Systematization of structures and skills of preventative strategies in community health nursing practice

本研究旨在系统地识别社区卫生护理中预防策略的结构和核心技能，并创建一种实用的工作模式。结果综合了在4个不同领域进行的研究。在预防活动方面，确定了社区卫生护理结构和技能，这些需要在模式中反映出来。具体而言，预防活动中的社区卫生护理结构是“预防活动的建立”和“预防活动的延续”两个方面。对于预防活动中的社区卫生护理技能，确定了以下技能：“基于信任关系的综合健康需求评估”、“旨在促进赋权同时考虑个人文化背景的健康需求评估”、“外展”、“考虑文化的关系”、“与其他专业人员和社区成员合作发展支持的技能”和“通过PDCA循环运作实现活动的可持续发展”。通过以上预防社区卫生护理实践的结构和技能的考虑，似乎有可能实现有效和高效的预防活动。

This study aimed to systematically identify the structures and core skills of preventative strategies in community health nursing, and to create a practical working model. Results were synthesized from research conducted in 4 distinct areas. In terms of preventative activities, community health nursing structures and skills were identified, and these need to be reflected in a model. Specifically, the community health nursing structures in preventative activities are the 2 aspects of "establishment of preventative activities" and "continuation of preventative activities". For community health nursing skills in preventative activities, the following skills were identified: "comprehensive health needs assessment based on relationship of trust", "health needs assessment aiming to promote empowerment while taking account of individuals' cultural backgrounds", "outreach", "relationships that take culture into consideration", "skills in developing support in collaboration with other professionals and community members" and "sustainable development of activities through operation of the PDCA cycle".Through consideration of the above structures and skills of community health nursing practice in prevention, it seems possible to realize effective and efficient preventative activities.