Using genograms to understand pediatric practices' readiness for change to prevent abuse and neglect

Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community
Diane J AbatemarcoTammy Hurley

Abstract

A novel use of genograms in primary care practice is to identify processes and relationships among physicians and staff prior to implementing practice change. The authors hypothesized that the genogram would inform researchers and practice staff, participating in a child maltreatment prevention study, how practice members function in a practice. They describe the use of genograms and show how the genogram results are associated with intervention uptake. Researchers constructed genograms, collected baseline surveys, and conducted postintervention interviews with physicians. Data were analyzed to determine processes associated with intervention uptake. While survey results supported the relationships and conflicts observed in the genograms, the genogram provided more multilevel information that reflected practices' abilities to implement change. By providing a snapshot of the relationship and organizational dynamics within a practice, genograms can assess culture for practice change. Genograms describe organizational dynamics and are useful tools to use prior to initiating new programs.

References

Jan 1, 1972·International Journal of Epidemiology·K J Roghmann, R J Haggerty
Dec 15, 2000·Archives of Pediatrics & Adolescent Medicine·M A SchusterD J Klein
Sep 15, 2005·Joint Commission Journal on Quality and Patient Safety·Christine K StroebelKurt C Stange
May 19, 2006·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Joan Simons, Louise M MacDonald
Mar 21, 2008·Joint Commission Journal on Quality and Patient Safety·Diane J AbatemarcoJo Ann Kairys
Apr 1, 2011·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Antonia J Beringer, Margaret E Fletcher

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Citations

May 18, 2016·Primary Health Care Research & Development·Matthew D Di GuglielmoDiane J Abatemarco
Dec 19, 2017·Primary Health Care Research & Development·Diane J AbatemarcoSteven Kairys
May 25, 2018·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Samareh G HillDiane Abatemarco
Oct 5, 2017·Revista paulista de pediatria : orgão oficial da Sociedade de Pediatria de São Paulo·Égle Thomaz LeoncioJosé Lúcio Martins Machado

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