通过创造意义,减少民族文化社区COVID-19疫苗接种的决策冲突:一个参与式行动混合方法研究
Denise Campbell-Scherer1,2, Eliana Castillo3, Yvonne Chiu4
1Physician Learning Program, University of Alberta Faculty of Medicine & Dentistry, Edmonton, Alberta, Canada denise.campbell-scherer@ualberta.ca.
BMJ open
|November 28, 2025
概括
文化健康经纪人在导航COVID-19疫苗决策,减少冲突和错误信息方面至关重要. 他们的工作建立了信任,并加强了社区在危机期间的弹性.
科学领域:
- 公共卫生 公共卫生
- 卫生沟通健康沟通
- 卫生社会学 卫生社会学
背景情况:
- 文化健康经纪人是正式卫生系统与多元民族文化社区之间的关键中间人.
- 在公共卫生危机中,应对决策冲突和错误信息,特别是关于疫苗接种的错误信息,是一个重大挑战.
- 系统弹性对于有效应对危机至关重要,需要以社区为中心的方法.
研究的目的:
- 检查文化健康经纪人在管理与COVID-19疫苗接种有关的决策冲突和错误信息方面的作用.
- 确定文化健康经纪人的工作如何在危机环境中为系统弹性做出贡献.
主要方法:
- 一个以社区为基础的参与性行动创造意义的研究项目被采用.
- 数据是通过28个文化健康经纪人在SenseMaker平台上捕获的实时反射收集的.
- 对277个叙述和13个造意会议的专题分析为研究结果提供了信息.
主要成果:
- 在81%的叙述中,信任被认为对行动至关重要,而70%的人担心信任丧失.
- 关键策略包括建立信任,加强关系,创造安全空间,创造意义,利用文化资本.
- 经纪人有效地减少了决策冲突和错误信息,支持知情,价值观一致的决策.
结论:
- 文化健康经纪人在应对危机方面至关重要,培养信任并使集体感知成为可能.
- 他们的文化调整的工作增强了未来公共卫生紧急情况的系统弹性.
- 这项研究突出了危机期间有效的社区与系统联系的模型.
相关概念视频
Ethical Dilemmas II
2.2K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.2K
Bias in Epidemiological Studies
1.2K
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
1.2K
Ethical Dilemmas I
1.8K
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
1.8K
Community Based Intervention
260
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
260
Ethics in Research
25.4K
Today, scientists agree that good research is ethical in nature and is guided by a basic respect for human dignity and safety. However, this has not always been the case. Modern researchers must demonstrate that the research they perform is ethically sound.
25.4K
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
382
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
382


