Table 4 Categorization of Themes as Enablers and Barriers of Implementation of the PSW Role

Acceptability of the PSW role

Coherence

2.1. Social workers’ understanding of the PSW role increased with time

1.1. Lack of communication led to confusion and frustration about the PSW role

Cognitive Participation

2.2. Satisfaction with the PSW role as it helps to increase support to families

2.3. Easy and prompt access (of staff and parent patients) to PSWs

2.1. Social workers’ understanding of the PSW role increased with time

1.1. Lack of communication led to confusion and frustration about the PSW role

Reflexive Monitoring

2.1. Social workers’ understanding of the PSW role increased with time

2.2. Satisfaction with the PSW role as it helps to increase support to families

Appropriateness of the PSW role

Coherence

4.2. The PSW role fills gaps in parenting specialized support and continuity of care

3.1. Initial fear for social work roles to be overtaken by PSWs

Cognitive Participation

4.3. The PSW role alleviates social workers’ workload

3.1. Initial fear for social work roles to be overtaken by PSWs

Collective Action

4.1. After some time, negotiation helped to define responsibilities

Reflexive Monitoring

4.2. The PSW role fills gaps in parenting specialized support and continuity of care

4.3. The PSW role alleviates social workers’ workload

Feasibility of the PSW role

Cognitive Participation

5.1. Lack of systematic processes to identify parent patients in hospitals and refer them to PSWs

Collective Action

6.1. PSWs and social workers co-managing the work

6.2. Higher confidence from hospital staff to talk about children in the family leads to more referrals to the service

5.1. Lack of systematic processes to identify parent patients in hospitals and refer them to PSWs

Reflexive Monitoring

6.2. Higher confidence from hospital staff to talk about children in the family leads to more referrals to the service