Restructuring of the public health nurses' roles in the merging manicipalities for administrative revolution- Longitudinal study by transition theory

Research Project

Project/Area Number	20592623
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Single-year Grants
Section	一般
Research Field	Community health/Gerontological nurisng
Research Institution	Gifu University
Principal Investigator	GOKAN Yoko Gifu University, 医学部, 教授 (50258878)
Co-Investigator(Kenkyū-buntansha)	ISHIHARA Takako 岐阜大学, 医学部, 准教授 (00331596) TAMAOKI Mariko 岐阜大学, 医学部, 助教 (00377681)
Project Period (FY)	2008 – 2010
Project Status	Completed (Fiscal Year 2010)
Budget Amount *help	¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000) Fiscal Year 2010: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000) Fiscal Year 2009: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000) Fiscal Year 2008: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords	保健師 / 市町村合併 / 保健活動 / 保健活動への影響 / 保健師の意識 / transition / ジレンマ / 行政 / 役割
Research Abstract	The present study was done aiming to clarify the public health nurses' expertise roles and perceptions in working for merging municipalities. Merging of municipalities were affirmatively evaluated by 60% or more of the public health nurses in charge of supervises who had experienced merging of municipalities. However, more than 30% of them evaluated "worsening a little" for public health nursing activities , such as community diagnosis, interaction with people, qualities of public health service for people, public health nurses' posts, and the amounts of clerical work. As the public health nurse activity method, they are continuously after the time of merging by now managing the public health nursing practice using of the business charge and the district charge system together with 72.2%. After merging municipalities, the positive changes were recognized for the public health nurses, however, negative changes, such as increased of the workload and deterioration of professional resources, were pointed out by them.