Journal of Japan Academy of Community Health Nursing Vol. 8, No. 2, pp. 99─106, 2006

JACHN Newsletter No. 5

Special Report of
The 3rd International Conference on Community Health Nursing Research (ICCHNR),
30th September-2nd October, 2005
Tokyo, Japan“NEW CHALLENGES AND INNOVATIONS IN COMMUNITY HEALTH NURSING”

CHAIRPERSON’S GREETING
Setsu Shimanouchi, RN, PhD
Professor, Division of Comprehensive Health Nursing Sciences, Graduate School of Health Sciences,
Tokyo Medical and Dental University, JapanThe objectives of ICCHNR include the following : working towards improvement of the quality of community health nursing practice through research ; increasing personal commitment by community healthnurses to evidence-based practice ; encouraging the appropriate use of community health nursing research ;and promoting awareness of contributions of research to public health policy and governance.
The first ICCHNR conference was held in Edmonton, Canada in 1993, the second in Edinburgh, UK in
1997, and the third was held in Tokyo, Japan in September 2005. The third conference provided an
excellent opportunity to learn more about research in community health nursing in the world.
The theme of the conference was “New Challenges and Innovations in Community Health Nursing.”
Setsu Shimanouchi
The demand for community health nursing practice is increasing as various global factors influence the
Chairperson of the 3rd
ICCHNR
daily lives and health of individuals. We believe that the indicators of health can be better understood
through organized international co-operation, and we need to participate in research on a global level. We
hope that this conference contributes to the development of greater creativity in approaches to community health nursing, and that
nursing researchers, educators and practitioners will work together to meet contemporary challenges to community health nursing.
Main areas addressed in paper :1. Trend of international research and development process of practice in home care
2. Analysis of evidence of quality assurance, outcome evaluation, and quality improvement methods conducted in our researchgroup for home care
3. Nurses’ central role in home care practice, evaluation cycle and contribution to development of care
4. Challenges and strategies for quality assurance and effective/efficient development in home care

ICCHNR CONVENOR’S GREETING

On behalf of the ICCHNR Committee, my fellow co-convenor Professor Rosamund Bryar, and the Japan Academy ofCommunity Health Nursing, I am truly honored and excited
to welcome you all to the 3rd International Conference inCommunity Health Nursing Research in Tokyo. It has taken

Sally Kendall, RN, RHV, PhD
Professor of Nursing, University of Hertfordshire, UK
and Co-convenor, ICCHNR
several years to prepare for and organize this event, and weare indebted to the Japan Academy of Community HealthNursing for their commitment and expertise, and for theirorganizing such a prestigious conference in Tokyo.
ICCHNR was founded in 1993 following the 1st interna日本地域看護学会誌 Vol. 8, No. 2 99

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tional conference in Edmonton, Canada. This was a hugely
significant event that brought together some 900 community
health nurses from across the globe for the first time to discuss
their research and promote evidence-based practice. Under
the leadership of our founder, Professor Lisbeth Hockey,
ICCHNR set out the following aims :・To demonstrate the value of community health nursing
research for improving the quality of care essential forthe health and well-being of nations.
・To advance and share the knowledge of community
health nursing practice generated through research・To increase the personal commitment of community
health nurses to research-based practice through thestimulation and sharing of ideas
・To encourage the appropriate use of research for community health nursing
・To promote awareness of the contribution of community
health care nursing to healthy public policies and alliances
Why is ICCHNR important? Globally, community healthnursing has very few opportunities to engage in criticaldebate about the science and application of knowledge that is
so essential for community and primary care nurses in developing their practice to effectively meet health care needs. It
is now more than 25 years since the Declaration of Alma Ata
and yet in health terms, the major health care issues are probably more common to us all than ever before. The demographic change that is occurring globally towards a society ofolder people has implications for nursing and how to deliver
nursing care to ensure quality of life and independence in oldage. Poverty and nutritional need surround us, and community nurses have a critical role in delivering health care to those
too frail to access it and in preventing problems of malnutrition. The health of children, including their mental and emotional health, as well as their physical development and management of ill health, is a major task for community nurses.
Similarly, the management and control of communicable diseases such as TB, HIV, measles and SARS is of major global
importance to public health, and relies hugely on front-line

