Implementation of evidence-based practice in child welfare: Service provider perspectives
Implementation of evidence-based practice in child welfare: Service provider perspectives
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DOI：
10.1007/s10488-007-0121-3
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发表时间：
2007-07-01
影响因子：
2.6
通讯作者：
Palinkas, Lawrence A.
中科院分区：
文献类型：
--
作者：
Aarons, Gregory A.;Palinkas, Lawrence A.
在儿童福利领域实施循证实践（EBP）是一个复杂的过程，往往充满了意想不到的事件、冲突和解决方案。在某种程度上，过程、问题和解决方案的性质可能取决于特定利益相关者群体的观点和经验。为了更好地了解儿童福利制度的实施过程中，我们采访了全面的家庭为基础的服务（CHBS）的个案经理谁积极参与实施EBP，以减少忽视儿童的国家青年服务系统。六个主要因素被确定为EBP实施的关键决定因素：（1）EBP对个案工作者和家庭的可接受性，（2）EBP对家庭需求的适合性，（3）个案工作者使用EBP的动机，（4）接受EBP培训的经验，（5）组织对EBP实施的支持程度，（6）EBP对服务过程和结果的影响。这些因素反映了两个更广泛的主题，即对EBP本身的态度或评估以及学习和提供EBP的经验。最终的实施被视为毅力、经验和灵活性的结果。
Implementation of evidence-based practices (EBP) in child welfare is a complex process that is often fraught with unanticipated events, conflicts, and resolutions. To some extent, the nature of the process, problems, and solutions may be dependent on the perspectives and experiences of a given stakeholder group. In order to better understand the implementation process in the child-welfare system, we interviewed comprehensive home-based services (CHBS) case managers who were actively engaged in implementing an EBP to reduce child neglect in a state youth services system. Six primary factors were identified as critical determinants of EBP implementation: (1) Acceptability of the EBP to the caseworker and to the family, (2) Suitability of the EBP to the needs of the family, (3) Caseworker motivations for using the EBP, (4) Experiences with being trained in the EBP, (5) Extent of organizational support for EBP implementation, and (6) Impact of EBP on process and outcome of services. These factors reflect two broader themes of attitudes toward or assessments of the EBP itself and experiences with learning and delivering the EBP. Eventual implementation is viewed as the consequence of perseverance, experience, and flexibility.