workforce development

劳动力发展
  • 文章类型: Journal Article
    公共卫生宣传是公共卫生和健康促进实践的基本组成部分。然而,在高等教育环境和正在进行的专业发展计划中,在提供公共卫生宣传知识和技能方面都存在差距。古尔本谷公共卫生股与公共卫生倡导研究所合作,为各自地区的49名公共卫生和推广专业人员培养技能,使他们能够领导一个旨在促进全州倡议的宣传项目。这包括一系列基于技能的面对面公共卫生宣传讲习班和讲习班后电子指导。结果包括创建与当地相关的公共卫生宣传项目和实践社区。
    Public health advocacy is a fundamental part of public health and health promotion practice. However, gaps exist in the provision of public health advocacy knowledge and skill acquisition both in the tertiary environment and within ongoing professional development programmes. The Goulburn Valley Public Health Unit partnered with the Public Health Advocacy Institute to build the skills of 49 public health and promotion professionals in their regions, to enable them to lead an advocacy project that aimed to promote state-wide initiatives. This involved a series of face-to-face skills-based public health advocacy workshops and post workshop e-mentoring. Results included the creation of locally relevant public health advocacy projects and a community of practice.
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  • 文章类型: Journal Article
    由于对过程中的障碍和障碍进行的科学审查不足,阻碍了关键和广泛影响的健康进步的翻译。2021年7月发布的临床与转化科学奖(CTSA)资助机会公告明确了转化研究与转化科学(TS)之间的区别,并敦促从前者转向后者。这代表了CTSA计划的整体科学方向的重大转变,并且需要CTSA集线器运营的相应转变。为了更好地支持TS,杜克大学CTSA中心的团队科学核心为中心人员设计并促进了虚拟撤退,该人员(1)使组织了解TS和(2)确定了预期的挑战和机遇。撤退后的调查被用来评估撤退达到既定目标的程度。我们的调查获得了62%的回复率;100%的受访者会向其他人推荐这次会议。受访者还报告了评估的所有领域的收益,有证据表明人们对TS有了更多的理解,并增加了对TS价值和相关性的认识。在本文中,我们为设计和实施便利的TS务虚会提供了路线图,我们认为这是通过劳动力发展进行TS能力建设的关键一步。
    Translation of critical and broadly impactful health advancements is stymied by insufficient scientific scrutiny of barriers and roadblocks in the process. The Clinical & Translational Science Award (CTSA) funding opportunity announcement released in July 2021 makes clear the distinction between translational research and translational science (TS) and urges a shift from the former to the latter. This represents a significant shift in the overall scientific direction of the CTSA program and necessitates corresponding shifts in CTSA hub operations. To better support TS, the Team Science Core of the Duke CTSA hub designed and facilitated a virtual retreat for hub personnel that (1) enabled organizational learning about TS and (2) identified anticipated challenges and opportunities. A post-retreat survey was utilized to assess the degree to which the retreat met its stated goals. Our survey received a 62% response rate; 100% of respondents would recommend the session to others. Respondents also reported gains in all areas assessed, with evidence for greater understanding of TS and increased perspective of the value and relevance of TS. In this paper, we provide a roadmap for designing and implementing facilitated TS retreats, which we argue is a key step in TS capacity building through workforce development.
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  • 文章类型: Journal Article
    本文已迁移。这篇文章被标记为推荐。投资于教育,培训和发展全球卫生人力是实现全球卫生目标不可或缺的一部分,包括全民健康覆盖和获得安全和优质服务。将卫生工作者的CPD和CE系统化和正规化,作为其专业发展的一部分,已成为卫生劳动力发展的核心组成部分。全球制药劳动力发展框架支持各国评估其CPD和CE发展需求,并促进实现全球目标的进展。本文描述了这个全球框架以及它是如何在世界各国使用和实施的。
    This article was migrated. The article was marked as recommended. Investing in the education, training and development of the global health workforce is integral to achieving global health goals, including universal health coverage and access to safe and quality services. Systemising and formalising CPD & CE for health workers as part of their professional development has become a central component of health workforce development. A global framework for pharmacy workforce development support countries to assess their CPD & CE development needs and facilitate progress towards global goals. This paper describes this global framework and how it\'s being used and implemented in countries worldwide.