community nurses being involved at all levels. We still struggle to find answers to the questions of health inequality,
access to health care and health care rationing and now we are
faced with international problems of diseases brought on byrelative affluence such as obesity, diabetes and heart disease.
To understand and contribute to the positive global effort
in public health, community and primary care nurses musthave access to evidence about their practice that will widen
the international debate and ensure that nurses across theworld are developing their thinking, sharing their ideas andlooking beyond their own frames of reference in order tomake a real impact on these global concerns.
This was all summed up by our late President, Professor
Lisbeth Hockey :“… community health nursing research explores means bywhich potential patients, which includes us all, can be prevented from becoming actual patients through illness andinjury, and the means by which the health and/or well-beingof both groups can be promoted.” (Hockey, Edmonton,
Canada 1993)
Previously, ICCHNR has hosted and organized events to
support the ideals of research and evidence-based practice.
All have been highly successful but we need to achieve moreaccurate and sophisticated levels of evaluation at this stage of
ICCHNR’s history to show decision makers that Community
Health Nursing research can really contribute to making a
difference to public health. The Tokyo conference offers an
opportunity to demonstrate the real value of global community health nursing. We have 583 representatives here from 21
countries, covering Southeast Asia, the Americas, Europe,
Africa and Australasia, the WHO Regions. We reviewed
over 250 abstracts from at least 20 different countries,
demonstrating the importance that you place on Community
Health Nursing research. There are two and a half days covering nine topic areas, a symposium, a research methods session and workshops as well as a networking session and apractice study tour at the end of the conference. What an
amazing opportunity to empower ourselves through criticalthinking, discourse and sharing of ideas.

KEYNOTE PAPERS
Keynote Papers : Professor Karen A. Luker and Dr. Jeanne Besner

The two keynote papers were given on the Friday afternoon following the opening ceremony, and identified issues
that were referred to throughout the conference. Both papers
challenged those attending to focus on delivery of care within100

日本地域看護学会誌 Vol. 8, No. 2

Rosamund Bryar, RN, BNurs, PhD
Professor, City University London, UK
and Co-convenor, ICCHNR
the realities of local, national and international political andhealth care systems.
The first paper was given by Professor Karen A. Luker

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who holds the Queen’s Nursing Institute Chair in Community
Nursing at the University of Manchester, Manchester, UK
where she is also Head of the School of Nursing, Midwifery
and Social Work. The title of her paper was ‘Challenges forHome Care Nurses in Providing Quality Care.’ In the paper
Professor Luker used palliative care to demonstrate howhome care nurses are enabled to provide good quality homecare and difficulties they face in providing such care. In her
first words Professor Luker acknowledged the contribution to
her paper of a group of researchers who have been working
with her for some time on a research program concerning
chronic disease management, lay participation in health caredecisions and evaluation of new services. This acknowledgement illustrated one of her key points : the need for community nursing research to move from a position where themajority of such research is undertaken as one-off, standalone studies to a programmatic approach, each study to beundertaken by a team building a thematic research program.
It was evident that the conference participants took this message
to heart and there was considerable discussion and demonstration of programmatic research by those attending.
A number of issues, which were shared across many partsof the world and challenging quality of care, were identified
in the paper. The first was the increase in the old and very
old populations in many countries with the consequent
increase in need for community-based services, which led tothe second issue : rising health care costs. Professor Luker
discussed skill-mix and partnership working with other agencies as a response to the increased demand and challenges
this then places on home care nurses to ensure quality of careprovided by other team members. In these situations, drawing on research by her team, she referred to changes thatskill-mix brought to the relationship between the home carenurse and the patient. The home care nurse, as a case manager, may co-ordinate the care but her ‘personal knowing’ of
the patient is much reduced, as her role in direct care-giving
is less. Drawing on research evidence Professor Luker describedthe elements of high quality palliative care and the main finding that high quality care was dependent on the quality of therelationship between caregiver, the patient and the family.
This provides added weight to the need for caution in introducing new service models that may distance the most experienced and highly qualified home care nurses from direct
patient care.
The second paper was given by Dr. Jeanne Besner who is
the Director, Research Initiatives in Nursing and Health,Calgary Health Region, Alberta, Canada and holds appointments as Adjunct Professor with the Faculties of Nursing at

