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

行政革命合并中公共卫生护士角色的重构——转型理论的纵向研究

• 批准号: 20592623
• 负责人: GOKAN Yoko
• 金额: $ 2.91万
• 依托单位: Gifu University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2008
• 资助国家: 日本
• 起止时间: 2008 至 2010
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-20592623/
• 关键词: 保健師; 市町村合併; 保健活動; 保健活動への影響; 保健師の意識; transition; ジレンマ; 行政; 役割

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.

本研究旨在澄清公共卫生护士在合并城市工作中的专业角色和看法。经历过市町村合并的负责监督的公共卫生护士中，60%以上对市町村合并给予肯定评价。但超过30%的受访者对公共卫生护理活动的评价“略有恶化”，如社区诊断、与人群的互动、为民众提供的公共卫生服务质量、公共卫生护士的岗位、文书工作量等。作为公共卫生护士的活动方式，合并后继续采用业务收费和地区收费制度管理公共卫生护理实践，占72.2%。合并城市后，公共卫生护士的积极变化得到认可，但他们也指出了消极变化，例如工作量增加和专业资源恶化。

项目成果

The transition of the public health nurses' expertise role and perception in the new conditions between consolidated municipalities in Japan

日本合并市町村之间新形势下公共卫生护士的专业角色和观念的转变

• 发表时间: 2009
• 作者: 梶田悦子;中谷芳美;玉置淳子;伊木雅之;後閑容子
• 通讯作者: 後閑容子

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