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  • 文章类型: Journal Article
    本文已迁移。这篇文章被标记为推荐。急诊科(ED)是行为健康治疗的关键环境,特别是对于少数族裔和服务不足的社区,然而,高质量的紧急精神护理仍然不一致。急诊精神病学的亚专业奖学金培训代表了改善ED和危机中心精神病护理的最具变革性的潜在方法。我们描述了一个新的紧急精神病学研究金计划网络,该计划正在培训新一代的专家临床医生和领导者。描述了拟议的教育里程碑。这些努力将改善所有患者获得精神保健的机会和质量,无论治疗环境如何。
    This article was migrated. The article was marked as recommended. Emergency departments (EDs) are a critical setting for behavioral health treatment particularly for minority and underserved communities, yet quality emergency psychiatric care remains inconsistently available. Subspecialty fellowship training in emergency psychiatry represents the most transformative potential approach to improving psychiatric care in EDs and crisis centers. We describe a new network of emergency psychiatry fellowship programs that are training a new generation of expert clinicians and leaders. Proposed educational milestones are described. These efforts will improve access to and the quality of mental health care for all patients regardless of treatment setting.
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  • 文章类型: Systematic Review
    UNASSIGNED:自2016年以来,已在各个国家/地区组织了联合外部评估(JEE)任务。对JEE报告的系统审查旨在确定世卫组织区域检测的主要挑战(MC)。
    UASSIGNED:我们在WHO网站上访问了JEE报告。挑战被定义为需要改进的检测指标的变量。MC是每个区域和全球至少三分之一国家面临的共同挑战。为了一致性,我们评估了报告中“需要加强的领域/挑战”下报告的挑战。
    未经评估:我们分析了96份JEE报告。非洲区域(91.7%),东地中海地区(80.9%)和东南亚地区(72.7%)的JEE完成率最高。MC在欧洲地区为24,26在地中海地区,30在西太平洋地区,东南亚地区33个,非洲地区34个。在全球范围内确定了24个MC。国家实验室系统和实时监测的MC数量最高。世卫组织所有区域和全球一级共有11个MC。这些包括核心测试确认能力不足,样本转诊系统不足,质量管理体系薄弱,实验室许可和认证中的问题,数据管理薄弱,薄弱的电子报告系统,国际卫生条例与动物卫生联络点之间缺乏/信息交流机制薄弱,卫生专业专家不足,劳动力战略的需要,现场流行病学的需要和劳动力保留能力不足。
    UNASSIGNED:应通过全球方法解决所确定的MC。
    UNASSIGNED: since 2016, Joint External Evaluation (JEE) missions have been organized in various countries. This systematic review of the JEE reports is intended to identify the main challenges (MC) of detection in WHO regions.
    UNASSIGNED: we accessed JEE reports on the WHO website. Challenge was defined as a variable of the indicators of detection where there was a need of improvement. MC was a challenge common to at least one-third of countries in each region and globally. For consistency, we assessed challenges reported under \"Areas which need strengthening/challenges\" in reports.
    UNASSIGNED: we analyzed 96 JEE reports. African Region (91.7%), Eastern Mediterranean Region (80.9%) and South East Asia Region (72.7%) had the highest rates of JEE completion. The MC were 24 in European Region, 26 in Mediterranean Region, 30 in Western Pacific Region, 33 in South East Asia Region and 34 in African Region. 24 MCs were identified at global level. National laboratory system and Real time surveillance had the highest number of MC. Eleven MCs were common to all WHO regions and global level. These include insufficient capacity for core test confirmation, insufficient specimen referral system, weak quality management system, issues in laboratories licensing and accreditation, weak data management, weak electronic reporting system, absence /weak mechanism of information exchange between International Health Regulation and animal health focal points, insufficient health professional specialists, the need of workforce strategy, the need of field epidemiology and insufficient workforce retention capacity.
    UNASSIGNED: the MCs identified should be addressed through a global approach.
