Dissertations / Theses on the topic 'Medical social work Social workers Stress management'

On t.p.: Master of Arts in Social Work (Welfare Programme management)
Thesis (MA(MW))--Stellenbosch University, 2004.
ENGLISH ABSTRACT: Medical social workers working in children's wards are more prone to burnout because of the stressful nature of their work. Because social work requires emotional involvement, it is not uncommon for workers to be emotionally drained and frustrated, which might lead to burnout. Stress amongst social workers is an important issue, as a stressed workforce can negatively affect the quality of service. This study was undertaken with the aim of providing guidelines for handling stress amongst medical social workers working in children's wards, in order to promote job satisfaction and enhance work performance. Chronically ill children who are hospitalised, often suffer from behavioural and emotional problems that require social work intervention, which in turn puts pressure on the social worker. Concurrent stressors on the children and their families may exhaust their normal coping capacity and further complicate the child's adaptation to hospitalisation. The role of the medical social worker is to provide social support to the child and the family in order to promote positive coping in the child during and after hospital treatment. The demands put on the social worker by hospitalised children can cause stress, which could adversely affect their work performance and job satisfaction. Social workers therefore, have to carefully select an appropriate practice framework when dealing with hospitalised children. This entails the selection of appropriate perspectives, theories and models to ensure effective intervention. These frameworks provide structure and directive to social work intervention, and combined with supervision, can promote job satisfaction amongst medical social workers. The study was undertaken amongst medical social workers working in paediatric wards within hospitals in the Cape Metropolitan area. The empirical study focused on an investigation of factors, which might contribute to the experience of burnout amongst the social workers. Work-related stressors playa major role in increasing the likelihood of burnout amongst social workers. If these stressors are not properly dealt with they might lead to burnout amongst medical social workers, which will have a direct bearing on the child's benefit from medical services. A combination of both organisationally based and individually based strategies should be implemented in order to overcome job-related stress and to prevent burnout.
AFRIKAANSE OPSOMMING: Mediese maatskaplike werkers wat in kindersale werk, is meer geneig tot uitbranding as gevolg van die stresvolle aard van hulle werk. Maatskaplike werk vereis emosionele betrokkenheid. Dit is dus nie ongewoon vir maatskaplike werkers om emosioneel gedreineerd en gefrustreerd te voel nie. Laasgenoemde is kenmerke van uitbranding. Oormatige stres by maatskaplike werkers kan 'n negatiewe uitwerking op die kwaliteit van hul dienslewering hê. Hierdie navorsingstudie was onderneem met die oog op die daarstelling van riglyne vir die hantering van stres by mediese maatskaplike werkers, wat in kindersale werk om sodoende werkstevredenheid en -verrigting te bevorder. Kroniese siek kinders wat gehospitaliseer word, presenteer dikwels met gedrags- en emosionele probleme wat uiteraard tydens intervensie addisionele druk op die maatskaplike werker plaas. Gepaardgaande stressors kan daartoe lei dat pasiënte en hul gesinne afwyk van hul normale funksionering wat weer die pasiënt se hanteringsvermoë en aanpassing by die hospitaalopset belemmer. Die rol van die mediese maatskaplike werker is om sosiale ondersteuning aan bogenoemde partye te gee ten einde positiewe hanteringsvermoë tydens en na mediese behandeling, by pasiënte te vestig. Die eise wat deur pasiënte aan maatskaplike werkers gestel word kan stres veroorsaak wat hul werksverrigtinge en tevredenheid negatief kan affekteer. Maatskaplike werkers moet dus versigtig te werk gaan in die keuse van 'n gepaste praktykraamwerk vir intervensie ten opsigte van gehospitaliseerde kinders. 'n Verantwoordbare keuse van perspektiewe, teorieë en modelle lê ten grondslag van effektiewe maatskaplike werk intervensie. Hierdie raamwerke bied struktuur en rigting aan maatskaplike werk intervensie. Laasgenoemde, tesame met Stellenbosch University http://scholar.sun.ac.za superviste kan werkstevredenheid onder mediese maatskaplike werkers bevorder. Stressors wat met werk verband hou, speel 'n groot rol in die toename van uitbranding onder mediese maatskaplike werkers. Indien hierdie stressors nie effektief hanteer word nie, kan dit tot uitbranding by maatskaplike werkers ly wat dan weer die pasiënt se benutting van mediese dienste negatief beïnvloed. Die ondersoekgroep het bestaan uit tien mediese maatskaplike werkers wat werksaam was in paediatriese sale in hospitale binne die Kaapse Metropool. Tydens 'n empiriese ondersoek is gefokus op faktore wat moontlik aanleiding kan gee tot die uitbranding van maatskaplike werkers. Dit word dus aanbeveel dat 'n kombinasie van strategieë van beide die orgarusaste en die persoon geïmplementeer moet word om werksverwante stres te oorkom en dus uitbranding by mediese maatskaplike werkers te voorkom.

