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    <meta content="Kilpatrick, Sue" name="eprints.creators_name" />
<meta content="Auckland, Stuart" name="eprints.creators_name" />
<meta content="Johns, Susan" name="eprints.creators_name" />
<meta content="Whelan, Jessica" name="eprints.creators_name" />
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<meta content="Jessica.Whelan" name="eprints.creators_id" />
<meta content="Doyle, L" name="eprints.editors_name" />
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<meta content="The concept of partnership has entered policy rhetoric and is urged as good practice in a variety of domains including health. Rural communities tend to have fewer resources available for the provision of services such as health than their metropolitan counterparts, and so could be expected to benefit from partnerships with external agencies. Indicators of coalition maturity for working in partnership with external agents in order to build stronger communities are distilled from the group development and partnership research literature and considered in the light of the experiences of the University Department of Rural Health in community engagement. The chapter draws on experiences of two rural community coalitions working to plan and negotiate health service provision. The coalitions were analysed against the indicators. A key indicator of maturity and readiness for working in partnership with external agents is related to the behaviour of 'boundary crossers'. Boundary crossers are defined as people who move freely between two or more domains and who understand the values, cultures and language, and have the trust, of both. Domains can be within a community or be the community and an external sector. Community health professionals, especially those in senior positions, often act as boundary crossers between the community and broader domains such as regional/state health services or policy, although other community members can fill the role. Other key indicators of coalition maturity for working in partnership with external agents include local leadership that empowers the community, a willingness of community coalitions to take risks and mould opportunities to meet their vision, and a culture of critical reflection and evaluation of past actions. 

This chapter analyses the impact of boundary crossing behaviour on community readiness and partnerships with external agents that are intended to build rural community capacity to plan and negotiate health service provision. It is argued that the characteristics and modus operandi of boundary crossers who are members of rural community coalitions affect the level of maturity of the coalitions and community readiness to work with external agents. An understanding of the characteristics and modus operandi of boundary crossers provides valuable insights for external agents in designing their approach to partnerships that build rural community capacity for health.
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<meta content="2007-03-25" name="eprints.date" />
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<meta content="Building stronger communities: Research informing practice" name="eprints.book_title" />
<meta content="Billett, S., Clemans, A. &amp; Seddon, T. (2005) Forming, developing and sustaining social partnerships, Adelaide, National Centre for Vocational Education Research 

Buxton, C. Carlone, H. &amp; Carlone, D. (2005) Boundary spanners as bridges of student and school discourses in an urban science and mathematics high school - School Science and Mathematics, Vol. 105, No. 6, pp. 302-312

Canadian Health Services Research Foundation (2003) The Theory and Practice of Knowledge Broking in Canada's Health System, Ottawa, CHSRF, accessed on 30/05/06 at http://www.chsrf.ca/broking/pdf/Theory_and_Practice_e.pdf

Cavaye, J. (1999) The role of government in community capacity building, Brisbane, Queensland Department of Primary Industries

Cuthill, M. &amp; Fein, J. (2005) Capacity building: facilitating citizen participation in local governance-, Australian Journal of Public Administration, Vol. 64, No. 4, pp 63-80

Edwards, R. W., Jumper-Thurman, P., Plested, B. A., Oetting, E. R., &amp; Swanson, L. (2000) -Community readiness: Research to practice, Journal of Community Psychology, Vol. 28, No. 3, pp. 291-307 

Falk, I. &amp; Kilpatrick, S. (2000)What is Social Capital? A Study of Interaction in a Rural Community, Sociologia Ruralis, Vol. 40, No. 1, pp 87-110

Foster-Fishman, P., Berkowitz, S, Loundsbury, D., Jacobson, S. &amp; Allen, N. (2001) Building collaborative capacity in community coalitions: A review and integrative framework, American Journal of Community Psychology, Vol. 29, No. 2, pp. 241-261

Johns, S., Kilpatrick, S. &amp; Whelan, J. (2006) Our health in our hands: Building effective community partnerships for rural health service, Discussion Paper, University Department of Rural Health, Tasmania.

