The Study to Develop Special and Technical Nursing Competencies in Home Health Nursing

本研究的目的是通过探索具有护理意向的实际护理实践，明确具有5年以上执业经验的专业公共卫生护士从事家庭健康护理的特点，并培养专业和技术护理能力。该研究调查了5个家庭健康护理案例，包括心理健康、顽固性疾病和虐待儿童。收集数据以评估护士的意图和行为的性质。在本研究中，假设护士的行为以护士的意图为导向。研究表明，家庭健康护理具有以下特点：1)护士应在必要时与护士形成可沟通协商的关系。2)护士应明确受照护者的需求，将生活状况和疾病恶化的可能性纳入考虑范围。3)护理人员应研究如何构建支持系统，使护理与受照护者的日常生活相一致。4)护士应支持它以肯定的态度回应人的生存和老年生活。5)护士应从公共卫生项目和政策的可获得性出发，构建社区卫生医疗服务体系。6)护士应该根据受照护者的需要决定自己的优先次序，并与其他公共卫生专业人员讨论。研究结果提示，护理人员需具备以下专业技能：1)明确护理对象的需求；2)评估生活状况和疾病恶化的可能性，制定护理策略；3)构建支持系统和社区卫生与医疗服务体系

The purpose of this study was to clarify the characteristics of home health nursing as practiced by expert public health nurses that had practiced for at least 5 years, by exploring actual nursing practice with nurses' intentions, and to develop special and technical nursing competencies.The study examined 5 cases in home health nursing for mental health, intractable diseases, and child abuse. The data were collected to evaluate the nature of with nurses' intentions and conducts. In this study it was assumed that nurses' conducts are oriented to nurses' intentions.The study demonstrated the following characteristics of special and technical function in home health nursing. 1)Nurses should form the relationship which the person can communicate and consult on with the nurse at the time of necessity. 2)Nurses should define the needs of the care receivers, as to put the possibility of a life situation and disease aggravation into a view. 3)Nurses should develop how to construct the support system to congruent care with the daily living of the care receivers. 4)Nurses should support it to respond to existence and old life of the person in the affirmative. 5)Nurses should construct the health and medical service system in the community from the availability of public health programs and policies. 6)Nurses should decide to get her priorities right for the needs of the care receivers, as to discuss with other public health professionals.These findings suggest that nurses need to develop special and technical nursing competencies : 1)to define the needs of the care receivers, 2)to estimate the possibility of a life situation and disease aggravation, and to develop the strategy to care, 3)to construct the support system, and the health and medical service system in the community