Translating the Socio-Ecological Perspective Into Multilevel Interventions

Schölmerich, Vera L. N.; Kawachi, Ichiro

doi:10.1177/1090198115605309

Cited by 75 publications

(62 citation statements)

References 22 publications

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“…The socio‐ecological framework (Bronfenbrenner, ) is purported to inspire multi‐level interventions, yet frequently, public health interventions have single‐level targets and are focused on intrapersonal change (Schölmerich and Kawachi, ). Drawing from the ecological framework (Bronfenbrenner, ), the eco‐social approach (Krieger, ), the health promotion adaption of the socio‐ecological framework (McLeroy et al, ) and the ‘Me, We, Us’ framework (Jarden and Jarden, ), an example of what a multi‐level workplace well‐being intervention programme might look like is depicted in Figure .…”

Section: Resultsmentioning

confidence: 99%

Strengthening workplace well‐being: perceptions of intensive care nurses

Jarden

Sandham

Siegert

et al. 2018

Nursing in Critical Care

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Background: Intensive care nursing is a professionally challenging role, elucidated in the body of research focusing on nurses' ill-being, including burnout, stress, moral distress and compassion fatigue. Although scant, research is growing in relation to the elements contributing to critical care nurses' workplace well-being. Little is currently known about how intensive care nurse well-being is strengthened in the workplace, particularly from the intensive care nurse perspective. Aims and objectives: Identify intensive care nurses' perspectives of strategies that strengthen their workplace well-being. Design: An inductive descriptive qualitative approach was used to explore intensive care nurses' perspectives of strengthening work well-being. Method: New Zealand intensive care nurses were asked to report strategies strengthening their workplace well-being in two free-text response items within a larger online survey of well-being. Findings: Sixty-five intensive care nurses identified 69 unique strengtheners of workplace well-being. Strengtheners included nurses drawing from personal resources, such as mindfulness and yoga. Both relational and organizational systems' strengtheners were also evident, including peer supervision, formal debriefing and working as a team to support each other. Conclusions: Strengtheners of intensive care nurses' workplace well-being extended across individual, relational and organizational resources. Actions such as simplifying their lives, giving and receiving team support and accessing employee assistance programmes were just a few of the intensive care nurses' identified strengtheners. These findings inform future strategic workplace well-being programmes, creating opportunities for positive change. Relevance to clinical practice: Intensive care nurses have a highly developed understanding of workplace well-being strengtheners. These strengtheners extend from the personal to inter-professional to organizational. The extensive range of strengtheners the nurses have identified provides a rich source for the development of future workplace well-being programmes for critical care.

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Section: Resultsmentioning

confidence: 99%

Strengthening workplace well‐being: perceptions of intensive care nurses

Jarden

Sandham

Siegert

et al. 2018

Nursing in Critical Care

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“…A variety of important perspectives of target communities and populations can also be captured in other paradigms and frameworks such as CBPR (Salimi et al, 2012), socioecological frameworks (Scholmerich & Kawachi, 2016), the Cultural Framework for Health (Kagawa-Singer et al, 2015), Persuasive Marketing (Jenkin et al, 2014), social marketing for systems change/community-based prevention marketing (Bryant et al, 2007) and the RE-AIM framework (Glasgow et al, 2003). However, ensuring D&I concepts are understood by communities is a critical aspect of D&I. Collaborating with stakeholders is an important step in the D&I process as the developers of the original intervention may not be aware of important cultural nuances that are needed to successfully adapt interventions that ultimately lead to more successful D&I.…”

Section: The Connect Frameworkmentioning

confidence: 99%

The ConNECT Framework: a model for advancing behavioral medicine science and practice to foster health equity

et al. 2016

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Health disparities persist despite ongoing efforts. Given the United States’ rapidly changing demography and socio-cultural diversity, a paradigm shift in behavioral medicine is needed to advance research and interventions focused on health equity. This paper introduces the Con-NECT Framework as a model to link the sciences of behavioral medicine and health equity with the goal of achieving equitable health and outcomes in the twenty-first century. We first evaluate the state of health equity efforts in behavioral medicine science and identify key opportunities to advance the field. We then discuss and present actionable recommendations related to ConNECT’s five broad and synergistic principles: (1) Integrating Context; (2) Fostering a Norm of Inclusion; (3) Ensuring Equitable Diffusion of Innovations; (4) Harnessing Communication Technology; and (5) Prioritizing Specialized Training. The framework holds significant promise for furthering health equity and ushering in a new and refreshing era of behavioral medicine science and practice.

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“…These identified levels of influence align with the five constructs outlined in the socio-ecological model of health promotion (intrapersonal, interpersonal, institutional/organisational, community, and public policy), which provided a useful guide to interpret the findings in the following discussion [9,31]. Applying these frameworks in combination facilitated a more holistic view, with our study framework illustrating links between the varying levels of the socio-ecological model [32].…”

Section: Discussionmentioning

confidence: 63%

Understanding in the Australian aged care sector of reablement interventions for people living with dementia: a qualitative content analysis

O’Connor

Gresham²,

Poulos

et al. 2020

BMC Health Serv Res

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Background: Reablement has potential for enhancing function and independence in people with dementia. In order to enhance the use of evidence-based reablement in this population, this study sought to understand the current practices and needs of the sector around these interventions. Methods: A purposive sample of 22 Australian aged and community-care providers participated in a semistructured interview. Qualitative content analysis was applied to the data, with key themes interpreted within the context of the study aims: to explore (1) what reablement interventions are currently being offered to people living with dementia in Australia, and (2) what are key factors that will contribute to enhanced uptake of reablement interventions in dementia practice. Results: Four themes emerged: (1) 'what reablement interventions are being offered', outlined a range of exercise and cognitive/social interventions, with only a proportion generated from a clear evidence-base, (2) 'what's in a name', illustrated the range of terms used to describe reablement, (3) 'whose role is it', highlighted the confusion around the range of health professionals involved in providing reablement interventions, and (4) 'perceived barriers and enablers to providing reablement to people living with dementia', described a range of factors that both hinder and support current reablement practice. Conclusions: Reablement interventions currently provided for people living with dementia in Australia are variable, with confusion around the definition of reablement, and apparently limited use of evidence-informed interventions. A multifaceted approach involving an evidence-informed and freely-accessible resource, and taking into account the varied levels of influence within the aged care sector would support uptake and implementation of reablement interventions for people living with dementia.

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Translating the Socio-Ecological Perspective Into Multilevel Interventions

Cited by 75 publications

References 22 publications

Strengthening workplace well‐being: perceptions of intensive care nurses

Strengthening workplace well‐being: perceptions of intensive care nurses

The ConNECT Framework: a model for advancing behavioral medicine science and practice to foster health equity

Understanding in the Australian aged care sector of reablement interventions for people living with dementia: a qualitative content analysis

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