保健師が行う事業化のストラテジーの構成概念の検討

A Study of the Construct Held by Public Health Nurses in Conceiving a Project Development Strategy

要旨

　本研究は，保健師が行う事業化のストラテジーの構成概念を検討しその特徴を明らかにすることを目的にした．全国保健師長会の会員で行政機関に勤務する保健師に郵送による自記式質問紙調査を実施した．

　探索的因子分析の結果，事業化のストラテジーの活動部分は，《対象者を理解し自主的活動を支援する》《事業企画の合意を得る》《企画者同士の協働関係を構築する》《モチベーションを高める事業内容を企画する》4因子構造34項目（α＝0.906，下位尺度α＝0.906～0.827）となり，成果部分は，《専門性の向上》《環境づくりへの貢献》《事業展開の連携体制》《対象者のニーズに合った成果》4因子構造20項目（α＝0.899，下位尺度α＝0.899～0.727）となった．

　これにより，信頼性と構成概念妥当性が確認できた．保健師が行う事業化のストラテジーは，対象者と対象者を取り巻く環境の変化を目指して，事業企画を整えていることが明らかになった．

Abstract

　The intent of the present study was to evaluate the construct for a project development strategy in which public health nurses are engaged and elucidate the characteristics of such a concept. A survey was conducted by mailing questionnaires to those public health nurses who are affiliated with the National Academy of Chief Public Health Nurses and are currently employed at various government agencies.

　The results of an exploratory factor analysis are described below: 34 topics(α=0.906, subscale α=0.906～0.827) constituting the following 4 factors emerged for the activities related to project development planning("to understand the subjects and support their self-starting activities," "to obtain agreement with the plan for the enterprise," "to construct a collaborative relationship among the organizers themselves," and "to plan the contents that would heighten the motivation of the participants"). For the outcome of the activities, 20 topics related to the following 4 factors (α=0.899, subscale α=0.899～0.727) were extracted: "improvement in professionalism," "contribution to organize a healthy community," "mutually supportive system in developing the project," and "outcome that would satisfy the needs of the subjects."

　These results confirmed the reliability and construct validity of the strategy. It became evident that public health nurses are equipped with strategies to organize plans for their activities so that the environment that their subjects, as well as themselves, are found may be improved.