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  • 文章类型: Journal Article
    公共卫生护士(PHN)在支持弱势个人和家庭方面面临困难。在职培训(OJT)对于提高护士的能力至关重要。然而,PHN经理缺乏系统地实施OJT的知识。这项研究的目的是开发一个假设模型,以通过案例会议(CC)系统地促进PHN的OJT。文献综述,基于综合方法,有三个阶段:(1)理论框架的发展,(2)文献综述,(3)建模。来自五个数据库的文献综述(MEDLINE,CINAHL,PsycInfo,Cochrane中央控制试验登记册,日本医学抽象学会)进行了鉴定OJT过程,其结果,以及根据理论框架与OJT相关的条件。根据18篇文章,这个模型从“OJT过程到CC,“包括CC设计,实施,对OJT的评估通过CC产生了“结果”。“结果包括员工的感知和行为变化,客户端状态的改进,和人员更替减少。OJT模型涉及“将CC实施为OJT的条件”和“个人和组织条件”。“未来的研究应该纳入社会,政治,并将具体实践情境的历史背景纳入到假设模型中,以帮助完善该模型以在实践中使用。
    Public health nurses (PHNs) face difficulties supporting vulnerable individuals and families. On-the-job training (OJT) is essential for improving nurses\' competencies. However, PHN managers lack the knowledge to systematically implement OJT. The aim of this study was to develop a hypothetical model to systematically promote OJT for PHNs through case conferences (CC). Literature review, based on an integrative approach, has three stages: (1) theoretical framework development, (2) literature review, and (3) modeling. Literature review from five databases (MEDLINE, CINAHL, PsycInfo, Cochrane Central Register of Controlled Trials, Japan Medical Abstract Society) was conducted to identify the OJT process, its outcomes, and the conditions associated with OJT according to the theoretical framework. Based on 18 articles, this model progressed from \"OJT process through CC,\" comprising the CC design, implementation, and evaluation to OJT produced \"outcomes through CC.\" Outcomes included staff perception and behavior changes, improvements in client\'s condition, and staff turnover reductions. The OJT model involved \"conditions for implementing CC as OJT\" and \"individual and organizational conditions.\" Future research should incorporate the social, political, and historical contexts of specific practice situations into the hypothetical model to help refine the model to be used in practice.
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  • 文章类型: Journal Article
    自从公共卫生文学学士学位发展以来,在未来的学生中常见的问题,教员,社区成员被问到:“学生毕业后将做什么?”虽然全国毕业生数据丰富,社区调查寻求更详细的本地毕业生简介。为了满足这一需求,通过校友外展工作和专业的在线个人资料搜索,收集了在武汉大学获得公共卫生学士学位(BAPH)学位的224名毕业生的数据。数据被编译为摘要演示和程序“简历”。调查结果表明,大约30%的BAPH毕业生接受研究生教育,43%的毕业生在毕业后一年内就业。在当地非政府组织和医疗机构就业很普遍,虽然官僚主义的挑战限制了公共机构的招聘。对职称的审查表明,毕业生受雇于计划协调或支持人员配置。本地程序配置文件,比如这个,补充全国就业数据。此外,这些努力可能会培养未来学生的兴趣和教师的支持,管理员,和雇主。
    Since the development of a Bachelor of Arts in public health, a common question among prospective students, faculty, and community members has been asked: \"What will students do after graduation?\" While national data on graduates are abundant, community inquiries sought more detailed profiles of local graduates. To address this need, data on 224 graduates of the Bachelors of Arts in Public Health (BAPH) degree at the University of Hawai\'i at Mānoa were collected through alumni outreach efforts and professional online profile searches. Data were compiled into a summary presentation and program \"resume\". Findings indicated roughly 30% of BAPH graduates pursued graduate-level education and 43% were employed within a year of graduation. Employment in local NGOs and healthcare organizations was common, while bureaucratic challenges limited hiring at public agencies. A review of job titles suggested graduates were employed in program coordination or support staffing. Local program profiles, such as this one, complement national employment data. Moreover, these efforts may foster interest among prospective students and support from faculty, administrators, and employers.
