Articulating voluntarism, wellbeing, and sustainability in the practice of green prescribing in the UK

阐明英国绿色处方实践中的自愿性、福祉和可持续性

• 批准号: 2232765
• 金额: --
• 依托单位: University of Bath
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2019
• 资助国家: 英国
• 起止时间: 2019 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2232765
• 关键词: Articulating; voluntarism; wellbeing; sustainability; practice

This research will investigate the extent to which voluntarism is promoting healthy, sustainable communities through green prescribing initiatives. Social prescribing is a fast-growing intervention seen to strengthen links between health care providers and community, voluntary and local authority services, enabling patient referral to a variety of holistic, non-clinical services. Green prescribing refers to social prescriptions of clients to nature-based interventions. This thesis aims to offer policy makers and practitioners accessible ways to better understand the system in which green prescribing operates and how volunteer, community led change happens. Objectives of the research include: * To critically examine and contribute to the conceptualisation of voluntarism, wellbeing, and sustainability in the context of green prescribing. * To explore the respective experiences of volunteers and clients involved in green prescribing interventions building an understanding of what works/ does not work for whom, and why * To investigate organisational and practitioner perspectives on how green prescribing is evolving, including tensions at the interface of health and social care and the voluntary sector* To further understand the conditions that enable and limit success of green prescribing exploring issues of power, governance, community action, relationships, informal networks, collaborative change, and environmentI envisage a comparative case study design approach looking at two green prescribing projects. These will be decided after a purposive review in the first phase of the study. Parameters that will inform the choice of comparators are likely to include the geographical, social, and political context of the project; duration and scale of the project; project design and governance. An ethnographic, practice-based research approach will be used and is likely to include participatory and creative methods, action learning sets and qualitative interviewing involving professionals, volunteers, and clients. Examples of projects include Somerset Wildlife Trust Nature connections; Nature Scot Green Health partnership; Somer Valley green infrastructure project; Health connections Mendip; and the British Red Cross connecting communities programme. The government loneliness strategy (2018) and the NHS 10-year plan (2019) identify social prescribing as a key intervention for addressing growth in social isolation, loneliness, and mental illness- all issues amplified by the current COVID 19 crises. In addition, evidence that primary care services are under increasing strain has accelerated the uptake of social prescribing within the NHS, indicated by increased investment of 1000 link workers in 2020/21. The concept of wellbeing and where responsibility for this lie has become an ideological battleground in recent decades and is pertinent in the context of social and green prescribing. There is some controversy about how far social prescribing has the effect of shifting the burden away from the NHS onto the voluntary sector to meet more complex needs and improve wellbeing. This has created fundamental debates about the boundaries of state provision, voluntarism, and the role of communities in health and wellbeing. In line with ESRC research priorities, this research will focus on 'innovation in health and social care'. The research will have a strong focus on collaboration, knowledge exchange and impact and falls within the SWDTP 'area and development pathway'.

这项研究将调查志愿精神在多大程度上通过绿色处方倡议促进健康、可持续的社区。社会处方是一种快速增长的干预措施，旨在加强卫生保健提供者与社区、志愿和地方当局服务之间的联系，使患者能够转介到各种全面的非临床服务。绿色处方是指以自然为基础的干预服务对象的社会处方。本论文旨在为政策制定者和实践者提供可获得的方法，以更好地理解绿色处方的运作机制，以及志愿者、社区主导的变化是如何发生的。这项研究的目标包括：*在绿色处方的背景下，批判性地检查和促进自愿、福祉和可持续性的概念化。*探索参与绿色处方干预的志愿者和客户各自的经历，了解什么对谁有效/什么对谁不起作用，以及为什么*调查组织和实践者对绿色处方如何演变的看法，包括卫生保健和社会保健与志愿部门之间的紧张关系*进一步了解促进和限制绿色处方成功的条件，探索权力、治理、社区行动、关系、非正式网络、协作变化和环境等问题。我设想采用比较案例研究设计方法，着眼于两个绿色处方项目。这些将在研究的第一阶段进行有目的的审查后决定。将为选择参照者提供信息的参数可能包括项目的地理、社会和政治背景；项目的持续时间和规模；项目设计和治理。将使用以实践为基础的民族志研究方法，可能包括参与性和创造性方法、行动学习集和涉及专业人员、志愿者和客户的定性访谈。项目的例子包括萨默塞特野生动物信托基金、自然-苏格兰绿色健康伙伴关系、萨默谷绿色基础设施项目、健康连接门迪普和英国红十字会连接社区方案。政府的孤独战略(2018年)和NHS十年计划(2019年)将社会处方确定为解决社会孤立、孤独和精神疾病增长的关键干预措施-所有这些问题都因当前的COVID 19危机而放大。此外，有证据表明，初级保健服务正面临越来越大的压力，这加速了NHS内部对社会处方的接受，2020/21年度增加了1000名LINK工作人员的投资。近几十年来，幸福和责任的概念已经成为一个意识形态战场，并与社会和绿色处方的背景相关。对于社会处方在多大程度上将负担从NHS转移到志愿部门，以满足更复杂的需求和改善福祉，存在一些争议。这引发了关于国家提供的边界、志愿主义以及社区在健康和福祉中的作用的根本辩论。根据ESRC的研究重点，这项研究将侧重于“卫生和社会护理领域的创新”。这项研究将重点放在合作、知识交流和影响上，并属于SWDTP的“领域和发展路径”。