营造儿童社会关怀创新的有利地带

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Michelle Lefevre, Julie Temperley, Carlie Goldsmith, Martha Hampson
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引用次数: 0

摘要

在过去的20年里,儿童和家庭服务方面的创新活动加速了,特别是在英国,在那里,政府对试点、推广活动和评估的大量投资创造了一个关于有效方法和有效实践系统特征的新兴文献体系。然而,在地方和国家层面上,关于促成或阻碍因素和过程的相互作用的文献倾向于描述性的,而对潜在动力的理论化仍然有限。本文介绍了一个框架分析的结果,通过整合学术和灰色文献的叙述性回顾的专题见解,以及从英国政策、领导或研究人员角色中从事社会关怀创新的21位专家信息人的访谈中得出的见解。分析使五组“条件参数”得以出现,包括:动员者;系统功能;设计与实现特点;组织文化、氛围和流程;以及宏观背景。每个类别确定了三到四个条件参数,每个参数概述了可能促进创新或产生需要克服的障碍的因素和过程。为了创造一个最有利于创新的环境,需要注意这些条件的相互作用,认识到它们的运作和影响可能是在意识和审查之外发生的。研究发现,一个稳定的、得到良好支持的员工队伍最能促进创新,他们感到充满活力,有信心创造和实施变革。这就需要发展一种支持性、合作性、关系性的文化和相互信任的气氛,使反射性的监督和评价机制遵循以人为本的专业做法,使工作人员感到试验和犯错误是安全的。这可以使有利于创新的区域开放,即使在政策驱动因素和资源可用性不足的情况下也是如此。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Creating a Conducive Zone for Innovation in Children’s Social Care

Creating a Conducive Zone for Innovation in Children’s Social Care

Innovation activity in child and family services has accelerated over the past 2 decades, particularly in England, where substantial government investment in pilots, diffusion activities and evaluations has created an emerging body of literature on effective approaches and characteristics of efficient practice systems. However, the literature on the interplay of enabling or impeding factors and processes at a local and national level tends towards the descriptive, while theorisation of the underlying dynamics remains limited. This paper presents the findings of a framework analysis produced through integrating thematic insights from a narrative review of academic and grey literature with those drawn from interviews with 21 expert informants engaged in social care innovation within the UK within policy, leadership or researcher roles. Analysis enabled five clusters of ‘conditional parameters’ to emerge, covering: mobilisers; system capabilities; design and implementation features; organisational culture, climate and processes; and the macro context. Three or four conditional parameters are identified per category, each outlining factors and processes that could either facilitate an innovation or create barriers that needed to be overcome. To achieve an environment most conducive to innovation, attention needs to be paid to the interplay of these conditions, recognising that their operation and influence might be occurring out of awareness and scrutiny. Innovation is found to be best facilitated by a stable, well-supported workforce that feels energised and confident to create and implement change. This requires developing a supportive, collaborative, relational culture and climate of mutual trust, where reflexive supervisory and evaluatory mechanisms follow the human-centred grain of professional practice and where staff feel safe to experiment and make mistakes. This can enable a conducive zone for innovation to open up, even where policy drivers and the availability of resources are less than optimum.

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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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