Current topics related to the professional behaviour of public health nurses in Japan

Iwasaki-Motegi, Riho; Naruse, Takashi

doi:10.1111/jan.14324

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…It is important that the values and advantages of health check-ups be promoted, especially among middle-aged males, before falling into the disease. conditions through health consultation and guidance 13,14) .…”

Section: Discussionmentioning

confidence: 99%

“…This suggests that for health check-ups to function as a means for early detection of health risks or problems, change health behaviors, and/or provide timely referrals to medical treatment, it is important that middle-aged and older persons be included in outreach approaches, despite their living arrangements. Individual approaches by public health nurses are required, especially when providing individual support, including health consultations and home visits for health promotion, which is the role of the municipal public health nurses in Japan because they engage community dwellers in improving their health conditions through health consultation and guidance 13 , 14 ) .…”

Section: Discussionmentioning

confidence: 99%

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Factors associated with failure to undergo health check-ups in Nagasaki Prefecture, Japan

et al. 2023

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Objective: Municipal National Health Insurance (NHI) in Nagasaki Prefecture in Japan struggles with poor attendance of health check-ups, which was only 39.6% in 2018. This study aimed to evaluate factors that encourage healthy behaviors, including opting for health check-ups, and the characteristics of middle-aged and older individuals who did not undergo health check-ups. Materials and Methods: This cross-sectional study, using a self-administered questionnaire, was conducted in August 2020 in three municipalities of Nagasaki Prefecture. In addition to questions regarding sociodemographic information, such as sex, age, educational status, self-rated economic status, and family structure, the questionnaire included questions on daily lifestyle habits such as alcohol intake and exercise, current medical treatment, self-rated health, and information related to health check-ups. Of the 18,710 questionnaires distributed in the three municipalities, 8,756 (46.8%) were collected by the end of December 2020, of which 7,840 were valid for analysis. The compliance rate for health check-ups was obtained from the Public Health and Welfare Bureau of Nagasaki Prefecture. Statistical analyses were performed according to two age groups: 40−59 and 60−74 years. Results: Among the respondents who did not undergo health check-ups in the year prior to this study, "lack of time" and being "too bothersome" were the most popular reasons for not attending health check-ups. "Living alone" and "low self-rated economic status" were negative factors for receiving health check-ups regardless of age group. Conclusions: Vulnerable middle-aged and older persons, such as those living alone and with low economic status, were less likely to undergo health check-ups. Emphasis on home visits by public health nurses may also be needed to increase awareness of individual health conditions, especially for people living alone and those who are socioeconomically disadvantaged.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors associated with failure to undergo health check-ups in Nagasaki Prefecture, Japan

et al. 2023

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“…Public health nurses (PHNs) play a crucial role in preventing child abuse and neglect by providing family health care in each municipality. In Japan, more than 70% of PHNs work for municipalities or prefectures covering people at various health stages from birth to old age (Iwasaki‐Motegi & Naruse, 2020), identifying health issues for infants and their parents before preschool through a variety of health checkups and home visits.…”

Section: Introductionmentioning

confidence: 99%

Child abuse and neglect prevention by public health nurses during the COVID‐19 pandemic in Japan

Honda

Yoshioka‐Maeda

Iwasaki-Motegi

2020

Journal of Advanced Nursing

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Child abuse and neglect prevention by public health nurses during the COVID-19 pandemic in Japan 1 | INTRODUC TI ON Child abuse and neglect are high-priority public health issues around the world, but it is known that early care for families with parenting anxiety and stress is essential for preventing abuse (World Health Organization and International Society for Prevention of Child Abuse and Neglect, 2006). In Japan, the country has created a national campaign plan called The Second Term of Healthy Parents and Children 21 (2015-2024) to address two prioritized agenda: (a) supporting parents with difficulties raising their children; and (b) preventing child abuse from pregnancy (Osawa, Akiyama, Yamagata, & Ojima, 2019). Public health nurses (PHNs) play a crucial role in pre

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Relationship between changes in the public health nurses’ workforce and the empirical Bayes estimates of standardized mortality ratio: a longitudinal ecological study of municipalities in Japan

Kodama

Uwatoko

Koriyama

2023

BMC Health Serv Res

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Background The role of public health nurses (PHNs) in the community is expected to become increasingly important, along with the promotion of a comprehensive community care system. However, a comprehensive study of all municipalities is yet to be undertaken, and the relationship between the workforce of PHNs and health indicators is yet to be clarified. This study examined the effect of workforce change among PHNs, one of the structural indicators of PHNs’ activities regarding changes in the empirical Bayes estimate of standardized mortality ratios (EBSMRs). Methods An ecological study was conducted using municipality-level aggregate data. The data used were publicly available Japanese government statistics. The first-difference model of panel data analysis was used to examine the relationship between changes in EBSMR and changes in the number of PHNs per 100,000 population from 2010 to 2015, adjusting for the effects of population and other healthcare resources, including the number of physicians, medical clinics, general hospitals, and welfare facilities. The variation by the 47 prefectures was added to the linear model as a random effect. We also performed a sensitivity analysis using the full Bayesian inference using the Besag-York-Mollie model. Results For males, EBSMRs for all causes and malignant neoplasms significantly decreased with an increase in the number of PHNs per population (coefficients: -1.00 and -0.89, p values: 0.008 and 0.043, respectively). For females, although all EBSMRs except malignant neoplasms showed decreased tendencies due to the increase in the number of PHNs per population, none of them were significant. The full Bayesian inference confirmed these associations. Conclusions An increase in the number of PHNs per population was significantly associated with a greater reduction in deaths from all causes and malignant neoplasms in males. The results of the full Bayesian inference also suggest that the workforce of PHNs may be related to changes in standardized mortality ratios for deaths from all causes in females.

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Current topics related to the professional behaviour of public health nurses in Japan

Cited by 3 publications

References 3 publications

Factors associated with failure to undergo health check-ups in Nagasaki Prefecture, Japan

Factors associated with failure to undergo health check-ups in Nagasaki Prefecture, Japan

Child abuse and neglect prevention by public health nurses during the COVID‐19 pandemic in Japan

Relationship between changes in the public health nurses’ workforce and the empirical Bayes estimates of standardized mortality ratio: a longitudinal ecological study of municipalities in Japan

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