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要旨
目的：地域包括支援センター（以下，地域包括）保健師の地域づくりの専門能力を明らかにする．
方法：地域包括の保健師，社会福祉士，主任介護支援専門員及び市町村主管部門の保健師，10グループ，34名にフォーカス・グループ・インタビューを実施した．データはSandelowski（2000）を参考に質的記述的分析を行った．
結果：地域包括保健師の地域づくりの専門能力は，日常生活圏域を対象とした【地区活動により地域の課題を解決する基盤をつくる能力】，ステークホルダーとの関係を捉えて協働するなど【地域の課題解決に向けて地域包括内外をマネジメントする能力】，日常的に三職種協働で業務を遂行する職場環境において【地域包括保健師としてアイデンティティを構築する能力】であった．
結論：地域包括という同職種が少ない職場環境において，地域包括保健師として地域づくりの専門能力を高める人材育成やプログラム開発が急務である．
Objective: This study aimed to clarify the competencies of public health nurses in community development at Community Comprehensive Support Centers in Japan.
Methods: Focus group interviews were conducted with public health nurses, social workers, and senior certified care managers of the three professions at Community Comprehensive Support Centers, as well as public health nurses from supervisory departments within municipalities. A qualitative descriptive analysis was performed as described by Sandelowski(2000).
Results: The competencies of public health nurses in community development included: the ability to address community problems through community activities in target areas of daily life; The ability to manage inside and outside Community Comprehensive Support Centers to solve community issues by understanding and collaborating with stakeholders; and the ability to establish an identity as a public health nurse in a Community Comprehensive Support Center within a work environment where daily tasks involve collaboration among the three professions.
Conclusion: In work environments lacking within the same profession, there is an urgent need to develop human resources and programs to enhance the professional competencies of public health nurses in community development.
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