Murashima S, Asahara K, White C M, Ryu S
Department of Community Health Nursing, Graduate School of Medicine, University of Tokyo, Japan.
Nurs Health Sci. 1999 Jun;1(2):83-92. doi: 10.1046/j.1442-2018.1999.00013.x.
This case study describes the strategies and activities of public health nurses to increase the availability of services in a municipality of 36,000 and to transform community attitudes so that those needing services would feel free to use them. Strategies and activities are seen in the context of Japan, Minakuchi Town and the leadership of the chief public health nurse. Practicing in partnership with members of the community, strategies of public health nurses include technical activities (conducting needs assessment and framing program alternatives) and information sharing and health education (e.g. 75 meetings organized with health promoters for residents in the districts of the town). On the basis of the results of Minakuchi Town, viewed as an example of expert public health nursing practice, a general model for public health nursing practice is presented.
本案例研究描述了公共卫生护士为提高一个拥有3.6万人口的市镇的服务可及性以及转变社区态度（以便需要服务的人能够放心使用这些服务）所采取的策略和开展的活动。这些策略和活动是在日本、美浓加茂镇以及首席公共卫生护士的领导这一背景下呈现的。公共卫生护士与社区成员合作开展工作，其策略包括技术活动（进行需求评估并制定项目备选方案）以及信息共享和健康教育（例如，与健康促进者为该镇各地区的居民组织了75次会议）。以被视为专业公共卫生护理实践范例的美浓加茂镇的成果为基础，提出了公共卫生护理实践的通用模式。
