RESEARCH ARTICLE


Public Health Nursing Art to Enhance “Strength of Community” in Japan



Reiko Okamoto1, *, Masako Kageyama1, Keiko Koide2, Saori Iwamoto3, Kayoko Goda4, Misa Shiomi5, Emiko Kusano6, Miho Tanaka1, Mai Tokimasa1, Misaki Kiya1, Hanayo Koetaka4
1 Division of Health Sciences, Osaka University Graduate School of Medicine, Osaka, Japan
2 Shitennouji University, Faculty of Nursing, Osaka, Japan
3 Kobe City College of Nursing, Faculty of Nursing, Hyogo, Japan
4 Konan Women’s University, Faculty of Nursing and Rehabilitation, Hyogo, Japan
5 University of Hyogo, College of Nursing Art and Science, Hyogo, Japan
6 Osaka Medical College, Faculty of Nursing, Osaka, Japan


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Creative Commons License
© 2019 Okamoto et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Division of Health Sciences, Osaka University Graduate School of Medicine, Osaka, Japan;
E-mail: reiko@sahs.med.osaka-u.ac.jp


Abstract

Purpose:

The purpose of this study is to shed light on the public health nursing art (PHNA) that enhances “Strength of Community (SC)” with practical activities of Public Health Nurses (PHNs) in Japan.

Methods:

This study used a qualitative, descriptive design. According to the recommendation, we selected the best PHN activities as identified SC was enhanced that was implemented by multiple PHNs. Interviewees were PHNs who were recommended as PHNs who can talk about each activity on the representative of PHNs concerned. Data were collected three times each through a semi-structured interview, each lasting for about one hour. PHNA was classified into six frameworks: Searching; Stimulating; Facilitating; Cooperation; Continuing Quality Improvement; and Policy/Resource Development based on previous studies.

Results:

The results indicate that the PHNA included in the six frameworks may further be classified into 12 categories and 26 sub-categories. We also identified three elements of social justice, the underlying norm for the concept. 12 categories were extracted two for each framework, {Reality Searching}, {Reality Actualization}; {Ownership Fostering}, {Motivation Support}; {Collective Effort Promotion}, {Full Retention Promotion}; {Collaborative Piloting}, {Opportunity/Platform Provision}; {Capacity Building}, {Quality Management}; {Resource Development} and {Planning/Systematization}.

Conclusion:

This study succeeded in demonstrating that the PHNA to enhance SC was collected, refined, and structured in a multidisciplinary and comprehensive manner, within the context of promoting positive health among the population. In the future, the remaining challenges include the substantiation of the PHNA at the sub-category level and the development and dissemination of programs to master them.

Keywords: Nursing art, Public health nurse, Positive health, Strength of community, Potential, Conceptualization.