ヘルスプロモーションに向けた産業保健師の働きかけの発展過程  [in Japanese] A Developing Process of the Occupational Health Nurse's Intervention in Health Promotion  [in Japanese]

Access this Article

Search this Article

Author(s)

Abstract

本研究の目的は,産業保健師のヘルスプロモーションに向けた働きかけの分析から,保健師の働きかけの展開方法を探ることである.方法は,T社保健師の26年間の働きかけを既存資料および面接調査から質的に分析し,働きかけの内容コードを用いて,活動方法と経年的な変化を分析した.T社の結果を地域における先駆的保健活動として報告された事例と比較し検討した.T社保健師の働きかけから427件の内容コードを抽出し,ヘルスプロモーションの5つの活動方法別では26項目の小項目が抽出できた.経年的にみると,個別ケアから集団的アプローチ,組織への働きかけへと広がり,組織には組織全体を動かす組織と,個を取り巻く組織の2方向への働きかけが確認できた.これらの働きかけから,リーダーが育成され,リーダーが変化してくるとともに,保健師の働きかけはリーダーとの協働へ,さらにリーダーの影響を受けた人々の変化とともに,保健師の働きかけは人々の相互作用を促す働きかけへと広がりがみられた.これらの働きかけには地域との共通性が認められ,社員や社会のニーズを汲み上げ,国の対策とも連動しながら,個人,組織への働きかけへと具現化してきた過程と考えられ,活動の展開モデルとして提示できた.

The purpose of this study was to explore how the occupational health nurse develops her intervention in health promotion by analyzing her intervention. The method was that intervention by the occupational health nurse belonging to T Company for 26 years was analyzed qualitatively through interviews and the literature. Also, using the content codes of the interventions, the items were extracted in each of the five action strategies and the year-to-year changes were analyzed. The result was compared with cases, which were reported as the pioneering health care activity in the community. As a result of these analyses, we found the following : 1) 427 content codes were extracted from the nurse's interventions and 26 items according to the five action strategies. 2) By analyzing the year-to-year changes, it was found that the occupational health nurse's interventions grew from individual care to group care and further organizational approach consisted of the approach to the whole organization and that to the groups surrounding the individual. 3) As health leaders were fostered and transformed by these approaches, the occupational health nurse's interventions developed into those in cooperation with the health leaders. Furthermore, as the leaders had a favorable influence on the company workers, the occupational health nurse promoted the reciprocal action among them. 4) These interventions were similar to those of the community. It would appear that the occupational health nurse drew the company workers' needs and social needs, went hand-in-hand with the national polices, and embodied the personal and the organizational approaches. As mentioned above, we could present a model of the occupational health nurse's intervention in health promotion.

Journal

  • Journal of Japan Academy of Community Health Nursing

    Journal of Japan Academy of Community Health Nursing 6(2), 100-106, 2004

    Japan Academy of Community Health Nursing

Codes

  • NII Article ID (NAID)
    110009862765
  • Text Lang
    JPN
  • ISSN
    1346-9657
  • Data Source
    NII-ELS  J-STAGE 
Page Top