Purpose: This study aimed to clarify the process by which public health nurses in supervisory positions perform their roles, and the factors that affect their activities.

Methods: We conducted semi-structured interviews with seven public health nurses in supervisory positions in prefecture A. The analysis was guided by trajectory equifinality modeling.

Results: The trajectories were divided into four stages: “having an image of a public health nurse in a supervisory position”, “managing tasks while following the path laid by predecessors”, “managing staff”, and “managing organization”. In addition, three categories were derived: Type I: progress, Type II: impasse, and Type III: loss. Social guidance (facilitating factors) includes a clear delineation of duties: an environment where responsibilities are not borne alone, understanding from superiors, including the head of the local government, and repeated self-reflection. Social direction (hindering factors) included unclear delineation of duties and differences in ideas with the administrative staff.

Consideration: Collaborative experience with one’s predecessor before becoming a public health nurse in a supervisory position is important. The need to improve these environments and the importance of providing support are suggested for public health nurses in supervisory positions to fulfill their roles.

Purpose: This study examined the emotional state of mothers in City A who participated in an outreach prenatal and postnatal support project conducted by mothers with child-rearing experience.

Methods: Semi-structured interviews were conducted with 10 mothers who received home visit support from experienced mothers. A descriptive, qualitative research method was used.

Results: Four core categories were identified regarding the feelings of mothers who received support from experienced mothers; “desire to be saved from the pain of anxiety and loneliness of child-rearing,” “feeling safe spending time with mothers with child-rearing experience,” “confidence in parenting through help from others and personal growth,” and “friendliness and gratitude towards mothers with child-rearing experience.”

Discussion: Mothers did not approach mothers with experience as professionals and felt a sense of security and gratitude for the emotional and material support provided. Sustained support, characterized by careful listening and empathy, helped mothers feel more at ease.

Objective: This study aimed to develop a Japanese version of the Intrinsic Motivation Inventory and examine its applicability to newly appointed municipal public health nurses.

Methods: Twenty-one items from three subscales of the core dimension of the Intrinsic Motivation Inventory were translated and back-translated. The content validity of the question items was confirmed by conducting a preliminary survey and discussions among researchers. Questionnaires were mailed to newly appointed public health nurses in 500 municipalities throughout Japan to collect data and perform factor analysis. We performed item, exploratory, and confirmatory factor analyses, and examined the known-group validity and reliability of the responses.

Results: A total of 324 responses were analyzed. In this analysis, nine items were deleted to obtain an optimal version of the survey with twelve items across three factors. The analysis showed that the Cronbach α was 0.86 overall, and 0.84 for the KMO (P<0.01). The goodness of fit of the model was RMSEA=0.09, GFI=0.91, AGFI=0.86, and CFI=0.94, and we determined that with these values together the results are largely acceptable.

Discussion: To some extent, the results verified the reliability and validity of the inventory. This suggests that the inventory can be helpful in certain settings, such as reflection, in the education of newly appointed public health nurses.