Mihoko Ryoha

岐阜県立看護大学大学院看護学研究科で、機能看護学特別研究の主指導として平成27年度から平成29年度に提出された修士論文8本を対象に、機能看護学における看護実践研究の成果を明らかにするために分析、整理を行った。当該修士論文から、看護実践上の課題、目指す看護や看護師像、研究課題などを整理した。看護実践上の課題、目指す看護や看護師像、研究課題の三つより、看護実践の改革・改善に向けた課題を読み取り、意味内容の類似性より分類整理した。看護実践研究の成果は「組織内役割の明確化」「振り返りや検討のための機会の設置」「人材育成のあり方・方法の明確化」「目指す看護のあり方の明確化」「役割発揮のための組織体制整備」「目指す看護の実現に向けた仕組みの整備」「連携のあり方・方策の明確化」「理念を具現化する組織の形成」「マネジメント活動の推進」「多職種チーム医療の推進」であった。

The study aimed to clarify the process creating and developing the management skills needed to promote effective community development with relation to intention of researcher. To investigate the process of creating and development the skills, I conducted an "action research project over 12 months with PHNs. Management skills of PHN in community development and researchers intentions were identified from records of activities by researcher and reflection notes of practice by PHN. These arranged by the phase which PHN and community changed. The management skills checked with researchers intention of lobbying that showed positive results. The public health nurse developed totally 2 abilities which skills such as "the ability to plan her activities predicting issues of community in future. In addition she progressed totally 2 abilities which skills such as "the ability to correct direction and to feedback to plan based evaluate autonomy of residents from "the ability to evaluate outcome of her activities according to the community visions. Key factors in the creation and the development of these skills seem to be following: 1) focusing a vision and developing a strategic plan, 2) moving management cycle, 3) establishing mechanisms for promoting efficient and effective community development, 4) organizing activities leading to the next challenge and 5) reflecting the activities at any time and meaning the activities associate.

The purpose of the present study was to identify the functions of public health nurses as managers of community development. Three senior public health nurses participated in semi-structured interviews regarding their functions. Interview data were analyzed using the framework approach in order to clarify the function of each nurses' activities. The following functions were identified: to act as leaders and directors by foreseeing future of community development and planning nursing practices with beneficial results, develop nursing practices according to a plan and promote effective and efficient practices, and provide evaluations of community development based on a vision, purpose, or plan while clarifying the next challenge. These management functions required the development of a feedback loop incorporating data from the'See' and 'Plan' stages of the management cycle. Therefore, these findings suggest that intentionally using a management cycle facilitated the promotion of effective community development.