|Budget Amount *help
¥1,500,000 (Direct Cost: ¥1,500,000)
Fiscal Year 1999: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 1998: ¥900,000 (Direct Cost: ¥900,000)
The purpose of this study was to identify the structure of a process of community health nursing performances in relation with the strategic involvement of community health nurses (CHNs), independent forms of communities and the change of community's life in health, which were found in a case of a long-term practice achieving successfully, in order to characterize community-based nursing. From the performance of 8 CHNs, average nursing experience of 25.2 years, based on communities of population ranged from 4,000 to 26,000, I examined the structure of their progress by the passage of time and reached following results.
l. As one of the common characteristics shown in the beginning of their performance, CHNs tried to identify the community and understand the residents as a consequence of their home visits, and concentrated on the contribution of their rolls in the administration.
2. Such clues as understanding health concerns of each resident, incongruous feeling against their past activities and the outside stimulation had directed their performance.
3. Related conditions for their activities were classified as ''support from other health care personnel", "support from superiors and co-workers'' ''administrative policy'' and "geographical conditions".
4. The response and the achievement of performances should be evaluated from ''change in the community'', ''change in the workplace" and ''cooperation with other related various organizations and fields".
These results also suggest that strengthening the relationship with residents as a clue to success, pursuing and dealing with important matters by coordinating times needs and the situation of covering areas, and accumulating the correlation with community are characteristics of the process of performance development, and that describing their consciousness of related matters and the transition of their intentions towards the performance is important to evaluate the performance of CHNs.