Moving best practice to evidence-based practice in child welfare
Moving best practice to evidence-based practice in child welfare
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DOI：
10.1606/1044-3894.2459
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发表时间：
2005-04-01
影响因子：
0.9
通讯作者：
Poertner, J
中科院分区：
文献类型：
--
作者：
Kessler, ML;Gira, E;Poertner, J
正在更加重视改善儿童福利制度所服务的受虐待和被忽视儿童的结果。为了实现这一目标，“最佳做法”的概念得到了广泛的接受。不幸的是，对于它的定义没有达成共识。各种解释包括：(A)实践智慧；(B)模仿其他系统；(C)专家咨询；(D)专业准则；(E)循证实践。在这篇文章中，作者描述了每种定义的优缺点。虽然所有这些都在改善儿童福利干预的结果方面发挥了作用，但作者认为，最佳做法的最佳定义是基于证据的做法。同时，采用这种形式的最佳做法还有许多困难，包括缺乏证据、信息传递以及工作人员所处的组织文化。对这些困难的解决方案进行了讨论。
Increased emphasis is being placed on improving outcomes for abused and neglected children served by the child welfare system. To achieve this goal, the notion of "best practice" is widely embraced. Unfortunately, there is no consensus on its definition. Various interpretations include (a) practice wisdom, (b) emulating other systems, (c) expert consultants, (d) professional guidelines, and (e) evidence-based practice. In this article, the authors describe the advantages and disadvantages of each of these definitions. While all of them have a role to play in improving results of child welfare interventions, the authors argue that best practice is optimally defined as evidence-based practice. At the same time, there are many difficulties in employing this form of best practice, including a lack of evidence, the transfer of information, and the organizational culture in which the worker operates. Suggested solutions to these difficulties are discussed.