Leipert B
University of Northern British Columbia, Prince George, Canada.
Public Health Nurs. 1999 Aug;16(4):280-9. doi: 10.1046/j.1525-1446.1999.00280.x.
This study explored women's health and the practice of public health nurses in northern British Columbia using a phenomenological methodology. Ten public health nurses in northern British Columbia were interviewed to determine their perspectives on their practice in the area of women's health. Findings reveal three central themes: women's health, public health nursing practice, and rural context. Several subthemes elaborate on the central themes. Women's health is described in terms of women's health needs, how women stay healthy in northern communities, and conditions that affect women's health. Public health nursing practice is described in terms of activities, strengths, conditions, and ways to strengthen practice. Definitions of rural context are provided and some of the benefits and challenges of living and working in northern communities are presented. Health promotion and illness and injury prevention needs of women are clearly evident in the findings. Public health nurses are well placed in the North to help women meet their health care needs. However, further attention to women's health needs and the expansion of public health nursing services would facilitate improved health for women who live in isolated northern settings. In addition, further research is needed to explicate women's health and public health nursing practice in isolated northern settings in Canada.
本研究采用现象学方法，探讨了不列颠哥伦比亚省北部地区女性的健康状况以及公共卫生护士的实践情况。对不列颠哥伦比亚省北部的10名公共卫生护士进行了访谈，以确定她们对女性健康领域实践的看法。研究结果揭示了三个核心主题：女性健康、公共卫生护理实践和农村环境。几个子主题对核心主题进行了详细阐述。女性健康从女性的健康需求、女性在北部社区保持健康的方式以及影响女性健康的状况等方面进行了描述。公共卫生护理实践从活动、优势、条件以及加强实践的方法等方面进行了描述。给出了农村环境的定义，并介绍了在北部社区生活和工作的一些益处和挑战。研究结果中，女性的健康促进以及疾病和伤害预防需求十分明显。公共卫生护士在北部地区能够很好地帮助女性满足她们的医疗保健需求。然而，进一步关注女性的健康需求并扩大公共卫生护理服务，将有助于改善生活在北部偏远地区的女性的健康状况。此外，还需要进一步开展研究，以阐明加拿大北部偏远地区女性的健康状况和公共卫生护理实践情况。