The subject of this research was born in our inquietude related with the role that quality of life at work (QLW) practices developed by socially responsible companies would have on stress at work, since we consider that such practices of QLW are spreading, as well as the level of stress at work, and that they can be suitable channels for stress management at work initiatives. The central purpose of the research was to describe the relationship between quality of life at work practices and the stress of workers in a industry at Cearà state and the specific ones were to map the quality of life at work practices on the company investigated, to investigate the existence of actions related with stress management at work on the company investigated, to identify the quality of life at work practices adopted by the company investigated that have relation with stress at work, to diagnosis the factors that contribute more for the rising or reduction of stress at work in the company investigated and to verify the occurrence of stress at work among the employees of the company investigated. The methodological option of the research was both of quantitative and qualitative nature, exploratory and descriptive type and through the case study of a company of civil construction industrial sector. Our field of study included: corporate social responsibility (with emphasis in its internal aspect), quality of life at work and stress management at work. The company investigated won the editions of 2004 and 2005 of SESI (SERVIÃO SOCIAL DA INDÃSTRIA) Quality at Work Prize at less than 100 workers category and presented an expressive amount of actions of QLW. We interview 16 company employees. Our research on the occurrence of stress among the company employees disclosed that 37.5% presented a slightly level of stress with manifestation of few symptoms, what meant a picture of a manageable situation in a sector whose trend is of high level of stress among employees. In our initial mapping we identified 55 practices directly or indirectly connected with QLW that reached 100% of the employees. The company practices of QLW related with stress at work with 69% or more answers were the following: opportunities for professional education; health care; relationship among employees; socio and cultural activities; illnesses and accidents prevention; social benefits offered; relationship with leaders and sport and leisure activities. The most pointed stress factors in order of importance were: too much pressure for goals and closing date; overload of responsibilities and bad relationship with leaders. We considered that most of the stressing factors identified can be adequately managed in close relation with the promotion of quality of life at work actions and we concluded that exist a relation between these two topics even if the company does not maintain an organized stress management program.
A temÃtica desta pesquisa nasceu de nossa inquietaÃÃo a respeito do papel que as prÃticas de qualidade de vida no trabalho (QVT) desenvolvidas em empresas socialmente responsÃveis teriam sobre o estresse no trabalho, pois consideramos que tais prÃticas estÃo se disseminando, assim como o estresse no trabalho, e que as mesmas podem ser fatores facilitadores da administraÃÃo desse tipo especÃfico de estresse. O objetivo central da pesquisa foi descrever a relaÃÃo entre as prÃticas de qualidade de vida no trabalho e o estresse dos trabalhadores em uma indÃstria cearense e os especÃficos, mapear as prÃticas de qualidade de vida no trabalho da empresa pesquisada, investigar a existÃncia de aÃÃes relacionadas à administraÃÃo do estresse no trabalho da empresa pesquisada, identificar as prÃticas de qualidade de vida no trabalho adotadas pela empresa pesquisada que tenham relaÃÃo com o estresse no trabalho, diagnosticar os fatores que mais contribuem para a elevaÃÃo ou a reduÃÃo do estresse no trabalho na empresa pesquisada e verificar a ocorrÃncia de estresse no trabalho entre os colaboradores da empresa pesquisada. A opÃÃo metodolÃgica da pesquisa foi de natureza quantitativa e qualitativa ao mesmo tempo, de carÃter exploratÃrio e descritivo e atravÃs do estudo de caso em uma empresa do ramo da construÃÃo civil. Nosso campo de estudo incluiu: responsabilidade social empresarial (com Ãnfase em seu aspecto interno), qualidade de vida no trabalho e administraÃÃo do estresse no trabalho. A empresa pesquisada foi ganhadora das ediÃÃes 2004 e 2005 do PrÃmio Sesi de Qualidade no Trabalho, categoria empresa com menos de 100 trabalhadores e apresentou uma quantidade expressiva de aÃÃes. Entrevistamos 16 colaboradores da empresa. Nossa pesquisa sobre a ocorrÃncia de estresse entre os colaboradores da empresa pesquisada revelou que 37,5% apresentam um quadro de estresse leve e com manifestaÃÃo de poucos sintomas, o que revela uma situaÃÃo administrÃvel, em um setor cuja tendÃncia à de elevado estresse entre os colaboradores. Em nosso mapeamento inicial identificamos 55 prÃticas ligadas direta ou indiretamente à QVT, que atingem 100% dos colaboradores. As prÃticas de QVT da empresa que tem relaÃÃo com o estresse no trabalho com pontuaÃÃes igual ou acima de 69% foram as seguintes: oportunidade de aumento de escolaridade; acompanhamento da saÃde; relaÃÃo entre colaboradores; atividades sÃcio-culturais; prevenÃÃo de doenÃas e acidentes; benefÃcios sociais oferecidos; relaÃÃo com chefia; e atividades esportivas e lazer. Os fatores estressores de maior peso foram respectivamente: excesso de pressÃo por metas e prazos; sobrecarga de responsabilidades e mà relaÃÃo com chefia. Consideramos que grande parte dos fatores estressores identificados podem ser adequadamente administrados a partir de aÃÃes de promoÃÃo da qualidade de vida no trabalho e concluÃmos que existe uma relaÃÃo entre estas duas temÃticas mesmo que a empresa nÃo mantenha um programa de administraÃÃo do estresse sistematizado.

