Category: Healthy Organizations

Policy Partnerships within government itself, ingredients for “buy-in”

The Centre for Urban Studies via http://stmichaelshospitalresearch.ca/research-programs/urban-health-solutions/our-projects/building-healthy-policy-and-practices/increasing-collaboration-within-governments-to-improve-population-health-and-equity/  supports linking of policy to practice. One example of their efforts focus’ specifically on policy development within government itself, providing this paper below.  

Using Win-Win Strategies to Implement Health in All Policies: A Cross-Case Analysishttp://journals.plos.org/plosone/article?id=10.1371/journal.pone.0147003

  • Agnes Molnar,
  • Emilie Renahy,
  • Patricia O’Campo,
  • Carles Muntaner,
  • Alix Freiler,
  • Ketan Shankardass

…Findings

Our results yielded no support for the use of awareness-raising or directive strategies as standalone approaches for engaging partners to implement HiAP. However, we found strong evidence that mechanisms related to “win-win” strategies facilitated implementation by increasing perceived acceptability (or buy-in) and feasibility of HiAP implementation across sectors. Win-win strategies were facilitated by mechanisms related to several activities, including: the development of a shared language to facilitate communication between actors from different sectors; integrating health into other policy agendas (eg., sustainability) and use of dual outcomes to appeal to the interests of diverse policy sectors; use of scientific evidence to demonstrate the effectiveness of HiAP; and using health impact assessment to make policy coordination for public health outcomes more feasible and to give credibility to policies being developed by diverse policy sectors. …

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A brief self questionnaire to encourage us to reflect and assess as individuals within yea old system

I’ve been following the research of Judy Foster – who has been a leader in England on social work role in mental health.  She takes both a psychodynamic and systems approach and has been involved at leadership levels of training for the practice end of mental health for decades.

She later shifted focus to research and a phd thesis which incorporates the everyday experience of: individual social workers within team as well as the context of the organization and its position in responding to government policy in the broader systems of care. Foster, Judy (2009) Thinking on the Front Line: Why some social work teams struggle and others thrive.

She also wrote a book on this https://www.amazon.com/Building-Effective-Social-Work-Teams/dp/1472480821 

See more about the actual thesis here: http://drjudyfoster.blogspot.ca/  

 

I thought, the above self questionnaire with its questions on the 5 factors that contribute to effective social work teams, will encourage us to reflect and assess as individuals within yea old system.

 

“Okay. [laughter] How long have you got? I can talk about engagement for a really long time. (P41, executive director)”

This article revisits how workers and organizational systems engage in practice change. It is rich with practical snapshots of individual perspectives from all levels of an organization. It brings a refreshing approach to the front line engaging in organizational… Vision and practice change.

  • a voice at the table;
  • interesting and relevant problem;
  • shared vision and decision making

 For me, especially exciting to see in discussion the endorsement of engaging practitioners themselves to contribute to the research on practice as a way to engage.

… The theme individual participation reflects the definition of medical engagement put forth by Spurgeon et al. ([17], p. 214): “the active and positive contribution of doctors within their normal working roles to maintaining and enhancing the performance of the organisation.” It is also consistent with the CFIR [33] domain characteristics of individuals and the multidimensional employee engagement construct from organizational research, which represents the notion of an individual being engaged in change [23242526]. In contrast, stakeholders in our study predominantly referred to the action of engaging others (with the goal for individuals to be engaged) [23]. This is an important distinction because it implies that engagement is a process or series of actions (arguably, an intervention) and an antecedent to engagement (as a state of being or mechanism). Engagement is not static but rather a process that requires cultivation over time. Like the predominant discourse throughout the implementation science literature, engagement was seen by stakeholders as inviting people to come together to participate across phases of healthcare improvement, from early priority setting to sustainment of initiatives. …

How do stakeholders from multiple hierarchical levels of a large provincial health system define engagement? A qualitative study

https://implementationscience….86/s13012-017-0625-5

 

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Social Workers need to step directly into guiding the organizations we work within

Lynn Sherwood’s article in Eastern OASW Summer Bulletin helps us step back, consider how we can say out loud “…the Emperor has no clothes.”  She outlines the context for the individual worker within the organization and… the context of the organization in the system of care.  

Image from: https://wiki.scn.sap.com/wiki/display/BOBJ/Dashboards+%28Xcelsius%29+General+Best+Practices

…It wasn’t supposed to be like this. The profession of social work began back at the turn of the twentieth century as a response to poverty and to the terrible living conditions of new immigrants to Canada. The agencies and organizations we work for have never been affluent, and we have never represented much more than a finger in the dyke, holding back the rising tides of human misery. This knowledge goes with the territory. Our focus on the relationship between individuals and their social environment, on advocacy for social change, has always been fundamental to our profession. However, in recent years ostensibly laudable expectations of efficiency, effectiveness, accountability, measurable outcomes, have devolved into an uncomfortable acceptance of “The Business Model” of providing social services, leaving us struggling to function in impossible, contradictory situations. …

See the article here https://www.oasw.org/Public/About_OASW/Eastern_Branch.aspx  (scroll down to the newsletters, open then go to page 20)

Architecture to keep track of the big picture of health learning and the ensuing interventions

From the journal of Implementation Science, https://implementationscience.biomedcentral.com/articles/10.1186/s13012-017-0607-7

…In this paper, we propose the use of architectural frameworks to develop LHSs that adhere to a recognized vision while being adapted to their specific organizational context. Architectural frameworks are high-level descriptions of an organization as a system; they capture the structure of its main components at varied levels, the interrelationships among these components, and the principles that guide their evolution.

A structured approach to analyzing public policies – Online course

Florence Morestin, shared this resource for ” structured approach to analyzing public policies” from the National Collaborating Centre for Healthy Public Policy http://www.ncchpp.ca/

 

Dear colleagues,

I would like to let you know that the NCCHPP’s online training courseA framework for analyzing public policies” is now being offered for free and is offered in a format compatible with PC, Mac, tablets and phones.

This online course will enable participants to make use of a framework for analyzing public policies in order to inform policy makers in the context of healthy public policy development.

Upon registration, you will have 24/7 access to the course. It is made of four self-paced modules presented on a user-friendly platform, allowing you to progress at your own pace. It takes from 6 to 8 hours to complete the course. Once you will have completed the course, you will be eligible for a certificate of completion.

To learn more or to register, click here: http://www.ncchpp.ca/438/Online_Course.ccnpps

 

For more information about the course, please feel free to contact us at ncchpp_training@inspq.qc.ca.

Intersectionality explained

This paper shared as one of the resources was found by Vicky Ward https://kmbresearcher.wordpress.com/, who was at the Canadian Knowledge Mobilization Forum, http://www.knowledgemobilization.net/event/2017-canadian-knowledge-mobilization-forum/

 

PUT SIMPLY: According to an intersectionality perspective, inequities are never the result of single, distinct factors. Rather, they are the outcome of intersections of different social locations, power relations and experiences.

paper by  Olena Hankivsky, PhD of https://www.sfu.ca/iirp/ 

see the paper here: https://www.sfu.ca/iirp/documents/resources/101_Final.pdf