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Please use this identifier to cite or link to this item: http://hdl.handle.net/10285/3479

NII Resource type: Journal Article
Title: People-Centered Care の戦略的実践Ⅱ ―活動とともに拡大するアウトカム―
Other Titles: Strategic Practices for People-Centered Care Part Ⅱ ―Outcomes That Grow Along with Activities―
Authors: 大森, 純子
高橋, 恵子
牛山, 真佐子
大久保, 菜穂子
有森, 直子
江藤, 宏美
後藤, 桂子
川上, 千春
石崎, 民子
麻原, きよみ
小松, 浩子
Keywords: 健康
People-Centered Care
nursing practices
People-Centered Care
Shimei: 聖路加看護学会誌
Volume: 13
Issue: 2
Start page: 17
End page: 24
Issue Date: 31-Jul-2009
Publisher: 聖路加看護学会
Abstract: 聖路加看護大学21 世紀COE プログラム「市民主導型の健康生成をめざす看護形成拠点」における People-Centered Care( PCC)の5年間の活動成果から,PCC の戦略的実践に有用な具体的方策を得ること を目的とする。  研究方法には,質的記述的研究の手法を用いた。全15 プロジェクトの関係者のインタビューと各種書類 よりデータを収集し,PCC の活動の成果を示すアウトカムの意味内容のカテゴリを生成した。 PCC のアウトカムは,3つの側面と4つの活動主体のマトリクスに総括できた。縦軸はアウトカムの特性 を示す【力量形成のアウトカム】【健康増進のアウトカム】【仕組拡充のアウトカム】の3側面,横軸は活動 主体を示す《市民・当事者》と《専門職》個人,個人間の相互作用を含むプロジェクトの主要な運営を司る《活 動グループ》,プロジェクトの活動が影響を及ぼす範囲の人々・環境・文化を包含し,拡充し続ける社会で ある《コミュニティ》の4階層で構成された。活動主体の各階層は相互に関係し合い,活動のプロセスとと もに起こる変化[資源の獲得][関係の進展][能力の開発]といった【力量形成のアウトカム】の増大によって, 【意識変革のアウトカム】に到達することができた。同時に,活動を意図的に継続的に発展させるためには,【仕 組拡充のアウトカム】が不可欠であった。プロジェクトの進捗によりアウトカムの表れ方は多様であったが, その意味内容は健康課題の特性が異なる15 プロジェクトに共通であった。  『活動とともに拡大するアウトカム』は,PCC が昨今の健康格差社会のなかで脆弱な人々とともに健康生 成社会を創出できる新しいケアの形態であることが明示された。PCC の戦略的実践に有用な方策,活動の 目的・目標設定と評価の枠組みとして,PCC の実践知から得られたアウトカムのマトリクスを提示する。
Abstract-Alternative:  The objective was to obtain useful concrete measures for strategic practices in People-Centered Care (PCC), based on the results of five years of PCC activities of the St. Luke's College of Nursing 21st Century Center of Excellence (COE) Program: “Nursing for People-Centered Initiatives in Health Care and Health Promotion”. This qualitative research gathered recorded interview data from those involved in all 15 PCC projects and data from various records and documents. Categories signifying outcomes indicated the results obtained from PCC activities.  The PCC outcomes could be compiled into a matrix composed of three data aspects and four activity actors. The vertical axis indicated the three characteristics of the outcomes: “the ability formation process outcomes,” “health promotion outcomes,” and “system expansion outcomes.” The horizontal axis displayed: actors―individual “people in general/people involved” and “professionals”. The two other dimensions were “activity groups” running the projects, including the reciprocal effects between individuals, and “the community,” which included the individuals, environment and culture affected by project activities and which was a continually growing society. “consciousness revolution outcomes” was achieved through increasing the “ability formation process outcomes,” which were “the acquisition of resources,” “the progress of relationships” and “the development of abilities,” outcomes that changed along with the activity process. At the same time, obtaining “system expansion outcomes” was essential to developing activities continuously by design. Outcomes appeared in diverse ways depending on a project’s progress. However, what they signified was common among the 15 different health projects.  “Outcomes growing along with activities” clearly indicated that PCC was a new form of care that could create a health promotion society that included vulnerable people caught in current health gap of this society. The matrix of outcomes obtained from practical knowledge accumulated through PCC has been presented as a framework for setting and evaluating measures and activity goals that are useful for the strategic practice of PCC.
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The kind of text : publisher
URI: http://hdl.handle.net/10285/3479
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