2025 Volume 28 Issue 2 Pages 13-21
Purpose: The purpose was to identify the work experience items that facilitate the acquisition of program development and policy-making competencies by public health nurses working at prefectural government offices (“government office public health nurses”) to obtain suggestions for a human resource development for prefectural public health nurses.
Method: Using the Delphi Method with government office public health nurses around Japan, surveys were conducted three times to assess the agreement and importance of experience items.
Results: Of the 749 public health nurses in 44 prefectures who consented to the survey, responses were obtained from 195 in the first survey, 94 in the second survey, and 86 in the third survey from 40 prefectures. In an examination of agreement and importance of the 67 items in the third survey, 90% or higher agreement was obtained for 65 items, enabling the identification of concrete experience items. Regarding importance, with a mean score of 4.0 or higher set as ‘important or higher,’ 37 items were identified. Nine items considered ‘very important’ by at least 51% of respondents included checking legal basis and national trends, preparing a response proposal and discussing it with a superior, setting priority among work tasks, checking the direction to aim for in prefectural plans, and identifying health needs.
Discussion: Sixty-five experience items that facilitate the acquisition of program development and policy-making competencies by government office public health nurses were identified, and their characteristics were clarified. They provide hints for use in human resource development of public health nurses.