护士家庭访问者和儿童福利部门之间的合作预测,家庭访问计划中的参与者减少了
Venice Ng Williams1, Michael D Knudtson1, Gregory J Tung2
1Prevention Research Center for Family & Child Health, Department of Pediatrics, School of Medicine, University of Colorado Anschutz Medical Campus, 1890 North Revere Court, MS F443, Aurora, CO, 80045, USA.
Child abuse & neglect
|September 24, 2025
概括
护士-家庭伙伴关系 (NFP) 和儿童保护服务 (CPS) 之间的更强的结构性整合与较低的参与者学率有关. 在这个基于证据的家庭访问计划中,关系协调与消耗没有显著的关联.
科学领域:
- 公共卫生 公共卫生
- 社会工作 社会工作 社会工作
- 家庭支持计划 家庭支持计划
背景情况:
- 护士-家庭伙伴关系 (NFP) 是一个基于证据的家庭访问计划,旨在改善面临社会经济挑战的家庭的母亲和儿童健康结果.
- 假设跨部门的合作,特别是与儿童保护服务 (CPS) 的合作,可以提高NFP在预防虐待儿童和改善家庭福祉方面的有效性.
研究的目的:
- 调查NFP和CPS之间的协作之间的关系,以及参与者停止NFP计划的速度 (消耗).
主要方法:
- 一项大规模的研究包括2015年至2021年美国95,397名NFP参与者.
- 考克斯比例危险模型被用来分析NFP-CPS合作与参与者退出之间的关联.
- 通过两个组成部分来评估合作:关系协调 (使用关系协调量表) 和结构整合 (使用共享资源的调整项目).
主要成果:
- 在关系协调和参与者 attrition. 之间没有发现显著的关联.
- 结构整合与消耗有负面关联,这表明随着整合的增加,退学率较低 (HR:0.986).
- 在CPS所涉及的家庭中,结构性整合也与消耗负相关 (HR:0.955). 通过政府和医疗保健实体提供的NFP计划观察到这种效应,但不是基于社区的组织.
结论:
- 该研究确定了特定类型的提供者协作与NFP中的参与者保留之间的重要联系.
- 在减少参与者退出方面,NFP和CPS之间的结构性整合似乎是一个关键因素.
- 需要进一步的研究和创新策略,以优化支持复杂逆境家庭的协作结构.
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