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七个欧洲国家的公共卫生营养劳动力发展:制约因素和推动因素。

Public health nutrition workforce development in seven European countries: constraining and enabling factors.

机构信息

Karolinska Institutet, Huddinge, Stockholm, Sweden.

出版信息

Public Health Nutr. 2012 Nov;15(11):1989-98. doi: 10.1017/S1368980012003874. Epub 2012 Aug 16.

Abstract

OBJECTIVES

Little is known about current public health nutrition workforce development in Europe. The present study aimed to understand constraining and enabling factors to workforce development in seven European countries.

DESIGN

A qualitative study comprised of semi-structured face-to-face interviews was conducted and content analysis was used to analyse the transcribed interview data.

SETTING

The study was carried out in Finland, Iceland, Ireland, Slovenia, Spain, Sweden and the UK.

SUBJECTS

Sixty key informants participated in the study.

RESULTS

There are constraining and enabling factors for public health nutrition workforce development. The main constraining factors relate to the lack of a supportive policy environment, fragmented organizational structures and a workforce that is not cohesive enough to implement public health nutrition strategic initiatives. Enabling factors were identified as the presence of skilled and dedicated individuals who assume roles as leaders and change agents.

CONCLUSIONS

There is a need to strengthen coordination between policy and implementation of programmes which may operate across the national to local spectrum. Public health organizations are advised to further define aims and objectives relevant to public health nutrition. Leaders and agents of change will play important roles in fostering intersectorial partnerships, advocating for policy change, establishing professional competencies and developing education and training programmes.

摘要

目的

关于欧洲当前公共卫生营养劳动力发展的情况知之甚少。本研究旨在了解七个欧洲国家劳动力发展的制约因素和推动因素。

设计

采用半结构式面对面访谈的定性研究,并使用内容分析法对转录的访谈数据进行分析。

地点

研究在芬兰、冰岛、爱尔兰、斯洛文尼亚、西班牙、瑞典和英国进行。

对象

60 名关键知情者参与了这项研究。

结果

公共卫生营养劳动力发展存在制约因素和推动因素。主要的制约因素涉及缺乏支持性政策环境、分散的组织结构以及劳动力不够紧密,无法实施公共卫生营养战略举措。有利因素包括有技能和敬业的个人担任领导和变革推动者的角色。

结论

需要加强政策与方案实施之间的协调,这些方案可能跨越国家到地方的范围。公共卫生组织被建议进一步明确与公共卫生营养相关的目标和目的。领导者和变革推动者将在促进跨部门伙伴关系、倡导政策变革、建立专业能力以及制定教育和培训方案方面发挥重要作用。

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