Abstract
Objective : This study aimed to develop guidelines in public health nursing practice for the promotion of preventive long-term care systems, and to investigate the validity and reliability of the guidelines. Method : In this study, we surveyed 1612 public health nurses at municipal and Community General Support Centers nationwide, and from that group we resurveyed 141 public health nurses after obtaining consent for the resurvey. The contents of the survey included items on basic attributes, the "proposed guidelines for public health nursing practice in the promotion of preventive long-term care systems" , and an evaluation scale for collaborative activities. Results : Valid responses came from 509 public health nurses and responses to the resurvey from 91 public health nurses. They were analyzed based on the factor analysis results of the original 42 guideline items. We developed 29 guideline items for public health nursing practice for the promotion of preventive long-term care systems, into 4 factors: (1) "laying the foundations for proactive involvement of citizens" ; (2) "strengthening preventive care activities through the evaluation and provision of information" ; (3) "understanding the needs for preventive care using various methods", and (4) "sharing the challenges and objectives of preventive long-term care." The cumulative proportion was 51.9 %, confirming the content validity. The Cronbach's alpha of all items in the guidelines developed was 0.95, and the Cronbach's alpha for each factor ranged from 0.80 to 0.90, indicating internal consistency. The interclass correlation coefficient was 0.83, indicating reliability. Conclusion : We confirmed the validity and reliability of the developed guidelines, consisting of 4 factors, and 29 items for public health nursing practice in the promotion of preventive long-term care systems. These guidelines examine the activities of public health nurses from the standpoint of system promotion and are expected to become indices for the development of targeted activities. The guidelines function as indices comprising specific features to promote preventive long-term care systems.
