Systemic barriers to effective utilization of decision making tools in child protection practice
Systemic barriers to effective utilization of decision making tools in child protection practice
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DOI：
10.1016/j.chiabu.2017.02.030
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发表时间：
2017-05-01
影响因子：
4.8
通讯作者：
Alfandari, Ravit
中科院分区：
文献类型：
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作者：
Alfandari, Ravit
这项定性研究旨在评估以色列儿童保护决策委员会的国家改革在多大程度上实现了通过在实践中引入新的标准工具包来加强专业判断的目标。六个月后，对提交给委员会的二十一个家庭案例进行了调查和跟踪。数据是通过社会工作者访谈、委员会讨论的现场观察和文件审查来收集的。使用系统方法作为概念框架，在其组织背景下研究日常实践。该研究的一个重要发现是这些工具在实践中的使用非常有限。证据表明，在使用这些工具的少数情况下，它们没有先进的性能，并且在使用这些工具时，它们主要用于记录习惯做法。后续数据提供的证据有限，表明弱势儿童的安全和福祉有所改善。分析揭示了干扰工具充分、成功实施的几个系统性因素，包括工作量压力、从业者技能不足、专业支持有限以及不鼓励良好实践的组织文化。该研究将注意力集中在为加强为儿童和家庭提供有效帮助所需的组织变革上。 (C) 2017 Elsevier Ltd. 保留所有权利。
This qualitative research was designed to evaluate the extent to which a national reform in Israeli child protection decision making committees was achieving its aim to strengthen professional judgment through introducing a new standard tools package into practice. Twenty-one case studies of families referred to the committee were investigated and followed up after six months. Data were collected through interviews with social workers, field observations of the committees' discussions and document review. Using a systems approach as a conceptual framework, everyday practice was studied within its organizational context. A key finding of the research was a very limited utilization of the tools in practice. Evidence showed no advanced performance in the few cases where the tools were used, and that when they were used they mainly operated to record customary practice. Follow up data provided limited evidence of improvement in the safety and well-being of vulnerable children. The analysis revealed several systemic factors that interfered with the tools being fully and successfully implemented, including pressure of workloads, practitioners' inadequate skills, limited professional support, and an organizational culture that discouraged sound practice. The research directs attention to the organizational changes needed in order to enhance the provision of effective help for children and families. (C) 2017 Elsevier Ltd. All rights reserved.