Understanding Experiences of Medical Social Workers Managing Older Adults with Chronic Illnesses: Insights from Nigeria

This qualitative research study explored how social workers in Nigerian hospital managed the complex needs of older adults living with chronic illnesses among individuals residing in rural communities of Nigeria. As the global population continues to age, the burden of chronic illnesses among older adults is growing, however, there is limited knowledge on how social workers in hospital are addressing these numerous challenges in Nigerian healthcare systems. Keeping with the principle of a descriptive phenomenological approach, this study conducted in-depth interviews with 16 medical social workers from six geo-political zones in Nigeria. Data analysis revealed three themes on the multifaceted nature of their work. These themes encompassed: 1) emotional toll of witnessing the suffering of older adults, 2) navigating a resource-constrained healthcare system, and 3) the importance of collaboration element of/with community leaders/ faith-based healers in Nigeria for effective care. The study highlights the need for improved training, support, and recognition of social workers within the Nigerian healthcare system. Additionally, it emphasizes the significance of a holistic and collaborative approach involving social workers, healthcare providers, policymakers, and communities to improve the well-being of this vulnerable population in Nigeria and similar settings around the world.