Cramer Mary E, Atwood Jan R, Stoner Julie A
University of Nebraska Medical Center, College of Nursing, Omaha, NE 68198-5330, USA.
Public Health Nurs. 2006 Jan-Feb;23(1):67-73. doi: 10.1111/j.0737-1209.2006.230110.x.
Funding agencies are increasingly focused on community coalitions as effective entities for promoting public health programs. Yet, there has been no conceptual model for understanding how effective coalition infrastructure works to facilitate a learning environment, wherein coalition members and leaders receive ongoing training and technical assistance needed to accomplish their external programming goals. This article presents a conceptual model for measuring the internal effectiveness of coalitions [Internal Coalition Outcome Hierarchy (ICOH)]. The ICOH model served as the basis for development of the evaluation instrument, Internal Coalition Effectiveness, which measures internal coalition effectiveness based on achievement of organizational outcomes at each of the model's seven hierarchical levels. The ICOH conceptual model has broad application for public health nurses who are frequently called on to serve as evaluators for community coalitions engaged in health programming. The model has implications for evaluators to use in teaching coalition members and leaders about their internal strengths and areas for improvement, so that coalitions can develop more effective internal structures and thereby promote long-term sustainability.
资助机构越来越关注社区联盟，将其视为促进公共卫生项目的有效实体。然而，目前还没有一个概念模型来理解有效的联盟基础设施如何运作以促进学习环境的形成，在这个环境中，联盟成员和领导者能够获得实现其外部项目目标所需的持续培训和技术援助。本文提出了一个衡量联盟内部有效性的概念模型[内部联盟结果层次结构（ICOH）]。ICOH模型是开发评估工具“内部联盟有效性”的基础，该工具根据模型七个层次结构中每个层次的组织成果达成情况来衡量联盟内部的有效性。ICOH概念模型对公共卫生护士具有广泛的应用价值，他们经常被要求担任参与健康项目的社区联盟的评估人员。该模型对评估人员在教导联盟成员和领导者了解其内部优势和改进领域方面具有启示意义，以便联盟能够发展出更有效的内部结构，从而促进长期可持续性。
