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发展富有同情心的社区:加拿大社区能力发展概念模型

Developing a compassionate community: a Canadian conceptual model for community capacity development.

作者信息

Kelley Mary Lou

机构信息

School of Social Work, Lakehead University, #704-530 de Mazenod Ave, Ottawa, ON, K1S 5W8, Canada.

出版信息

Palliat Care Soc Pract. 2023 Aug 28;17:26323524231193040. doi: 10.1177/26323524231193040. eCollection 2023.

Abstract

The purpose of this article is to share a Canadian model called in which aging, dying, caregiving, and grieving are everyone's responsibility. The model provides a research-informed practice guide for people who choose to adopt a community capacity development approach to developing a compassioante community. Based on 30 years of Canadian research by the author in rural, urban, First Nations communities, and long-term care homes, the model offers a practice theory and practical tool. The model incorporates the principles of community capacity development which are as follows: change is incremental and in phases, but nonlinear and dynamic; the change process takes time; development is essentially about developing people; development builds on existing resources (assets); development cannot be imposed from the outside; and development is ongoing (never-ending). Community capacity development starts with citizens who want to make positive changes in their lives and their community. They become empowered by gaining the knowledge, skills, and resources they need. The community mobilizes around finding solutions rather than discussing problems. Passion propels their action and commitment drives the process. The strategy for change is engaging, empowering, and educating community members to act on their own behalf. It requires mobilizing networks of families, friends, and neighbors across the community, wherever people live, work, or play. Community networks are encouraged to prepare for later life, and for giving and getting help among themselves. This Canadian model offers communities one approach to developing a compassionate community and is a resource for implementing a public health approach to end-of-life care in Canada. The model is also available to be evaluated for its applicability beyond Canada and is designed to be adapted to new contexts if desired.

摘要

本文旨在分享一种名为“ ”的加拿大模式,在该模式中,衰老、死亡、照料和哀伤是每个人的责任。该模式为那些选择采用社区能力发展方法来建设富有同情心社区的人提供了一份基于研究的实践指南。基于作者在加拿大农村、城市、原住民社区和长期护理机构进行的30年研究,“ ”模式提供了一种实践理论和实用工具。该模式纳入了社区能力发展的原则,具体如下:变化是渐进的且分阶段进行,但并非线性且具有动态性;变化过程需要时间;发展本质上是关于人的发展;发展基于现有资源(资产);发展不能从外部强加;发展是持续不断的(永无止境)。社区能力发展始于那些希望在自己的生活和社区中做出积极改变的公民。他们通过获取所需的知识、技能和资源而获得力量。社区围绕寻找解决方案而非讨论问题进行动员。热情推动他们采取行动,承诺驱动这一过程。变革策略是让社区成员参与、赋予其权力并对其进行教育,使其为自身利益采取行动。这需要动员整个社区中家庭、朋友和邻居的网络,无论人们在哪里生活、工作或玩耍。鼓励社区网络为晚年生活做准备,并在彼此之间给予和获得帮助。这种加拿大模式为社区提供了一种建设富有同情心社区的方法,是在加拿大实施临终关怀公共卫生方法的一种资源。该模式也可供评估其在加拿大以外地区的适用性,并且如果需要,可设计为适应新的环境。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbfc/10467181/2786150f56d8/10.1177_26323524231193040-fig1.jpg

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