RESUMO
We used a statewide survey to test hypotheses about the predictors of juvenile probation officers' adherence to the Youth Level of Service/Case Management Inventory (YLS/CMI) risk/need assessment (RNA) tool, focusing on (1) the consistency and quality with which officers completed the tool, and (2) the extent to which they used it in decisions. While some hypotheses had been tested in prior quantitative studies, others were based on insights from case studies. Results showed that leadership and climate variables were consistently important in predicting adherence, though these tended to operate indirectly through their effects on other facilitators. Probation officer attitudes, either toward the YLS/CMI or to evidence-based practices, were also important across adherence measures. Although inconsistent in their effects across dependent variables, quality assurance of officer decision-making, external office relationships, and county YLS/CMI policies also predicted adherence.
Assuntos
Delinquência Juvenil , Medição de Risco/métodos , Gestão de Riscos/métodos , Adolescente , Administração de Caso , Humanos , Ciência da Implementação , Delinquência Juvenil/reabilitação , Aplicação da Lei , Avaliação das Necessidades , Inquéritos e QuestionáriosRESUMO
A movement worldwide, and specifically new to our hospital, is the implementation of Patient- and Family-Centered Care. We were unsure, however, what the needs were of our patients' families. This triangulated study, on a 28-bed oncology unit, studied family members at the bedside. We asked family members what their needs were in a three-step process (open-ended interview, use of the Draw a Bridge art therapy technique, and the Family Inventory of Needs survey). Nineteen interviews revealed needs for physical comfort, emotional support, cultural sensitivity, recognition of help provided by family members and improved pain management. Art therapy revealed the stress of caregiving and helped to uncover unmet needs for interviewers to explore. The FIN identified that care at home after discharge was a major worry. Knowledge of family members' needs while a loved one is in the hospital allows for planning and provision of modalities to assist them in their caregiving.