Halpin Julia, Nugent Barbara
South Staffs Healthcare NHS Trust.
Community Pract. 2007 Jan;80(1):18-22.
This paper reports a study carried out in four primary care NHS trusts (PCTs) in the Midlands in order to inform inter-agency training and service planning around autism spectrum disorder (ASD). The aim of the study was to identify generic health visitors' perceptions of their role with families where children may have an ASD. The qualitative methodology is explained and key findings presented. Eleven health visitors participated as volunteers in one-to-one semi-structured interviews that were tape-recorded. Analysis of the data found some perceived tensions between health visitors' public health role and their work with individual families, especially when children had possible disabilities. Health visitors identified a role in the early identification of children developing atypically and in family support. Health visitors' perceptions are described and implications discussed. Recommendations are made regarding developmental assessment, training and service planning.
本文报告了一项在英格兰中部地区四个国民保健服务初级医疗信托机构(PCTs)开展的研究,旨在为围绕自闭症谱系障碍(ASD)的跨机构培训和服务规划提供信息。该研究的目的是确定普通健康访视员对其在可能患有ASD儿童家庭中所扮演角色的看法。文中解释了定性研究方法并呈现了主要研究结果。11名健康访视员作为志愿者参与了一对一的半结构化访谈,访谈进行了录音。数据分析发现,健康访视员的公共卫生角色与他们与个别家庭的工作之间存在一些明显的紧张关系,尤其是当儿童可能存在残疾时。健康访视员确定了在早期识别发育异常儿童以及家庭支持方面的作用。文中描述了健康访视员的看法并讨论了其影响。针对发育评估、培训和服务规划提出了建议。