Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden;
J Multidiscip Healthc. 2009 Dec 22;3:1-9. doi: 10.2147/jmdh.s8104.
With the overall objective to develop future strategies for a more health-promoting health service in Sweden, the aim of this paper was to describe how health personnel view barriers and possibilities for having a health-promoting role in practice.
Seven focus group discussions were carried out with a total of 34 informants from both hospital and primary health care settings in Sweden. The informants represented seven professional groups; counselors, occupational therapists, assistant nurses, midwives, nurses, physicians, and physiotherapists. The data were analyzed using qualitative content analysis.
The analysis resulted in one major theme "If we only got a chance". The theme captures the health professionals' positive view about, and their willingness to, develop a health-promoting and/or preventive role, while at the same time feeling limited by existing values, structures, and resources. The four categories, "organizational commitment to a paradigm shift", "recognition of staff as health-promoting instruments", "a balance between resources and tasks", and "freedom of action" capture what is needed for implementing and increasing health promotion and preventive efforts in the health services.
The study indicates that an organizational setting that support health promotion is still to be developed. There is a need for a more explicit leadership with a clear direction towards the goal of "a more health-promoting health service" and with enough resources for achieving this goal.
本研究旨在为瑞典制定更有益于健康的卫生服务策略，目的是描述卫生专业人员如何看待在实践中发挥促进健康作用的障碍和可能性。
在瑞典的医院和基层医疗保健机构中进行了 7 次焦点小组讨论，共有 34 名来自不同专业的参与者，包括顾问、职业治疗师、助理护士、助产士、护士、医生和物理治疗师。使用定性内容分析法分析数据。
分析结果得出一个主要主题“如果我们有机会”。该主题捕捉了卫生专业人员对发展促进健康和/或预防角色的积极看法和意愿，同时感到受到现有价值观、结构和资源的限制。“组织对范式转变的承诺”、“承认员工是促进健康的工具”、“资源与任务之间的平衡”和“行动自由”这四个类别，捕捉了在卫生服务中实施和增加健康促进和预防工作所需的条件。
研究表明，支持健康促进的组织环境仍有待发展。需要更明确的领导，明确朝着“更有益于健康的卫生服务”的目标前进，并提供足够的资源来实现这一目标。