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  • 文章类型: Journal Article
    背景:联合国于2015年启动了可持续发展目标。其第五个目标是描述到2030年实现全民健康覆盖。这一目标重申了投资发展和培训全球卫生人力的重要性。与此结盟,国际制药联合会(FIP)发表了关于几个国家药房劳动力规划的报告。然而,有关卡塔尔的数据不包括在这些报告中.2017年,FIP制定了制药劳动力和教育的转型路线图。路线图的一个系统框架组成部分是制药劳动力发展目标(DG[w]s),该目标于2016年底发布,随后于2020年纳入更全面的全球发展目标1,不仅包括劳动力发展,但额外的实践和制药科学的发展。本研究旨在评估与最初的13个制药劳动力发展目标(DG[w]s)相关的卡塔尔制药劳动力和教育的现状。目的是确定药房劳动力和教育方面的差距,并建议将以证据为主导的战略纳入公共卫生部和卡塔尔大学药房劳动力发展计划。
    方法:与卡塔尔大学药学院和公共卫生部的药学实践关键决策者的专家小组进行了三轮常规Delphi技术,利用FIP的自我评估调查。定性内容分析用于分析和优先考虑从收集的数据中发现的差距。如果实现了所有提供的指标,则认为DG[w]“满足”,如果至少实现了一项指标,则“部分满足”,如果没有达到任何指标,则“未达到”。结果:缺乏能力框架(DG[w]5),劳动力数据(DG[w]12),和劳动力政策形成(DG[w]13)是卡塔尔提供制药劳动力和药学教育的三个主要差距,影响其他DG[w]s。这些差距需要通过成立卡塔尔制药协会来解决,通过该协会,实践,和决策部门可以共同努力发展卫生人力情报系统。
    结论:结果表明DG[w]s是相互关联的,一个目标的差距会对其他目标产生负面影响。这项研究的结果和建议将有助于在主要制药行业实施战略计划,以满足卡塔尔的卫生需求,并实现卡塔尔国家愿景2030的第三支柱。
    BACKGROUND: The sustainable development goals were launched by the United Nations in 2015. Its fifth goal was describing the achievement of universal health coverage by 2030. This goal reaffirms the importance of investing in the development and training of the global health workforce. In alliance with this, the International Pharmaceutical Federation (FIP) has published reports about pharmacy workforce planning in several countries. However, data about Qatar were not included in these reports. In 2017, FIP developed a transformational roadmap of pharmaceutical workforce and education. One systematic framework component of the roadmap is the Pharmaceutical Workforce Development Goals (DG[w]s) that were released in late 2016 and subsequently incorporated into the more comprehensive Global Development Goals1 in 2020, encompassing not only workforce development, but additionally practice and pharmaceutical science development. This study aimed to evaluate the current situation of pharmacy workforce and education in Qatar in relation to the original 13 Pharmaceutical Workforce Development Goals (DG[w]s). The objective was to identify the gaps in pharmacy workforce and education and to recommend evidence-led strategies to be included in both the Ministry of Public Health and the Qatar University College of Pharmacy workforce development plans.
    METHODS: Three rounds of conventional Delphi technique were conducted with expert panels of key decision-makers in pharmacy practice from the College of Pharmacy at Qatar University and the Ministry of Public Health, utilizing the FIP\'s self-assessment survey. Qualitative content analysis was used to analyze and prioritize the identified gaps from the collected data. DG[w] was considered \"met\" if all the provided indicators were achieved, \"partially met\" if at least one of the indicators were achieved, and \"not met\" if none of the indicators were achieved RESULTS: The lack of competency framework (DG[w]5), workforce data (DG[w]12), and workforce policy formation (DG[w]13) are three major gaps in the provision of pharmaceutical workforce and pharmacy education in Qatar, influencing other DG[w]s. These gaps need to be addressed by the formation of Qatar Pharmaceutical Association through which academic, practice, and policymaking sectors can work together in developing health workforce intelligence system.
    CONCLUSIONS: The results indicated that DG[w]s are interrelated and a gap in one goal can negatively influence others. Results and recommendations of this research will facilitate the implementation of strategic plans across leading pharmacy sectors to meet health needs in Qatar and achieve the third pillar of the Qatar National Vision 2030.
