Suchergebnisse

Abstract
Leadership skills are a critical component of effective social work practice in interdisciplinary healthcare and mental healthcare settings. Over the last two decades there has been increased attention to the importance of social work leadership skills for clinical practice. Moreover, social workers display essential leadership skills when supporting individuals and communities amid large-scale crises such as pandemics, natural disasters, wars, and other sociopolitical crises. Currently, there is an absence of literature on social work leadership skills for effective practice in healthcare and mental healthcare settings during times of crisis. To bridge this knowledge gap, this scoping review aimed to synthesize and map the current literature on social work leadership competencies in healthcare and mental healthcare amid crises. Arksey and O'Malley's five-stage framework for scoping reviews guided this project. Six academic databases were searched, and a total of nine articles met inclusion criteria. A thematic analysis was conducted to identify recurrent themes among these articles. Results highlight that leadership was defined as both a role and a skill set, and identified collaboration, connection, and shared learning as key leadership competencies for social workers. Implications for social work practice, education, and research are discussed.

Through an epistemological stance of post-structural feminism, this conceptual paper explores the use of language within eating disorders (ED) intervention articles, and the problematic narratives and power dynamics that are reinforced through this discourse. The paper begins with a vignette coupled with reflexive analysis of the authors' experiences within a hospital-based ED unit. The authors then engage in a post-structural feminist analysis to discuss how language within ED intervention research relay problematic narratives of: (1) the individual with an ED as passively, not actively, engaged in care; (2) that their experiences can be captured and categorized; and (3) that measurement based scientific knowledge is more valuable than the lived experiences of clients. Overall, the authors argue that these narratives not only shape how social work researchers think of EDs, but also what we think of those with EDs. These themes also signal a larger power dynamic that continuously favours the epistemic value of researchers' knowledge over that of the client's, which runs contrary to the guiding principles of client-centered care in social work. To address these critiques, the authors recommend that social work researchers adopt an eco-social phenomenological approach informed by post-structural feminism when conducting ED intervention research.

Abstract Objective:To assess the diagnostic accuracy of Roc-kall scoring system for predicting in-hospital re-ble-eding in cirrhotic patients presenting with variceal bleed. Material and Methods:This descriptive case series study was conducted at Department of Medicine Com-bined Military Hospital Lahore from December 2013 to May 2014. We included patients with liver cirrhosis who presented with upper GI bleeding and showed varices as the cause of bleeding on endoscopy. Clini-cal and endoscopic features were noted to calculate Rockall score. Patients with score of ≤ 2 and ≥ 8 were included. After treating with appropriate pharmacolo-gical and endoscopic therapy, patients were followed for re-bleeding for 10 days. Diagnostic accuracy was Asgher S.A.1 Assistant Professor of Medicine CMH LHR Medical College, Combined Military Hospital, Lahore Saleem M.K.2 Assistant Professor of Medicine CMH LHR Medical College, Combined Military Hospital, Lahore Hussain A.3 Associate Professor of Medicine SIMS / Services Hospital, Lahore assessed by calculating sensitivity, specificity, positive and negative predictive values using 2 × 2 tables. Results:In the study, 175 patients were included. Mean age was 51.5 ± 1.22 years. Male to female ratio was 1.5 to 1.Out of 175 patients, 157 patients (89.7%) were of low risk group (score ≤ 2) while 18 patients (10.3%) were in high risk group (score ≥ 8). In low risk group, re-bleeding occurred only in 2 patients (1.2%) while in high risk group, re-bleeding occurred in 14 patients (78%). Rockall score was found to have good diagnostic accuracy with sensitivity of 87.5%, specificity of 97.48%, positive predictive value of 77.8% and negative predictive value of 98.7%. Conclusion:In cases of variceal bleed, frequency of re-bleed is less in patients who are in low risk category with lower Rockall score and high in high risk patients with higher rockall score. The Rockall score has a good diagnostic accuracy in prediction of re-bleed in variceal bleeding. Key Words:Upper Gastrointestinal (GI) Bleed, Roc-kall Score, Re-bleed in varices.

Purpose: The aim of this scoping review is to systematically scope the literature on social work, the COVID-19 pandemic, and health policy. The research question guiding the scoping review is: What are the policy issues emerging during the COVID-19 pandemic that are of importance for social workers working in health and mental health? Method: Scoping review methodology following Arksey and O'Malley's five-stage framework. Results: A final sample of 191 articles were included in the scoping review. The five themes identified are: (a) strengthening social work's capacity to address structural issues in practice, (b) gaps in social work education, (c) need for new and updated standards and guidelines, (d) need for professional clarity and professional supports, and (e) inadequate government response. Conclusions: By strengthening uptake of the policy-practice framework, social work practitioners concurrently address immediate client issues and address upstream factors perpetuating inequities emerging during the pandemic.