在户外护理中的过渡规划的实施决定因素:使用实施研究综合框架进行定性研究
Hayley Wainwright1, Helen Skouteris1, Emma Galvin1
1School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Journal of evidence-based social work (2019)
|March 16, 2026
概括
对外照顾的年轻人进行过渡规划需要改进. 提高感知效益,员工技能和解决系统性问题的能力是成功实施更好的结果的关键.
科学领域:
- 社会工作 社会工作 社会工作
- 实施科学 实施科学
- 公共政策 公共政策
背景情况:
- 对于在户外照顾 (OoHC) 中的年轻人 (YP),过渡规划是强制性的,以使他们在18岁时为独立生活做好准备.
- 尽管有法律要求,但许多YP在离开OoHC时面临着挑战和不公平的结果,这表明实施存在差距.
研究的目的:
- 确定影响OoHC中YP过渡规划实施的障碍和推动因素.
- 确定改进过渡规划有效性的策略.
主要方法:
- 半结构面试和焦点小组对澳大利亚维多利亚州的46名住院护理和跨部门工作人员进行了采访.
- 数据分析采用了由实施研究综合框架 (CFIR) 指导的绑架编码.
主要成果:
- 在所有CFIR领域确定了障碍物和推动因素:个人特征,外部设置,内部设置,创新和实施过程.
- 关键决定因素包括劳动力能力,对规划过程的感知优势以及系统/结构因素.
结论:
- 提高过渡规划的感知好处至关重要.
- 加强员工能力和解决系统性障碍是有效实施的必要条件.
- 未来的研究应该专注于开发和评估有针对性的实施策略.
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