2018 Volume 10 Issue 1 Pages 1_16-1_24
Objective
The aim of this study was to clarify the way of culturally sensitive population approach programs, specifically to prevent life-style related diseases, focusing on the exercise programs.
Methods
Participant observation of three exercise programs provided in 3 satellite cities and semi-structured interview to 5 public health nurses (PHNs) and 45 community residents were conducted for 2 years. The data were analyzed qualitatively and inductively according to the following research questions; what community culture and how do PHNs consider for planning, implementing and evaluating the program? How do the community residents feel the effect of the program?
Results
5 ways for population approach were described from 33 categories of PHNs’ thoughts and actions; Spreading of exercises by adapting and acclimating to community’s tacit understandings, Valuing and harmonizing cares as local attachment, Using and enhance cultural sensitivities in the communities, Using and nurture the communities’ attitudes for symbiosis relationships, Steering and promoting the programs with considering comfort.
There were 10 categories about the effect of the program which the community residents felt such as ‘the expansion of their aspects of health’.
Community culture was described such as tacit understandings.
Conclusion
PHNs are required follows to provide culturally sensitive population approach programs for prevention of lifestyle related diseases; considering communities as the subjects of cultural nursing, making their activities rational adapting the tacit knowledge, making care deeply rootedin local attachment using exercise programs, using/enhancing communities’ cultural sensitivities and symbiosis relationships, proceeding community culture to inclusive one. Throughout the prosecco, consider community residents’ comfort and cultural humilities.