"你去那里,你会受到欢迎,人们不会评判你":对第三和社会经济部门中服务提供者和使用者对简短健康和幸福对话的看法的反思性专题分析

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Beth Nichol, Angela M. Rodrigues, Rob Wilson, Catherine Haighton
{"title":"\"你去那里,你会受到欢迎,人们不会评判你\":对第三和社会经济部门中服务提供者和使用者对简短健康和幸福对话的看法的反思性专题分析","authors":"Beth Nichol,&nbsp;Angela M. Rodrigues,&nbsp;Rob Wilson,&nbsp;Catherine Haighton","doi":"10.1155/2024/6786899","DOIUrl":null,"url":null,"abstract":"<div>\n <p>Brief health and wellbeing conversations within the Third and Social Economy (TSE) sector (groups or organisations operating independently to family and government with social justice as the primary aim) could help to reduce health inequalities through increased access to disadvantaged populations. This study aimed to explore the acceptability of health and wellbeing conversations such as within the TSE, including their existence without specific training. A qualitative design was adopted, utilising semistructured, one-to-one interviews. Service providers (<i>n</i> = 15) and users (<i>n</i> = 5) across a variety of TSE settings including charities and religious settings were interviewed, most of whom had not received no specific training in initiating and engaging in health and wellbeing conversations. Reflexive thematic analysis was applied using Nvivo. Five themes were identified; TSE as an ecosystem of empowerment, an existing community-initiated style of health and wellbeing conversations, readiness to engage in brief health and wellbeing conversations, capabilities of TSE as determined by external factors, and apprehension towards health and wellbeing conversations. Generally, the safe and empowering TSE environment naturally fostered health and wellbeing conversations, mostly initiated by service users. The TSE shows a readiness to conduct health and wellbeing conversations through existing infrastructure, partnerships, expertise, and an ambition for social justice. Barriers include fear of worsening the situation such as damaging strong and trusting relationships with service users, safeguarding concerns, and the instability and uncertainty of funding within the TSE. Relevant recommendations in light of these findings are made, including that the TSE is appropriate for the conduct of health and wellbeing conversations, and funding would provide cost efficiencies for its delivery at scale. Specific training within the TSE should focus on actively initiating health and wellbeing conversations and addressing fears of adverse consequences.</p>\n </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":null,"pages":null},"PeriodicalIF":2.0000,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/6786899","citationCount":"0","resultStr":"{\"title\":\"“You Go There and You are Welcomed and People do not Judge”: A Reflexive Thematic Analysis of Service Providers’ and Users’ Views of Brief Health and Wellbeing Conversations within the Third and Social Economy Sector\",\"authors\":\"Beth Nichol,&nbsp;Angela M. Rodrigues,&nbsp;Rob Wilson,&nbsp;Catherine Haighton\",\"doi\":\"10.1155/2024/6786899\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n <p>Brief health and wellbeing conversations within the Third and Social Economy (TSE) sector (groups or organisations operating independently to family and government with social justice as the primary aim) could help to reduce health inequalities through increased access to disadvantaged populations. This study aimed to explore the acceptability of health and wellbeing conversations such as within the TSE, including their existence without specific training. A qualitative design was adopted, utilising semistructured, one-to-one interviews. Service providers (<i>n</i> = 15) and users (<i>n</i> = 5) across a variety of TSE settings including charities and religious settings were interviewed, most of whom had not received no specific training in initiating and engaging in health and wellbeing conversations. Reflexive thematic analysis was applied using Nvivo. Five themes were identified; TSE as an ecosystem of empowerment, an existing community-initiated style of health and wellbeing conversations, readiness to engage in brief health and wellbeing conversations, capabilities of TSE as determined by external factors, and apprehension towards health and wellbeing conversations. Generally, the safe and empowering TSE environment naturally fostered health and wellbeing conversations, mostly initiated by service users. The TSE shows a readiness to conduct health and wellbeing conversations through existing infrastructure, partnerships, expertise, and an ambition for social justice. Barriers include fear of worsening the situation such as damaging strong and trusting relationships with service users, safeguarding concerns, and the instability and uncertainty of funding within the TSE. Relevant recommendations in light of these findings are made, including that the TSE is appropriate for the conduct of health and wellbeing conversations, and funding would provide cost efficiencies for its delivery at scale. Specific training within the TSE should focus on actively initiating health and wellbeing conversations and addressing fears of adverse consequences.</p>\\n </div>\",\"PeriodicalId\":48195,\"journal\":{\"name\":\"Health & Social Care in the Community\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2024-07-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/6786899\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health & Social Care in the Community\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1155/2024/6786899\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health & Social Care in the Community","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1155/2024/6786899","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

