社区参与教学、研究和实践:促进公共卫生

G. Meredith, Amie K. Patchen, Audrey Z. Baker
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引用次数: 7

摘要

公共卫生这一跨学科领域促进了人们的健康。在美国,复杂的公共卫生需求仍然存在,主要受到社会和结构决定因素的影响。可行的解决方案需要创造力和改变现状的承诺,并通过协作解决问题来促进。美国的公共卫生教育项目在培养一支有能力支持这些进程的劳动力队伍方面发挥着作用。康奈尔大学公共卫生硕士(MPH)项目旨在寻找机会,同时支持学生学习、社区能力发展和以社区为中心的公共卫生改善行动。一个连续的两阶段的方法被用来定义课程的组成部分和指示的教学方法。出现了两个关键主题:当前和未来公共卫生工作者所需和期望的技能和能力的一致性以及社区参与学习在促进学习和改善公共卫生方面可以发挥的战略作用。在康奈尔大学公共卫生硕士项目中,社区参与式学习被特别采用为三门课程的主要教学方法,重点是需求评估、干预计划、监测和评估改进。这些课程是与社区合作者一起设计的,其目标是在12个领域建立学生知识和社区能力,并通过协作工作改善社区卫生成果。另一篇综述探讨了与社区公共卫生实践相关的文献,包括集体影响、社区组织和公共卫生3.0。作为公共卫生硕士项目社区参与和战略规划过程的一部分,文献综述与一系列非正式半结构化访谈、社区会议和一线公共卫生工作者焦点小组期间所做的笔记相互参照。对文献和定性投入进行了专题分析,以总结参与社区一级协作公共卫生工作的一线工作人员的优先能力建设重点领域。然后将这些发现与第一阶段交叉,以呈现跨部门公共卫生从业人员能力需求的全面图景。社区合作伙伴的支持,较低的教学/指导比例,以及M&E流程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Community Engaged Teaching, Research and Practice: A Catalyst for Public Health Improvement
The interdisciplinary field of public health promotes health among populations. Complex public health needs persist in the United States, influenced largely by social and structural determinants. Viable solu tions require creativity and a commitment to change the status quo, facilitated by collaborative problem-solving. Public health education programs in the United States have a role in developing a workforce that is equipped to support these processes. Cornell University’s Master of Public Health (MPH) Program sought to identify opportunities to simultaneously support student learning, community capacity development, and community- centered action for public health improvement. A sequential two- phased approach was used to define curricular components and indicated pedagogical methods. Two key themes emerged: alignment of skills and abilities needed and desired by current and future public health workers and the strategic role community engaged learning could play in advancing learning and improving public health. Community engaged learning was specifically adopted as the primary pedagogical approach for a series of three courses in the Cornell MPH Program, focused on needs assessment, intervention planning, and monitoring and evaluation for improvement. These courses were designed with community collaborators, with goals to build student knowledge and community capacity in 12 domains and improve community health outcomes via collaborative work. An additional review was conducted to explore literature related to community- based public health practice including collective impact, community organizing, and Public Health 3.0. To “ground truth” the emergent themes, and to develop a locally relevant understanding, the literature review was cross- referenced with notes taken during a series of informal semi- structured interviews, community meetings, and focus groups with frontline public health workers, conducted as a part of the MPH Program’s community engagement and strategic planning processes. Thematic analysis was conducted across the literature and qualitative input to summarize priority capacity building focal areas for frontline workers involved in collaborative public health work at community levels. These findings were then cross- walked with the first phase to present a comprehensive picture of competence needs of public health practitioners across sectors. community partners support, low teaching/mentoring ratios, and M&E processes.
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