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首页> 外文期刊>Social science and medicine >Pushing the boundaries of outreach work: the case of needle exchange outreach programs in Canada.
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Pushing the boundaries of outreach work: the case of needle exchange outreach programs in Canada.

机译：拓展外展工作的边界：加拿大的针头更换外展计划。

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摘要

In this paper, we examine the challenges of defining the boundaries of outreach work using the example of needle exchange programs. In particular, we examine the multiple and inter-related factors that extend needle exchange outreach work beyond its official mandate. Using semi-structured interviews, 59 workers at 15 programs in Ontario, Canada were asked questions about operational policies and routines. An iterative and inductive analytic process was used. Over time, most outreach workers develop a well-defined sense of the activities they consider to be consistent with a harm reduction approach and the types of conduct that are considered to be acceptable and professional. Workers conceptualize their roles to encompass education and support but are reluctant to impose a rigid definition of their roles. A pragmatic and humble stance combined with strong beliefs in social justice encourages workers to find informal solutions to meet client needs that extend beyond the program mandate. As a result, doing 'extra' is the norm. These extra efforts are informal, but often regular, expansions of the service complement. Construction of flexible boundaries provides opportunities to meet many client needs and unexpected situations; however, going the extra-mile strains resources. A minority of workers blur the boundaries between private and professional lives. Further, a variety of personal, social and socio-political forces encourage outreach workers to continually redefine the boundaries of their roles and service complements.
机译：在本文中，我们以针头交换程序为例，探讨了定义外展工作界限的挑战。特别是，我们研究了将针头交换外展工作扩展到其官方授权范围之外的多个相互关联的因素。通过半结构化访谈，向加拿大安大略省15个项目的59名工人询问了有关运营政策和惯例的问题。使用了迭代和归纳分析过程。随着时间的流逝，大多数外展工作人员对他们认为与减少伤害的方法以及被认为是可接受的和专业的行为类型一致的活动有了明确的认识。工人将其角色概念化，以涵盖教育和支持，但不愿对自己的角色强加严格的定义。务实谦虚的态度加上对社会正义的坚定信念，鼓励工人找到非正式的解决方案，以满足超出计划任务范围的客户需求。因此，“额外”是常态。这些额外的工作是非正式的，但通常是定期的服务补充扩展。灵活边界的构建提供了满足许多客户需求和意外情况的机会;但是，走超远距离会使资源紧张。少数工人模糊了私人生活和职业生活之间的界限。此外，各种各样的个人，社会和社会政治力量鼓励外展人员不断重新定义其角色和服务补充的界限。

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