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NII Resource type: Departmental Bulletin Paper
Title: プライマリヘルスケアに基づく看護実践・教育・研究に関する文献レビュー
Other Titles: Literature Review of Nursing Based on PHC.
Authors: 菱沼, 典子
森, 明子
片桐, 麻州美
久代, 和加子
酒井, 禎子
成瀬, 和子
斎藤, 和子
Keywords: プライマリヘルスケア
Primary health care
Literature review
Shimei: 聖路加看護大学紀要
Issue: 26
Start page: 59
End page: 71
Issue Date: 1-Mar-2000
ISSN: 02892863
Abstract:  Primary Health Care(以下PHCと略す)に基づく看護の現状について概括することを目的に、1993年1月~98年5月までの英文文献を、CINAHLによって検索した。用いたキーワードは、primary health care, nursing, maternity, pediatric, adult, elderly, emergency, psychiatric, midwifery, community, community health care, educationである。検索された271文献のうち67編をレビューの対象とした。67文献は、論説22、研究25、報告20であった。内容を1)取り扱われている分野と活動内容、2)PHCの概念、3)PHCにおける看護提供者とその役割、4)PHCに関する看護教育、5)PHC推進への方略に分類し、考察した。 PHCを用いた活動では健康転換第1相の課題への取り組みが多かったが、住民主体であること、健康教育の重要性、その地域の文化に根ざしたものであること、アクセスの平等性が特に重要であることが指摘された。看護提供者について、職種や役割、システム作りの重要性が数多く取り上げられていた。また看護教育へのPHCの導入、特にシステム作りとチームアプローチができる人材の育成が課題となっていた。
Abstract-Alternative: The purpose of this literature review was to analyze the current status of nursing as it relates to Primary Health Care(PHC).The focuses of the literature review were:1)the scope and activities of PHC;2)the concept of PHC;3)nursing providers and their roles with PHC;4)nursing education related to PHC;5)strategies for promoting PHC. Using CINAHL, literature described in English from 1993 to 1998 was searched by the following keywords;PHC, Nursing, Maternity, Pediatric, Adult, Elderly, Emergency, Psychiatric, Midwifery, Community, Community Health Care and Education. From a total of two-hundred-seventy-one(271)documents, sixty-seven(67)were selected for further analysis.Two kinds of coding sheets were prepared. Sixty-seven(67)documents comprised of twenty-two(22)discourses, twenty-five(25)research papers and twenty(20)reports.They were categorized and examined according to the aspects of this review. A number of documents described infectious disease and health for mothers and children.They were focused on the first stage of health transition.Afew documents discussed mental health which was pertinent in the second stage of health transition.The third stage of health transition was rarely discussed.The documents emphasized the importance of developing the PHC system and clarifying the role of nurses and other term members.In order to achieve health for all by utilizing PHC, it must be introduced into the nursing education curriculum.One of the most important tasks for the future is to educate nurses who can develop PHC systems and the team approach.
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URI: http://hdl.handle.net/10285/363
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