Greco Veronica, Sloper Patricia, Webb Rosemary, Beecham Jennifer
Social Policy Research Unit, University of York, York, UK.
Health Soc Care Community. 2006 Nov;14(6):445-52. doi: 10.1111/j.1365-2524.2006.00617.x.
Provision of 'key workers' for disabled children and their families, working across health, education, and social services, has been recommended in the Children's National Service Framework. This study investigated the views of staff of key worker services concerning the organisation and management of the services. Interviews were carried out with key workers (N=50), managers (N=7) and members of multi-agency steering groups (N=32) from seven key worker services in England and Wales. A response rate of 62% was obtained. Major themes emerging from the interviews were identified, a coding framework was agreed upon, and data were coded using the qualitative data analysis programme Max QDA. Results showed that although the basic aims of the services were the same, they varied widely in the key workers' understanding of their role, the amount of training and support available to key workers, management and multi-agency involvement. These factors were important in staff's views of the services and inform recommendations for models of service.
《儿童国家服务框架》建议为残疾儿童及其家庭配备“关键工作者”，他们需跨卫生、教育和社会服务领域开展工作。本研究调查了关键工作者服务的工作人员对服务组织与管理的看法。研究人员对来自英格兰和威尔士七个关键工作者服务机构的关键工作者（N = 50）、管理人员（N = 7）和多机构指导小组的成员（N = 32）进行了访谈。获得了62%的回复率。从访谈中确定了主要主题，商定了一个编码框架，并使用定性数据分析程序Max QDA对数据进行编码。结果表明，尽管服务的基本目标相同，但关键工作者对其角色的理解、关键工作者可获得的培训和支持的数量、管理以及多机构参与程度存在很大差异。这些因素对工作人员对服务的看法很重要，并为服务模式的建议提供了依据。