the University of Calgary and University of Alberta. The titleof the paper given by Dr. Besner was ‘Optimizing Nursing
Scope of Practice Within a Primary Health Care Context.’ In
her paper Dr. Besner considered two main areas : a) the external forces influencing nursing and b) the need for an accountability framework for community nurses to enable thedemonstration of the relationship between nursing actions,health needs and health outcomes. She emphasized theimportance of the need to be able to identify the nursing contribution, which may of course be achieved through research
as well as other activities, to ensure the accountability ofnurses for their practice.
Dr. Besner began her presentation with an overview ofboth the pressures and opportunities in health care systems
throughout the world. She emphasized the opportunities thatnew developments and new roles provide for community
nurses, for example, introduction of new health care technologies and prescribing rights. She then provided an overview ofprimary health care and an opportune reminder to all the conference participants of the challenge laid down to nurses by
Dr. Mahler when he was Director General of WHO : ‘If themillions of nurses in a thousand different places articulate thesame ideas and convictions about primary health care, andcome together as one force, then they could act as a powerhouse for change’ (Mahler, 1985). This challenge embraces
community nurse researchers, and the debate, presentations,and networking, etc. that took place during the conference
can be seen as a response and contribution to this challenge.
Assessment of health needs and articulation of the contribution of different practitioners to meeting health care needs
were then considered in the second half of the paper andthese were themes that were very evident in papers, posters
and the research symposium. It was clear from her paper that
community nursing researchers have a significant role inhelping practitioners to articulate their underpinning beliefs,
values and theories of practice and in helping service organizations better demonstrate the contribution of nursing to individual, family and community health care.
Both papers provided a great deal of food for thought andset the tone of the conference in which researchers, practitioners, educationalists and managers examined and debatedthe ‘new challenges and innovations in community healthnursing.’
Reference
Mahler H. 1985. “Nurses lead the way.” New ZealandNursing Journal October : 10-11.
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The symposium was on “Evidence-Based Practice (EBP)in Community Health Nursing.” The coordinators were Dr.
Rosamund Bryar, Prof. City University London, UK and Dr.
Keiko Kono, Prof. Teikyo Heisei University, Japan.
Four eminent community health nursing researchers wereinvited from various parts of the world as the symposists.
Dr. Jean McIntosh, Prof. Glasgow Caledonian University,
Scotland, UK, discussed “The Evidence Base for Individual
Patient and Client Assessment.” She showed six key elements in assessment : role of the nurse-patient/client relationship, taking account of patient/client preferences, impact ofenvironment, significance of family structure and roles, too
many questions may be intrusive, and theories to support
assessment. She then gave three professional influences on
assessment : support for a broad-based and patient/client-centered approach, codifying elements in a framework andemphasis on detailed documentation. She also referred topolicy and organizational influences on assessment. After
those presentations she looked at the evidence on two assessment models : the structured questionnaire approach and theconversational approach. Lastly, she described her conclusions and challenges : there are positive and negative aspectsof both models, little or no evidence of links between assessment and outcomes, patient/client focused assessment should
be a priority for students and practitioners and the need formore research on both models.
Dr. Sheila Shaibu, a lecturer, University of Botswana,
Botswana, addressed “Implementing EBP in Community
Health Nursing : Issues and Recommendations.” She defined
evidence-based care and discussed examples of EBP alreadyin place using primary health care as a framework of thehealth care delivery system. Dr. Shaibu gave many recommendations such as bridging the digital divide between thedeveloped and developing countries, developing continuing
education on the use of the evidence base in decision-making,

