The Safe Environment for Every Kid Model in the Swedish Child Health Services: Adoption and Introduction in a Healthcare Region

IF 3 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES Health Expectations Pub Date : 2024-10-23 DOI:10.1111/hex.70078

Marie Golsäter, Ann-Christine Andersson

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Abstract

Background

Early support for children and families in need can improve children's health and development. In a Swedish region, a new working model called Safe Environment for Every Kid (SEEK) was introduced in the Child Health Services to facilitate the early identification of psychosocial risk factors.

Objective

The aim of this study was to describe the adoption and introduction of the SEEK model in the Child Health Services of Region Jönköping County.

Methods

Quantitative data were analysed using descriptive statistics, whereas qualitative data were analysed separately by a thematic approach. The results were then interpreted together with documents (including CHS management meeting notes and documents describing planning and training sessions) using an exploratory mixed-methods approach to give a comprehensive description of the adoption and introduction of the SEEK model.

Results

The results show that the SEEK model improved coordination and collaboration, which led to better integrated care for children and families. The structure was regarded as supportive when introducing the SEEK model in Child Health Services. The questionnaire, as part of the SEEK model, was used in 88% of possible health visits. The most reported reason for not using it was a lack of time.

Conclusions

The desire to make a difference and thereby promote better health and development for children was a crucial factor for the nurses in adopting the SEEK model in their clinical practice. The design using coaches was also appreciated and supported the adoption and introduction of the SEEK model.

Patient or Public Contribution

Parents and healthcare professionals did not contribute to the research process. The results are based on dialogues between CHS nurses and parents after the parents filled in the SEEK questionnaire, providing an understanding of professional relationships when dealing with challenging issues.

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瑞典儿童健康服务机构的 "每个孩子的安全环境模式"：在医疗保健地区的采用和引入。

背景：为有需要的儿童和家庭提供早期支持可以改善儿童的健康和发展。在瑞典的一个地区，儿童健康服务机构引入了一种名为 "每个孩子的安全环境（SEEK）"的新工作模式，以促进及早识别社会心理风险因素：本研究旨在描述延雪平地区儿童健康服务机构采用和引入 SEEK 模式的情况：采用描述性统计方法对定量数据进行分析，而定性数据则采用专题方法分别进行分析。然后，采用探索性混合方法，将分析结果与文件（包括儿童保健中心管理会议记录以及描述规划和培训课程的文件）一并解读，以全面描述 SEEK 模式的采用和引入情况：结果表明，SEEK 模式改善了协调与合作，从而为儿童和家庭提供了更好的综合护理。在儿童保健服务机构引入 SEEK 模式时，该机构被认为是支持性的。作为 SEEK 模式的一部分，调查问卷在 88% 的可能的健康访视中得到了使用。未使用问卷的最主要原因是缺乏时间：护士们在临床实践中采用 SEEK 模式的一个重要因素是他们希望有所作为，从而促进儿童的健康和发展。使用教练的设计也得到了赞赏，并对采用和引入 SEEK 模式起到了支持作用：患者或公众的贡献：家长和医护人员没有参与研究过程。研究结果是在家长填写了SEEK问卷后，根据CHS护士和家长之间的对话得出的，从而了解了在处理具有挑战性的问题时的专业关系。

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来源期刊

Health Expectations 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.20

自引率

9.40%

发文量

251

审稿时长

>12 weeks

期刊介绍： Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.