自治体で働く事務職と保健師がとらえる保健師の仕事に関する認識  [in Japanese] Disparity in the Perspectives of Public Health Nurses and Government Administrative Affairs Officials regarding Public Health Nurses' Work  [in Japanese]

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Abstract

<p>目的:自治体で働く事務職と保健師が,両者が関わる中で保健師の仕事をいかに認識しているのかについて記述した.</p><p>方法:2つの自治体の事務職10名,保健師15名に対するインタビューを中心として参加観察,資料の検討を行い,質的に分析した.</p><p>結果:事務職については〈事務職がもつ基準で保健師の仕事をとらえる〉〈事務職と同じ行政職としての仕事を求める〉のカテゴリと4つのサブカテゴリ,保健師については〈保健師の仕事と専門性が理解されない〉〈行政組織の一員として保健師の仕事をするために努力する〉のカテゴリと4つのサブカテゴリが抽出された.</p><p>考察:事務職は官僚制組織の特性を示す基準,保健師は専門職の基準で保健師の仕事をとらえていること,そこには組織内の集団間パワーバランスが関連していると考えられた.保健師は事務職とは判断基準が異なることを前提として,協働のあり方や基礎・現任教育を考える必要がある.</p>

<p>Objective: To describe how administrative affairs officials and public health nurses (PHNs) within local government administrative organizations recognize PHN's work through interactions.</p><p>Methods: We conducted ethnographic interviews with 10 administrative affairs officials and 15 PHNs at a prefectural health center and city hall. Observations of seminars and meetings as well as examinations of PHN training manuals were used as supplemental data. All data were analyzed qualitatively.</p><p>Results: In total, two categories and four sub-categories were identified for administrative affairs officials. The two categories were (1) "administrative affairs officials recognize PHNs' work based on their own criteria related to their own administrative working style" and (2) "administrative affairs officials request PHNs to improve their administrative ability." Similarly, two categories and four sub-categories were identified for PHNs. The two categories were (1) "PHNs felt that their work was not understood by administrative affairs officials" and (2) "PHNs made an effort to collaborate with administrative affairs officials as members of the same administrative organization."</p><p>Discussion: Administrative affairs officials recognized PHN's work based on bureaucratic organizational knowledge and behavioral patterns. In contrast, PHNs recognized their work from the perspective of a nursing professional. This disparity in perspectives affected their power balance within the organization. When working in collaboration, PHNs must consider that their criteria of values differ from those of administrative affairs officials. We have discussed strategies and education for PHN students and PHNs working at administrative organizations to improve their collaboration with administrative affairs officials.</p>

Journal

  • Japanese Journal of Public Health Nursing

    Japanese Journal of Public Health Nursing 8(2), 80-88, 2019

    Japan Academy of Public Health Nursing

Codes

  • NII Article ID (NAID)
    130007697175
  • Text Lang
    JPN
  • ISSN
    2187-7122
  • Data Source
    J-STAGE 
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