Keiko Kono, RN, PHN
Professor, Teikyo Heisei University, Japanreviewing clinical guidelines and protocols against existing
evidence, engaging in collaborative research under international leadership, documenting evidence from expert informants, communicating evidence acquired to create public
support and awareness.
Dr. Diana T.F. Lee, Prof. The Chinese University of Hong
Kong, focused on “Application and Maintenance of EBP in
Community Health Nursing.” She provided a critical analysis and an applied research model to facilitate the use of EBP
in community health nursing. She concluded her presentation
by saying that EBP is a basis for decisions about practicedilemma but there is a mismatch between the realistic models
of practice and those implied in the dominant research strategies. Therefore, an applied research model is important andshould be employed.
Dr. Katsuko Kanagawa, President and Prof. Ishikawa
Prefectural Nursing University, discussed “Community-Based
Nursing Care for the Prevention of Dementia in Elderly
Residents in Japan,” considering four subjects : the evolutionof the aged population in Japan, the health and welfare caresystem for old adult’s health in Japan, the actual Community
Health Nursing activities for old people for prevention ofdementia in a community, and her thought on how community-based nursing activities should be developed for preventing dementia of the aged. Through the presentation she gavesome ideas and suggestions as to how the use of evidence inpractice might connect to better practice, and how usefulpractical application of research is in good practice.
Following the four presentations many participants contributed to discussions concerning the issues raised in the presentations, and we could get a lot of ideas and suggestions as
to how EBP might be enhanced through research ; how evidence might be best implemented in practice, and how theuse of evidence in practice might be evaluated.

WORKSHOP

Four workshops were held in the session.
Dr. Fiona Ross, Centre for Research in Primary and Community
Care, UK, and her co-facilitators offered, “Next generation
Perspective on School Health Nursing ― Developing the evidence base : research for the future of school nursing ―”Dr. Moon-Hee Jung, Hanyang Univ. Korea, facilitated“Occupational Health Nursing in the Future in Korea.”102

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Yuko Bessho, RN, PhD
Professor, Kanagawa University of Human Services, Japan
Lene Holländer, Scandinavian Home Care, Denmark facilitated on the theme, “Do we “kill” the elderly with care ?”Dr. Yukiko Anzai, Miyagi Univ. Japan, facilitated on“Developing Terminology for Public Health Nursing Practice :Clarifying the Meaning of Public Health Nursing Activities”.
More than fifty persons participated in most of the workshops. They actively contributed and shared discussion. The

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evaluation of the participants and the assigned members of
the committee were high, being “good” to “excellent.” Thetime spared for a workshop was 45 minutes in the conference.
It would be needed to be longer for the next conference tolead the workshop even more fruitful.

We felt very sorry that the workshop on “Community Health
Needs Assessment” by Prof. Elizabeth Anderson, Univ. of
Texas, US, was cancelled because of the hurricane attack on
the Gulf Coast.

FROM A WORKSHOP : DO WE “KILL” THE ELDERLY WITH CARE?
Lene Holländer, RN., MNSc, Denmark
In Japan, the elderly often stay in hospital for very long
periods of time. The number of rehabilitation staff and teamwork with the care staff in hospital wards are often limited.
Life in a hospital will therefore often make elderly people
reduce their functional ability, and increase their dependency.
In order to restore the autonomy and dignity of the elderly,
and the possible gains of increasing the use of teamwork,
rehabilitation and home care some of the following questions
could be addressed :・Do we know what the hospitalized elderly patients inJapan expect?
・Do they have goals for the future that we tend to overlook?
・What are the goals of the care preformed by staff for theindividual elderly?
Could the Danish experience of elderly care be of use inJapan? We had very long hospital stays in Denmark 20 years
ago. But the average length of a hospital stay in Denmark is
now five days through focus on rehabilitation, teamwork
across all professional groups and teamwork between the hospital sector and 24-hour homecare services in all Danish
towns.
Obviously, a solution can not simply be copied from one
country to another, but inspiration and ideas could prove useful in the development of elderly care in Japan.
In Japan, a basic current conflict seems to be, on the one
hand, the autonomy of the elderly and their ability to maketheir own decisions and express problems and goals, and on
the other hand, the routines, procedures and limited teamwork
between the care and other hospital staff.
At a local hospital in Kagawa an experiment has been carried out with the aim of improving the dignity, autonomy andfunctional ability of the elderly. The experiment showed that
it is important for staff ― among others ― to focus on :・Personal goals of the elderly, their quality of life andfunctional ability
・24-hour care and rehabilitation plans for the individual
older person
・ Teamwork among all professional groups
・ Efficient meetings and less paperwork
・ Reduced use of medication and incontinence pads
・Focus on maintaining acquired skills after discharge