摘要

在第三和社会经济(TSE)部门(独立于家庭和政府运作的团体或组织,以社会正义为主要目标)内进行简短的健康和幸福对话,有助于通过增加弱势群体的机会来减少健康不平等现象。本研究旨在探讨诸如 TSE 内的健康与幸福对话的可接受性,包括其在没有特定培训的情况下的存在。研究采用了定性设计,利用半结构化的一对一访谈。受访者包括服务提供者(n = 15)和用户(n = 5),他们来自不同的 TSE 环境,包括慈善机构和宗教环境,其中大多数人都没有接受过启动和参与健康与幸福对话的专门培训。我们使用 Nvivo 进行了反思性专题分析。确定了五个主题:作为赋权生态系统的 "健康与幸福对话"、现有的由社区发起的健康与幸福对话风格、参与简短健康与幸福对话的意愿、由外部因素决定的 "健康与幸福对话 "能力以及对健康与幸福对话的担忧。一般来说,安全和赋权的 TSE 环境自然而然地促进了健康和幸福对话,这些对话大多由服务使用者发起。通过现有的基础设施、合作伙伴关系、专业知识以及对社会公正的追求,土耳其就业服务局显示出开展健康与幸福对话的意愿。障碍包括担心情况恶化,如破坏与服务使用者之间牢固的信任关系、对安全保障的担忧,以及技术援助局内部资金的不稳定性和不确定性。根据这些研究结果提出了相关建议,其中包括:"健康与幸福对话"(TSE)适合于开展健康与幸福对话,而资金将为其大规模实施提供成本效益。在 TSE 内进行的专门培训应侧重于积极开展健康与幸福对话,以及消除对不利后果的恐惧。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

“You Go There and You are Welcomed and People do not Judge”: A Reflexive Thematic Analysis of Service Providers’ and Users’ Views of Brief Health and Wellbeing Conversations within the Third and Social Economy Sector

“You Go There and You are Welcomed and People do not Judge”: A Reflexive Thematic Analysis of Service Providers’ and Users’ Views of Brief Health and Wellbeing Conversations within the Third and Social Economy Sector

Brief health and wellbeing conversations within the Third and Social Economy (TSE) sector (groups or organisations operating independently to family and government with social justice as the primary aim) could help to reduce health inequalities through increased access to disadvantaged populations. This study aimed to explore the acceptability of health and wellbeing conversations such as within the TSE, including their existence without specific training. A qualitative design was adopted, utilising semistructured, one-to-one interviews. Service providers (n = 15) and users (n = 5) across a variety of TSE settings including charities and religious settings were interviewed, most of whom had not received no specific training in initiating and engaging in health and wellbeing conversations. Reflexive thematic analysis was applied using Nvivo. Five themes were identified; TSE as an ecosystem of empowerment, an existing community-initiated style of health and wellbeing conversations, readiness to engage in brief health and wellbeing conversations, capabilities of TSE as determined by external factors, and apprehension towards health and wellbeing conversations. Generally, the safe and empowering TSE environment naturally fostered health and wellbeing conversations, mostly initiated by service users. The TSE shows a readiness to conduct health and wellbeing conversations through existing infrastructure, partnerships, expertise, and an ambition for social justice. Barriers include fear of worsening the situation such as damaging strong and trusting relationships with service users, safeguarding concerns, and the instability and uncertainty of funding within the TSE. Relevant recommendations in light of these findings are made, including that the TSE is appropriate for the conduct of health and wellbeing conversations, and funding would provide cost efficiencies for its delivery at scale. Specific training within the TSE should focus on actively initiating health and wellbeing conversations and addressing fears of adverse consequences.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信