Purpose: In order to seek better policies for improvement of quality of the community health care professionals, investigate that what kinds of situations in their own life and working environment are making community health nurses and nutritionists feeling powerless.
Method: From November to December 2001, self-administered questionnaires were mailed to 495 health nurses and nutritionists who were working for T prefecture and cities, towns and villages of T prefecture. Collection rate was 88.9%.
Results:
1. About 60% of the research participants had experience of breakdown of working morale. They were questioning efficacy of their work and were feeling powerless and stuck in a rut. On the other hand, 95% of the research participants were taking positive coping behaviors when they face difficulties in their daily work.
2. Reasons for the powerlessness were; heavy workload and lack of understanding of their supervisors. Kinds of support they wanted were; understanding from their co-workers and supervisors and working environment which they can think collaboratively.
3. For those who had high self-esteem answered that they felt that they could accomplish tasks by observing someone close had accomplished the same tasks (substitute experiences) or had been verbally encouraged and supported (verbal praises) by their supervisors or co-workers.
4. In general, self confidence about work performances correlates with years of experience except “data analysis using personal computers”.
Conclusion: From these results, it was confirmed that the support systems at work places and on the job trainings/guidance were necessary in order to improve work performances of the community health care providers.
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