“Community Development” in Community Health Activities

Conceptual Analysis

Abstract

Aim: Japan’s health promotion strategy has shifted to community development in order to transform the social environment with the aim of correcting health inequalities. The policy is to aim at community health promotion measures implemented by public health nurses to address health inequalities and promote health through community development. The approach has been shifting. Therefore, I analyze and define the concept of “Community Development” in Community Health Activities.

Method: I searched the literature and clarified the definition using the methodology of conceptual analysis of Rodgers.

Results: There were three attributes: 【Activity process to solve problems and needs】【Promotion of growth of people involved】【Relationship between cooperation of residents, stakeholders and administrative authorities】. There were two consequences: 【Improvement of QOL by means of the way of life that is unique to the person makes it possible to solve the problem】【Residents / Public health nurses / community power acquisition】. The five antecedents were: 【Understanding community health issues】【Inadequacy of activity goals and methods】【Necessity of community rebuilding with change of health promotion strategy】【Question for public health nurses’ functions】【Necessity of collaboration with residents】.

Discussion: This concept was defined as “Promote the growth of people involved in process of solving problems and meeting needs through discussions and consensus building with residents as a starting point for community diagnosis, and foster the relationship of collaboration among residents, stakeholders and the administration. As a result, it is possible for problem solution to enable a person-centered way of life and improve QOL, and for the residents, public health nurses, and the community to gain strength”.