Theory‐based capacity building intervention for intersectoral action for health at local governments: An exploratory pilot study

Abstract

Aim To design, implement and evaluate a nurse‐led capacity building intervention (PromoGOB) for intersectoral action for health at local governments. Design The programme was based on theories of the policy process and organizational change and facilitated by a nurse developing a health broker role. A complex intervention perspective was adopted in carrying out the study. The intervention was evaluated using a mixed method embedded design. Methods Quantitative component relied on a specific questionnaire. This tool, designed and piloted ad hoc, measured the capacity in terms of knowledge, awareness, resources, skills, and commitment, both at sectoral and government levels. For the qualitative component, semi‐structured interviews were conducted. These explored the perceived capacity and feasibility and acceptability issues. The programme was initiated at the end of October 2019, and it lasted a total of 5 weeks. Nineteen individuals representing various sectors at a local government in northern Spain participated in the study. The data analysis was concluded by the end of March 2020. Findings PromoGOB positively influenced participants' capacity for addressing health promotion. Awareness component, intersectoral work and the nurse as health broker were essential in the programme. The necessity of political participation was identified as an issue to be prioritized in future studies. Conclusion This study highlights the relevance of capacity building at local governments and the role that nurses can play in it. Further work should be undertaken to continue developing Health in All Policies approach at local level. Impact This study offers a starting point for nurses to get involved in the policy process of health promotion, performing a specific role as health brokers, building capacity at local governments for addressing social determinants of health, and delving into theories and concepts of the Health in All Policies field.

Community capacity for prevention and health promotion: a scoping review on underlying domains and assessment methods

“…Regarding the mixed-methods studies, eleven out of the nineteen included studies [ 16 , 42 , 43 , 46 , 53 , 61 , 63 , 67 , 72 , 74 , 75 ] fulfilled all quality criteria, including clear research questions, integration of components, adequate interpretation of results, and addressing divergences and inconsistencies between results. However, six studies had an unclear risk of bias in one to two criteria [ 41 , 45 , 48 , 59 , 60 , 73 ], and one study did not adequately address divergences and inconsistencies between quantitative and qualitative results [ 26 ].…”

“…Seventeen studies used or developed their own measuring tools [ 16 , 51 – 53 , 55 , 58 , 61 , 63 , 66 , 67 , 72 , 75 ] or a new theoretical approach to community capacity [ 44 , 49 , 54 , 57 ]. These are detailed in Supplementary Table 1 (see Additional file 1 : Appendix 1).…”

Liderazgo de enfermería en el desarrollo de políticas intersectoriales de salud pública

“…Por otro lado, con la creación de la campaña Nursing Now, 11 se destacó la capacidad de la profesión para promover la igualdad de género, algo que fomenta el liderazgo y la equidad a través del empoderamiento de las enfermeras, el crecimiento económico que su trabajo supone, por ejemplo, en la capacidad de influir en conseguir menor estancia hospitalaria, 12 aspecto significativo por su impacto en los resultados de salud y que se podría tener en cuenta para conseguir mayor repercusión de nuestra capacidad de decisión.…”

“…Nuestro trabajo y compromiso puede influir en el desarrollo de un sistema sanitario más fuerte, donde la coordinación con distintos dirigentes puede ayudar a crear propuestas que faciliten hacer frente a los problemas afectados por los determinantes de salud. Partiendo de este enfoque, se ha desarrollado un estudio promovido por una enfermera como intermediaria en el desarrollo de un programa (PromoGob) 12 creado para aumentar capacidad de enfoques intersectoriales de la salud en los gobiernos locales. Este estudio demostró el aumento de consciencia por parte de los participantes (dirigentes y personal administrativo de ayuntamiento) sobre las distintas formas que tienen para poder abordar la salud desde distintos sectores, reflexionando así sobre la posibilidad de contribuir…”

Community capacity for prevention and health promotion: a systematic review on underlying domains and assessment methods

“…Seventeen studies, detailed in Supplementary Table1(see Appendix 1), used or developed their own measuring tools(70,37,71,40,41, 16,72,73, 58,35,74,75) or a new theoretical approach to community capacity (76-78, 33).…”