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  • 文章类型: Journal Article
    背景:公共卫生机构负责实施有效的,以证据为基础的公共卫生计划和政策,以减轻慢性病的负担。可修改的行政循证实践(A-EBP)可以促进循证公共卫生(例如,劳动力发展,组织气候),然而,人们对从业者如何看待A-EBP知之甚少。因此,这项定性研究的目的是了解州卫生部门从业人员对A-EBP实施方式的看法,以及使用A-EBP存在哪些促进因素和障碍。
    方法:招募全国慢性病主任协会成员的慢性病预防和健康促进计划工作人员,使用滚雪球采样技术参加电话采访。访谈被逐字转录,和转录本在NVivo中使用通用码本和先验方法进行分析。
    结果:对四个州的从业者进行了27次访谈(每个州5-8次访谈)。所有从业人员都认为他们的工作单位文化是积极的,领导层鼓励并期望员工使用循证流程。与会者讨论了提供培训和技术援助是劳动力发展的关键,以及领导者如何传达他们的期望。获取证据,伙伴关系,资金限制是使用A-EBPs和EBDM最常讨论的障碍。
    结论:这项研究的结果突出了从业者在其部门中促进循证公共卫生的观点。研究结果可以为资源的开发和完善提供信息,以改善A-EBP的使用以及州卫生部门的组织和领导能力。
    BACKGROUND: Public health agencies are responsible for implementing effective, evidence-based public health programs and policies to reduce the burden of chronic diseases. Evidence-based public health can be facilitated by modifiable administrative evidence-based practices (A-EBPs) (e.g., workforce development, organizational climate), yet little is known about how practitioners view A-EBPs. Thus, the purpose of this qualitative study was to understand state health department practitioners\' perceptions about how A-EBPs are implemented and what facilitators and barriers exist to using A-EBPs.
    METHODS: Chronic disease prevention and health promotion program staff who were members of the National Association of Chronic Disease Directors were recruited to participate in telephone interviews using a snowball sampling technique. Interviews were transcribed verbatim, and transcripts were analyzed using a common codebook and the a priori method in NVivo.
    RESULTS: Twenty seven interviews were conducted with practitioners in four states (5-8 interviews per state). All practitioners felt that their work unit culture is positive and that leadership encouraged and expected staff to use evidence-based processes. Participants discussed the provision of trainings and technical assistance as key to workforce development and how leaders communicate their expectations. Access to evidence, partnerships, and funding restrictions were the most commonly discussed barriers to the use of A-EBPs and EBDM.
    CONCLUSIONS: Results of this study highlight practitioners\' perspectives on promoting evidence-based public health in their departments. Findings can inform the development and refinement of resources to improve A-EBP use and organizational and leadership capacity of state health departments.
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  • 文章类型: Journal Article
    BACKGROUND: In the United Kingdom, policy and guidance changes regarding the role of dental therapists (DTs) were implemented in recent years with a view to changing dental care to a more preventive-focussed, teamwork approach. However, success in the adoption of this model of working has been varied.
    OBJECTIVE: Adopting a realist approach, our aim was, to examine the use of DTs in general dental practices in Wales, exploring what works, why, how and in what circumstances.
    METHODS: The research comprised two stages. (a) A structured literature search, dual-coding papers for high-level factors describing the conditions or context(s) under which the mechanisms operated to produce outcomes. From this, we derived theories about how skill-mix operates in the general dental service. (b) Six case studies of general dental practices (three with a dental therapist/three without a dental therapist) employing a range of skill-mix models incorporating semi-structured interviews with all team members. We used the case studies/interviews to explore and refine the theories derived from the literature.
    RESULTS: Eighty-four papers were coded. From this coding, we identified seven theories which reflected factors influencing general dental practices within three broad contexts: the dental practice as a business, as a healthcare provider and as a workplace. We tested these theories in interviews with 38 dental team members across the six care studies. As a result, we amended five of the theories.
    CONCLUSIONS: Our analysis provides theory about outcomes that DTs may facilitate and the mechanisms that may assist the work of DTs within different contexts of general dental practice.
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