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Primerjava načinov dela socialnih delavk v javnih in zasebnih domovih za stare ljudi
ID Drofenik, Martina (Author), ID Rihter, Liljana (Mentor) More about this mentor... This link opens in a new window

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Abstract
Problem magistrskega dela je primerjava načinov dela socialnih delavk v javnih in zasebnih domovih za stare ljudi. V teoretičnem delu, ki je razdeljen na pet sklopov, opisujem institucionalno varstvo starih ljudi, socialni model v domovih za stare ljudi, socialno delo v domovih za stare ljudi, inovacije v socialnem varstvu in oskrbo za stare ljudi v drugih evropskih državah. Empirični del vsebuje predstavitev raziskovalnega problema z raziskovalnimi vprašanji in metodologije, ki vključuje vprašalnik kot merski pripomoček, polstrukturirani intervju kot metodo zbiranja podatkov in socialne delavke v domovih kot enoto raziskovanja. Uporabila sem neslučajnostni priložnostni vzorec. V nadaljevanju so zapisani rezultati in razprava z naslednjimi bistvenimi sklepi. Več vsakodnevnega sodelovanja med stanovalci in zaposlenimi ter med socialnimi in zdravstvenimi delavci in ostalimi zaposlenimi je prisotnega v javnih domovih. Več možnosti za odkrit pogovor s socialno delavko imajo stanovalci v javnih domovih. Stanovalci imajo več možnosti odločanja o svojem življenju v javnih domovih, saj lahko odločajo o svojem življenjskem stilu glede posedanja na voziček, glede zasebnosti in miru, glede prehrane in obiskov, medtem ko lahko v zasebnih domovih več odločajo glede prehrane, kraja in časa odhodov ter glede tega, ali želijo zapustiti dom. V posameznih zasebnih domovih izvajajo aktivnosti za nepomične stanovalce in stanovalce na varovanem oddelku, s katerimi omogočajo, da se lahko vključijo v več dejavnosti. Večji delež javnih kot zasebnih domov stike navezuje zunaj doma, kar pomeni, da so bolj odprti navzven in omogočajo več sodelovanja s skupnostjo. V zasebnih domovih povezujejo svojce in stanovalce na drugačne načine, s pomočjo projekta govorilnih ur za svojce in njihovega vključevanja v prireditve, vključijo jih kot nastopajoče. Lahko zaključimo, da je po zgornjih ugotovitvah večja razvitost socialnega modela v javnih domovih za stare ljudi. V vseh domovih je naloga socialne delavke ob sprejemu, zadolžena je za sam sprejem stanovalca in predstavitev doma. Skupne naloge v posameznih javnih in zasebnih domovih so izvajanje individualnega načrta, sodelovanje v aktivnostih, sodelovanje s svojci ter informiranje stanovalcev in svojcev. Socialne delavke v javnih domovih pri svojem delu najpogosteje uporabljajo načelo krepitve moči, v zasebnih domovih pa individualno načrtovanje; v javnih in zasebnih domovih vse socialne delavke uporabljajo metodo dela s posameznikom in s skupino. Trije domovi imajo v popolnosti razvito paliativno obliko oskrbe s sobo oazo. Vsi javni domovi izvajajo kongruentno odnosno nego oziroma kulturo usklajenih odnosov na posameznika. V vseh javnih in le v enem zasebnem domu se izvaja dnevno varstvo za zunanje uporabnike. Vrstni red plačnikov storitve institucionalnega varstva je enak v javnih in zasebnih domovih. K tem ugotovitvam predlagam naslednje: stanovalcem bi morali zagotoviti več vključenosti v odločanje z odprtim dialogom, da sami povedo svoje želje in potrebe zaposlenim; v življenje stanovalcev v domu bi morali več vključevati svojce, na primer s projektom govorilnih ur za svojce, kot ga že izvajajo v enem zasebnem domu; v sodelovanje s stanovalci bi bilo treba vključiti vse službe v domu z različnimi aktivnostmi; v aktivnosti in inovacije je treba vključevati vse stanovalce v domu, tudi nepomične stanovalce in stanovalce z demenco na varovanih oddelkih; stanovalce in svojce bi bilo treba več vključevati v predlaganje inovacij, še posebej v zasebnih domovih, kjer so rezultati pokazali, da so vključeni samo v enem domu; projekt preprečevanja padcev stanovalcev v domu bi lahko vpeljali v več domov in tako preprečili poškodbe.

Language:Slovenian
Keywords:načini dela socialnih delavk, javni in zasebni domovi za stare ljudi, stari ljudje, socialne delavke
Work type:Master's thesis/paper
Organization:FSD - Faculty of Social Work
Year:2019
PID:20.500.12556/RUL-109110 This link opens in a new window
Publication date in RUL:22.08.2019
Views:902
Downloads:154
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Secondary language

Language:English
Title:Comparison of Working Methods of Social Workers in Public and Private Retirement Homes
Abstract:
This master's thesis compares the working methods of social workers in public and private retirement homes. The theoretical part is divided into five parts and describes institutional care for the elderly, the social model and social work services in retirement homes as well as innovations in social care and elderly care in other European countries. The empirical part introduces the research problem and presents our research questions and methodology. With the help of a survey and a semi-structured interview, we collected data and social workers in retirement homes were used as our research unit. The study was carried out with non-probability convenience sampling. The results of our study and the discussion are presented below. More day-to-day cooperation between the residents and the employees as well as social workers, health workers and other employees can be observed in public retirement homes. The public retirement homes also offer more opportunities for an open dialogue with the social workers. Residents of public retirement homes have more freedom to decide how they want to live, as they can make their own decisions regarding their lifestyle, wheelchair seating, privacy, peace, diet and visits. On the other hand, private home residents have a greater say in selecting their diet, determining the place and time of their departures and deciding whether they want to leave the home or not. In some private retirement homes, they perform activities for residents that are not able to move and those in secured wards, and thus enabling them to participate in more activities. There are more public retirement homes than private ones that enable socialization outside the retirement homes, which means they are more open-minded and allow more interaction with the community. Private retirement homes use other methods to connect the residents with their relatives, like having conversation hours for the relatives and involving them in events, where they participate as performers. It can be concluded that, according to our findings above, the social model in the public retirement homes is better developed. In both types of homes, the social worker is in charge of receiving the residents and introducing them to their new home. Both private and public retirement homes are responsible for carrying out individual plans, participating in activities, cooperating with relatives and providing information to residents and relatives. Social workers in public retirement homes most often use the method of empowerment, while in private retirement homes individual planning is used. In both types of homes, all social workers work with the residents individually and in a group. The three homes have a fully developed palliative care with an oasis room. In all public homes a congruent relationship care is provided or, in other words, a culture a coordinated interpersonal relationship is cultivated. In all public retirement homes and in only one private home, day-care services are provided to external users. In both types of retirement homes, the order of payers of institutional care services is the same. Based on our findings, we suggest the following: residents should be more involved in the decision-making process by having an open dialogue in order to express their own wishes and needs to the employees; relatives should be more involved in the lives of the residents, for example, by participating in conversation hours for the relatives, which is already being carried out in one private retirement home; all services in the retirement homes should be involved in the residents’ activities; all residents, including those that are not able to move and residents with dementia in secured wards, should be included in all activities and innovations; residents and relatives should be encouraged to suggest more innovations, especially in private retirement homes, where the results have shown that relatives are only active in one retirement home; the falls prevention programs for the elderly could be implemented in more retirement homes to prevent injuries.

Keywords:working methods of social workers, public and private retirement homes, elderly, social workers

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