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伦敦南部的健康倡导者:培训评估及其对公共卫生的影响。

Health champions in South London: evaluation of training, and impact on public health.

作者信息

Micallef Ricarda, Grewal Jaspal Singh, Khan Sharifah, Wells Joshua, Kayyali Reem

机构信息

Department of Pharmacy, Kingston University, Kingston Upon Thames, Surrey, UK.

出版信息

Int J Pharm Pract. 2019 Feb;27(1):71-79. doi: 10.1111/ijpp.12464. Epub 2018 Jun 27.

Abstract

OBJECTIVES

The Healthy Living Pharmacy framework, introduced in England in 2008, provides a tailored approach to the implementation of pharmacy services locally, facilitated by qualified 'Health Champions' (HCs). The study aimed to evaluate the perceived value of the 1-day level 2 HC training by assessing knowledge and confidence of HC pre- and post-training, and changes in practice. The views of additional stakeholders on factors that either obstructed or facilitated pharmacy engagement are also explored.

METHODS

This study used a mixed method approach. Pre- and post-training surveys evaluating HC pre-existing knowledge and understanding of their role were used. Additionally, qualitative semi-structured interviews were undertaken with four key groups: participating pharmacists, non-participating pharmacists, Local Pharmaceutical Committee leads and Public Health Leads from Public Health England.

KEY FINDINGS

A total of 354 pre-training evaluation surveys were completed on the training day (100%), compared to 54 post-evaluation postal surveys with a 19% (n = 54/282) response rate. The post-evaluation of the training indicated that 83% (n = 45) of qualified HC were actively implementing their new role, with observed increased confidence and service provision. From the 22 interviews conducted two major themes emerged including: Training and Impact. Training had a positive impact on staff knowledge and confidence plus service delivery.

CONCLUSION

An immediate impact was observed in increasing HC knowledge and confidence, service delivery and awareness of facilities for patient sign-posting. There was no statistical evidence to support a positive effect stemming from training on services. However, it was identified that time and further training were needed to both provide and assess value within local public health.

摘要

目标

2008年在英格兰推出的“健康生活药房”框架提供了一种因地制宜的方法,由合格的“健康倡导者”(HCs)推动在当地实施药房服务。该研究旨在通过评估HC培训前后的知识和信心以及实践变化,来评估为期一天的二级HC培训的感知价值。还探讨了其他利益相关者对阻碍或促进药房参与的因素的看法。

方法

本研究采用混合方法。使用培训前和培训后的调查问卷来评估HC对其角色的既有知识和理解。此外,还对四个关键群体进行了定性半结构化访谈:参与的药剂师、未参与的药剂师、地方制药委员会负责人以及英国公共卫生部的公共卫生负责人。

主要发现

在培训当天共完成了354份培训前评估调查问卷(100%),相比之下,培训后邮寄的评估调查问卷有54份,回复率为19%(n = 54/282)。培训后的评估表明,83%(n = 45)合格的HC正在积极履行其新角色,观察到信心和服务提供有所增加。在进行的22次访谈中出现了两个主要主题,包括:培训和影响。培训对员工的知识、信心以及服务提供产生了积极影响。

结论

观察到HC的知识、信心、服务提供以及患者转诊设施的知晓度有立竿见影的提升。没有统计证据支持培训对服务有积极影响。然而,研究发现,在当地公共卫生领域提供和评估价值既需要时间,也需要进一步培训。

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