Abatemarco Diane J, Kairys Steven, Gubernick Ruth S, Hurley Tammy
Thomas Jefferson University, USA.
J Child Health Care. 2012 Jun;16(2):153-65. doi: 10.1177/1367493511424888. Epub 2012 Feb 22.
A novel use of genograms in primary care practice is to identify processes and relationships among physicians and staff prior to implementing practice change. The authors hypothesized that the genogram would inform researchers and practice staff, participating in a child maltreatment prevention study, how practice members function in a practice. They describe the use of genograms and show how the genogram results are associated with intervention uptake. Researchers constructed genograms, collected baseline surveys, and conducted postintervention interviews with physicians. Data were analyzed to determine processes associated with intervention uptake. While survey results supported the relationships and conflicts observed in the genograms, the genogram provided more multilevel information that reflected practices' abilities to implement change. By providing a snapshot of the relationship and organizational dynamics within a practice, genograms can assess culture for practice change. Genograms describe organizational dynamics and are useful tools to use prior to initiating new programs.
系谱图在初级保健实践中的一种新用途是在实施实践变革之前识别医生与工作人员之间的流程和关系。作者假设系谱图将让参与儿童虐待预防研究的研究人员和实践工作人员了解实践成员在一个机构中的运作方式。他们描述了系谱图的使用，并展示了系谱图结果与干预措施采用情况之间的关联。研究人员绘制系谱图、收集基线调查数据，并在干预后对医生进行访谈。对数据进行分析以确定与干预措施采用相关的流程。虽然调查结果支持系谱图中观察到的关系和冲突，但系谱图提供了更多反映机构实施变革能力的多层次信息。通过提供一个机构内部关系和组织动态的快照，系谱图可以评估实践变革的文化氛围。系谱图描述了组织动态，是启动新计划之前有用的工具。
