Young Alys, McCracken Wendy, Tattersall Helen, Bamford John
University of Manchester, School of Psychological Sciences, Audiology and Deafness Group, UK.
J Interprof Care. 2005 Aug;19(4):386-95. doi: 10.1080/13561820500165019.
This article presents data from a study undertaken as part of the national evaluation of the introduction of the newborn hearing screening programme (NHSP) in England. It considers the impact on Education and Social Services of NHSP from the perspective of how each agency perceives each other's role in circumstances where NHSP is requiring a greater focus on interagency and interprofessional working. The qualitative interview study involved 27 education and 15 social services respondents from phase 1 NHSP sites. It reveals considerable agreement on the poorly developed nature of joint working but considerable disagreement about the roots of such. Education is more likely to focus on issues of role, value and skills; social services on conflicts of ethos and culture. The problem of social services' capacity to respond to referrals concerning deaf children was common to both. The findings are placed in the context of government guidance, in particular Early Support and Children's Trusts, both of which support a strategic and statutory basis for interprofessional working in this context.
本文展示了一项研究的数据，该研究是对英国新生儿听力筛查计划（NHSP）引入情况进行全国评估的一部分。它从每个机构如何看待彼此在NHSP要求更注重跨机构和跨专业合作的情况下所扮演的角色这一角度，探讨了NHSP对教育和社会服务的影响。这项定性访谈研究涉及来自NHSP第一阶段实施地点的27名教育工作者和15名社会服务工作者。研究表明，对于合作开展得较差的性质，各方达成了相当程度的共识，但对于其根源却存在很大分歧。教育工作者更倾向于关注角色、价值观和技能问题；社会服务工作者则关注理念和文化冲突。社会服务部门应对聋儿转诊的能力问题在双方中都很常见。研究结果置于政府指导方针的背景下，特别是《早期支持》和《儿童信托》，这两者都为在这种情况下开展跨专业合作提供了战略和法定依据。
