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Drawing from collective experiences in our capacity building project: Health Equity Activation Research Team for Inclusion Health, we argue that while community-engaged partnerships tend to focus on understanding health inequities and developing solutions, they can be healing spaces for health professionals and researchers. Data were obtained from a 15-month participatory ethnography, including focus groups and interviews. Ethnographic notes and transcripts were coded and analyzed using both deductive and inductive coding. Practices of radical welcome, vulnerability, valuing the whole person, acknowledging how partnerships can cause harm, and centering lived experience expertise in knowledge creation processes were identified as key characteristics of healing spaces. Ultimately, health professionals and researchers work within the same social, political and economic contexts of populations with the worst health outcomes. Their own healing is critical for tackling larger systemic changes aimed at improving the well-being of communities harmed by legacies of exclusion.
Assuntos
Pesquisa Participativa Baseada na Comunidade , Humanos , Pesquisa Participativa Baseada na Comunidade/organização & administração , Pesquisadores/organização & administração , Pesquisadores/psicologia , Grupos Focais , Pessoal de Saúde/psicologia , Pessoal de Saúde/organização & administração , Antropologia Cultural , Fortalecimento Institucional/organização & administração , Equidade em Saúde/organização & administraçãoRESUMO
Introduction Through a unique, inter-sectoral and interprofessional initiative, practitioners from education, health and social service sectors were invited to participate in communities of practice, facilitated online. The focus was on building workforce capacity to address the mental health needs of children and youth. Aim This paper explores interprofessional workforce development by translating knowledge from a mental health promotion initiative developed overseas into the Aotearoa New Zealand context. Methods Over a 6-month period, practitioners engaged in an iterative, capacity-building process, where they had access to the initiative materials and resources, shared practice stories, networked, and discussed barriers and facilitators for implementation. Qualitative thematic analysis was used to interpret data. Results Members of the communities of practice engaged in storytelling and made sense of the initiative in relation to their previous knowledge and experiences: practice and thinking were validated. Mental health promotion was positioned as the responsibility of all sectors and the need for effective interprofessional collaboration was deemed essential. Furthermore, translation of the initiative into the bicultural context of Aotearoa New Zealand demanded and deserved sustained attention. Discussion This study contributes interprofessional and inter-sectoral evidence for building workforce capacity to address the mental health needs of children and youth. Further research is warranted to investigate the outcomes for the children and youth served. Interprofessional communities of practice were shown to provide a sustainable mechanism by which knowledge can be received, transformed and translated into practice.
Assuntos
Promoção da Saúde , Saúde Mental , Pesquisa Qualitativa , Humanos , Nova Zelândia , Promoção da Saúde/organização & administração , Relações Interprofissionais , Fortalecimento Institucional/organização & administração , Criança , Adolescente , Pessoal de Saúde/psicologia , Pessoal de Saúde/educação , Serviços de Saúde Mental/organização & administração , Comunidade de PráticaRESUMO
As the world is facing challenges such as pandemics, climate change, conflicts, and changing political landscapes, the need to secure access to safe and high-quality abortion care is more urgent than ever. On 27th of June 2023, the Swedish government decided to cut funding resources available for developmental research, which has played a fundamental role in the advancement of sexual and reproductive health and rights (SRHR) globally, including abortion care. Withdrawal of this funding not only threatens the fulfilment of the United Nations sustainable development goals (SDGS) - target 3.7 on ensuring universal access to SRHR and target 5 on gender equality - but also jeopardises two decades of research capacity strengthening. In this article, we describe how the partnerships that we have built over the course of two decades have amounted to numerous publications, doctoral graduates, and important advancements within the field of SRHR in East Africa and beyond.
Main findings: The two-decade long collaboration between Sweden and East Africa, funded by the Swedish government, has resulted in important partnerships, research findings, and advancements within sexual and reproductive health and rights in East Africa.Added knowledge: The Swedish government is now cutting funding for development research, which jeopardises the progress made so far.Global health impact for policy and action: Governments need to prioritise women's sexual and reproductive health and rights.
