Negotiating Complexity: Challenges to Implementing Community-Led Nature-Based Solutions in England Pre- and Post-COVID-19.
Negotiating Complexity: Challenges to Implementing Community-Led Nature-Based Solutions in England Pre- and Post-COVID-19.
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DOI：
10.3390/ijerph192214906
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发表时间：
2022-11-12
影响因子：
--
通讯作者：
Alfaro-Simmonds, Maria Jesus
中科院分区：
文献类型：
--
作者：
He, Yichao;Jorgensen, Anna;Sun, Qian;Corcoran, Amy;Alfaro-Simmonds, Maria Jesus
基于自然的解决方案（NbS），包括绿色社会处方（GSP），是解决健康和福祉问题的可持续方式，特别是在COVID-19大流行加剧了医疗保健压力之后。NBS需要国家和地方跨部门协调复杂的、相互关联的系统，但人们对社区领导的NBS面临的具体挑战知之甚少。我们进行了传统的文献综述，以建立本研究的背景和知识基础，并采访了26个利益相关者。这些建议来自国家和地方两级的环境、卫生和社会保健部门，地方一级的利益攸关方来自布拉德福德和沃尔索尔：这两个英国城市受到大流行病的严重影响，贫困程度和健康不平等程度很高。访谈探讨了在大流行前后实施NBS的经验，以及由此产生的对与自然环境接触的有益健康影响的新兴趣。我们使用NVivo对访谈记录进行编码，以确定这些利益相关者创建和管理NbS的系统中存在的挑战。通过综合什么是已知的挑战，从现有的文献与采访结果，我们开发了八个类别的挑战（感知和知识，政治，金融，获得自然空间，参与，机构和组织，协调，普惠制转介和服务）所面临的多个部门在实施社区主导的NBS在英格兰。此外，本研究报告强调了与这一流行病有关的新挑战。识别这些挑战有助于现有复杂系统中的利益相关者认识到支持英格兰NbS并使其主流化所需的内容。
Nature-based solutions (NbS), including green social prescribing (GSP), are sustainable ways to address health and wellbeing, especially since the COVID-19 pandemic exacerbated the strain on healthcare. NbS require national and local cross-sector coordination across complex, interrelated systems, but little is known about the specific challenges this poses for community-led NbS. We carried out a traditional literature review to establish the context and knowledge base for this study and interviewed 26 stakeholders. These came from environment, health and social care sectors at national and local levels, with local-level stakeholders from Bradford and Walsall: English cities significantly affected by the pandemic, with high levels of deprivation and health inequality. The interviews explored experiences of implementing NbS, both pre- and post-pandemic and the resulting renewed interest in the salutogenic effects of engaging with natural environments. We coded the interview transcriptions using NVivo to identify the challenges existing in the systems within which these stakeholders operate to create and manage NbS. By synthesizing what is known about the challenges from existing literature with findings from the interviews, we developed eight categories of challenges (perception and knowledge, political, financial, access to natural spaces, engagement, institutional and organisational, coordination, GSP referral and services) faced by multiple sectors in implementing community-led NbS in England. Furthermore, this study highlights the new challenges related to the pandemic. Identifying these challenges helps stakeholders in existing complex systems recognise what is needed to support and mainstream NbS in England.
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