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紧急住宿护理机构:服务评估与设计模型

Emergency residential care settings: A model for service assessment and design.

作者信息

Graça João, Calheiros Maria Manuela, Patrício Joana Nunes, Magalhães Eunice Vieira

机构信息

Instituto Universitário de Lisboa (ISCTE-IUL), CIS-IUL, Lisboa, Portugal; Instituto de Ciências Sociais (ICS), Universidade de Lisboa, Portugal.

Instituto Universitário de Lisboa (ISCTE-IUL), CIS-IUL, Lisboa, Portugal; Centro de Investigação em Ciência Psicológica, Faculdade de Psicologia, Universidade de Lisboa, Portugal.

出版信息

Eval Program Plann. 2018 Feb;66:89-101. doi: 10.1016/j.evalprogplan.2017.10.008. Epub 2017 Oct 12.

DOI:10.1016/j.evalprogplan.2017.10.008
PMID:29055262
Abstract

There have been calls for uncovering the "black box" of residential care services, with a particular need for research focusing on emergency care settings for children and youth in danger. In fact, the strikingly scant empirical attention that these settings have received so far contrasts with the role that they often play as gateway into the child welfare system. To answer these calls, this work presents and tests a framework for assessing a service model in residential emergency care. It comprises seven studies which address a set of different focal areas (e.g., service logic model; care experiences), informants (e.g., case records; staff; children/youth), and service components (e.g., case assessment/evaluation; intervention; placement/referral). Drawing on this process-consultation approach, the work proposes a set of key challenges for emergency residential care in terms of service improvement and development, and calls for further research targeting more care units and different types of residential care services. These findings offer a contribution to inform evidence-based practice and policy in service models of residential care.

摘要

一直有人呼吁揭开住宿照料服务的“黑匣子”,尤其需要开展研究,重点关注处于危险中的儿童和青少年的紧急护理环境。事实上,这些环境目前所受到的实证关注极少,这与它们作为进入儿童福利系统的门户所常扮演的角色形成鲜明对比。为回应这些呼声,本文提出并测试了一个评估住宿紧急护理服务模式的框架。该框架由七项研究组成,涉及一系列不同的重点领域(如服务逻辑模型、护理体验)、信息提供者(如案例记录、工作人员、儿童/青少年)和服务组成部分(如案例评估/评价、干预、安置/转介)。基于这种过程咨询方法,本文针对紧急住宿护理在服务改进和发展方面提出了一系列关键挑战,并呼吁针对更多护理单元和不同类型的住宿照料服务开展进一步研究。这些研究结果有助于为住宿照料服务模式的循证实践和政策提供参考。

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