在宅療養者の防災対策を支えるコミュニティづくりへの支援のあり方-Community Coalition Action Theory(CCAT)を用いて-
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概要
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Objective: The Health and welfare center (hereinafter "the HWC") has been assisting to organize a kind of community-based disaster relief networks for the home-care patients in three model wards. The ward A continues networking activities, the ward B just started activities but not continuously operates, and the ward C has not embarked on activities yet. In order to reveal the desirable assistance toward effective community-based networks, CCAT has been applied to analyze their assistance work in three model wards, and several promoting factors have been verified. Design and Methods: A series of focus group interviews were conducted based on a semi-structured questionnaire. The focus groups were composed of the staffs of the HWC, other governmental organizations and non-governmental organizations who are in charge of the three model wards. The contents extracted from the interviews as well as related data from documents were classified into categories and systematically analyzed in the light of CCAT.Results and Conclusion: The followings are revealed as promoting factors for the community-based disaster relief networks for home-care patients: factors required for starting networks are "sharing the future image of the ward among community welfare organizations" and "evaluating the maturity of the organizations and identifying their leaders by the HWC staffs", factors required for maintaining networks are "involving the young generation (junior high school student) who will carve out the future" and "systematizing the implementation and evaluation of the networking activities." The functions of public health nurses are evaluating the development stage of the community, identifying community leaders, and facilitating the community to actively address the challenges. Public health nurses should strive to make the network sustainable through involving the young generation or systematizing the implementation and evaluation of the activities.
- 2012-10-00
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関連論文
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