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Positive and negative aspects of social work with patients after brain damage in terms of social worker
MANDÁTOVÁ, Kateřina
The thesis is focused on the social work with people after brain damage and is part of the GAJU project called "Coordinated Rehabilitation of Patients after Brain Damage (Reg. No. GAJU 138/2016 / S)". Collaboration with social workers from the region of České Budějovice was part of this thesis. Their work also consists of working with people after brain damage. The purpose of the collaboration was to map out follow-up services after hospitalization of people after brain damage. Information about these organizations has been shared with the patients who were included in the GAJU project. The complex results of the project will be elaborated within the publishing activities. The diploma thesis is divided into two parts. The first - the theoretical part - is focused on the basic description of brain damage, there is more about the cerebral stroke, the coordinated rehabilitation team, the role of the social worker. There is also described the burden that the social worker as a person in the helping profession may face and burnout syndrome as a possible consequence of this burden. In the research part, the main objective was to find out what positives and negatives the social workers perceive in working with people after brain damage. This objective was completed through interviews with the social workers situated in České Budějovice. We can fully understand the extend of the social workers' work with people after brain damage thanks to the interviews. In connection with the goal, research questions have been identified: What are the positive and negative aspects of social work related to work with patient after brain damage according to the subjective opinion of a social worker? Another one: What influences the perception of positives and negatives which the social workers experience during their work? A qualitative research strategy was used, a technique of interviewing with use of instructions was chosen for the interviews with fourteen social workers of the organizations, whose target group also includes people after brain damage. Data was processed in Atlas.ti 7. The administration which is more and more demanding due to the legislation. That results in less time with client and more time with paperwork. Finance which is related to the funding of services, lack of resources for employee remuneration and the financial difficulty for clients. Lack of qualified staff, time consuming activities that are closely tied to the extensive administration and the fact that social workers often work beyond their job responsibilities and competencies. Non-cooperation of a client's family or lack of interest of family on the client, there is also the legislation, which is often in contradiction with practice according to interviews. The social workers have to follow the actual amendments of the law and that is time-consuming and exhausting, absence of follow-up organizations for patients after brain damage, lack of competencies/authority/information of social workers, insufficient motivation, lack of financial remuneration or lack of benefits for employees, conflicts with authorities, barriers that may occur during work of a social worker or insufficient resources. The analysis also reveals that social workers subjectively perceive these positives during their work with patients after brain damage: client satisfaction, helping people, the good feeling after job well done, positive feedback, fulfilling job, positive in relation to the work environment. The results of the thesis show that the positive aspects dominates over the negative ones. Work in a multidisciplinary team has been perceived positively amongst the social workers and beneficial for the clients and for the team. This work will serve as a sub-part for the elaboration of complex outcomes of coordinated rehabilitation of patients after brain damage from the GAJU project. Research results will become part of the publication outputs from the above-mentioned project.
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Burn-out syndrome focusing on officers in charge of children and youth in risk
MANDÁTOVÁ, Kateřina
The Bachelor's thesis concentrates on burnout syndrome among counsellors for children and youth. The aim of the thesis was to determine whether counsellors for children and youth feel at risk of burnout, whether they are informed about burnout and how they try to prevent it. The theoretical part of the thesis is focused on a brief introduction to counsellors' job and definition of burnout. This part particularly deals with specifics of counsellors' work with at-risk youth and preventing burnout. The research was carried out using a qualitative research strategy which consisted of two methods survey and semi-structured interview. The data were analyzed by a clustering method. The research group consisted of eight counsellors for children and youth selected according to their availability. The following research question was used to map the above-mentioned issue: Are counsellors for children and youth at risk of burnout? The results have shown that the majority of counsellors for children and youth feel at risk of burnout syndrome, particularly because of the stress factors at work. The most common stress factors named by the respondents included excessive amount of administration tasks and documentation, too many clients per one employee, careless attitude of clients or inadequate feeling of recognition and support from superiors as well as colleagues. Supervision can be used at all respondents' workplaces as an effective tool in preventing burnout, but it was often assessed as unsatisfactory. Currently, the burnout syndrome is often discussed especially among the helping professions, which also include counsellors for children and youth. Despite this fact, it is advisable to further explore this issue. To sum up, the thesis describes specific reasons why counsellors for children and youth are at risk of burnout syndrome. Next, it asks whether counsellors take adequate preventative measures against burnout and closely concentrates on supervision in the workplace. The thesis can serve as a basis for further research and the results can be used at the institutions where counsellors for children and youth work.
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