Hospitals implementing changes in law to protect children of ill parents: a cross-sectional study

BMC Health Services Research

Eivind Thorsen¹  Torleif Ruud²  Jonas Christoffer Lindstrøm²  Darryl Maybery³  Knut Sørgaard⁴  Kristin Stavnes⁴  Bjørg Eva Skogøy⁴  Terje Ogden⁵  Gro Christensen Peck⁶  Elin Kufås⁷ 

[1] BarnsBeste (Children’s Best Interests) - National Competence Network for Children as Next of Kin, Sørlandet Hospital Trust;Department for Research and Development, Mental Health Services, Akershus University Hospital;Monash University Department of Rural Health;Nordland Hospital Trust;Norwegian Center for Child Behavioral Development, Unirand;Stavanger University Hospital;Vestre Viken Hospital Trust;

关键词: Hospital;    Implementation;    Law;    Policy;    Prevention;    Child responsible personnel;   

DOI  :  10.1186/s12913-018-3393-2

来源: DOAJ

【 摘 要 】

Abstract Background Norway is one of the first countries to require all health professionals to play a part in prevention for children of parents with all kinds of illnesses (mental illness, drug addiction, or severe physical illness or injury) in order to mitigate their increased risk of psychosocial problems. Hospitals are required to have child responsible personnel (CRP) to promote and coordinate support given by health professionals to patients who are parents and to their children. Methods This study examined the extent to which the new law had been implemented as intended in Norwegian hospitals, using Fixsen’s Active Implementation Framework. A stratified random sample of managers and child responsible personnel (n = 167) from five Hospitals filled in an adapted version of the Implementation Components Questionnaire (ICQ) about the implementation of policy changes. Additional information was collected from 21 hospital coordinators (H-CRP) from 16 other hospitals. Results Significant differences were found between the five hospitals, with lowest score from the smallest hopitals. Additional analysis, comparing the 21 hospitals, as reported by the H-CRP, suggests a clear pattern of smaller hospitals having less innovative resources to implement the policy changes. Leadership, resources and system intervention (strategies to work with other systems) were key predictors of a more successful implementation process. Conclusions Legal changes are helpful, but quality improvements are needed to secure equal chances of protection and support for children of ill parents. Trial registration The study is approved by the Regional Committee on Medical and Health Research Etics South-East (reg.no. 2012/1176) and by the Privacy Ombudsmann.

【 授权许可】

Unknown