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通过智力赋能解决基于地区的问题:一种培养乡村卫生志愿者和公共卫生官员学术创作能力的模式。

Solving area-based problems through intellectual empowerment: a model for developing village health volunteers' and public health officials' competencies in producing academic work.

作者信息

Nawsuwan Kittiporn, Singweratham Noppcha, Suriya Natthawut, Oupra Roshinee

机构信息

Faculty of Nursing, Boromarajonani College of Nursing, Songkhla, Praboromarajchanok Institute, Songkhla, Thailand.

Faculty of Public Health, Chiang Mai University, Chiang Mai, Thailand.

出版信息

Sci Rep. 2025 May 20;15(1):17537. doi: 10.1038/s41598-025-01997-x.

DOI:10.1038/s41598-025-01997-x
PMID:40394183
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12092601/
Abstract

This action research aimed to analyse the situation, create, develop, and evaluate the model. Furthermore, reporting the lessons learned from the outcomes. The sample group, chosen through purposive sampling, consisted of 10 village health volunteers and 10 public health officers, all attending sub-district health promotion hospitals. The research tools were a questionnaire on academic performance productivity and records of the participants' academic work. These obtained an IOC value between 0.67 and - 1.00, while the Cronbach's alpha confidence coefficients were 0.84 and 0.86, respectively. The study followed the steps of action research. The data were analysed using descriptive statistics, Wilcoxon signed-rank test statistics, content analysis, and thematic analysis. The results were as follows: 1. Before using the model, the VHVs had the highest capacity in terms of character traits conducive to academic work performance ([Formula: see text]= 3.24, SD = 0.43), while the public health officials had the highest score regarding attitude towards developing routine work in research (x¯= 3.70, SD = 0.69). VHVs showed increased competency scores (Z = -2.803, p = 0.005; effect size r = 0.63), and public health officials improved in R2R competency (Z = -2.497, p = 0.013; effect size r = 0.56). The qualitative data consisted of (a) problems in producing academic works, (b) the need for academic knowledge, (c) academic potential, (d) obstacles to producing academic works, (e) needs for academic work production, and (f) competencies necessary for academic work production. 2. The model consisted of 5 Ps, namely (a) policy formulation from supervisors, (b) preparation, (c) practice, (d) publication of academic works, and (e) positive reinforcement. 3. After the development of the model, both VHVs and public health officials showed higher competencies to produce academic works than before using the model, with statistical significance at the 0.01 and 0.05 levels, respectively. 4. For the VHVs and public health officials, the key success factors for producing academic works were (a) setting a clear policy, (b) preparation, (c) practical implementation, (d) having a mentor to support academic work production, and (e) using positive reinforcement. Conclusion, the ability of village health volunteers (VHVs) and public health officials to generate academic work is crucial for addressing health issues in a specific area. To enhance their competencies, a model should be employed that involves developing strategic and action plans and organizing workshops. These workshops will encourage the creation of academic work aimed at solving local health problems based on academic principles. These findings suggest that the model effectively strengthens the academic capacity of frontline health workers. The intervention holds potential for scaling within public health policy frameworks to foster evidence-based practices and community-driven health solutions across diverse settings.

摘要

本行动研究旨在分析现状、创建、开发和评估该模型。此外,报告从成果中吸取的经验教训。通过目的抽样选择的样本组由10名乡村卫生志愿者和10名公共卫生官员组成,他们均在分区健康促进医院工作。研究工具包括一份关于学术绩效生产力的问卷和参与者学术工作记录。这些工具的IOC值在0.67至 -1.00之间,而Cronbach's alpha信度系数分别为0.84和0.86。该研究遵循行动研究的步骤。数据采用描述性统计、Wilcoxon符号秩检验统计、内容分析和主题分析进行分析。结果如下:1. 在使用该模型之前,乡村卫生志愿者在有助于学术工作表现的性格特质方面能力最高([公式:见原文]= 3.24,标准差 = 0.43),而公共卫生官员在开展研究常规工作的态度方面得分最高(x¯ = 3.70,标准差 = 0.69)。乡村卫生志愿者的能力得分有所提高(Z = -2.803,p = 0.005;效应量r = 0.63),公共卫生官员在R2R能力方面有所提升(Z = -2.497,p = 0.013;效应量r = 0.56)。定性数据包括:(a) 学术作品创作中的问题,(b) 学术知识需求,(c) 学术潜力,(d) 学术作品创作的障碍,(e) 学术作品创作需求,以及(f) 学术作品创作所需的能力。2. 该模型由5个P组成,即(a) 上级制定的政策,(b) 准备,(c) 实践,(d) 学术作品发表,以及(e) 积极强化。3. 在模型开发之后,乡村卫生志愿者和公共卫生官员在创作学术作品方面均表现出比使用模型之前更高的能力,分别在0.01和0.05水平上具有统计学意义。4. 对于乡村卫生志愿者和公共卫生官员而言,创作学术作品的关键成功因素包括:(a) 制定明确的政策,(b) 准备,(c) 实际执行,(d) 有导师支持学术作品创作,以及(e) 使用积极强化。结论,乡村卫生志愿者和公共卫生官员开展学术工作的能力对于解决特定领域的健康问题至关重要。为提高他们的能力,应采用一种涉及制定战略和行动计划以及组织研讨会的模型。这些研讨会将鼓励基于学术原则创作旨在解决当地健康问题的学术作品。这些发现表明该模型有效地增强了一线卫生工作者的学术能力。该干预措施在公共卫生政策框架内具有扩大推广的潜力,以促进循证实践和跨不同环境的社区驱动的健康解决方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ded/12092601/d931cb68bb0a/41598_2025_1997_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ded/12092601/d931cb68bb0a/41598_2025_1997_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ded/12092601/d931cb68bb0a/41598_2025_1997_Fig1_HTML.jpg

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