2018 Fiscal Year Final Research Report

Clarifying of SME culture using industrial nursing diagnosis and ethnography toward to reduction of health disparities

Research Project

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Project/Area Number	15K15926
Research Category	Grant-in-Aid for Challenging Exploratory Research
Allocation Type	Multi-year Fund
Research Field	Community health nursing
Research Institution	Japan University of Health Sciences
Principal Investigator	Ikeda Tomoko 日本保健医療大学, 保健医療学部看護学科, 教授 (50341938)
Research Collaborator	Azami Masato 日本保健医療大学 Igusa Ayaka 日本保健医療大学 (70911056) Asahi Ryoma 日本保健医療大学 Kamo Tomohiko 日本保健医療大学 Ogihara Hirofumi 日本保健医療大学
Project Period (FY)	2015-04-01 – 2019-03-31
Keywords	参与観察 / 縦断介入研究 / 中小企業 / 職場文化 / 職場改善 / 保健師 / 混合研究法 / 健康づくり
Outline of Final Research Achievements	Focusing on the existence of a "culture for health" in small and medium enterprises(SMEs) different from that of large companies, we clarified the relationship with "health related behavior" and changes over time due to intervention. Four years of participant observation through group work conducted with employees and meeting participation, the characteristics of fixed communication within the company, gaps between managers and employees, and a place for exchange of reminiscent opinions are clarified. Complemented the quantitative study.The method of workplace improvement activities using the KJ method devised by the researchers showed a certain effect. As a professional, we summarized the implementation method and published the workplace improvement system pack "KIZUNA Company", the textbook "Industrial Nursing", the text on measures against stress "New Mental Health Practice BOOK".
Free Research Field	産業看護学
Academic Significance and Societal Importance of the Research Achievements	社会格差と健康水準に関する多くの研究はアンケート調査で行われ、社会経済的変数が広く質問紙に含まれるかどうかに依存するが、これらの調査項目は対象者にとって抵抗感があり、無回答率が高いというジレンマが存在してきた。本研究はその考え方を180度転換し、マイクロな眼ではじめて見えてくる世界を重視してみた。これは量的研究を補完するものであった。長期間の介入研究と参与観察を基本とした分析からは多くの実践的示唆が得られ、現場に役立つテキストやシステムパックの開発を生み出せた。