University of Washington School of Nursing, Seattle, WA, USA.
School Health Manager, Seattle Public Schools, Seattle, WA, USA.
J Adv Nurs. 2022 Oct;78(10):3409-3426. doi: 10.1111/jan.15276. Epub 2022 Aug 20.
The study aim was to examine the impact of a home-based programme intervention on organizational contexts, implementation processes and organizational capacity outcomes from multicultural, multilingual participants working at community-based organizations.
This was a sequential exploratory, mixed-methods longitudinal study using community-based participatory research principles.
Twenty participants from nine multicultural, multilingual community-based organizations were in this public health initiative's intervention to develop community-designed, home-based programmes.
Capacity building providers delivered the intervention selected by the funders. Workshop outcomes were descriptively measured in April/May 2019. In April/May and November 2019, participants completed surveys about organizational contexts, implementation processes and organizational capacity outcomes, which were analysed with t-tests using the organization as the unit of analysis. Qualitative data were analysed using content analysis.
Seven programmes were new and two were modified. As workshop outcomes, 59% of participants reported increased overall implementation knowledge and 74% reported capacity building providers as the most helpful resource. After 6 to 7 months, no statistically significant changes were noted in organizational contexts, implementation processes or organizational capacity outcomes. Participants benefited from capacity building because they had programmes developed, formed partnerships with capacity building providers, gained implementation knowledge, and engaged in networking.
Participants reported excellent individual and organizational strengths. Many Initiative factors contributed to no statistical changes. Namely, there was no opportunity for baseline data; limited community-based organization engagement in the intervention model selection, timeline and processes; the Initiative's timeline did not fit participants' timeline; insufficient time to develop culturally and linguistically appropriate programmes; late literature review abstracts; lack of adequate, planful and paid capacity building time; and a contract requirement to have the programme due when it was not implementable. These Initiative design factors, as reported by participants, limited the Initiative's home-based programme development.
This study highlights the strengths of participants, community-based organizations and capacity building providers. Model selection, timeline and budget were identified as key factors for equitable implementation in multicultural, multilingual organizations.
本研究旨在探讨基于家庭的方案干预对多元文化、多语言的社区组织参与者的组织背景、实施过程和组织能力结果的影响。
这是一项使用社区参与式研究原则的顺序探索性、混合方法纵向研究。
来自九个多元文化、多语言社区组织的 20 名参与者参与了这项公共卫生计划的干预措施，旨在制定社区设计的家庭方案。
能力建设提供者实施了由资助者选择的干预措施。2019 年 4 月/5 月对讲习班成果进行了描述性测量。2019 年 4 月/5 月和 11 月，参与者完成了关于组织背景、实施过程和组织能力结果的调查，使用组织作为分析单位的 t 检验分析了组织能力结果。使用内容分析对定性数据进行了分析。
制定了 7 个新方案，修改了 2 个方案。作为讲习班成果，59%的参与者报告说实施知识总体上有所增加，74%的参与者报告说能力建设提供者是最有帮助的资源。在 6 至 7 个月后，组织背景、实施过程或组织能力结果没有出现统计学上的显著变化。参与者从能力建设中受益，因为他们开发了方案，与能力建设提供者建立了伙伴关系，获得了实施知识，并参与了网络建设。
参与者报告了出色的个人和组织优势。许多倡议因素导致没有统计上的变化。具体来说，没有机会获得基线数据；社区组织参与倡议模式选择、时间表和过程的程度有限；倡议的时间表不符合参与者的时间表；开发文化和语言上合适的方案的时间不足；文献综述摘要较晚；缺乏足够的、有计划的和有偿的能力建设时间；以及项目需要在不可实施时完成的合同要求。这些倡议设计因素，如参与者所报告的那样，限制了倡议的家庭方案发展。
本研究强调了参与者、社区组织和能力建设提供者的优势。模式选择、时间表和预算被确定为在多元文化、多语言组织中实现公平实施的关键因素。
