Includes bibliography. / This study is an investigation of the psychosocial trauma of stillbirth and the implications of that trauma for case management. Stillbirth is considered a crisis for parents that calls for immediate intervention and constructive management. It strains family coping mechanisms and can overwhelm them if not properly handled. Additionally, a grief response follows a stillbirth which must be recognised, accepted, and treated therapeutically if needed. Parents' problems and needs have not been adequately met by medical, social or community services. There is also little recognition of the training needed by medical personnel in the management of stillbirths. Stillbirth is also a crisis for medical personnel as the delivery of a dead baby evokes feelings of confusion and stress for those dealing with the confinement and aftercare. By highlighting the psychological and emotional sequelae of stillbirths for parents, the needs of parents after the event, and the needs of personnel providing care, the writer intended to contribute to an improved understanding of the issues related to stillbirth and, ultimately, to more compassionate care for those who experience this unhappy event. Issues analyzed and recorded are as follows: The emotional and physical reactions of mothers following a stillbirth; the assistance that parents need in order to adjust constructively; the impact that the stillbirth has upon the family; the mothers' interpretation of their management in hospital; and the hospital and community services rendered and needed to assist with constructive adjustment. Study data was collected over a six month period. Subjects were selected from one hospital and were residents of the municipal areas of Cape Town. Two face-to-face interviews were conducted with each respondent using a semi-structured interview schedule. The first interview, which took place within a week of the mothers' discharge from hospital, gathered data on the reactions of the respondents to stillbirth, the impact of stillbirth on the family, and respondents' interpretation of their management in hospital. This interview was tape-recorded. The second interview followed the interview schedule and obtained information on the needs of families after a stillbirth. Data was coded on the interview schedules and statistical analysis was done by computer. The findings of this study agreed with previous ones, that mothers display typical grief reactions after a stillbirth. The stillbirth was experienced as a disappointment that caused significant distress for the majority of mothers. Management was found to be satisfactory with the exception of post-natal placement. The need for options in this area became evident. A lack of social and psychological services, both within the hospital and in the community, was found. Using knowledge gained from this study, a support organization for parents experiencing stillbirths has been organized with the writer's assistance. A breakdown in communication between the hospital and the local authority health nursing services, in terms of knowledge about the stillbirth, was apparent, and improvement in this area is needed. Recommended guidelines for management based on the research findings and literature review have been proposed. The role of the social worker, doctor and nursing sister have been outlined.

A dissertation presented to the department of Sociology and Social Work in fulfillment of the requirements for the Degree of Master of Arts of the University of the Witwatersrand, Johannesburg. / The score of the study encompasses primarily the day-to-day activities of the social worker with both patients and staff members. While the greater part of the dissertation will relate to this aspect of the work carried on, mention will be made in the latter part of the study to those functions which are regarded by Berkman as "facilitating" services to the patient, namely, teaching, supervision, recording, and community relations. Also, some attention will be paid to issues, as they arise, which are of special or controversial interest in the field. / WHSLYP2016

Thesis (Ph. D.)--Catholic University of America.

Thesis (Ph. D.)--Catholic University of America.

Thesis (M.S.)--University of Michigan, 1984.

Thesis (M.S.)--University of Michigan, 1984.

Proefschrift--Groningen.

Self-care is critical in minimizing the symptoms of burnout among human services professionals, but specific information on the role of self-care among social workers in healthcare settings is limited. This correlational study was designed provide a fuller understanding of this relationship. Orem's theory of self-care and the theory of reasoned action and planned behavior served as the theoretical foundations of this study. The sample included 185 members of the National Association of Social Workers, who volunteered to participate in this study. Participants completed online versions of the Maslach Burnout Inventory and Self-Care Assessment Work Sheet. Correlation and analysis of variance (ANOVA) were performed to test research hypotheses concerning associations between self-care and aspects of burnout among social workers in healthcare settings. The results showed that higher levels of self-care were significantly correlated with lower scores on measures of emotional exhaustion and depersonalization and higher scores on measures of personal accomplishment. No significant differences were found by practice setting in mean ratings of specified self-care activities. More years of social work practice were associated with lower burnout. Implications for positive social change include highlighting the need for self-care to prevent burnout, promoting health and wellbeing among social workers, and saving organizations the costs associated with employee burnout. Future research on self-care and burnout will be beneficial to the profession to expand current literature and highlight trends between social work practice and client populations served.

by Au Kit Ling. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1991. / Bibliography: leaves 138-142. / Abstract / Acknowledgements / Chapter / Chapter 1 --- Introduction --- p.1 / Chapter 2 --- Literature Review --- p.16 / Chapter 3 --- Theoretical Perspective and Research Procedure --- p.38 / Chapter 4 --- Definition of Health Situation and Action Employed --- p.54 / Chapter 5 --- Managing the Label of Attending Psychiatric Out-patient Clinic --- p.96 / Chapter 6 --- Conclusion and Discussion --- p.118 / Bibliography --- p.138 / Appendix --- p.143

Diss. (sammanfattning) Stockholm : Karol. inst., 2003. / Härtill 6 uppsatser.