Basic Study of Judgment in the Community Health Nursing

本研究的目的是找出在社区环境下进行的高专业护理判断的组成部分。对行政护理活动和家庭护理活动进行了4项调查。结果表明：调查1中，对公共卫生护理作为行政服务职能的认识较为集中；通过对31名公共卫生护士的调查，判断与公众有关的需要解决的问题、人们的独立性和潜力以及社区作为一个单位的帮助是公共卫生护理的重要内容。在调查2中，重点关注机构改革后公共卫生护理职能的认识。通过调查138名公共卫生护士在两县的组织体系由机制改革,改变了护理(1)判断病人和家庭成员的支持 ... 更多的年代,(2)患者及其家属的生活质量,(3)选择需要考虑的问题,(4)质量的帮助和服务,关于援助的人,(5)(6)相互支持在社区里,和(7)丰富服务和政策被发现。在调查3中，重点关注城市公共卫生护理在规划儿童保健福利服务体系中的作用。通过对97名公共卫生护士的调查，确认了对患者真实需求的护理判断，对当事人的观念和意识，对社区的愿景和与人的合作，以及对患者和当事人独立性的形成。在调查4中，重点关注家庭护理对家庭护理环境中生活质量改善的认识。通过某居家护理机构对4例居家护理案例的调查，判断：(1)自我选择和自我决定，(2)日常生活活动的独立性，(3)可能性和希望，(4)自己的想法和意图，(5)室内和室外的安全性，(6)清爽感和满意度，(7)疾病的预防，(8)日常生活活动的延续，(9)家庭经济负担，（10）家庭成员之间的情感关系，（11）与邻居的关系，（12）与社区联系的兴趣，以及（13）每个家庭成员的想法都得到了确认。少

The purpose of this study was to identify the components of the nursing judgment with the high professionalism which were done under the community. Four investigations were done for the administration nursing activities and the home nursing activities. The results were follows :In the investigation 1, the recognition of the public health nursing which functions as the administration service were focused. Through the survey to 31 public health nurses, the judgment of the problem which needs solution having to do with the public, the independence and the potentiality of the people and the help the community as a unit were important for public health nursing.In the investigation 2, the recognition of the public health nursing which functions after the organization reform were focused. Through the survey to 138 public health nurses in 2 prefectures which the organization system had changed by the mechanism reform, the nursing judgment of (1) supporting for the patient and the family member … More s, (2) quality of the patient and their family life, (3) selecting the problem to be considered , (4) quality of the help and services, (5) concerning aid person , (6) supporting each other in the community, and (7) enriching services and the policy were found.In the investigation 3, the recognition of municipal public health nursing which functions in planning the health and welfare service system for child care were focused. Through the survey of 97 public health nurses, the nursing judgment about the true needs of the habitant, the idea and the consciousness of the person concerned, the wining of a vision to their community and a cooperation with person , and the forming the independence of the patients and the person concerned were confirmed.In the investigation 4, the recognition of the home nursing about the improvement of the quality of life in home care setting were focused. Through the survey of the 4 home nursing cases by a home care agency, the judgment of (1) self-selection and self-decision, (2) independence of daily living activities, (3) possibility and hope, (4)his/her own idea and intention, (5) safety of indoors and outdoors, (6) refreshing sense and satisfaction, (7) prevention of the disease, (8) continuation of daily living activities, (9) burden of domestic economy, (10) emotional relationship between family members, (11) relationship to the neighbors, (12) interest in the connection to their community, and (13) idea of each family member were confirmed. Less