2020 Volume 23 Issue 1 Pages 59-65
Objective: The purpose of this study was to review the literature that focusing on the kind of strategies public health nurses (PHNs) used to develop health, medical care and welfare planning, and to obtain concrete suggestions to facilitate planning by PHNs.
Method: The literature published between 2013 and 2018 was searched by using the web of Japan Medical Abstracts Society and CiNii Articles. The researcher utilized keywords; “health promotion plan”, “cancer control promotion plan”, “medical expenses adjustment plan”, “specific health checkups enforcement plan”, “maternal and child health plan”, “disability welfare plan”, “long-term care insurance project support plan”, “long-term care insurance project plan”, “medical care plan”, and “public health nurse”, and “planning.”
Results: Twenty-nine articles were identified; 25 case reports, three commentaries, and one research paper. Among the case reports, seven strategies which PHNs have used through planning were identified: 1) developing a system to facilitate planning, 2) problem analysis, 3) data collection, 4) setting of priority and target group, 5) discussion for realization of programs, 6) preparation for evaluation, 7) others. Few studies indicated any consideration of consistency with the related plans.
Discussion: The results of this research suggested that public health nurses have been conducting planning based on their own experience and knowledge. In order to proceed with developing health, medical care and welfare plans smoothly by PHNs, it is necessary to develop educational programs to learn the concrete strategies for such planning.