Institution-to-institution mentoring to build capacity in 24 local US health departments: best practices and lessons learned.

Institution-to-institution mentoring to build capacity in 24 local US health departments: best practices and lessons learned.
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DOI:
10.5888/pcd11.140017
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发表时间:
2014-10-02
影响因子:
5.5
通讯作者:
Van Wye G
Van Wye G
中科院分区:
医学3区
文献类型:
--
作者:
Veatch M;Goldstein GP;Sacks R;Lent M;Van Wye G

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机构指导可能是一种有用的能力建设模式,可支持面临公共卫生挑战的地方卫生部门。纽约市卫生和心理卫生部对一项机构指导计划进行了定性评估,该计划旨在提高卫生部门寻求解决慢性病预防问题的能力。指导方案包括2个方案模式,一对一模式和合作模式,为全国24个社区预防工作赠款社区制定和实施。我们进行了半结构化的电话采访,以评估受助人对指导计划在支持他们的工作方面的有效性的看法。对每个参与社区的主要知情人进行了两次访谈。三名评价人员使用ATLAS.ti软件和扎根理论对数据进行编码和分析,以确定新出现的主题。我们与44名学员进行了90次面试。我们确定了7个关键的计划优势:学习纽约市卫生部门的经验,调整资源以满足当地需求,采用新的方法和共享战略,发展导师与学员的关系,创造行动动力,建立定期沟通,并鼓励同行互动。绝大多数参与者表示,指导计划的主要优势提高了他们在社区中解决慢性病预防问题的能力。我们建议传播所取得的成果,强调需要使机构指导模式适应当地的需要,以取得成功的结果。我们还建议未来的研究,以考虑是否可以使用一个混合的编程模式,包括定期一对一的沟通和面对面的会议,作为一个标准的框架机构辅导。
Institutional mentoring may be a useful capacity-building model to support local health departments facing public health challenges. The New York City Department of Health and Mental Hygiene conducted a qualitative evaluation of an institutional mentoring program designed to increase capacity of health departments seeking to address chronic disease prevention. The mentoring program included 2 program models, a one-to-one model and a collaborative model, developed and implemented for 24 Communities Putting Prevention to Work grantee communities nationwide. We conducted semi-structured telephone interviews to assess grantees’ perspectives on the effectiveness of the mentoring program in supporting their work. Two interviews were conducted with key informants from each participating community. Three evaluators coded and analyzed data using ATLAS.ti software and using grounded theory to identify emerging themes. We completed 90 interviews with 44 mentees. We identified 7 key program strengths: learning from the New York City health department’s experience, adapting resources to local needs, incorporating new approaches and sharing strategies, developing the mentor–mentee relationship, creating momentum for action, establishing regular communication, and encouraging peer interaction. Participants overwhelmingly indicated that the mentoring program’s key strengths improved their capacity to address chronic disease prevention in their communities. We recommend dissemination of the results achieved, emphasizing the need to adapt the institutional mentoring model to local needs to achieve successful outcomes. We also recommend future research to consider whether a hybrid programmatic model that includes regular one-on-one communication and in-person conferences could be used as a standard framework for institutional mentoring.
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