Judith Globerman

Evaluating a Measure of Student Field Performance in Direct Service: Testing Reliability and Validity of Explicit Criteria.

This study examines the reliability and validity of a measure to evaluate student field performance. Results demonstrated a consistent factor structure with excellent internal consistency, however, there was inadequate consistency between ratings of individual students in their first and second field education experiences. The measure had some predictive validity in that it could differentiate between students identified as having difficulty in Year 1 of the program, but not in Year 2. Scores were significantly associated with academic grades. Implications for future instrument development and the process of evaluation are considered.

Thriving in program management environments: the case of social work in hospitals.

Abstract The shifts in hospitals from single-site functionally organized university and community hospitals to multilayered, mega institutions have had dramatic effects on social work practice. Through this longitudinal research we examine, using a strengths perspective and qualitative interviews, the strategies social workers in 22 hospitals across Ontario, Canada, utilized to survive and thrive. The findings identify the importance of clearly articulating ones value to the organization, staying current, and being flexible.

Field Instructor Competence in Group Supervision

Abstract Group supervision is recommended in the literature as an efficient method for field education, especially in the context of reduced agency resources for field instruction. This qualitative interview study explored the experiences of 18 MSW students who received group supervision as the primary method of field instruction. The competence of the field instructor to manage group supervision emerged as the crucial element leading to the perception of a successful experience. This article presents the characteristics and behaviors that students reported as affecting their learning and the implications for group supervision.

A Survey of Nursing Home Organizational Characteristics Associated with Potentially Avoidable Hospital Transfers and Care Quality in One Large British Columbia Health Region

L’hospitalisation des résidents en maisons de soins infirmiers peut être futile aussi bien que coûteux, et il y a maintenant des preuves qui indiquent que le traitement des résidents des maisons de soins infirmiers en place donne de meilleurs résultats pour certaines conditions. Nous avons examiné les caractéristiques organisationnelles des installations que des récherches précédentes ont montré sont associées à des transferts de l’hôpital potentiellement évitables et avec une meilleure qualité de soins. En conséquence, nous avons mené une enquête transversale de l’administration des maisons de soins infirmiers dans Vancouver Coastal Health, une grande région sanitaire en la Colombie-Britannique. Le sondage portait sur les niveaux de dotation de personnel et l’organisation, l’accès aux médecins, les soins au fin de vie, et les facteurs influençant transferts de l’installation à l’hôpital. Un bon nombre des caractéristiques organisationnels modifiables, associés dans la littérature avec les transferts hospitaliers potentiellement évitables, et de meilleure qualité de soins, sont présents dans les maisons de soins infirmiers en la Colombie-Britannique. Cependant, leur présence n’est pas universelle, et certaines fonctionnalités sont particulièrement en défaut, en particulier l’organisation des soins médicaux et le planification et les services pour la fin de vie. Hospitalization of nursing home residents can be futile as well as costly, and now evidence indicates that treating nursing home residents in place produces better outcomes for some conditions. We examined facility organizational characteristics that previous research showed are associated with potentially avoidable hospital transfers and with better care quality. Accordingly, we conducted a cross-sectional survey of nursing home directors of care in Vancouver Coastal Health, a large health region in British Columbia. The survey addressed staffing levels and organization, physician access, end-of-life care, and factors influencing facility-to-hospital transfers. Many of the modifiable organizational characteristics associated in the literature with potentially avoidable hospital transfers and better care quality are present in nursing homes in British Columbia. However, their presence is not universal, and some features, especially the organization of physician care and end-of-life planning and services, are particularly lacking.

