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Yoshioka‐Maeda K, Shiomi M, Katayama T, Hosoya N, Fujii H, Mayama T. Association between public health nurses' involvement in local healthcare planning and the corresponding off-the-job training. Nurs Open 2022; 10:796-806. [PMID: 36094138 PMCID: PMC9834529 DOI: 10.1002/nop2.1347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Revised: 11/27/2021] [Accepted: 07/29/2022] [Indexed: 01/16/2023] Open
Abstract
OBJECTIVE This study investigated the association between receiving off-the-job training and the involvement of public health nurses in local healthcare planning. DESIGN A nationwide, cross-sectional study design. METHODS We sent self-report questionnaires to 2,185 public health nurses with experience in developing local healthcare plans in Japan since 2013 and collected information related to three main categories: demographic data, involvement in local healthcare planning and strategies for healthcare planning. RESULTS We received 1,281 responses (return rate of 58.6%), of which 231 did not meet the inclusion criteria. Thus, we analysed 1,050 valid responses. Among the 1,050 respondents, 496 (47.2%) had received off-the-job training in healthcare planning. A subsequent logistic regression analysis revealed that the following factors were associated with this achievement: holding a managerial position, receiving healthcare planning education at the undergraduate level, having mentors regarding the promotion of it, partially conducting cross-sectional coordination and conducting groupwork with community-dwelling residents.
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Affiliation(s)
- Kyoko Yoshioka‐Maeda
- Department of Community Health Nursing, Division of Health Sciences & Nursing, Graduate School of MedicineThe University of TokyoTokyoJapan
| | - Misa Shiomi
- Department of Innovative Public Health Nursing, Graduate School of MedicineKyoto UniversityKyotoJapan
| | - Takafumi Katayama
- Department of Statistic and Computer Science, College of Nursing Art and ScienceUniversity of HyogoHyogoJapan
| | - Noriko Hosoya
- Department of Nursing, Division of Healthcare SciencesChiba Prefectural University of Health SciencesChibaJapan
| | - Hitoshi Fujii
- Department of Medical Statistics, School of NursingMejiro UniversitySaitamaJapan
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Yoshioka-Maeda K, Katayama T, Shiomi M, Hosoya N, Fujii H, Mayama T. Feasibility of an educational program for public health nurses to promote local healthcare planning: protocol for a pilot randomized controlled trial. Pilot Feasibility Stud 2022; 8:92. [PMID: 35477498 PMCID: PMC9043510 DOI: 10.1186/s40814-022-01054-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Accepted: 04/14/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Promoting of local healthcare planning is crucial for assisting public health nurses in improving community health inequities. However, there is no effective educational program for developing relevant skills and knowledge among these nurses. Therefore, this study aims to assess the feasibility of a newly developed web-based self-learning program to promote the involvement of public health nurses in the local healthcare planning process. METHODS A pilot randomized control trial randomly allocated eligible public health nurses to intervention and control wait-list groups [1:1]. The former will be exposed to six web-based learning modules from July to October 2021. After collecting post-test data, the wait-list group will be exposed to the same modules to ensure learning equity. The primary outcome will be evaluated by implementing a validated and standardized scale designed to measure public health policy competencies at the baseline and post-intervention, while secondary outcome will be measured on an action scale to demonstrate the necessity of healthcare activities. The third outcome will be the knowledge and skills related to local healthcare planning by public health nurses. The participants will provide feedback through free descriptions on the trial feasibility and a web-based self-learning program to identify improvement points for continual refinement. DISCUSSION The results will provide suggestions in preparation for a future definitive randomized controlled trial. This will provide preliminary data for an intervention aimed at improving relevant competencies among public health nurses who are tasked with resolving health inequities in their respective communities through local health planning. TRIAL REGISTRATION The protocol for this study was registered with the University Hospital Medical Information Network Clinical Trials Registry and approved by the International Committee of Medical Journal Editors (No. UMIN000043628 , March 23, 2021).
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Affiliation(s)
- Kyoko Yoshioka-Maeda
- Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan. .,Department of Statistic and Computer Science, College of Nursing Art and Science, University of Hyogo, Hyogo, Japan.