The purpose of this study was to determine if there was a relationship between occupational burnout and the behavioral well-being of social workers. Burnout is a multidimensional syndrome where workers experience feelings of emotional exhaustion, depersonalization, and reduced personal accomplishment as a consequence of work related stress and overwhelming job demands. Burnout can negatively affect organizational functioning, work performance, and pose significant health risks to workers. There are a limited number of studies focusing on the impact of occupational burnout on the behavioral well-being of workers. The findings of this study indicated that there was a significant relationship between burnout and behavioral well-being. Emotional exhaustion was found to negatively impact exercise frequency, which was consistent with previous study findings. Depersonalization was positively correlated to the number of hours of sleep and the frequency of self-care activities participants engaged in. The effects of depersonalization on sleep and self-care activities suggest that workers may engage in these activities as a way to cope with feelings of depersonalization on the job.

Syftet med denna studie var att undersöka och öka kunskapen om arbetsrelaterad stress hos biståndshandläggare inom äldreomsorgen. Genom kvalitativa intervjuer med sex anställda har ett antal frågeställningar besvarats. Dessa handlar om stressens orsaker, hur stressen påverkar biståndshandläggarnas välmående och arbetskvalitet, hur stressen hanteras och vilka faktorer biståndshandläggarna anser kan reducera den upplevda stressen. Intervjumaterialet har sedan analyserats utifrån tidigare forskning kopplat till stress hos socialarbetare samt två teoretiska verktyg: krav-kontrollmodellen och copingteorin. Resultat visar på att orsaker till stress handlar om faktorer så som en okontrollerbar ärendemängd och brist på stöd från ledning. Biståndshandläggarnas hälsa påverkas på olika sätt, både psykiskt, fysiskt och kognitivt. Vidare påverkas arbetskvaliteten genom att detaljer lättare missas. Respondenternas stresshantering kännetecknas av både positiva och negativa strategier. Det kan handla om att öka strukturen, sänka de personliga kraven, arbeta övertid eller att inte söka stöd. Respondenternas egna idéer om stressreducerande faktorer visade sig handla om stöd på arbetsplatsen och att arbeta i en resursstark organisation. Vidare framkom det att respondenter kan uppleva stress som något positivt då den kombineras med en hög kontrollnivå.
The aim of this study was to examine and increase the knowledge about work related stress among social service workers within elderly care. Through qualitative interviewes with six employees, a number of questions have been answered. These are about the causes of stress, how the stress affects the employees health and quality of work, how stress is managed and which factors they believe can reduce stress. The material has been analyzed on the basis of earlier research linked to stress among social workers together with two theoretical tools: the demand-control model and the coping theory. Results show that causes of stress are factors such as lack of control in work cases and a lack of support from the management. The employees health is affected by stress in various ways, both mentally, physically and cognitively. Furthermore, the quality of work is affected by details being more easily missed. The respondents’ stress management is characterized by both positive and negative strategies. It can be about increasing the work structure, lowering personal demands, working overtime and not seeking support. The respondents’ own ideas about stress reducing factors turned out to be about support within the work place and to work in a resourceful organisation. Results also show that respondents may experience stress as something positive when it is combined with a high level of control.

All governments aim to ensure better health and nutrition to children. The Rajasthan state (India) has implemented a unique frontline coordination model where Accredited Health Social Activist (ASHA) Sahyoginis are expected to support two other frontline workers (FLWs) i.e. the Anganwadi Workers from the Integrated Child Development Services and the Auxiliary Nurse Midwives from the Health department to improve child health. This thesis focuses on examining the existing coordination between the three groups of FLWs in Rajasthan by exploring FLWs' participation in child immunisation and Vitamin A supplementation (two common activities), service coverage and beneficiary's' knowledge (expected outcomes), and the challenges faced and areas that need improvement for better frontline coordination. A mixed methods design was used. Sixteen villages from two blocks (tribal and non-tribal) of Udaipur district (Rajasthan) were selected using multistage purposive sampling. The formative stage included 12 FLWs' in-depth interviews (IDIs) as well as a review of FLWs' job descriptions to understand the process and government expectations on their participation in routine childhood immunisation, polio camps, routine Vitamin A supplementation and Vitamin A campaigns. The next stage included data collection from the 16 selected villages i.e. structured questionnaire survey of FLWs (46), observations of Maternal and Child Health and Nutrition Day (16), review of FLWs' immunisation and Vitamin A registers (32) and a structured questionnaire survey of registered infants' mothers (321)-all to ascertain the actual participation of FLWs in these four activities and the outcomes. IDIs with FLWs (46) and FLWs' line managers (17) were conducted to understand their experience, issues and solutions for better frontline coordination. The participation of FLWs in three of the four activities (except Polio Camps) was found to be limited. The FLWs and their line managers were also dissatisfied with coordination between FLWs. Poor outcomes also indicated unsatisfactory coordination. Overall, frontline participation and outcomes were better in tribal than non-tribal villages. A variety of factors (i.e. personal, professional, organisational, and geo-socio-cultural) appeared to affect coordination between FLWs. Appropriate recruitment, training, monitoring and supervision and rewards to the FLWs along with greater political commitment for coordinated approached and addressing intra-departmental challenges are proposed to improve frontline coordination and child health in Rajasthan.

