Restructuring of the public health nurses' roles in the merging manicipalities for administrative revolution- Longitudinal study by transition theory

本研究的目的是澄清公共卫生护士的专业知识，角色和看法，为合并市工作。60%或更多经历过市镇合并的主管公共卫生护士对市镇合并给予肯定评价。然而，超过30%的人认为公共卫生护理活动“稍微恶化”，如社区诊断、与人互动、公共卫生服务质量、公共卫生护士岗位和文书工作量。作为公共卫生护理活动方式，合并后仍持续采用业务收费和区收费制度管理公共卫生护理，占72.2%。合并市镇后，公共卫生护士承认了积极的变化，但也指出了诸如工作量增加和专业资源恶化等消极变化。

The present study was done aiming to clarify the public health nurses' expertise roles and perceptions in working for merging municipalities. Merging of municipalities were affirmatively evaluated by 60% or more of the public health nurses in charge of supervises who had experienced merging of municipalities. However, more than 30% of them evaluated "worsening a little" for public health nursing activities , such as community diagnosis, interaction with people, qualities of public health service for people, public health nurses' posts, and the amounts of clerical work. As the public health nurse activity method, they are continuously after the time of merging by now managing the public health nursing practice using of the business charge and the district charge system together with 72.2%. After merging municipalities, the positive changes were recognized for the public health nurses, however, negative changes, such as increased of the workload and deterioration of professional resources, were pointed out by them.