Murashima S, Hatono Y, Whyte N, Asahara K
Department of Community Health Nursing, Graduate School of Health Sciences and Nursing, Faculty of Medicine, University of Tokyo, Japan.
Public Health Nurs. 1999 Apr;16(2):133-9. doi: 10.1046/j.1525-1446.1999.00133.x.
Major changes are taking place in public health nursing in Japan. These include significant developments in employment, education, and roles of public health nurses (PHNs). Demographic and economic factors have prompted the Japanese government to focus health service delivery on community-based care, particularly for the growing elderly population. Public health nurses are redefining their roles and are assuming important functions in planning, implementing, and evaluating community health programs for the elderly. Japanese PHNs are using a variety of health promotion strategies to initiate change at the local level. This article presents two case studies to highlight the leadership role of PHNs in creating new services that foster healthy communities.
日本的公共卫生护理正在发生重大变化。这些变化包括公共卫生护士的就业、教育和角色方面的显著发展。人口和经济因素促使日本政府将医疗服务重点放在社区护理上，尤其是针对不断增长的老年人口。公共卫生护士正在重新定义他们的角色，并在规划、实施和评估针对老年人的社区健康项目中发挥重要作用。日本的公共卫生护士正在运用各种健康促进策略在地方层面发起变革。本文介绍两个案例研究，以突出公共卫生护士在创建促进健康社区的新服务中的领导作用。