from hospital・ A new role for homecare nurses
In the workshop at the conference of the Japan Academy ofCommunity Health Nursing held in Tokyo on October 2nd
2005, we discussed what we could learn from the Danish
experiences and the Kagawa experiment about the care forthe elderly in Japan.
Is it possible to improve the quality of life for the elderly aswell as the professional life of nurses through focusing on
rehabilitation, teamwork and shortening hospital stays?
Among the key points discussed were :・ Making the elderly captains of their own lives.
・Establishing coherence between the treatment of medical problems, the solution of social and care needs, andthe improvement of functional abilities.
・Making the elderly keep up their dignity and autonomy
while reaching their personal goals such as being able toimprove walking, being able to go to the toilet, dress andhave a bath by themselves, and getting ready for discharge from hospital.
・Reducing medication costs and unnecessary care procedures regarding vital signs, etc.
・Focusing on dietary issues ― increasing the weight andenergy level of the elderly.
・Heightening job satisfaction through much closer teamwork
among doctors, OTs, PTs and other professional groups.
It was agreed at the workshop that the care of the elderly inJapan needs some improvement and that nurses must play abigger role in achieving these goals. Rehabilitation is also apart of the nursing role and nurses need to take more responsibility for the basic care of the elderly instead of mainly
leaving it up to the care workers. In fact all professionalgroups need a wider focus on the self-fulfilment of older people instead of just looking at their disability and care needs.
Almost all the elderly have some ability which can be thestarting point of the rehabilitation process with older people
in the “drivers seat.” Nurses also need to make the future ofolder people something to look forward to without fear.
The experiment in the Kagawa area based on the Danish
ideas is now progressing into new territories with focus on
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increasing teamwork with emergency hospitals in the local area.
Further, a particular emphasis is placed on preventive
home-care nurse visits to both the independent and dependent
older people to support their healthy and long independent
happy lives. Finally, town meetings are to be organized fromnext year to increase the pressure on the town for support ofthe older people, disabled and family-caregivers. Thoseattending will be given a chance to have an open dialogue
with the town politicians.

