Agricultural health and medicine education-Engaging rural professionals to make a difference to farmers' lives
Agricultural health and medicine education-Engaging rural professionals to make a difference to farmers' lives
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DOI：
10.1111/ajr.12637
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发表时间：
2020-06-29
影响因子：
1.8
通讯作者：
Brumby, Susan
中科院分区：
文献类型：
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作者：
Adams, Jessie;Cotton, Jacqueline;Brumby, Susan
尽管工伤率持续上升，发病率和死亡率较低，气候环境具有挑战性，但很少有正式的计划关注农民的健康，福祉和安全。2010年设立的农业卫生和医药股旨在提高文化能力，增强农村专业人员的权能，以改善澳大利亚农业人口的健康、福祉和安全成果。这项研究旨在了解毕业生（2010-2018）在多大程度上使用他们目前职业中获得的知识和技能，并确定在实施这些知识和技能时面临的障碍和推动因素。设计混合方法描述性研究。毕业生被邀请完成一项在线调查。调查结束后，毕业生参加了电话面试，直到达到饱和。参与者41毕业生完成了调查（31%的响应率），并进行了11次访谈。农业卫生和医学教育。毕业生对从课程中获得的知识和技能的使用情况，以及他们在实施过程中遇到的障碍和促进因素。结果护士、医生和农（农）业是最具代表性的职业。76%的受访者认为，他们诊断、治疗或预防农业职业病或伤害的能力有所提高。积极的是，42%的人至少每周专业地使用课程内容。51%的人在运用新知识时遇到障碍，几乎没有看到职业发展的迹象。结论本研究为农业健康和医学课程的持续发展提供了信息，并强调了协作和多学科方法对改善农业人口健康，福祉和安全的重要性。尽管毕业生积极参与，但持续的高工作场所死亡率，可预防的非传染性疾病和具有挑战性的气候条件突出了在卫生，农业和政策环境中对农民健康进行战略优先考虑的必要性。
Objective Despite continued higher rates of workplace injuries, earlier morbidity and mortality and challenging climatic environments, few formal programs focus on the health, well-being and safety of farmers. The agricultural health and medicine unit, developed in 2010, was designed to increase cultural competence and empower rural professionals to improve the health, well-being and safety outcomes of farming populations in Australia. This study aimed to understand the extent to which graduates (2010-2018) use the knowledge and skills gained in their current occupations and identify barriers and enablers faced in implementing them. Design Mixed-methods descriptive study. Setting Graduates were invited to complete an online survey. Following the survey, graduates participated in a phone interview until saturation was reached. Participants Forty-one graduates completed the survey (31% response rate), and eleven interviews were conducted. Interventions Education in agricultural health and medicine. Main outcome measures Graduates use of knowledge and skills gained from the course and the barriers and enablers they experienced in implementation. Results The most represented occupations were nursing, medicine and agriculture (farming). Of respondents, 76% agreed their ability to diagnose, treat or prevent agricultural occupational illness or injury had improved. Positively, 42% use course content professionally at least weekly. Fifty-one per cent experienced barriers in implementing their new knowledge, and little evidence of career advancement was observed. Conclusion This study informs the continuous development of the agricultural health and medicine curriculum and highlights the importance of a collaborative and multidisciplinary approach to improving the health, well-being and safety of farming populations. Despite engaged graduates, the continued high workplace mortality, preventable non-communicable disease and challenging climatic conditions highlight the need for strategic prioritisation of farmers' health across health, agriculture and policy settings.