Ngāi Tahu Māori Health Research Unit, Division of Health Sciences, University of Otago, Dunedin, Aotearoa, New Zealand.
Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, Dunedin, Aotearoa, New Zealand.
Health Promot Int. 2023 Oct 1;38(5). doi: 10.1093/heapro/daad137.
Mental health promotion (MHP) is integral to improving the overall health and well being of individuals, communities, and populations. However, knowledge and reporting about MHP which occurs throughout Aotearoa New Zealand (NZ) is limited. This article reports findings from a qualitative study that sought to understand NZ health promotion practitioners' (HPPs) MHP practice. Semi-structured interviews were undertaken with 15 HPPs employed at various health promotion organizations. Thematic analysis of interview transcripts identified three key themes. Two themes (planning and evaluation) related to practice directly and included various subthemes: needs assessment; principles/approaches/frameworks; operationalizing equity and te Tiriti o Waitangi; collaborative approaches; planning for evaluation; process evaluation domination; and evaluation challenges. The third theme related to the context of practice and encompassed various system influences restricting HPPs from practising as they wished. These were represented in four subthemes: contractual agreements; field fragmentation; in the shadows of mental ill-health and workforce capacity. Study findings highlight several opportunities to improve MHP practice in NZ. Most pertinently, the need for system-level action to address the factors restricting HPPs' practice.
心理健康促进（MHP）是提高个人、社区和人群整体健康和福祉的重要组成部分。然而，新西兰（NZ）各地的 MHP 知识和报告是有限的。本文报告了一项定性研究的结果，该研究旨在了解新西兰健康促进从业者（HPP）的 MHP 实践。对在各种健康促进组织工作的 15 名 HPP 进行了半结构化访谈。对访谈记录的主题分析确定了三个关键主题。两个主题（规划和评估）与实践直接相关，包括各种子主题：需求评估；原则/方法/框架；实施公平和怀唐伊条约；协作方法；规划评估；过程评估占主导地位；以及评估挑战。第三个主题与实践的背景有关，包括各种系统影响，这些影响限制了 HPP 按照他们的意愿进行实践。这在四个子主题中得到了体现：合同协议；领域分散；心理健康不良和劳动力能力的阴影下。研究结果强调了在新西兰改善 MHP 实践的几个机会。最相关的是，需要采取系统层面的行动来解决限制 HPP 实践的因素。
