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1 Critical Issues on First Aid Activities of School Health Care Teacher and Need for Practical and Theoretical Reform Mikio MORI Gen UCHIYAMA Tomoko NAKAMURA Abstract In recently the School Health and Safety Law was amended and came into practice. As part of this new amendment, a School Health Care Teacher SHCT is considered a key person in execution of School Health and Safety Services SHSS especially in the role and responsibility of First Aid and Nursing Activity FANA The whole activity of FANA generally consists of a three-dimensional structure. The first is the facts regarding School Health Services which contains the judgment of Sickness and Wounds in Physical, Mental and Social Aspects. The second are problems, their level and meaning as defined by FANA, i.e. what are the matter, and what level is classified. The third is a general measure for disease and accident prevention, and controls which prescribe and strategy, i. e. the FANA, consulting a doctor, a prevention, etc. The FANA does not mean emergency medical care. Rather, in addition to prevention, it concerns the confirms of Safety Management and Safety Education, Counseling, Consultation; Guidance/Advice, insisting that prevention is essential for health and safety activity. In the communications from FANA, there is a focusing on the pupil, steps and processes. In the papers and Textbooks on SHCT and School Health, recently published, there are the discussions of organization. There is a lack of discussion in term of real judgment interpersonal communication. There mainly, suggestion regarding biomedical judgments of SHCT which don t reflect real Sickness and Wounds during real event. This perpetuates a way, pedagogy in which curriculum and education materials are structured unrealistically. In order to make theories the basis of sound curriculum, it is essential that inspection and judgment of communications and many case studies are needed that involved real communication among the school, home, pupils and others containing pupil by qualitative research of practical matters as well as statistical research survey. mikichan@ha.shotoku.ac.jp

2 Key words school health, school health care teacher SHCT first aid and nursing activity FANA Single Case effect relationship LW. Green The PRECEDE-PROCEED Model

3 Instructional Feed Back

4 i iiiii

5 Pre Post Pre Post Journal of School Health No American Journal of Health Education No input output

6

7

8 i

9 Health Promotion Disease Prevention School Nursing: A Comprehensive Text

10 Leavell & Clark Preventive Medicine Role as Health Educator

11 Cognitive Map Environmental Hazard Map Environmental Hazard Physical Assessment Physical Assessment Mental, Social Assessment Green LW et al Health Education Planning, Mayfield Green LW et al Health Education Planning, Mayfield

12 Riley JB Communication in Nursing, Mosby Mehrens WA & Lehmann IJ Measurement and Evaluation in Education and Psychology, Wadsworth Pub Co Kemm J Health Impact Assessment, Oxford University Press Fink AG Evaluation Fundamentals, Sage Pubns Cartelli A Teaching in the Knowledge Society, Information Science Pub SHES Bennett P & Calman KS Risk communication and Public Health Oxford Medical Publications Oxford University Press Lundgren RE & McMakin AH Risk Communication: A Handbook for Communicating Environmental, Safety, and Health Risks, Wiley-IEEE Press National Association of School Nurses/NASN School Nursing : A Comprehensive Text, F a Davis Co Leavell HR & Clark EG Preventive Medicine for the Doctor in his Community Macgraw-Hill Co, Smith K Environmental Hazard, Routledge

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