| | - Takafumi Katayama
- Department of Statistic and Computer Science, College of Nursing Art and Science, University of Hyogo, Hyogo, Japan
| | - Misa Shiomi
- Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Noriko Hosoya
- Department of Nursing, Faculty of Healthcare Sciences, Chiba Prefectural University of Health Sciences, Chiba, Japan
| | - Hitoshi Fujii
- Department of Medical Statistics, School of Nursing, Mejiro University, Saitama, Japan
| | - Tatsushi Mayama
- Faculty of Policy Studies, Doshisya University, Kyoto, Japan
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Honda C, Sumikawa Y, Yoshioka-Maeda K, Iwasaki-Motegi R, Yamamoto-Mitani N. Confusions and responses of managerial public health nurses during the COVID-19 pandemic in Japan. Public Health Nurs 2021; 39:161-169. [PMID: 34755382 PMCID: PMC8661713 DOI: 10.1111/phn.13011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 10/20/2021] [Accepted: 10/24/2021] [Indexed: 11/28/2022]
Abstract
Objective This study aimed to elucidate the experiences of public health nurses (PHNs) in Japan during the first wave of COVID‐19. Design and sample Twelve PHNs in charge of responding to COVID‐19 in X‐city within Tokyo metropolis in Japan participated in this case study. Measurements Data were collected through self‐administered questionnaires and semi‐structured interviews on PHNs’ experiences from January 2020 to May 2020. Results Initially, only infectious disease control division (IDCD) PHNs experienced confusion due to the rapidly increased workload. Managerial PHNs attempted to explain the need for a dispatch system for the IDCD, using available statistical data from other managerial members, within one's maximum understanding of this unprecedented situation. Without having a clear and forward‐looking understanding regarding the purpose and reasons for dispatching, some dispatched PHNs had concerns and frustrations; they did not view the COVID‐19 pandemic as a disaster. In the never‐ending, exhausting work, PHNs managed to modify the provision of conventional services to residents. Conclusions Despite experiencing confusion, PHNs worked to continuously provide community services, re‐considering the meaning of public health nursing. Prioritizing the work and shifting tasks to other professionals at an early stage of the pandemic may prevent organizational dysfunction.
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Affiliation(s)
- Chikako Honda
- Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine & Global Nursing Research Center, The University of Tokyo, Tokyo, Japan
| | - Yuka Sumikawa
- Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine & Global Nursing Research Center, The University of Tokyo, Tokyo, Japan
| | - Kyoko Yoshioka-Maeda
- Department of Health Promotion, National Institute of Public Health, Saitama, Japan
| | - Riho Iwasaki-Motegi
- Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine & Global Nursing Research Center, The University of Tokyo, Tokyo, Japan
| | - Noriko Yamamoto-Mitani
- Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine & Global Nursing Research Center, The University of Tokyo, Tokyo, Japan
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Shiomi M, Yoshioka-Maeda K, Kotera S, Ushio Y, Takemura K. Factors associated with the utilization of community assessment models among Japanese nurses. Public Health Nurs 2021; 39:464-471. [PMID: 34514626 DOI: 10.1111/phn.12967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Revised: 07/23/2021] [Accepted: 08/16/2021] [Indexed: 11/27/2022]
Abstract
OBJECTIVES This study aimed to identify factors related to the practical utilization of community health needs assessment (CHNA) models that public health nurses (PHNs) learned in their fundamental education. DESIGN A nationwide questionnaire survey was conducted via postal mail. SAMPLE We randomly selected 630 public health institutes in Japan. The participants were 3397 full-time novice and mid-level PHNs. MEASUREMENTS The questionnaire included the participants' basic personal information, six items regarding the perception of CHNA with a 4-point Likert scale, learned models in their undergraduate education, their utilization in practical settings, and the reasons for their answer in narrative form. RESULTS There were 951 valid responses. The results of logistic regression showed that the significant positively factors with model utilization were perception of CHNA as "not troublesome" or "not impossible as they learned," continuing education with 5 years of experience, and identification of the learned model in continuing education. Furthermore, the results of text mining showed the reasons for non-utilization of the model included being "busy" and having a lack of "opportunity." CONCLUSIONS This study showed the associated factors with rare utilization of a learned model for PHNs. These findings may suggest improvement of continuing education and development of an appropriate assessment model.
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Affiliation(s)
- Misa Shiomi
- Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Kyoko Yoshioka-Maeda
- Department of Health Promotion, National Institute of Public Health, Wako, Japan
| | - Sayaka Kotera
- Department of Public Health, Graduate School of Health Sciences, Kobe University, Kobe, Japan
| | - Yuko Ushio
- Faculty of Medicine and Health Sciences, Yamaguchi University, Ube, Japan
| | - Kazuko Takemura
- College of Nursing Art & Science, University of Hyogo, Akashi, Japan
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Irie Y, Hohashi N, Suto S, Fujimoto Y. Culturally Congruent Health Activities for the Prevention of Functional Disabilities Among Older Adults in Japan's Forest Communities. J Transcult Nurs 2021; 33:16-25. [PMID: 34459299 DOI: 10.1177/10436596211042072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
INTRODUCTION In Japan's forest areas, cultural capital and older adults play key roles in helping to sustain the community. The purpose was to explore cultural values/beliefs related to culturally congruent health activities among older adults in forest communities. METHOD The qualitative ethnonursing research method was used. Data were collected through fieldwork and key informants' interviews (n = 14) over 1 year. The setting was a traditional village with 80% forest cover. RESULTS Findings included two universal cultural values/beliefs, which were "community identity as a community member" and "our cohesion and connection as community members." Additionally, two diverse cultural values/beliefs were found: "gender-based differences" and "differences between those having experience working outside the forest community and those without this experience." These were related to community-based health activities. DISCUSSION These values/beliefs were suggested to develop a multilayered network around health activities in order to prevent functional disabilities among older adults.