Text in Afrikaans
The purpose of this research study is to determine the extent to which employee assistance programmes can be utilised by welfare agencies to ensure that work-related and personal problems do not negatively influence the productivity of social workers. The group of respondents consisted of ten social work supervisors from ten different welfare agencies, which included civil sevice organisations, specialist organisations and family welfare organisations. The conclusion that was reached based on the findings of the empirical study is that social workers have a need for services that will prevent, relieve or eliminate their work-related and personal problems, in order to improve the productivity and general functioning of social workers. It is recommended that welfare agencies in accordence with their unique nature and functioning and the specific needs of the social workers, utilise employee assistance programmes so as to ensure optimal productivity of social workers
Die doel van die navorsingstudie is om te bepaal tot watter mate werknemerhulpprogramme deur welsynsinstansies aangewend kan word ten einde te verseker dat werkverwante en persoonlike probleme nie die produktiwiteit van maatskaplike werkers negatief beinvloed nie. Die ondersoekgroep het bestaan uit tien maatskaplikewerksupervisors van tien verskillende welsynsinstansies, te wete staatsdiensorganisasies, spesialiteitsorganisasies en gesinsorgorganisasies. Na aanleiding van die empiriese ondersoek is daar tot die gevolgtrekking gekom dat maatskaplike werkers 'n behoefte aan dienste het wat hul werkverwante en persoonlike probleme voorkom, verlig of uit die weg ruim ten einde produktiwiteit en algemene funksionering van maatskaplike werkers te bevorder. Daar word aanbeveel dat welsynsinstansies, na gelang van hul unieke aard en funksionering en die spesifieke behoeftes van die maatskaplike werker, werknemerhulpprogramme sal aanwend ten einde optimale produktiwiteit van maatskaplike werkers te verseker.
Social Work
M.Diac. (Social Work)

碩士
國立屏東大學
教育心理與輔導學系碩士班
105
The purpose of this study is to explore the role and function of medical social workers’ positive traits in coping work stress. Researcher employed phenomenology to interview three medical social workers. To understand the stress events of medical social workers in helping people and how the positive traits working when stress events happened, medical social workers are still willing to stay on. Three respondents are women whose work experiences are during 5 to 15 years. Two of them are managers. They are working in general hospital and psychiatric hospital. The major findings are as follows: 1.The stresses in work of three medical social workers. (1) The cooperation of medical group when dealing with cases and the relationship between cases and their family. (2)Under the position of managers: Capability to distribute job、unfamiliar with manager job and the essential of professional certification. (3) Institution culture: the expectation of institutions and managers to improve professional skills. 2.Functions of three social workers’ positive traits. (1) “Open-mindedness” makes respondents flexible thinking、seeing what they have already paid and admitting the limitation. Take care of themself and catch more aspects in the meantime. (2)“Citizenship” let respondents find the professional position and express themselves appropriately. They worked with medical team to reach the target of helping cases. The trait of “Social Intelligence” helps respondents to prevent argument and aware of the relationship between peers. (3)“Bravery” enables respondents to make some change to conquer challenges, including reject requests from other people、reading books instead of professional training temporarily and communicate with medical team . (4) “Prudence” lets respondents well-estimated and make up their mind, including be a medical social worker、the way to improve professional skills and balance the work and family. (5) “Appreciation of beauty and excellence”, the trait helps respondents to fix their eyes upon positive events, for instance: good experiences during working with cases、the welfare of hospital、stable work、the support from family and peers and the sense of achievement. Besides, “Curiosity” and “Kindness” also let respondents see the aspiration of helping people. Eventually, according to those findings, the study proposed some suggestions for medical social workers and the direction for study in the future.

