Abstract
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.
Fr
Résumé La question des compétences pratiques a été soulevée au cours d’une évaluation du processus suivi dans le cadre du projet Heart Smart North Shore (HSNS) en Colombie-Britannique. Nous avons créé un groupe de réflexion composé de chercheurs et de praticiens communautaires chargés de formuler des recommandations visant à améliorer nos compétences. Les recommandations formulées différaient selon les valeurs accordées à la santé et les opinions quant à la façon de créer une communauté en santé. Étant donné que pour les évaluateurs du projet HSNS, il s’agissait clairement d’un projet de prévention des maladies et non pas d’une initiative de développement communautaire, l’orientation du HSNS en matière de développement des compétences s’est axée sur le modèle Precede/Proceed, sur le modèle transthéorique et sur les approches du marketing social. L’unité de soins de santé a maintenant été restructurée en équipes de services pluridisciplinaires qui se concentrent sur la santé de la population, les pratiques fondées sur des preuves et les déterminants sociaux de la santé, et qui doivent donc envisager la promotion de la santé du point de vue du développement communautaire et du modèle de l’habilitation. Nous pensons que l’apprentissage et le développement du personnel et des bénévoles communautaires doivent être vus comme un processus continu et réfléchi qui s’applique au niveau de l’individu, de la communauté et de l’organisation.
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Hall, N., Best, J.A., Heart Health Think Tank Group. et al. Health Promotion Practice and Public Health: Challenge for the 1990s. Can J Public Health 88, 409–415 (1997). https://doi.org/10.1007/BF03403917
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DOI: https://doi.org/10.1007/BF03403917