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Affiliation(s)
| | | | - Shunji Suto
- Nara Medical University, Kashihara-shi, Nara, Japan
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Yoshioka-Maeda K, Fujii H. Characteristics of Departments That Provided Primary Support for Households with Complex Care Needs in the Community: A Preliminary Cross-Sectional Study. Healthcare (Basel) 2021; 9:healthcare9040403. [PMID: 33916173 PMCID: PMC8065787 DOI: 10.3390/healthcare9040403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Revised: 03/19/2021] [Accepted: 03/26/2021] [Indexed: 11/16/2022] Open
Abstract
To prevent emergency admissions and save medical costs, support should be provided to households that include people with complex care needs to allow them to continue living in their own homes. This community-based, cross-sectional study was conducted to (1) identify which departments that public health nurses (PHNs) worked have been the primary providers of support for households with complex care needs and (2) clarify the length of time required by each department to resolve primary health problems. We analyzed 148 households with complex care needs that were registered in City A from April 2018 to July 2019. Four types of departments were the primary support providers for complex care households: the department supporting persons with disabilities (n = 54, 36.5%), public/community health centers (n = 47, 31.8%), department of older adults (n = 29, 19.6%), and welfare offices (n = 18, 12.2%). The Mantel–Cox test showed that welfare offices mainly supported households in economic distress and needed significantly less time to resolve their primary health issues than other departments. For early detection and resolution of primary health problems for households with complex care needs, PHNs and healthcare professionals should focus on their economic distress and enhanced multidisciplinary approaches.
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Affiliation(s)
- Kyoko Yoshioka-Maeda
- Department of Health Promotion, National Institute of Public Health, 2-3-6, Minami, Wako-shi, Saitama 351-0197, Japan
- Correspondence: ; Tel.: +81-48-458-6111
| | - Hitoshi Fujii
- Department of Medical Statistics, School of Nursing, Mejiro University, 320 Ukiya, Iwatsuki-ku, Saitama-shi, Saitama 339-8501, Japan;
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Yoshioka-Maeda K, Shiomi M, Katayama T, Hosoya N, Fujii H, Mayama T. Self-reported competences of public health nurses for developing needs-oriented local healthcare plans: A nationwide cross-sectional survey. J Adv Nurs 2021; 77:2267-2277. [PMID: 33426729 DOI: 10.1111/jan.14741] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Revised: 11/20/2020] [Accepted: 12/10/2020] [Indexed: 11/30/2022]
Abstract
AIM To identify self-reported competencies of public health nurses for reflecting community healthcare needs in local healthcare plans. DESIGN We conducted a nationwide cross-sectional survey in Japan from October 7-November 30, 2019. METHODS We sent 2,185 self-reported questionnaires to public health nurses in Japan who had developed a local healthcare plan since 2013. Self-reported questionnaires included questions regarding demographic data and the reflection of community healthcare needs in local healthcare plans, and the involvement in local healthcare planning. RESULTS We analysed 1,042 questionnaires: 651 (62.5%) were from public health nurses who reported that they elicited and shared community views to be reflected for purposes of local healthcare planning (the reflecting group), and 391 (37.5%) of the remaining public health nurses who reported that they did not do so (the non-reflecting group). The logistic regression analysis revealed that public health nurses in the reflecting group were more likely to be in a managerial position, have colleagues who played an active role in healthcare planning, conduct a questionnaire survey, engage in group work, participate in a municipal healthcare planning committee with community-dwelling people, and identify the opinions of the professional organizations. CONCLUSIONS Identifying community healthcare needs through collaboration with community-dwelling people and professional organizations should be essential competencies for public health nurses (the reflecting group) in developing needs-oriented local healthcare plans. IMPACT Identification of their related competencies for developing a needs-oriented local healthcare plan as an upstream strategy to mitigate the prevalence of health inequities in each community.
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Affiliation(s)
- Kyoko Yoshioka-Maeda
- Department of Health Promotion, National Institute of Public Health, Saitama, Japan
| | - Misa Shiomi
- Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Takafumi Katayama
- Department of Statistic and Computer Science, College of Nursing Art and Science, University of Hyogo, Hyogo, Japan
| | - Noriko Hosoya
- Department of Nursing, Faculty of Healthcare Sciences, Chiba Prefectural University of Health Sciences, Chiba, Japan
| | - Hitoshi Fujii
- Department of Medical Statistics, School of Nursing, Mejiro University, Saitama, Japan
| | - Tatsushi Mayama
- Faculty of Policy Studies, Doshisha University, Kyoto, Japan
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Yoshioka-Maeda K, Honda C, Iwasaki-Motegi R. Preparing for Complex Emergencies While Combating COVID-19: The Role of Public Health Nurses in Japan. Asia Pac J Public Health 2020; 32:489-490. [PMID: 32762335 DOI: 10.1177/1010539520947885] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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