CONGRATULATIONS ON THE 3RD ICCHNR !
Shirley Stinson, RN, PHN, PhD
Professor, University of Alberta, Canada
and Co-Chair in the planning and conduct of the First ICCHNR held in Edmonton, Canada in 1993
The 3rd International Conference on Community Healthconference attendants were from outside of Canada, and 31%
Nursing Research (ICCHNR) recently held in Tokyo was aof the 3rd conference attendants ― were from outside of Japan.
wonderful success. The Proceedings of the ICCHNR conferBoth the 1st and 3rd planning committees utilized graduate
ences will continue to be a great resource and legacy in thenursing students within respective ICCHNR volunteer groups.
development and communication of community health nursIt provided a great opportunity for those students to benefit
ing practice, education and management research.
from the CHN research substance, international images andinternational interchange. But the opportunities provided for
Similarities and Differencesinternational interchange through the concurrent sessions,Comparing the 3rd ICCHNR with the 1st one that was held
workshops and symposia at the 3rd ICCHNR were evenin Edmonton, Canada in 1993, there are many similarities.
greater than those provided at the 1993 conference. Also,
For example, the ultimate aims of both conferences were totranslation services were more extensive at the 3rd conferimprove community health nursing practice through research,ence, English-Japanese translators being present at all sesand to promote international networking of community healthsions, whereas English-French (Canada’s two official lannurses. There were wide-ranging contents at both conferguages) translators were present primarily at the eight plenary
ences. Both included emphases on primary health care andkeynote presentations at the 1st ICCHNR. It should also be
evaluation research, but in the 2005 conference, extensive
noted here that the outstanding contributions of Dr. Lisbeth
attention was given to research on evidence-based practice.
Hockey of Scotland were significantly recognized at both the
To improve the recognition and visibility of CHN research,
1st and 3rd ICCHNRs. Known as “the world’s greatest nurse
budgetary provision was made at the 1993 conference forresearcher,” Dr Hockey (1917― 2004) had given a brilliant
keynote address at the 1st ICCHNR, which was a description
1,000 additional copies of the First ICCHNR Proceedings toand analysis of the 457 Abstracts presented. She was given
be published and distributed nationally and internationally on
special recognition in the opening ceremony of the 3rd
a complimentary basis. Distribution targets included over 110
ICCHNR for her outstanding contributions to CHN researchmember national nursing associations of the International
and to the ongoing development of ICCHNRs.
Council of Nurses.
The leadership in the instigation and planning of the 1st
Future Developments
ICCHNR was primarily rooted in the ideas and initiatives of
Two key developments were announced at the 3rd ICCHAlberta field nurses in community health. In contrast the
NR in Tokyo : the appointment of Professor Jean McIntosh,leadership and planning of the 3rd ICCHNR was internationGlasgow Caledonian University in Scotland, as president of
al in its composition, primarily involving nurse academics :the UK-based ICCHNR organization ; and the news that theProfessors Sally Kendall and Rosamund Bryar of the UK4th ICCHNR will be held in Adelaide, Australia, in spring of
based ICCHNR organization (which is focused on the ongo2009, hosted by the Royal District Nursing Service of Southing development of international CHN research conferences) ;Australia. It will be interesting to see what international linkChairperson Professors Setsu Shimanouchi and Katsuko
ages will emerge from the 3rd ICCHNR, and how developKanagawa of Japan ; and Professor Michiko Konishi, President
ments in community health nursing practice, education andof the Japan Academy of Community Health Nursing. Anotherresearch will be linked to the substance of the research reportdifference in the two conferences was the number of attened in the Proceedings and from the professional and personal
dants ; the 1st ICCHNR was attended by 900 from 40 counenrichments of the 3rd ICCHNR held in Japan.
tries, while the 3rd by 575 from 22 countries. The ratio of
foreign attendants to local ones was similar : 28% of the 1st104

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IMPRESSIONS OF THE ICCHNR CONFERENCE HELD IN TOKYO IN 2005
Chungnam Kim, RN, Dr. P.H.,
Professor, College of Nursing, Keimyung University, South Korea
The 3rd ICCHNR conference held in Tokyo in 2005 was a
2. Booth exhibitions were limited. If there were morechallenging, innovative, well-organized and smoothly-implebooth exhibitions, we could grasp and share more practicalmented conference. We experienced various global ideas
ideas to bring back home. At the first ICCHNR conference
which gave us eye-opening perspectives. Now, we have toin Edmonton, Canada (1993) there were wide variety ofshare global ideas with our local community health nursing
booth exhibitions ; I picked up brochure on a parish nursing
researchers, educators and practitioners as much as possible.
project from the “parish nursing” booth of USA. The firstIf you allow me, I have 3 suggestions to share with you.
“Parish nursing project” was then started in Korea.
1. Oral presentation and poster presentation were sched3. For more various members to be able to participate,uled together. If those were scheduled separately, parincluding from neighborhood countries, earlier and wider
ticipants could have more chances to join.
announcements would be necessary and helpful.

