实施全系统方法查询不良童年经历的驱动因素:来自英格兰一个县的混合方法评估
Zara Quigg1, Rebecca Harrison1, Jane Harris1
1School of Public and Allied Health, Public Health Institute, Liverpool John Moores University, Liverpool, UK.
Child abuse & neglect
|August 21, 2024
概括
实施不良童年经历 (ACE) 调查需要灵活的培训,支持性的领导和适应性的方法. 成功实施ACEs调查对于创伤知情护理和改善健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 创伤信息化的护理
背景情况:
- 童年不良经历 (ACE) 显著影响终身健康和社会前景.
- 追溯ACE调查是支持提供的一个新兴干预措施.
- 对于ACE调查的实施流程仍未得到充分研究.
研究的目的:
- 检查成功实施不良童年经历 (ACE) 调查的关键驱动因素.
- 确定影响ACE调查计划采用和有效性的因素.
主要方法:
- 一个测试学习项目,涉及9个部门在英国的一个县实施REAChTM ACEs调查计划.
- 与37个项目利益相关者进行了定性访谈.
- 与72名参与者进行后续调查,以探索实施经验.
- 面试的专题分析,与实施框架进行映射,并与调查数据进行三角化.
主要成果:
- 确定了跨能力,组织和领导领域的关键实施驱动因素.
- 持续,灵活的培训和监督提高了员工对ACEs调查的知识和信心.
- 在解决实施障碍时,所有服务级别的支持性领导是必不可少的.
- 需要灵活,适应性的实施方法来满足服务和从业者的需求,确保创伤信息和以人为中心的护理.
结论:
- 调查结果可以帮助开发ACE调查实施的全系统方法.
- 需要更多关于在现实公共卫生环境中实施和维护ACE调查模型的数据.
- 要了解成功实施的ACE调查计划的影响,需要进行批判性研究.
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