MPH
Department of Public Health
This study was about work related stress among social workers in the Greater Giyani Municipality, South Africa. Work related stress among social workers globally can be attributed to a number of factors that are either internal or external to the workers. When not addressed, work related stress may have tremendous impact on the workers, their productivity and even health. The aim of this study was to explore the sources of work related stress among social workers in selected offices in Greater Giyani Municipality, South Africa. This study adopted a qualitative research design making use of exploratory approach. The study was conducted at Unigaz social work offices, Greater Giyani Municipality, South Africa. The study sample was chosen from the target population of social workers using non-probability purposive sampling. Data were collected using an interview guide and analyzed using thematic analytical approach. To ensure trustworthiness, credibility and dependability of the study findings, the researcher pre-tested the interview guide to ascertain if it will enable the researcher to get the desired information. The researcher adhered to the following ethical principles: Informed consent, deception of respondents, confidentiality and anonymity, voluntary participation and avoidance of harm to respondents The study revealed that work related stress among social workers results from a variety of factors. These factors are either organisational such as poor remuneration, workload etc. or extra-organisational factors such as lack of support from family members. The study recommends that the Department of Social Development should put in place Employee Wellness Offices in all districts as a measure to curb and deal with work related stress among social workers.
NRF

碩士
東海大學
社會工作學系
103
Three characteristics every social worker needs to have are empathy, passion and responsibility. These qualities help them provide excellent service that wins the hearts of their customers. To ensure satisfactory service from their staff, Social Worker Supervisors must not only lead by example, but also demonstrate the importance of active care in customer service. Social work is considered a high-risk profession in terms of stress; one can easily burnout from chronic work-related stress and high-level of demands from various stakeholders. This is especially true when proper support is not given by the leadership team. The accumulated stress has a negative impact on the workers both physically and mentally, and some signs include headache, weight loss and short-tempered. Unfortunately, these signs and symptoms often go unnoticed until the situation has aggravated gravely. Social Work Supervisors play the role of frontline managers who can closely monitor the interactions of their social workers. From the workers’ body language, tone and service content, supervisors can tell whether or not they are engaged with their work or if they are showing signs of weariness or anxiety. Supervisor should leverage their professional expertise of empathy and sensitivity to care for social worker and vice versa. They should be the first ones to detect work-related stress and offer immediate support to one another. Nevertheless, one’s cultural background, leadership style, role and skills determine supervisory effectiveness. Poor leadership can also be a stress factor of social workers. Democratic leadership, which promotes positive supervisory relationship between Social work Supervisors and their workers, can be a solution to stress discovery and alleviation. Policies on stress management of social workers can help motivate and establish Employee Assistance Program. Encouragement is the fundamental means of triggering workplace motivation and increasing productivity. Timely observation on a regular basis allows supervisors to perceive stress and respond accordingly and appropriately. Their dominant function lies in assisting and caring for social workers; their implicit function lies in creating motivation. Examples of different types of motivation: sharing personal experiences, leading by example, planning activities that promote interpersonal relationship, conducting workshops and encouraging pursuit of further education are motivation of intellectual; giving recognitions and praises are motivation of honor. Other types of motivation including promotion, job rotation, job enrichment task autonomy and staff participation, are ways to reduce workplace stress. Furthermore, the roll-out of EAP assists companies to understand the needs and problems of their staff so they can better respond, and even provide counseling to executive team. The Integration of Professional Social Work Resources is one of the core services the EAP offers. It has always had its focus on serving the disadvantaged and in recently years, migrated towards assisting companies to better provide support their social workers. How effective is EAP in helping with current social workers’ situation, the result of the study shows it all lies in the exertion of expertise in assisting the companies. The research results and findings are listed follows： （1）Stress Management methods and policies depend on positive supervisory relationship. Preferred leadership style is Democratic Leadership. The current flexibility of management keeps talent hidden but does not retain them. Additionally, the execution of strict management should not be used at workplace with high-level stress or risk. （2）Differences do exist between generations. Supervisors must give guidance based on one’s experience and provide appropriate advice at various stages. The focus of supervisors should be on care, companionship, guidance versus the non-existing generation gap of passion towards work. （3）The program offers trainings to help supervisors support their staff, but these trainings do not offer direct support to supervisors themselves. Second, the researchers notice supervisors are unfamiliar with its organization’s incentive programs. The reason for this unfamiliarity can be because they are too focused on their individual cases as frontline managers. （4）One of the motivation methods includes non-official team-building activity that can improve communications and morals. （5）Social work Supervisors have high self-affirmation of their expertise. They don’t necessary need to assist in rolling out the EAP in the Social Work industry, but they can assist the roll-out in individual companies.

The intensity and emotional demands of the health care environment place exceptionally high performance expectations and stress on hospital social workers. Critical Incident Stress (CIS), a specific type of stress associated with dramatic, emotionally overwhelming situations, known as Critical Incidents (CIs), produce several emotional and physical reactions that can threaten the well-being of the hospital social worker. CIS, as experienced by hospital social workers, is absent from the literature and not well understood. The purpose of this study was to describe how hospital social workers appraised, reacted to, and coped with CIs in their work environment. Lazarus and Folkman's (1984) theoretical framework of stress appraisal and coping was used to guide this descriptive study. A sample of 30 hospital social workers was recruited from two Vancouver tertiary care hospitals. Four instruments (Participant Information Sheet, Critical Incident Information Form, Emotional Appraisal Scale, and Ways of Coping Scale) were used to gain knowledge on how hospital social workers appraised, reacted to, and coped with CIs in their work environment. Quantitative data were coded, qualitative data were subjected to content analysis, and descriptive statistics calculated. Data revealed that hospital social workers encountered CIs in their work environment and that the majority of CIs centred on death-related events. The primary traits of events appraised as CIs were novelty, suddenness, and uncertainty. Respondents reacted to the CI with a variety of emotional (anxiety, fear, frustration, worry, anger) and physical reactions (feeling overwhelmed, fatigued, withdrawn, anxious, difficulty with sleeping), and although they experienced some discomfort, these reactions were not debilitating. Most hospital social workers indicated that their personal beliefs had been challenged by the CI and revealed that they were unsure as to what their social work role or function should have been during the event. However, despite this, respondents remained confident and comfortable with the decisions they made. Hospital social workers appeared to cope well with CIs, used a variety of emotion- and problem-focused coping strategies, and reported few negative effects on their professional and/or personal lives. The top four coping strategies utilized by respondents were seeking social support, planful problemsolving, positive reappraisal, and self-control. The implications of the findings for hospital social work administration, social work training and education, hospital social work practice, and future research are discussed.

The serious shortage of social workers (nationally) caused by their exodus from the profession at an alarming rate and the resultant classification of social work as a "scare skill" served as motivation for this research project into retention strategies to retain social workers for the profession. A qualitative research approach and an explorative, descriptive and contextual research design was employed to conduct semi-structured interviews with 15 purposely selected participants in the geographically defined boundaries of the Northern Free State and Gauteng. Tesch's (in Creswell, 1994) and Guba's models (in Krefting, 1991) aided the processes of data collection and verification, respectively. The research findings uncovered: general and specific reasons for the social workers' exodus, feelings and emotional reactions of social workers subsequent to the early exodus from the profession, and retention proposals to retain social workers. Based on the findings, recommendation directed to practice, education, policy and further research, were made.
Social Work
M.Diac. (Social Work)

Organisasieverwante stres onder maatskaplike werkers is ‘n internasionale verskynsel (Shweta & Siebert, 2007). Maatskaplike dienslewering gaan gewoonlik gepaard met organisasieverwante eise wat ‘n negatiewe uitwerking op die maatskaplike werker sowel as die kwaliteit van dienslewering kan hê indien dit nie vroegtydig geïdentifiseer en voorkom word nie (Werner, 2007:320). Ten spyte van die feit dat maatskaplike werk as een van die mees stresvolle beroepe beskryf word, het organisasieverwante stres binne die maatskaplike diensveld eers in die laaste paar jaar aandag begin geniet (Dillenburger, 2004:213). In die literatuur word daar na drie vlakke van intervensie verwys, naamlik primêre, sekondêre en tersiêre intervensie (Departement van Arbeid, 2003:14; Cooper, Dewe & O’Driscoll, 2001:189). Sekondêre en tersiêre intervensies word as die mees algemene strategieë vir die bestuur van stres in ‘n organisasie geïdentifiseer (Cooper et al., 2001:190; Grobler, Wärnich, Carrell, Elbert & Hatfield, 2002:441). Kritiek op die genoemde vlakke van intervensie sluit in dat die verantwoordelikheid op die maatskaplike werker alleen geplaas word om sy/haar stres te hanteer. Primêre intervensie behels dat die oorsprong van die probleem voorkom word, in plaas daarvan dat die simptome behandel word nadat dit reeds voorgekom het (Satcher, 1999). Hierdie navorsingstudie plaas die fokus op die primêre-intervensiestrategie, nadat daar ‘n leemte in die literatuur in hierdie verband geïdentifseer was. Die doel van die navorsing was om die aard van voorkoming van organisasieverwante stres onder maatskaplike werkers, deur middel van primêre-intervensiestrategieë deur maatskaplikewerkbestuurders, te verken en te beskryf ten einde ‘n voorkomingsriglyn te ontwikkel. Ten einde die navorsingsdoel te kon bereik is die kwalitatiewe navorsingsbenadering in hierdie studie gebruik, aangesien dit die mees geskikte wyse sou wees om die verkennende en beskrywende aard van die studie te ondersteun (Creswell & Plano Clark, 2007:12). Die populasies vir hierdie kwalitatiewe studie was: • Alle maatskaplikewerkbestuurders wat by regerings- of nie-regeringsorganisasies werksaam is. • Alle maatskaplike werkers wat by regerings- of nie-regeringsorganisasies werksaam is. Binne die raamwerk van die kwalitatiewe navorsingsbenadering is daar van ‘n nie-waarskynlikheidsteekproefmetode en die doelgerigte en sneeubal steekproeftegnieke gebruik gemaak. Die navorser wou gebruik maak van haar eie oordeel oor wie die navorsingsvraag die beste sou kon beantwoord. Die steekproefgrootte was bepaal deur data-versadiging wat waargeneem was na nege onderhoude met maatskaplike werkers en nege onderhoude met maatskaplikewerkbestuurders. Die navorser het by beide populasies semi-gestruktureerde onderhoude as die metode van data-insameling benut. Tesch soos aangehaal in Creswell (2009:186), se agt stappe vir kwalitatiewe data-analise het die navorser ondersteun om die data op ‘n sistematiese wyse tot temas en sub-temas te kodeer. Die data is na afloop van die identifisering van die temas en sub-temas beskryf en gekontroleer met bestaande literatuur. Guba het (in Krefting, 1991:214-222) ‘n model saamgestel om met die verifikasie van kwalitatiewe data te help. Hierdie model is op die volgende vier aspekte gegrond en in hierdie studie benut: geldigheid van die waarheid, toepasbaarheid, bestendigheid en neutraliteit. Die volgende etiese aspekte is tydens die beplanning en uitvoering van hierdie studie in ag geneem: Vermyding van skade; vrywillige deelname; ingeligte toestemming en anonimiteit en konfidensialiteit. Die benutting van bovermelde metodologie het die navorser in staat gestel om voorkomingsriglyne te ontwerp en om gevolgtrekkings en aanbevelings te maak.
The goal of this research was to explore and describe the nature of prevention of organisation-related stress among social workers through primary intervention strategies by social work managers to develop a prevention guideline. The qualitative research approach, together with the case study, contextual, explorative and descriptive research designs were used in the study. The two populations included a) all social work managers and b) all social workers that work for government or non-government organisations. Samples from the populations were obtained through the non-probability sampling method and the purposive and snowball sampling techniques. Data was collected through semi-structured interviews. Tesch’s framework for qualitative research analysis supported the researcher to identify themes and sub-themes, while Guba’s model was used to assist with the verification of qualitative data. The empirical findings provided the foundation for the development of a prevention guideline.
Prevention of organisation-related stress amongst social workers by social work managers
Prevention of organisation related stress amongst social workers by social work managers
Text in Afrikaans, with abstract and title in Afrikaans and English
Department of Social Work
Ph. D. (Social Work)

