Hall N, Best J A
B.C.'s Women's Hospital & Health Centre, Vancouver.
Can J Public Health. 1997 Nov-Dec;88(6):409-15. doi: 10.1007/BF03403917.
The issue of practice skills arose in the course of a process evaluation of the Heart Smart North Shore (HSNS) project in British Columbia. We created a Think Tank of researchers and community practitioners to make recommendations for improvement of our skills. These recommendations differed according to different values for health and opinions on how to create health in the community. Because the site reviewers of the HSNS project were clear this was a disease prevention project and not a community development initiative, HSNS's orientation to skill development after the Think Tank moved toward the Precede/Proceed model, the Transtheoretical model and social marketing approaches. The Health Unit has now been restructured into multidisciplinary service teams which must focus on population health, evidence-based practice and the social determinants of health, and thus need to consider health promotion from a community development perspective and empowerment model. We suggest that learning and the development of staff and community volunteers should be seen as a continuous and reflective process that takes place at the individual, community and organizational level.
实践技能问题是在对不列颠哥伦比亚省北岸心脏智能（HSNS）项目进行过程评估的过程中出现的。我们组建了一个由研究人员和社区从业者组成的智囊团，以提出改进技能的建议。这些建议因对健康的不同价值观以及对如何在社区中创造健康的不同看法而有所不同。由于HSNS项目的现场评审人员明确表示这是一个疾病预防项目，而非社区发展倡议，因此在智囊团之后，HSNS的技能发展方向转向了先行/后续模型、跨理论模型和社会营销方法。健康部门现已重组为多学科服务团队，这些团队必须关注人群健康、循证实践和健康的社会决定因素，因此需要从社区发展视角和赋权模式来考虑健康促进。我们建议，员工和社区志愿者的学习与发展应被视为一个在个人、社区和组织层面持续进行的反思过程。
