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首页> 外文期刊>Journal of evaluation in clinical practice >A qualitative exploration of factors that facilitate and impede adherence to child abuse prevention guidelines in Dutch preventive child health care
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A qualitative exploration of factors that facilitate and impede adherence to child abuse prevention guidelines in Dutch preventive child health care

机译：对促进和阻碍荷兰预防性儿童保健中预防虐待儿童准则的因素进行定性探索

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Rationale, aims and objectives In the Netherlands, evidence-based child abuse prevention (CAP) guidelines have been developed to support child health care professionals (CHPs) in recognizing and responding to suspected child abuse. The aim of this study was to identify factors related to characteristics of the guidelines, the user, the organization and the socio-political context that facilitate or impede adherence to the CAP guidelines. Methods Three semi-structured focus groups including 14 CHPs working in one large Dutch child health care organization were conducted in January and February 2012. Participants were asked questions about the dissemination of the guidelines, adherence to their key recommendations and factors that impeded or facilitated desired working practices. The interviews were audiotaped and transcribed. Impeding and facilitating factors were identified and classified. An innovation framework was used to guide the research. Results CHPs mentioned 24 factors that facilitated or impeded adherence to the CAP guidelines. Most of these factors were related to characteristics of the user. Familiarity with the content of the guidelines, a supportive working environment and good inter-agency cooperation were identified as facilitating factors. Impeding factors included lack of willingness of caregivers to cooperate, low self-efficacy and poor inter-agency cooperation. Conclusions The results indicate that a broad variety of factors may influence CHPs' (non-)adherence to the CAP guidelines. Efforts to improve implementation of the guidelines should focus on improving familiarity with their contents, enhancing self-efficacy, promoting intra-agency cooperation, supporting professionals in dealing with uncooperative parents and improving inter-agency cooperation. Recommendations for future research are provided.
机译：基本原理，目的和目标在荷兰，已制定了循证预防儿童虐待（CAP）准则，以支持儿童保健专业人员（CHP）识别和应对可疑的虐待儿童行为。这项研究的目的是确定与准则，用户，组织和社会政治背景特征相关的因素，这些因素有助于或阻碍对CAP准则的遵守。方法2012年1月和2012年2月，进行了三个半结构性焦点小组的讨论，包括在一个荷兰大型儿童保健组织中工作的14名CHP。向参与者询问了有关准则的传播，坚持其主要建议以及阻碍或促进期望的因素的问题。工作习惯。采访被录音和转录。阻碍因素和促进因素已被识别和分类。创新框架用于指导研究。结果卫生防护中心提到了24个有助于或阻碍对CAP指南遵守的因素。这些因素大多数与用户的特征有关。熟悉准则的内容，支持的工作环境和良好的机构间合作是促进因素。阻碍因素包括看护者缺乏合作意愿，自我效能低下和机构间合作不佳。结论结果表明，多种因素可能会影响CHP（非）遵守CAP指南。加强准则实施的努力应集中在增进对准则内容的了解，提高自我效能，促进机构内合作，支持专业人员与不合作的父母打交道以及改善机构间合作。提供了未来研究的建议。

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