Historically the trend in health care has been the domain of health care professionals such as doctors, nurses and other professionals from the medical fraternity. This created the separation between the mind and body, due to the diagnostic and treatment origins being segregated. This thesis addresses the idea that psychological processes have significant impacts on our physical health {and visa versa). It establishes the notion that health care needs to be understood holistically, from a broader systemic perspective, expanding the working model of health. The second chapter of this thesis addresses the power of the mind and the connection between the mind and body. It establishes the importance of beliefs and perceptions and the huge effect this has on people and their lives. How we choose to perceive a situation will give that situation meaning. The meanings that we give to events usually depict how we will see and respond to that event, sometimes more than the actual event itself. It explains the importance of the mind (psychological issues) as well as the body (physiological issues) when understanding and dealing with health and wellbeing. The following chapter discusses the historical developments of physical and mental health; from Hippocrates and Descartes to a modern holistic approach and attitude. Behaviour Medicine6, explicitly recognises that mind and body are intimately interconnected and that an appreciation of these interconnections and their scientific study is an interdisciplinary field, uniting the behavioural sciences with the biomedical sciences; in the hope that the cross fertilization will yield a more comprehensive picture of health and illness. The 'biopsychosocial model'7 provides a theoretical framework, explaining how an awareness of biological, psychological and social process are all important in understanding disease and recovery, supported by systemic principles. The scientific research and practical implications of psychoneuroimmunology8 (PNI) takes this biopsychosocial model one-step further. It describes how thoughts, perceptions and emotions have interchangeable influences with brain chemistry, which in turn influences the body and neurological systems1 particularly immune system functioning. The concept that we all have an inner ability /intelligence to heal ourselves is also detailed. Miller (1997: 350) discusses this notion, stating that we all have "a healer within." He states that this inner healer can be awakened in order to participate in "our deep healing.11 He claims, "This vital essence has been with us since birth ... Its function is to maintain homeostasis (internal balance). As humans, we can1 through our ability to change our images and beliefs, enhance, or inhibit the power of this inner healer." The concepts discussed thus far in the thesis are then demonstrated practically. The relationship between stress and health is examined and practical ways to maintain a healthier lifestyle is detailed. The researcher then introduces a South African company that is currently working in the field with the concepts of mindbody medicine and psychoneuroimmunology. This led the researcher to find a philosophical container in which to hold the holistic mind body theories and concepts. Anderson & Carter (2003: 222) states, "Social work distinguishes itself by exploring the 'person-environment fit'. This is an area in social work where constructivism may prove supportive. Such an emphasis increases the likelihood that diverse voices and points of view are integrated in social work theory and practice." Therefore/ a constructive epistemology/ philosophy in which meaning is intimately connected with experience, is expanded upon. The mind/body theory and concepts are then linked to Constructivism and Personal Construct Theory (by George Kelly). Constructivism postulates that we all create and interpret our own meaning systems, which become our subjective realities. The link to mind body medicine is pertinent in that both constructivism and mind body medicine share similar ideologies about how realities are construed, and how this in turn effects treatment of disease and maintenance of wellbeing. Cybernetic complementarities then expand our understanding of the mind and body connection in a monolistic framework, where mind and body are recursive partial arcs of a holistic health care system. Constructivism therefore integrates eastern and western concepts, cementing all the concepts used in this thesis, in a holistic manner. It also helps us to understand how some of the mind body techniques may be working within the mind body realm. Given the unique needs of a changing and developing society, as found in South Africa, there is a need to be creative and find alternative ways to cope with our societal stresses and daily occurrences. This is where the researcher feels that the social work profession needs to be involved in working and contributing to our health care services. The development of medical social work is detailed and the latest social work definition discussed. It is reveals how contents of the definition of social work are relevant and are a pertinent fit with mind-body approaches to health and wellbeing. The researcher debates the role of social workers in this field of health care. It is then proposed, in the detailed discussion, that social workers practising in this field should be known as Health Care Social Workers. This field of holistic health care has many proposed strengths and implication, for both Health Care Social Workers and other health care professionals. It will naturally also present challenges that need to be considered and contemplated. The final chapter of this thesis examine these strengths and challenges and their therapeutic implications. The researcher concludes by demonstrating that the literature study on holistic mind and body approaches matches her objectives from the first chapter.
Social work
M.A. (Social Science with specialisation in Mental Health)