Kilpatrick, S. &amp; Falk, I. (2003) Learning in agriculture: Building social capital in island communities, Local Environment, Vol .8, No. 5, pp 499-510

Kilpatrick, S., Johns, S., Mulford, B., Falk, I. &amp; Prescott, L. (2002) More than an Education: Leadership of School-Community Partnerships. Report on Project UT-31A, Canberra, Rural Industries Research and Development Corporation 

Kilpatrick, S., &amp; Loechel, B. (2004) Interactional infrastructure in rural communities: matching training needs and provision, Rural Society, Vol. 14, No. 1, pp. 4-21

Lauder, W., Reel, S., Farmer, J. &amp; Griggs, H. (2006)Social capital, rural nursing and rural nursing theory, Nursing Inquiry, Vol. 13, No. 1, pp. 73-79

Peirce, N. &amp; Johnson, C. 1997, Boundary Crossers: Community leadership for a global age, Maryland, USA, The Academy of Leadership Press

Pretty, J. (1999) Can sustainable agriculture feed Africa? New evidence on progress, processes and impacts, Environment, Development and Sustainability, Vol. 1, No. 3-4, pp 253-274

Pretty, J. &amp; Ward, H. (2001) Social capital and the environment, World Development, Vol. 29, No. 2, pp 209-227

Sutherland, M., Harris, G., Foulk, D. &amp; Gessner, L. 1998,Community partnership development in a rural southern county: A case study in African-American leadership, American Journal of Health Studies, Vol. 14, No. 2, pp. 57-66

Taylor, M. (2000) Communities in the lead: Power, organisational capacity and social capital, Urban Studies, Vol. 37, No. 5-6, pp. 1019-1035

Williams, P. (2002) The competent boundary spanner, Public Administration, Vol. 80, No. 1, pp. 103-124
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<meta content="Kilpatrick, Sue and Auckland, Stuart and Johns, Susan and Whelan, Jessica (2007) Building capacity for rural health: the role of boundary crossers in coalition maturity for partnerships with external agents. In: Building stronger communities: Research informing practice. PASCAL Observatory (3). NIACE, UK. (In Press)" name="eprints.citation" />
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<meta content="The concept of partnership has entered policy rhetoric and is urged as good practice in a variety of domains including health. Rural communities tend to have fewer resources available for the provision of services such as health than their metropolitan counterparts, and so could be expected to benefit from partnerships with external agencies. Indicators of coalition maturity for working in partnership with external agents in order to build stronger communities are distilled from the group development and partnership research literature and considered in the light of the experiences of the University Department of Rural Health in community engagement. The chapter draws on experiences of two rural community coalitions working to plan and negotiate health service provision. The coalitions were analysed against the indicators. A key indicator of maturity and readiness for working in partnership with external agents is related to the behaviour of 'boundary crossers'. Boundary crossers are defined as people who move freely between two or more domains and who understand the values, cultures and language, and have the trust, of both. Domains can be within a community or be the community and an external sector. Community health professionals, especially those in senior positions, often act as boundary crossers between the community and broader domains such as regional/state health services or policy, although other community members can fill the role. Other key indicators of coalition maturity for working in partnership with external agents include local leadership that empowers the community, a willingness of community coalitions to take risks and mould opportunities to meet their vision, and a culture of critical reflection and evaluation of past actions. 

