提高适应能力:在州政府公共卫生营养师中探索结构赋权和系统思维
Angela M Tagtow1, Christina R Welter, Steven Seweryn
1Author Affiliations: Äkta Strategies, LLC, Elkhart, Iowa (Dr Tagtow); DrPH in Leadership Program, University of Illinois Chicago, School of Public Health, Chicago, Illinois (Drs Welter, Seweryn, and Asada); Department of Food Systems, Nutrition, and Health, University of Washington, School of Public Health, Seattle, Washington (Dr Spiker); and Iowa Department of Health and Human Services, Division of Community Access and Eligibility, Des Moines, Iowa (Ms Lange), and Iowa Department of Health and Human Services, Division of Public Health, Des Moines, Iowa (Dr McDonald).
公共卫生营养学家通过利用关系和资源来适应复杂的环境. 加强结构赋权和系统思维对于劳动力适应性和改善人口健康结果至关重要.
科学领域:
- 公共卫生 营养 公共卫生 营养
- 组织心理学 组织心理学
- 系统科学 系统科学
背景情况:
- 公共卫生营养学家在复杂的,资源有限的环境中工作.
- 适应性对于有效的公共卫生营养实践至关重要.
- 结构赋权和系统思维是适应能力的潜在促进者.
研究的目的:
- 探索结构赋权和系统思维如何使公共卫生营养学家能够适应复杂的环境.
- 确定与公共卫生营养实践中的适应性相关的关键主题.
主要方法:
- 使用半结构面试进行的定性研究.
- 来自州政府公共卫生机构的14名饮食师准备的营养学家参加了这次活动.
- 用专题分析来解释采访数据.
主要成果:
- 利用关系对于行使结构赋权和系统思维至关重要.
- 获得资源和支持是公共卫生营养倡议的优先事项.
- 解决正规系统思维培训中的差距可以提高公共卫生环境中的适应能力.
结论:
- 需要加强对组织权力结构的访问.
- 建议将系统思维整合到公共卫生操作中.
- 维持专业发展对于公共卫生工作人员至关重要,特别是那些资源有限的人.
- 通过加强结构权力和系统思维来赋予公共卫生工作人员权力,提高了适应能力,决策能力和人口健康.
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