OPSOMMING Die doel van die navorsingstudie is om die voorkoms en hantering van werksres by maatskaplike werkers in die Paarl-omgewing te ondersoek ten einde aanbevelings aan die bestuur van welsynsorganisasies te maak met die oog op die bevordering van effektiewe stresbestuur by maatskaplike werkers. Elf welsynsorganisasies in die Paarl-omgewing is in die ondersoek betrek en twintig maatskaplike werkers het aan die ondersoek deelgeneem. Na aanleiding van die empiriese ondersoek is daar tot die gevolgtrekking gekom dat maatskaplike werkers in die Paarl-omgewing wel werkstres ervaar en dat die meerderheid welsynsorganisasies in die Paarl-omgewing nie oor programme vir streshantering vir hul maatskaplike werkers beskik nie. Daar word onder meer aanbeveel dat beide die maatskaplike werker en die bestuur van die welsynsorganisasie mede-verantwoordelikheid moet neem vir die maatskaplike werker se effektiewe stresbestuur deur middel van individuele- en organisatoriese streshanteringstrategieë. SUMMARY The purpose of this research study is to investigate the occurrence and management of work stress by social workers in the Paarl-vicinity in order to make recommendations to the management of welfare organisations regarding the promotion of effective stress management of social workers. Eleven welfare organisations in the Paarl-vicinity were involved in the investigation while twenty social workers participated in the investigation. With reference to the empirical study, it was concluded that social workers in the Paarl-vicinity do experience work stress and that the majority of the welfare organisations in the Paarl-vicinity do not have programmes for stress management available for their social workers. Based on these conclusions it was recommended that both the social worker and the organisations must take co-responsibility for the social workers effective stress management by utilizing individual- and organisational stress management strategies.
Social work
M.Diac.

Text in Afrikaans
The purpose of this research study is to determine how Police Social Workers experience the supportive function in supervision, and how they can be empowered through the strenghts perspective. The respondents were fifteen (15) Police Social Workers in the Western Cape. The findings of the empirical study proved that Police Social Workers also experience the profession to be stressful in nature. The respondents do have inherent strenghts, that can be utilised optimally during supervision, to enhance service delivery to their different client systems. It is recommended that all SAPS social workers be exposed to supervision / consultation, as a stress management mechanism. SAPS supervisors must be empowered, eg. Inservice training, to develop an effective supervion programme.
Die doel van die navorsing is om vas te stel hoe Polisie Maatskaplike Werkers die ondersteuningsfunksie in supervisie ervaar, en hoe hulle bemagtig kan word deur die sterkteperspektief. Die respondente was vyftien (15) maatskaplike werkers indiens van die SAPD in die Wes Kaap. Die empiriese studie het getoon dat Polisie Maatskaplike Werkers ook die professie as stresvol ervaar. Die respondente beskik almal oor inherente sterkpunte en vaardighede, wat optimaal benut kan word tydens supervisie om sodoende 'n effektiewe diens aan hul onderskeie klientsisteme te lewer. Daar word aanbeveel dat alle SAPD maatskaplike werkers aan supervisie / konsultasie blootgestel word, en dat supervisie / konsultasie as 'n streshanteringsmeganisme benut moet word. SAPD supervisors moet ook bemagtig word, deur byvoorbeeld indiensopleiding, om 'n effektiewe supervisie program te ontwikel.
Social work
M.Diac. (Social Work)