This chapter analyses the impact of boundary crossing behaviour on community readiness and partnerships with external agents that are intended to build rural community capacity to plan and negotiate health service provision. It is argued that the characteristics and modus operandi of boundary crossers who are members of rural community coalitions affect the level of maturity of the coalitions and community readiness to work with external agents. An understanding of the characteristics and modus operandi of boundary crossers provides valuable insights for external agents in designing their approach to partnerships that build rural community capacity for health.
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    <h1 class="ep_tm_pagetitle">Building capacity for rural health: the role of boundary crossers in coalition maturity for partnerships with external agents</h1>
    <p style="margin-bottom: 1em" class="not_ep_block"><span class="person_name">Kilpatrick, Sue</span> and <span class="person_name">Auckland, Stuart</span> and <span class="person_name">Johns, Susan</span> and <span class="person_name">Whelan, Jessica</span> (2007) <xhtml:em>Building capacity for rural health: the role of boundary crossers in coalition maturity for partnerships with external agents.</xhtml:em> In: Building stronger communities: Research informing practice. PASCAL Observatory (3). NIACE, UK. (In Press)</p><p style="margin-bottom: 1em" class="not_ep_block"></p><table style="margin-bottom: 1em" class="not_ep_block"><tr><td valign="top" style="text-align:center"><a onmouseover="EPJS_ShowPreview( event, 'doc_preview_882' );" href="http://eprints.utas.edu.au/878/1/Kilpatrick_et_al_PASCAL_3_chapter.pdf" onmouseout="EPJS_HidePreview( event, 'doc_preview_882' );"><img alt="[img]" src="http://eprints.utas.edu.au/style/images/fileicons/application_pdf.png" class="ep_doc_icon" border="0" /></a><div class="ep_preview" id="doc_preview_882"><table><tr><td><img alt="" src="http://eprints.utas.edu.au/878/thumbnails/1/preview.png" class="ep_preview_image" border="0" /><div class="ep_preview_title">Preview</div></td></tr></table></div></td><td valign="top"><a href="http://eprints.utas.edu.au/878/1/Kilpatrick_et_al_PASCAL_3_chapter.pdf"><span class="ep_document_citation">PDF (Author Version)</span></a> - Requires a PDF viewer<br />71Kb</td></tr></table><div class="not_ep_block"><h2>Abstract</h2><p style="padding-bottom: 16px; text-align: left; margin: 1em auto 0em auto">The concept of partnership has entered policy rhetoric and is urged as good practice in a variety of domains including health. Rural communities tend to have fewer resources available for the provision of services such as health than their metropolitan counterparts, and so could be expected to benefit from partnerships with external agencies. Indicators of coalition maturity for working in partnership with external agents in order to build stronger communities are distilled from the group development and partnership research literature and considered in the light of the experiences of the University Department of Rural Health in community engagement. The chapter draws on experiences of two rural community coalitions working to plan and negotiate health service provision. The coalitions were analysed against the indicators. A key indicator of maturity and readiness for working in partnership with external agents is related to the behaviour of 'boundary crossers'. Boundary crossers are defined as people who move freely between two or more domains and who understand the values, cultures and language, and have the trust, of both. Domains can be within a community or be the community and an external sector. Community health professionals, especially those in senior positions, often act as boundary crossers between the community and broader domains such as regional/state health services or policy, although other community members can fill the role. Other key indicators of coalition maturity for working in partnership with external agents include local leadership that empowers the community, a willingness of community coalitions to take risks and mould opportunities to meet their vision, and a culture of critical reflection and evaluation of past actions. 

This chapter analyses the impact of boundary crossing behaviour on community readiness and partnerships with external agents that are intended to build rural community capacity to plan and negotiate health service provision. It is argued that the characteristics and modus operandi of boundary crossers who are members of rural community coalitions affect the level of maturity of the coalitions and community readiness to work with external agents. An understanding of the characteristics and modus operandi of boundary crossers provides valuable insights for external agents in designing their approach to partnerships that build rural community capacity for health.
</p></div><table style="margin-bottom: 1em" cellpadding="3" class="not_ep_block" border="0"><tr><th valign="top" class="ep_row">Item Type:</th><td valign="top" class="ep_row">Book Chapter</td></tr><tr><th valign="top" class="ep_row">Keywords:</th><td valign="top" class="ep_row">Partnerships, Rural health, Boundary crossers</td></tr><tr><th valign="top" class="ep_row">Subjects:</th><td valign="top" class="ep_row"><a href="http://eprints.utas.edu.au/view/subjects/321200.html">320000 Medical and Health Sciences &gt; 321200 Public Health and Health Services</a></td></tr><tr><th valign="top" class="ep_row">ID Code:</th><td valign="top" class="ep_row">878</td></tr><tr><th valign="top" class="ep_row">Deposited By:</th><td valign="top" class="ep_row"><span class="ep_name_citation"><span class="person_name">Associate Professor SI Kilpatrick</span></span></td></tr><tr><th valign="top" class="ep_row">Deposited On:</th><td valign="top" class="ep_row">30 Apr 2007</td></tr><tr><th valign="top" class="ep_row">Last Modified:</th><td valign="top" class="ep_row">09 Jan 2008 02:30</td></tr><tr><th valign="top" class="ep_row">ePrint Statistics:</th><td valign="top" class="ep_row"><a target="ePrintStats" href="/es/index.php?action=show_detail_eprint;id=878;">View statistics for this ePrint</a></td></tr></table><p align="right">Repository Staff Only: <a href="http://eprints.utas.edu.au/cgi/users/home?screen=EPrint::View&amp;eprintid=878">item control page</a></p>
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