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通过促进弹性的关系反思框架来提高儿童保护工作者的留存率。

Increasing child protection workforce retention through promoting a relational-reflective framework for resilience.

机构信息

School of Health, University of New England, Australia.

School of Health, University of New England, Australia.

出版信息

Child Abuse Negl. 2020 Dec;110(Pt 3):104245. doi: 10.1016/j.chiabu.2019.104245. Epub 2019 Nov 26.

Abstract

BACKGROUND

A deficit-oriented discourse dominates child protection workforce research with worker distress including burnout and vicarious trauma predominating. Recent Australian research challenges this discourse through new understandings of worker resilience, with potential benefits for service quality and workforce retention, warranting consideration of this alternative lens.

OBJECTIVE

This Australian longitudinal, qualitative study explored child protection worker perceptions and experiences of resilience to inform understandings of worker resilience, and implications for worker functioning and workforce retention.

PARTICIPANTS AND SETTING

Participants were a purposive sample of 24 front-line child protection workers, in seven locations, from the state-based statutory child protection agency in Queensland, Australia.

METHODS

Using semi-structured, in-depth interviews, this longitudinal, qualitative study utilised a reflective approach drawing on participant understandings and experiences. The thematic analysis via NVivo utilized theory informed a priori coding as sensitizing concepts, which was further developed through inductive coding drawing meaning from participant data.

RESULTS AND CONCLUSION

With resilient workers maintaining effective practice over extended periods, findings highlighted the importance of reflective practice and relationship-based approaches to well-being and retention. Support for these practice approaches through supervision, peer support, and the organization were significant contributors. Participant-identified influences on resilience informed a relational-reflective framework, which recognizes the significance of reflective practice and the relational context to resilience, and how this is experienced. Given the common deficit-oriented discourse of worker distress in child protection, this study and the framework presented have relevance for workers, managers and organizations by reconceptualizing how resilience can be promoted to further workforce retention.

摘要

背景

以缺陷为导向的话语主导着儿童保护工作者的研究,其中包括职业倦怠和替代性创伤在内的工作者痛苦是主要问题。最近澳大利亚的研究通过对工作者韧性的新理解来挑战这种话语,这对服务质量和工作者保留率有潜在的好处,因此需要考虑这种替代视角。

目的

本项澳大利亚纵向、定性研究探讨了儿童保护工作者对韧性的看法和经验,旨在深入了解工作者的韧性,并探讨其对工作者功能和工作者保留率的影响。

参与者和设置

参与者是来自澳大利亚昆士兰州州立法定儿童保护机构的 24 名一线儿童保护工作者,他们来自七个不同的地点,采用目的抽样法。

方法

本项纵向、定性研究使用半结构化深入访谈,采用反思性方法,借鉴了参与者的理解和经验。通过 NVivo 进行的主题分析利用理论预先编码作为敏感概念,并通过从参与者数据中提取意义的归纳编码进一步发展。

结果和结论

具有韧性的工作者可以在较长时间内保持有效的实践,研究结果强调了反思实践和基于关系的方法对幸福感和保留率的重要性。监督、同伴支持和组织对这些实践方法的支持是重要的贡献因素。韧性的参与者确定的影响因素提供了一个关系反思框架,该框架认识到反思实践和关系背景对韧性的重要性,以及韧性是如何被体验的。鉴于儿童保护工作者中常见的以缺陷为导向的工作者痛苦话语,这项研究和提出的框架对于工作者、管理者和组织具有相关性,因为它重新构想了如何促进韧性以进一步保留工作者。

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