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Research on Public Health Nurse's Advocacy for Abuse cases.

公共卫生护士对虐待案件的倡导研究。

基本信息

批准号：
16592194
负责人：
SAITO Yasuko
金额：
$ 2.18万
依托单位：
MUSASHINO UNIVERSITY (2006)Gunma University (2004-2005)
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2004
资助国家：
日本
起止时间：
2004 至 2006
项目状态：
已结题

项目摘要

The purpose of this study is to clarify the actual conditions of public health nurse facing with problems about "patient's rights and advocacy" and to find public health nurse's function of patient's rights and advocacy.Research 1 : The purpose of this study is to utilize the concept of advocacy used in Western countries as a conceptual framework for theorizing activities of public health nurses in Japan. To look over the use of the term advocacy, literature search was performed using CINAHL search system. One thousand one hundred and seventeen papers were identified between 1982 and August 2004. One of the antecedents of advocacy is "characteristics of socio-cultural groups". The groups thus identified are "health deprived group" such as "homeless families", "elderly people living in the remote areas", "children", "abused pregnant women" and "unmarried mothers". They have common characteristics : no income generation, no employment, no transportation, no education, poverty and no insurance. Attributes of the concept of advocacy has been expanded from paternalism or paternalistic protectionism as represented by patient-nurse or ruler-ruled or the concept of "speaking for someone" or "defense" to the activities to "support their lives" such as satisfying needs and supporting daily lives and employment. The functions of advocacy include such actions as promotion of independence, coordinating resources, mediation, organization, policy proposals to satisfy unmet needs, and policy and law making. "Supports of daily life" as a consequence of advocacy include "access to health care" "referral and access to social services" "counseling" "provision of food" "provision of education" and "provision of housing or shelters"Research 2 : Interview of Advocacy to Japanese 6 Public Health Nurses.Research 3 : Survey of Advocacy to 1,847 Japanese Public Health Nurses.

本研究的目的在于弄清公共卫生护士在“患者权利与主张”问题上的实际状况，并发现公共卫生护士在患者权利与主张方面的功能。研究1：本研究的目的在于利用西方国家的主张概念作为日本公共卫生护士活动理论化的概念框架。为了查看术语倡导的使用情况，使用CINAHL检索系统进行了文献检索。在1982年至2004年8月期间，确定了1117篇论文。倡导的前提之一是“社会文化群体的特征”。因此，确定的群体是“缺乏健康的群体”，如“无家可归的家庭”、“居住在偏远地区的老年人”、“儿童”、“受虐待的孕妇”和“未婚母亲”。他们有共同的特点：没有收入来源，没有就业机会，没有交通工具，没有教育，贫穷，没有保险。倡导概念的属性已经从以病人-护士或统治者-统治者为代表的家长式或家长式保护主义或“为某人说话”或“辩护”的概念扩展到“支持他们的生活”的活动，如满足需求和支持日常生活和就业。倡导的职能包括促进独立性、协调资源、调解、组织、提出政策建议以满足未满足的需求以及制定政策和法律等行动。作为宣传结果的“日常生活支持”包括“获得保健”、“转诊和获得社会服务”、“咨询”、“提供食物”、“提供教育”和“提供住房或庇护所“。