Challenge Characteristic on the Policy Implementation Measure by the Public Health Nurse

Abstract

Purpose : The purpose of this study is to delineate substantive concepts that describe characteristics on the policy implementation measure performed by the public health nurses (PHNs) in regional fields who had gained the rich experiences in their activities. Methods : The study was exploratory using methodology for conceptualization of nursing in which semi-structured interview was applied. Purpose sampling was used to recruit 7 PHNs who had gained the rich experiences as an administration job in respect of experience of enforcement of policy in detail. Results : Five core categories were delineated from the data to describe characteristics on the policy implementation measure: 1) the challenge of enforcement of policy based on the recognition with sure in actual conditions; 2) the challenge as the professionals from the administrative point of view; 3) improvement of the execution basis in the policy implementation; 4) competence learnt for the policy implementation, and 5) acquisition and succession of the position which enhances participation into the policy implementation. Conclusions : The categories were described as a process of challenge in policy implementation measure strongly reflecting administrative specialty in regional field under actual condition sustained by complement of professional consciousness, and also workmanlike self effort to accomplish the policy implementation measure in personally experiencing in response to the request in the age. Core categories of 4) and 5) in this study were originals, and not found in the previous studies.