IMPRESSIONS OF THE ICCHNR CONFERENCE HELD IN TOKYO IN 2005
Jean McIntosh, RGN, BSc, PhD, OBE, FRCN
Professor, Glasgow Caledonian University, Scotland, UK
President of ICCHNR
It gives me great pleasure as the second President ofresearch. However it is worth noting that many of the conICCHNR to send warm greetings to the members of JACHN
cerns and challenges that confront community health nurses
and to share with you my impressions of the ICCHNR conaround the world are similar. Many speakers referred to theference held in Tokyo. First and foremost, I would like toimpact on Community Health Nursing of an ageing populaacknowledge the hard work and efficient organisation providtion, inequities in health provision, government requirements
ed by the Secretariat and by JACHN. Their contribution was
to contain expenditure, the changes in care resulting from thewithout doubt one of the main reasons for the enormous sucuse of complex technology, the need to adopt new roles incess of the conference. I would also like to say that I personresponse to changing boundaries within the health and social
ally found your Japanese colleagues to be wonderful hosts
care workforce and the emphasis on health promotion. The
and everyone I spoke to remarked on their warmth, kindness
need for sound research to support practice is therefore ofand helpfulness. Not only that but the efforts made by all of
crucial importance and it was gratifying to hear that so many
the Japanese presenters to deliver papers in a second lannurse academics and practitioners are addressing these issues
guage was impressive. This of course also applies to manyin their research work. The presentations overall demonstratpresenters from other countries.
ed community health nurse researchers’ capacity to manage
The conference was attended by over 570 people and thisambitious studies, tackle complex issues at nurse-patient, serprovided a rich opportunity for hearing about community
vice delivery and organisational levels, and use a wide range
health nursing challenges and innovations around the world.
of research methods. There was also an encouraging focus
The conference was launched with a stimulating Chairperson’s
on consumer or user involvement in research and evidence ofaddress by Professor Setsu Shimanouchi. She set the scene
strong partnerships between researchers and their health pracfor the conference, emphasising the key role that community
titioner colleagues. Altogether my personal feeling was anurses play in home care, reminding us that we must continue
sense that community nurse researchers are alert to the majorwith our efforts to identify and apply evidence to ensure qualhealth issues that confront both developing and developed
ity care. This was followed by an insightful keynote papercountries and that they are applying their skills to these withfrom Professor Karen Luker who illustrated the importance ofintelligence and energy.
quality of care through the medium of a study in the field of
In summary, ICCHNR 2005 demonstrated the value andpalliative care. The conference proceeded with a total of 128
essential contribution that researchers can make to patient care.
short papers, 140 poster presentations, 4 sessions on research
I am sure I speak for all delegates when I say that we hope todesign and methods, 5 sessions on networking opportunities
see many Japanese community health nurse researchers join us
and 5 workshops. The conference ended with a symposium
again at the next conference scheduled for 2009 in Adelaide,consisting of 4 papers that focused on evidence-based practice.
Australia. Best wishes to all readers of this newsletter.
It is impossible to do justice to this amount and range of
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ORGANIZATION OF THE 3RD INTERNATIONAL CONFERENCE ON COMMUNITY HEALTH NURSING RESEARCH,
2005 (3RD ICCHNR)
Co-organized by Japan Academy of Community Health Nursing on September 30 to October 2, 2005, at Toshi Center Hotel inTokyo, Japan.
Committee members: 15 (Japanese 12, Foreigners 3)
Sub-Committee members : 38 (Japanese 26, Foreigners 12)
Participants: 575 (Foreigners 174, Japanese 401, 22 countries)
Presentation: Total numbers are 293.
Chairperson 1, Keynote 2, Symposium 4, Research Design/Method 8, Workshop 5, Oral 128, Poster 140, Network Opportunity(Free Meeting) 5.

Japan Academy of Community Health Nursing
Establishment : October 15, 1997
President : Michiko KONISHIRed Cross Toyota College of Nursing (12-33, Nanamagari Hakusancho Toyota, Aichi)
Fax : +81-565 - 36- 5286 E-mail : comns8-gakkai@umin.ac.jp
Editors : Sachiyo MURASHIMA (Chair, Promotion of International Exchange Committee),
Masami MATSUDA. Kiyomi ASAHARA, Atsuko TAGUCHI
Dept. of Community Health Nursing, Graduate School of Medicine, The University of Tokyo, Japan(7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan 113-0033 )Fax : +81-3-5802-2043 E-mail : murasima-tky@umin.ac.jp

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