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ARC组织干预对儿童服务系统中个案工作者流动率、氛围和文化的影响。

The effects of the ARC organizational intervention on caseworker turnover, climate, and culture in children's service systems.

作者信息

Glisson Charles, Dukes Denzel, Green Philip

机构信息

Children's Mental Health Services Research Center, The University of Tennessee, 128 Henson Hall, Knoxville, TN 37996-3332, USA.

出版信息

Child Abuse Negl. 2006 Aug;30(8):855-80; discussion 849-54. doi: 10.1016/j.chiabu.2005.12.010. Epub 2006 Aug 22.

Abstract

OBJECTIVE

This study examines the effects of the Availability, Responsiveness, and Continuity (ARC) organizational intervention strategy on caseworker turnover, climate, and culture in a child welfare and juvenile justice system.

METHOD

Using a pre-post, randomized blocks, true experimental design, 10 urban and 16 rural case management teams were randomly assigned to either the ARC organizational intervention condition or to a control condition. The culture and climate of each case management team were assessed at baseline and again after the one-year organizational intervention was completed. In addition, caseworker turnover was assessed by identifying caseworkers on the sampled teams who quit their jobs during the year.

RESULTS

Hierarchical Linear Models (HLM) analyses indicate that the ARC organizational intervention reduced the probability of caseworker turnover by two-thirds and improved organizational climate by reducing role conflict, role overload, emotional exhaustion, and depersonalization in both urban and rural case management teams.

CONCLUSIONS

Organizational intervention strategies can be used to reduce staff turnover and improve organizational climates in urban and rural child welfare and juvenile justice systems. This is important because child welfare and juvenile justice systems in the U.S.A. are plagued by high turnover rates, and there is evidence that high staff turnover and poor organizational climates negatively affect service quality and outcomes in these systems.

摘要

目的

本研究探讨可及性、响应性和连续性(ARC)组织干预策略对儿童福利和青少年司法系统中个案工作者离职率、氛围和文化的影响。

方法

采用前后测、随机区组、真实验设计,将10个城市和16个农村个案管理团队随机分配到ARC组织干预组或对照组。在基线时以及在为期一年的组织干预完成后,对每个个案管理团队的文化和氛围进行评估。此外,通过确定抽样团队中在该年度辞职的个案工作者来评估个案工作者的离职率。

结果

分层线性模型(HLM)分析表明,ARC组织干预将个案工作者离职的概率降低了三分之二,并通过减少城市和农村个案管理团队中的角色冲突、角色过载、情感耗竭和去个性化来改善组织氛围。

结论

组织干预策略可用于降低城市和农村儿童福利及青少年司法系统中的员工离职率并改善组织氛围。这很重要,因为美国的儿童福利和青少年司法系统饱受高离职率之苦,而且有证据表明,高员工离职率和糟糕的组织氛围会对这些系统中的服务质量和结果产生负面影响。

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