日本の「地域保健活動におけるパートナーシップ」 : 概念分析  [in Japanese] "Partnership in Community Health Activities" in Japan : Concept Analysis  [in Japanese]

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Abstract

目的:日本の「地域保健活動におけるパートナーシップ」の概念を分析し,同概念の日本での特徴と地域保健分野への活用を検討する.方法:Rodgersの概念分析の方法論に基づき,同概念の特性,先行因子,帰結,代用語を明らかにした.結果:特性として,【異なる立場の人々・機関の対等な相互関係】という活動の理念と,【試行錯誤しながら関係をつくりともに活動を発展させていく】という方策が見出された.本概念は,【コミュニティで取り組む必要のある課題】,【社会の要請】,【専門職による活動の限界の認識と挑戦への志向】を先行因子として生じていた.さらに帰結として,【専門職の期待を超える個人・相互・コミュニティの成長と発展】と【コミュニティの健康指標の改善】をもたらしていた.考察・結論:本概念は,「異なる立場の人々・機関の対等な相互関係という地域保健活動の理念である.そしてこの理念を基盤に,活動を支えるしくみをつくりながら,互いに信頼し対等な関係をつくろうとし,目的・情報・経験を共有し,主体的に力を活かし育ちあうことを通じて,関係をつくりともに活動を発展させていくという地域保健活動の方策でもある」と定義された.本概念の日本での特徴は,相互の関係性を重視することであり,本概念は日本の地域保健活動において,パートナーシップを基盤として活動や評価を行う際の指針となると考えられる.

Purpose : The purpose of this analysis was to clarify the features of the concept of "partnership in community health activities" in Japan, and to examine the usefulness of the concept. Method : The concept analysis was based on Rodger's approach, and focused on attributes, antecedents, consequences, and surrogate terms. Results : There were two attributes of "partnership in community health activities." The first attribute was the principle of "equal relationships between people or organizations with different points of view." The second attribute was the strategy of "establishing relationships and developing activities by trial and error." Antecedents came from "community health concerns needing to be addressed," "changing norms and requirements," and "professionals realize limitations of traditional activities and hope to overcome challenges." Consequences were identified as "improvement in participants' mutual relationships and the community beyond professional's hope," and "improved health indicators for the community." Conclusion : A partnership in community health activities in Japan is defined as "the principle of equal relationships between people or organizations with different points of view." In addition, the strategy for community health activities is through "establishing relationships and developing activities by trial and error to address community health concerns by creating systems to support activities, trying to have equal relationships, sharing aims, information, and experiences, and making full use of mutual power." The feature of partnership in Japan is an emphasis on mutual relationships. This concept may be useful as a guide for community health activities and their evaluation in Japan.

Journal

  • Journal of Japan Academy of Community Health Nursing

    Journal of Japan Academy of Community Health Nursing 12(1), 44-49, 2009

    Japan Academy of Community Health Nursing

Cited by:  1

Codes

  • NII Article ID (NAID)
    110009843378
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    1346-9657
  • Data Source
    CJPref  NII-ELS  J-STAGE 
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