Reflective practice is a prerequisite for One Health development.

IF 3.8 Q2 INFECTIOUS DISEASES
Craig Stephen, John Berezowski
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Abstract

One Health is being promoted as a transformative approach in health, conservation, and environmental sustainability. The polycrisis of climate change, pandemics, food insecurity, biodiversity loss, pollution and inequity is creating an urgency to evolve the epistemology and methods of One Health. However, the amount of effort placed into critical and systematic reflection on One Health is outweighed by advocacy for its use, or for expanding its scope of practice. This paper advocates for reflective One Health practice to foster new ways of knowing and doing that are helpful in the face of a rapidly narrowing window of opportunity to preserve the social and environmental factors that secure health and resilience for all species and generations. We propose six areas for reflection; (1) how to moderate conformity so that One Health does not become its own silo; (2) finding the moral purpose of One Health to align actions with desired outcomes; (3) coping with the problem of too many interacting problems; (4) the strategic trajectory of growth to accelerate action on root causes and ensure One Health is future-ready; (5) how to identify priorities across a vast array of problems, values, and needs and (6) how to know if we are making the world healthier and safer and for whom. Reflective practice requires investment in ongoing conversation to guard against over-confidence that we have captured the "one right way" to meet changing expectations and circumstances in a fair and effective way. Our intention is to stimulate thinking and discussion within the One Health community to ensure that "doing is shaped by knowing". We hope One Health will continue to be an emergent and highly variable set of ever more effective practices that constantly changes in response to the complex, interconnected and changing problems facing the health of people, animals, and the environment.

反思性实践是 "一体健康 "发展的先决条件。
一体健康 "作为健康、保护和环境可持续性方面的一种变革方法正在得到推广。气候变化、大流行病、粮食不安全、生物多样性丧失、污染和不公平等多重危机正在催生发展 "一体健康 "认识论和方法的紧迫性。然而,对 "一体健康 "进行批判性和系统性反思所付出的努力,与倡导使用 "一体健康 "或扩大 "一体健康 "的实践范围相比,显得微不足道。本文倡导 "一体健康 "的反思性实践,以培养新的认知和行动方式,在面对机会之窗迅速缩小的情况下,有助于保护社会和环境因素,确保所有物种和世代的健康和恢复力。我们提出了六个反思领域:(1) 如何缓和一致性,使 "一体健康 "不会成为自己的 "孤岛";(2) 找到 "一体健康 "的道德目的,使行动与预期结果相一致;(3) 应对太多相互影响的问题;(4) 增长的战略轨迹,以加快针对根本原因的行动,确保 "一体健康 "为未来做好准备;(5) 如何在大量问题、价值观和需求中确定优先事项;(6) 如何知道我们是否正在使世界变得更健康、更安全,以及为谁而变得更健康、更安全。反思性实践要求我们在持续的对话中进行投资,以防止过度自信,认为我们已经掌握了 "唯一正确的方法",可以公平有效地满足不断变化的期望和环境。我们的目的是激发 "一个健康 "社区内部的思考和讨论,确保 "知行合一"。我们希望 "一种健康 "将继续成为一套新兴的、高度可变的、更加有效的实践方法,并不断变化,以应对人类、动物和环境健康所面临的复杂、相互关联和不断变化的问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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