Training Community Health Workers to Respond to Public Health Demands.

IF 0.8 4区 医学 Q4 NURSING
Journal of Community Health Nursing Pub Date : 2025-04-01 Epub Date: 2024-10-16 DOI:10.1080/07370016.2024.2403555
Tsu-Yin Wu, Jenni L Hoffman, Sarah Lally, Brian Hartl, Tracy Malinowski-Fahner, Renuka Roche, Vicki L Washington, Jeanne Yang
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Abstract

Background: Community health workers (CHWs) connect individuals to community resources and build individual competence in an effort to improve overall community/public health. There is a need for more research on how community health nurse (CHN)-led training programs are needed to help train and support CHWs.

Purpose: The purpose was to describe the development and evaluation of a series of CHN-led CHW trainings on CHW role, boundaries, and motivational interviewing; diabetes; mental health and long COVID; sexually transmitted infections; and lead poisoning prevention and treatment.

Design: This study utilized a one-group pretest-posttest design in which quantitative and qualitative data were collected.

Methods: The sample consisted of CHWs representing White/Caucasian, Black/African American, Hispanic/Latinx, and Asian American populations who for each topic, completed a pretest one week prior to the training, the training, and a posttest one week after the training. The quantitative and qualitative data collected during winter and spring/summer 2023 underwent statistical and thematic analysis, respectively.

Findings: The results suggest that the CHW trainings were effective overall at increasing participants' knowledge and confidence in their knowledge levels, as well as comfort with educating community members on various public health topics. Information learned and found most helpful, and application and utilization plans for this knowledge in their work were revealed.

Conclusions: CHWs are important for disseminating health communication and education among members of their communities, and play a key role in reducing health disparities among at-risk populations.

Clinical evidence: CHN-led educational intervention is a strategy to improve CHWs' knowledge, confidence, and comfort.

培训社区卫生工作者,以应对公共卫生需求。
背景:社区保健工作者(CHWs)将个人与社区资源联系起来,并培养个人能力,以努力改善整个社区/公共卫生。目的:本研究旨在描述由社区健康护士(CHN)主导的一系列社区健康工作者培训的发展和评估情况,培训内容包括社区健康工作者的角色、界限和动机访谈;糖尿病;心理健康和长期COVID;性传播感染;以及铅中毒的预防和治疗:本研究采用单组前测后测设计,收集定量和定性数据:样本由代表白人/高加索人、黑人/非洲裔美国人、西班牙裔/拉丁裔美国人和亚裔美国人的社区保健工作者组成,针对每个主题,他们在培训前一周、培训期间和培训后一周分别完成了一次前测。对 2023 年冬季和春夏季收集的定量和定性数据分别进行了统计和主题分析:结果表明,社区保健工作者培训总体上有效地提高了参与者的知识水平,增强了他们对自己知识水平的信心,以及在向社区成员讲解各种公共卫生主题时的舒适度。培训揭示了所学到的信息和认为最有帮助的信息,以及在工作中应用和利用这些知识的计划:结论:社区保健员对于在社区成员中传播健康信息和开展健康教育非常重要,在减少高危人群的健康差异方面发挥着关键作用:临床证据:由社区保健员主导的教育干预是提高社区保健员知识水平、自信心和舒适度的一种策略。
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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来源期刊
CiteScore
1.40
自引率
10.00%
发文量
21
审稿时长
3 months
期刊介绍: This innovative publication focuses on health care issues relevant to all aspects of community practice -- home health care, visiting nursing services, clinics, hospices, education, and public health administration. Well-researched articles provide practical and up-to-date information to aid the nurse who must frequently make decisions and solve problems without the back-up support systems available in the hospital. The journal is a forum for community health professionals to share their experience and expertise with others in the field.
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