Covid-19大流行期间寄养照料者远程访问受照料儿童(CIC)咨询模式的经验:服务评估

Jonah Gosling, J. Purrington
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However, some participants were unsure whether the pace and delivery were suitable for them. The thematic analysis highlighted four themes: (1) Reassurance and support: the consultations provided foster carers with reassurance and support that underpinned their current actions and aided their working relationships with other professionals; (2) Approach and understanding: the sessions provided foster carers with both specific and general approaches to challenges and enhanced their understanding; (3) Online consultation approval/disapproval: foster carers had mixed views regarding the remote delivery, but most valued this; (4) Behaviour change: following consultation, most foster carers experienced a change in behaviour within the household. Recommendations are discussed. Plain language summary It is recognised that foster carers play a unique role for children in care and that the nature of this role often requires specialised support. 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引用次数: 0

摘要

本服务评估探讨了新冠肺炎大流行期间寄养照顾者远程访问儿童护理咨询模式的经验。服务评估采用柯克帕特里克评估模型,在四个层面(反应、学习、行为和结果)收集数据,并采用混合方法。参与者是在2020年6月至2021年6月期间参加远程咨询的寄养照顾者。13名参与者完成了问卷调查,8名参与者同意进行后续访谈。问卷采用描述性分析,访谈采用主题分析。问卷调查显示,大多数参与者觉得自己被倾听了,觉得自己可以谈论对自己重要的事情,并且觉得咨询的长度合适。然而,一些参与者不确定速度和交付是否适合他们。专题分析突出了四个主题:(1)安慰和支持:磋商为寄养照顾者提供了安慰和支持,这是他们目前行动的基础,并有助于他们与其他专业人员的工作关系;(2)方法和理解:这些课程为寄养照顾者提供了应对挑战的具体和一般方法,并增强了他们的理解;(3)在线咨询赞成/不赞成:寄养人员对远程分娩的看法不一,但最重视这一点;(4)行为改变:经谘询后,大部分寄养照顾者的家庭行为均有改变。讨论了建议。人们认识到,寄养照顾者在照顾儿童方面发挥着独特的作用,而这一作用的性质往往需要专门的支持。为寄养照料者提供专门支持的一种形式是儿童看护咨询模式。谘询模式可以探讨受照顾儿童所遇到的困难,以及照顾他们的寄养照顾者的需要。在2019冠状病毒病大流行期间,一些服务部门开始通过视频会议通信平台远程管理这些咨询。大流行后,这种向数字化工作方式的转变也在继续,许多服务机构继续采用远程交付的做法。然而,尚未对寄养照料者远程咨询的经历进行调查。因此,本评估旨在探讨寄养照顾者在护理咨询模式中远程访问儿童的体验。参与者是在2020年6月至2021年7月期间进行远程咨询的寄养照顾者。13名寄养人员完成了一份调查问卷,其中8人自愿接受采访。调查问卷数据显示,寄养照顾者主要感觉被倾听了,觉得他们可以谈论对他们重要的事情,并且觉得咨询的长度是适当的。大多数寄养照料者认为,咨询涵盖了足够的材料,可以获得,他们会向其他人推荐这些材料。然而,一些寄养者不确定孩子的学习速度和教学方式是否适合他们。访谈数据产生了四个主要主题:(1)保证和支持;(2)护理方法和理解;(3)网上咨询批准/不批准;(4)行为改变。总的来说,这些答复与以下解释是一致的,即远程咨询对寄养照顾者来说似乎主要是可行和可接受的。讨论了影响。
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Experiences of foster carers remotely accessing the children in care (CIC) consultation model during the Covid-19 pandemic: A service evaluation
This service evaluation explored foster carers’ experiences of remotely accessing the children in care consultation model during the Covid-19 pandemic. The service evaluation utilised the Kirkpatrick evaluation model to collect data at four levels (reaction, learning, behaviour and results) and employed a mixed methodology. Participants were foster carers who had accessed remote consultations between June 2020 and June 2021. Thirteen participants completed questionnaires and eight consented to follow-up interviews. Questionnaires were analysed descriptively, and interviews were analysed thematically. Questionnaires demonstrated that most participants felt listened to, felt they could talk about what mattered to them and felt the consultations were the right length. However, some participants were unsure whether the pace and delivery were suitable for them. The thematic analysis highlighted four themes: (1) Reassurance and support: the consultations provided foster carers with reassurance and support that underpinned their current actions and aided their working relationships with other professionals; (2) Approach and understanding: the sessions provided foster carers with both specific and general approaches to challenges and enhanced their understanding; (3) Online consultation approval/disapproval: foster carers had mixed views regarding the remote delivery, but most valued this; (4) Behaviour change: following consultation, most foster carers experienced a change in behaviour within the household. Recommendations are discussed. Plain language summary It is recognised that foster carers play a unique role for children in care and that the nature of this role often requires specialised support. One format of specialised support for foster carers is the children in care consultation model. The consultation model allows for the exploration of the difficulties being experienced by the child in care and the needs of the foster carers supporting them. During the Covid-19 pandemic several services began administering these consultations remotely via videoconferencing communication platforms. This shift towards digital ways of working has also continued post-pandemic and many services continue to engage in remotely delivered practices. However, foster carers’ experiences of accessing these consultations remotely have not yet been investigated. Therefore, this evaluation aimed to explore foster carers’ experiences of remotely accessing the children in care consultation model. Participants were foster carers who accessed remote consultations between June 2020 and July 2021. Thirteen foster carers completed a questionnaire with eight of these volunteering to be interviewed. The questionnaire data revealed that foster carers predominantly felt listened to, felt that they could talk about what mattered to them and felt the consultations were an appropriate length. Most foster carers felt that the consultations covered enough material, were accessible and that they would recommend them to others. However, some foster carers were unsure whether the pace and delivery were suitable for them. The interview data produced four main themes: (1) Reassurance and support; (2) Carer approaches and understanding; (3) Online consultation approval/disapproval; and (4) Behaviour change. Overall, these responses were consistent with the interpretation that remote consultations appear to be predominantly feasible and acceptable to foster carers. Implications are discussed.
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