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Fortalecimento Institucional , Saúde Reprodutiva , Saúde Sexual , Humanos , Fortalecimento Institucional/organização & administração , Saúde Reprodutiva/educação , Saúde Sexual/educação , África Oriental , Pesquisa/organização & administração , Feminino , Desenvolvimento Sustentável , Aborto InduzidoRESUMO
DRIVING FORCES: Many states with high rates of cardiovascular disease (CVD) lack statewide quality improvement (QI) infrastructure (for example, resources, leadership, community) to address relevant health needs of the population. Academic health centers are well positioned to play a central role in addressing this deficiency. This article describes early experience and lessons learned in building statewide QI infrastructure through the Tennessee Heart Health Network (Network). APPROACH: A statewide, multistakeholder network composed of primary care practices (PCPs), health systems, health plans, QI organizations, patients, and academic institutions was led by the University of Tennessee Health Science Center (UTHSC), an academic health center, to improve cardiovascular health by supporting dissemination and implementation of patient-centered outcomes research (PCOR) evidence-based interventions in primary care. PCPs were required to select and implement at least one of three interventions (health coaching, tailored health-related text messaging, and pharmacist-physician collaboration). OUTCOMES AND KEY INSIGHTS: Thirty statewide organizational partners joined the Network in year one, including 18 health systems representing 77 PCPs (30.0% of 257 potentially eligible PCPs identified) with approximately 300,000 patients. The organizational partners share EHRs for the ongoing tracking and reporting of key health metrics, including hypertension control and delivery of tobacco cessation counseling. Of the 77 PCPs, 62 continue participation after year two (80.5% retention). Main barriers to participation and reasons for discontinuing participation included reluctance to share data and changes in leadership at the health system level. These 62 PCPs selected the following interventions to implement: health coaching (41.9%), tailored health-related text messages (48.4%), and pharmacist-physician collaboration (40.3%). CONCLUSION AND WHAT'S NEXT: Academic health centers have broad reach and high acceptability by diverse stakeholders. Tennessee's experience illustrates how academic health centers can serve as platforms for building a statewide infrastructure for disseminating, implementing, and sustaining QI interventions at the practice level. Assessment of Network impact is ongoing.
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Doenças Cardiovasculares , Equidade em Saúde , Atenção Primária à Saúde , Melhoria de Qualidade , Melhoria de Qualidade/organização & administração , Humanos , Tennessee , Equidade em Saúde/organização & administração , Doenças Cardiovasculares/terapia , Doenças Cardiovasculares/prevenção & controle , Atenção Primária à Saúde/organização & administração , Atenção Primária à Saúde/normas , Fortalecimento Institucional/organização & administração , Comportamento Cooperativo , Centros Médicos Acadêmicos/organização & administração , LiderançaRESUMO
Capacity-building in trauma-informed care and harm reduction approaches with Southern HIV service organizations must be implemented in ways that foster trust and spur organizational change. Using an equity-centered implementation science framework, this study examines implementation strategies of the SUSTAIN COMPASS Coordinating Center's person-centered care (PCC) capacity-building interventions. METHODS: Fifty-eight (58) in-depth qualitative interviews with staff (N=116) who received PCC capacity-building were analyzed using modified grounded theory. RESULTS: Analysis identified four factors of equity-centered implementation that facilitated PCC capacity-building implementation. 1) Innovation factors: SUSTAIN models PCC approaches when implementing PCC capacity-building. 2) Inner factors: SUSTAIN employs PCC approaches. 3) Outer factors: SUSTAIN highlights socio-political factors that may influence PCC implementation. 4) Bridging factors: SUSTAIN facilitates partnerships to promote PCC learning and sustainability. CONCLUSION: SUSTAIN PCC capacity-building advances health equity through operationalizing personcentered care in capacity-building implementation.
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Fortalecimento Institucional , Infecções por HIV , Assistência Centrada no Paciente , Humanos , Fortalecimento Institucional/organização & administração , Infecções por HIV/terapia , Infecções por HIV/prevenção & controle , Assistência Centrada no Paciente/organização & administração , Equidade em Saúde/organização & administração , Pesquisa Qualitativa , Entrevistas como Assunto , Inovação OrganizacionalAssuntos
Humanos , Motivação , Liderança , Fortalecimento Institucional/métodos , Fortalecimento Institucional/organização & administração , Fortalecimento Institucional , Planos para Motivação de Pessoal , Personalidade , Características Humanas , Pessoalidade , Recursos Humanos , Desenvolvimento de Pessoal , Comunicação , Barreiras de ComunicaçãoRESUMO
CD-ROM contém vídeo de apresentação do em formato de vídeo juntamente com três vídeos aulas do curso de capacitação de curta duração em motivação, liderança e formação de equipes. Contém o livro do curso e orientações aos estudantes em formato PDF e aplicativo da disciplina. Objetiva apresentar aos participantes noções sobre a contextualização e evolução das teorias, modelos e abordagens sobre a liderança e seus impactos nas relações de trabalho
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Humanos , Motivação , Liderança , Fortalecimento Institucional/métodos , Fortalecimento Institucional/organização & administração , Fortalecimento Institucional , Planos para Motivação de Pessoal , Personalidade , Características Humanas , Pessoalidade , Recursos Humanos , Desenvolvimento de Pessoal , Comunicação , Barreiras de ComunicaçãoAssuntos
Humanos , Competência Profissional , Competência Cultural , Habilidades Sociais , Fortalecimento Institucional/métodos , Fortalecimento Institucional/organização & administração , Fortalecimento Institucional , Planos para Motivação de Pessoal , Personalidade , Características Humanas , Pessoalidade , Recursos Humanos , Desenvolvimento de PessoalRESUMO
CD-ROM contém vídeo de apresentação do em formato de vídeo juntamente com três vídeos aulas do curso de capacitação de curta duração em mapeamento e gestão de competências. Contém o livro do curso e orientações aos estudantes em formato PDF e aplicativo da disciplina. Objetiva apresentar os conceitos básicos de gestão de competências e discutir aplicações práticas de forma a extrair a máxima contribuição de sua equipe