Can reflexivity be learned? An experience with tobacco control practitioners in Canada

被引:5
作者
Bisset, S. [1 ]
Tremblay, M. C. [2 ]
Wright, M. T. [3 ]
Poland, B. [4 ]
Frohlich, K. L. [5 ]
机构
[1] Hop Charles Moyne CR CLM, Ctr Rech, Direct Sante Publ Monteregie, 1255 Rue Beauregard, Longueuil, PQ J4K 2M3, Canada
[2] McGill Univ, Dept Family Med, Montreal, PQ, Canada
[3] Catholic Univ Appl Sci Berlin, Inst Social Hlth, Berlin, Germany
[4] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada
[5] Univ Montreal, Dept Med Sociale & Prevent, ESPUM IRSPUM, Montreal, PQ, Canada
关键词
intervention; program evaluation; qualitative methods; tobacco; REFLECTIVE PRACTICE; SOCIAL INEQUALITIES; INCOME INEQUALITY; HEALTH; SMOKING; INTERVENTIONS; STIGMA; TRENDS;
D O I
10.1093/heapro/dav080
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
To explore an example of a reflexive intervention with health professionals working in tobacco control (TC). This study reports the perceived intervention effects regarding: (i) participants' understanding of reflexivity and personal learning and (ii) conditions needed in order to integrate reflexivity into professional and organizational practices. This is a qualitative study using an interpretative evaluation framework to assess the perceived effects of a reflexive intervention in Montreal, Quebec. Semi-structured qualitative interviews (n = 8) gathered data. Data analysis began deductively, guided by the broad categories found in research questions. Sub-categories to populate these broad categories captured the inhibitors and facilitators through an inductive thematic analysis. Our study reveals that, following the intervention, most participants had a generally good understanding of reflexivity and described concrete learning in association with the intervention. Main facilitators and inhibitors to conducting a reflexive workshop pertained to the organizational context as well as to the professional and individual characteristics of the participants. Some participants implemented sustainable changes as a result of the intervention, such as creating a tool, reviewing work plans and developing new mechanisms to integrate the voice of their clientele in the planning process. The need and interest for dialogue among health professionals about how TC intervention activities may inadvertently contribute to social inequalities in smoking is apparent. While there appears to be potential for reflexive practice, the integration of reflexivity into practice is reliant upon the organizational context (financial and time constraints, culture, support, and climate) and the reflexivity concept itself (intangibility, complexity and fuzziness).
引用
收藏
页码:167 / 176
页数:10
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