Iwamoto Saori
Department of Public Health Nursing, Kobe City College of Nursing, 3-4 Gakuennishi-machi, Nishi-ku, Kobe 651-2103, Japan.
Healthcare (Basel). 2023 Jan 25;11(3):349. doi: 10.3390/healthcare11030349.
Nursing theories focus on individual and community care and human relationships in unique contexts. One of these contexts is the community in which a theory-based systematic nursing practice process is warranted. This article describes a theory of Community Caring for Public Health Nursing (CCPHN), which is grounded in four nursing metaparadigms by Fawcett: persons, environment, health, and nursing. This theory has three assumptions: (1) community caring fosters care demonstrations in nursing, (2) caring communities comprise members with community attachments united by their common values rather than rigid customs, and (3) community caring is expressed competently in mutual-care practices. From these assumptions, a nursing perspective supporting the community caring process is exhibited as the expression of caring by public health nurses toward supportive and promotive nursing processes that enhance a caring community. Nurses play critical roles in leading the establishment of caring communities. In future research, it is critical to verify whether building a caring community by public health nursing practices based on this theory of CCPHN contributes to the health and well-being of the people in the community.
护理理论关注个体和社区护理以及独特背景下的人际关系。其中一个背景就是社区，在这个背景下，基于理论的系统护理实践过程是必要的。本文描述了一种公共卫生护理社区关怀理论（CCPHN），该理论基于福塞特的四个护理元范式：人、环境、健康和护理。该理论有三个假设：（1）社区关怀促进护理中的关怀表现；（2）关怀型社区由具有社区归属感的成员组成，他们因共同价值观而非僵化习俗而团结在一起；（3）社区关怀在相互关怀实践中得到有效体现。从这些假设出发，一种支持社区关怀过程的护理视角表现为公共卫生护士对促进关怀型社区的支持性和促进性护理过程的关怀表达。护士在引领建立关怀型社区方面发挥着关键作用。在未来的研究中，至关重要的是要验证基于CCPHN这一理论的公共卫生护理实践构建关怀型社区是否有助于社区居民的健康和福祉。