Verbal and nonverbal indicators of quality of communication between care staff and residents in ethnoculturally and linguistically diverse long-term care settings

Linguistic and ethnocultural diversity in long-term residential care is a growing trend in many urban settings. When long-term care staff and residents do not share the same language or ethnocultural background, the quality of their communication and care are jeopardized. There is very little research addressing how staff and residents communicate when they experience a mismatch in their language and ethnocultural backgrounds. Thus, the goals of the present study were to 1) document the verbal and nonverbal behaviours used by staff and residents in diverse interactions, and 2) identify and account for behaviours that either promoted or detracted from positive communication by drawing on principles from ‘Communication Accommodation Theory’. Two long-term care facilities in British Columbia Canada were selected due to the diverse linguistic and ethnocultural backgrounds of their staff and residents. Twenty-seven staff and 27 residents consented to being video-recorded during routine activities (e.g., mealtimes, recreational activities). The recorded observations were transcribed, translated, and coded using qualitative descriptive and interpretive analyses. A number of verbal and nonverbal behaviours were identified and interpreted in relation to whether they promoted or detracted from positive communication. The findings point to considering a variety of proactive strategies that staff and administrators could employ to effectively accommodate to language and ethnocultural diversity in long-term care practice.

Feminist Epistemology and Qualitative Research: Toward a Cross-Cultural Teaching Model

Abstract This paper presents and evaluates an approach to teaching practicing social workers in Hong Kong qualitative research from a feminist perspective. Using a problem-based format, graduate social workers in Hong Kong were taught critical appraisal skills while learning to do qualitative interview research in their practices. While the problem-based design supports models of adult learning and is a successful method for teaching new research skills to a diverse student body, linking epistemology with methodology and practice was a challenge in the cross-cultural context for both students and instructor.

Processes of Metastudy: A Study of Psychosocial Adaptation to Childhood Chronic Health Conditions

Metastudy introduces a systematically aggregated interpretive portrayal of a body of literature, based on saturation and the synthesis of findings. In this metastudy, the authors examined qualitative studies addressing psychosocial adaptation to childhood chronic health conditions, published over a 30-year period (1970–2000). They describe metastudy processes, including study identification, strategies for study search and retrieval, adjudication of difference in study design and rigor, and analysis of findings. They also illustrate metastudy components through examples drawn from this project and discuss implications for practice and recommendations.

Interventions That Improved a Practice Environment: “Making a Difference”

This paper reports on the intervention phase of a participatory action study designed to improve the practice environment within a critical care unit in a research teaching hospital. The intervention strategy involved the hiring of a facilitator who worked with unit staff to engage in a process of addressing their priority issues related to the practice environment. Examples of interventions included staff retreats, communication workshops, task groups and leadership training. Challenges and key learnings are reported.

Improving the practice environment: A pilot project in a critical care unit

The objective of this pilot project was to determine whether engaging critical care unit staff in designing and implementing enhancements to the practice environment would positively impact the clinical environment and staff outcomes. The project used a one-group pre-post test design and a participatory action process. Significant changes in the practice environment were observed in the priority areas identified by the unit staff. Results indicated that team collaboration and respectful work relationships improved following interventions.

In Whose Interest? Current Issues in Communicating Personal Health Information: A Canadian Perspective

he continuing spread and development of electronic data interchange in health care settings is fuelling a T significant global debate about the practicality, ethits, and legality of such a practice. The uncertainties implicit in this debate are particularly acute in the context of disease or population groups for whom multidisciplinary, multipleagency teamworking has become acknowledged as the “best practice” for providing effective and timely care or support. The greying of the population is a demographic phenomenon that will have a profound impact on the health care system, social care agencies, and caregivers, and will require a greater degree of service coordination in order to meet the complex care needs of both care-receiver and caregiver.’ There is growing recognition that providing comprehensive care requires an integrated and efficient means of information exchange between medical doctors and other professionals, social care providers, and caregivers? One result is that changes in health information technology, particularly the development of online networks as a means of information exchange, have fuelled the debate, mainly among professional bodies, legal commentators, politicians, and consumer control advocates, about the ethics of this new accessibility of information, specifically as affecting patient privacy.’ The Canada Health Act of 1984 is informed by the principles of universality, comprehensiveness, public