Veille sur la participation et l'empowerment
La participation en promotion de la santé : par où commencer ?
Participer, c’est prendre part. C’est construire ensemble en s’exprimant et en s’impliquant collectivement et individuellement. C’est penser les actions en faisant « avec » les personnes plutôt que « pour » elles. En promotion de la santé, différentes modalités existent et peuvent contribuer aux démarches participatives tout au long des projets. Mais… Par où commencer ?Pour choisir votre cap « participation » et renforcer vos démarches, le Pôle ressources en promotion de la santé – Bretagne vous propose quelques balises dans ce document (A3 recto verso 2 volets) que vous pouvez télécharger, imprimer et consulter en ligne ci-dessous
EN SAVOIR PLUS / https://promotionsantebretagne.fr/la-participation-en-promotion-de-la-sante-par-ou-commencer/
"Our focus is on illness and loneliness": Volunteer work engagement, compassion satisfaction, compassion fatigue, self-care and motivations to volunteer
Health Soc Care Community. 2022 Jul 27. doi: 10.1111/hsc.13934. Online ahead of print.
They are participating as a volunteer implies active personal positioning accompanying others. Evidence supports that experiences of those who experience an illness, who are hospitalised or feel lonely, impact the volunteers: positive emotions like engagement and Compassion Satisfaction (CS) or, the reverse, Compassion Fatigue (CF). Motivations help us understand why volunteers spend their time on these activities. And self-care practices will be a challenge to counteract the exhausting emotions of volunteering. This research presents a mixed, exploratory and sequential design study on the island of Majorca (Spain). The first phase (n = 216) was quantitative, gathering data from November 2018 to April 2019. Then, the second phase (two focus groups) started with qualitative data collection (July 2019). Firstly, the study determines CS and work engagement levels and examines the relationship between self-care, CF and motivations. Secondly, the study finds out how they recognise their positive and negative emotions, their relationship with self-care and what motivates them to be volunteers. The results show that the volunteers report highly positive feelings associated with their volunteering (CS and engagement) and are backed up by a good level of personal Self-Care. The Understanding and Enhancement motivational functions generate even more positive feelings for the volunteers themselves, who attach a positive value to their experience of caring for others. Despite the positive results collected, we must not ignore the phenomenon of CF in relational volunteering and pain support because it occurs. After all, that could lead to abandonment by volunteers.
PMID:35894113 | DOI:10.1111/hsc.13934
Health impact assessment of local policies: methodology and tools
The aim of this work was to design some tools and a procedure for performing the Health Impact Assessment of municipal policies. A working group made up of municipal and public health specialists from the Valencian Community (Spain) was set up. After reviewing the tools used in other contexts, the Fem Salut? questionnaire for the simplified Health Impact Assessment of regional policies was adapted for use at the local level. A pilot study was carried out in six municipalities and local initiatives promoted by different sectors were analysed. Two workshops were held per municipality (with specialists and with citizens) and participatory techniques were used to identify the possible impacts on the social determinants of health, the population groups more particularly affected and the proposals for improvement. The feasibility of the methodology and the difficulties involved in carrying it out were discussed. A procedure was defined for the Health Impact Assessment of local initiatives in six steps: Describe (the municipality and the project), Extract (screening phase), Co-produce (participatory workshops), Integrate (the scientific evidence with the qualitative information obtained), Disseminate (to politicians, specialists and community) and Evaluate (direct and indirect results) (DECIDE). A guide was developed to facilitate its application at the local level along with two complementary tools (a questionnaire and worksheets). The technical group rated the process as simple and flexible, as well as being easy to adapt to the characteristics of the municipality and project. In addition to the cross-sectoral approach, the incorporation of citizen participation in the process is an important added value.
How can participation in health promotion projects be encouraged ? Professionals' views on the key factors at play.
Rev Epidemiol Sante Publique. 2022 Jun 14:S0398-7620(22)00362-5. doi: 10.1016/j.respe.2022.05.005. Online ahead of print.
INTRODUCTION: The participation of the stakeholders concerned by health promotion interventions targeting health determinants is a founding principle of integral importance. Notwithstanding the potential benefits of these approaches, their implementation is still quite limited and field practices are highly varied, if not totally heterogeneous. Such limitations can be considered in conjunction with the poorly defined outlines of participation, which can lead to variable interpretations of what it entails, and also to the different contextual factors potentially affecting its implementation. This study therefore aims: (1) to identify the various perceptions and experiences of participation, and (2) to identify the factors impacting the implementation of participation in support and development of health promotion.
METHODOLOGY: All in all, 34 professionals participated in this qualitative research, in which triangulation was associated with analysis of the written productions collected during creativity workshops (Cube activity) and semi-structured interviews and observations. All participants gave their informed consent to participate, and the data were anonymized and remained accessible to one and all. The data were subjected to content analysis (Bardin, 2003) focusing on types of factors contributing to the implementation (or non-implementation) the of participation.
RESULTS: Data analysis led to the emergence of 7 categories of factors: stakeholder characteristics, the individual characteristics of professionals and decision-makers, relations between professionals among themselves and with stakeholders, the methods and form of the approach implemented, the local organization and its missions, and the national context.
DISCUSSION: The representations and experiences of participatory approaches among health promoters are very heterogeneous. Implementation depends largely on how stakeholder characteristics are taken into account, on the ability of professionals to adapt to them, on the development of favorable interpersonal relationships through reflexive work on posture, and on the use of relevant and scientifically validated methods.
CONCLUSIONS: To strengthen the openness and motivation of field professionals to undertake participatory actions, awareness-raising and training in specific skills seems relevant, the objective being to enable them to anticipate risks and to make the most of whatever opportunities appear.
PMID:35715346 | DOI:10.1016/j.respe.2022.05.005
Patients experts : des risques de dévoiement ?
Le temps du paternalisme médical, où le savoir était l’apanage des seuls médecins, semble aujourd’hui révolu : les patients sont de plus en plus nombreux à revendiquer une expertise que n’ont pas les médecins, les chercheurs et les décideurs publics ou privés. Et leur connaissance empirique de la maladie est de mieux en mieux reconnue, si […]