e0292128. doi: 10.1371/journal.pone.0292128. eCollection 2023.

Abstract

Social work plays an important role in the assessment and treatment of people with acquired brain injury. Acquired brain injury is a complex and highly prevalent condition which can impact on cognitive, emotional and social domains. As acquired brain injury is a hidden disability it can be misdiagnosed or classified as another condition entirely. We sought to systematically explore the evidence base to examine how social workers have been prepared to work with their clients with brain injury. Employing six electronic databases (Social Policy & Practice, Web of Science, Scopus, PubMed, PsycINFO, CINAHL Plus) we reviewed 1071 papers. After applying eligibility criteria 17 papers were included in this review. We utilised standardised data extraction and quality appraisal tools to assess all included papers. Following appraisal, 9 papers were judged as possessing high methodological quality whilst 8 were judged as medium. Employing narrative synthesis, we identified four themes which captured the key findings of these papers. Themes were named as (i) advocacy and social work (ii) training and multidisciplinary team working (iii) inclusion of social networks and (iv) societal barriers. In order to meet their statutory responsibilities to practice safely, social workers must receive training in how to identify ABI and develop understanding of its consequences and subsequent need for provision. Social workers are also in a unique position to advocate for their clients and should make every effort to ensure their needs are met.

摘要

社会工作在后天性脑损伤患者的评估和治疗中起着重要作用。后天性脑损伤是一种复杂且高发的疾病,会对认知、情感和社会领域产生影响。由于后天性脑损伤是一种隐性残疾,可能会被误诊或完全归类为其他疾病。我们旨在系统地探讨现有的证据基础,以研究社会工作者在与脑损伤患者合作方面的准备情况。我们利用六个电子数据库(社会政策与实践、Web of Science、Scopus、PubMed、PsycINFO、CINAHL Plus),对 1071 篇论文进行了回顾。在应用资格标准后,有 17 篇论文被纳入本综述。我们利用标准化的数据提取和质量评估工具来评估所有纳入的论文。评估后,9 篇论文被评为具有较高的方法学质量,8 篇被评为中等。采用叙述性综合分析,我们确定了四个主题,这些主题捕捉了这些论文的主要发现。主题分别为(i)倡导和社会工作、(ii)培训和多学科团队合作、(iii)社会网络的纳入和(iv)社会障碍。为了履行安全执业的法定责任,社会工作者必须接受如何识别后天性脑损伤以及了解其后果和后续需求的培训。社会工作者还处于为其客户进行倡导的独特地位,应尽一切努力确保满足其需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7454/10637701/3f82af6c77a8/pone.0292128.g001.jpg

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