Cultura

The Ethics of Care in Practice: Occupational Stress, Professional Values, and Resilience Among Direct Social Service Practitioners in Zamboanga City

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

WYLEN L. LIPANGLIPANG

Abstract

This study examines occupational stress and resilience among direct social service practitioners in selected social welfare agencies in Zamboanga City through the lens of the ethics of care and professional values. Employing a descriptive mixed-methods design among 30 practitioners from the Crisis Intervention Unit, Social Development Center, Women Crisis Center, and Home for Women, the research investigated socio-demographic profile, perceived stress levels, biological, psychological and social manifestations and sources of stress, perceived effects on job performance and interpersonal relations, and stress-management strategies. Data were gathered through an adapted Perceived Stress Scale (PSS-10) and semi-structured interviews, analyzed via descriptive statistics and thematic analysis. Results indicate 73% reported moderate perceived stress, with biological manifestations ranking highest, followed by psychological and social dimensions. While 70% reported physical drain and 57% experienced stress sometimes, 87% remained satisfied with their jobs, anchored in service values. Major stressors included difficult client behaviors, role multiplicity, paperwork and emergencies, resource constraints, night shifts, threats from perpetrators, and unsupportive supervision. Social support emerged as the most frequently used and most effective coping strategy. Interpreted through the ethics of care, findings suggest stress reflects an ethical encounter between internalized professional values and structural conditions of care work, with implications for supportive supervision and institutional well-being programs.

Keywords : occupational stress; ethics of care; professional values; resilience; social work; coping strategies.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty