Japanese Journal of Health and Human Ecology
Online ISSN : 1882-868X
Print ISSN : 0368-9395
ISSN-L : 0368-9395
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  • -Questionnaire survey comparing regions with different utilization levels-
    Yoshiko OCHIAI, Yoko MATSUNAGA, Keiko SAITOU, Etsuko GOUMA
    2017 Volume 83 Issue 1 Pages 2-12
    Published: January 31, 2017
    Released: February 24, 2017

    Aim: This study aimed to identify factors that promote the use of home-visit nursing (HVN) services.

    Method: A survey was administered via an internet research company to 206 adults aged 40-59 years who resided in Prefecture N (where utilization of HVN services was high) or Prefecture T (where utilization of HVN services was low). Questionnaire categories were the awareness of content of HVN services, intention to use HVN services to care for elderly parents, lifestyle, geographical convenience, and attitudes toward nursing.

    Results: Most respondents (92.7%) were aware of the term “home-visit nursing”, with no difference found between the prefectures. There were significant regional differences in awareness of “how to start using HVN services” and “support for management of medical treatment”. Intention to use HVN services differed significantly between the prefectures, as did responses to the items “we would like to care for our parents at home as much as possible” and “naturally, the eldest sonʼs family should care for the parents”.

    Conclusion: These findings suggest that knowledge of available HVN services and intention to care for elderly parents at home promoted the use of HVN services.

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    2017 Volume 83 Issue 1 Pages 13-25
    Published: January 31, 2017
    Released: February 24, 2017

    Objective: This study aimed to investigate the correlation between competencies of local government-based public health nurses in mid-and late-levels and difficulties with implementation faced by them related to the creation of projects/social resources, with the aim of improving their abilities for such development.

    Methods: A self-administered, anonymous, and mail questionnaire survey was conducted, involving all full-time public health nurses belonging to local government of Prefecture-A, and the data of 261 mid- and late-level public health nurses were analyzed. Their competencies were measured using the Competency Measurement of Creativity for Public Health Nurse-Creation of Projects/Social Resources [CMC ver. 2010.6], while reviewing the existing literature to extract items related to difficulties with implementation.

    Results: On logistic regression analysis, the answer “unclear methods to develop projects and social resources” showed a significant negative correlation with the total, factor 1-, and factor 2-related scores. Such a correlation was also observed between “frequently losing self-confidence due to difficulty in proceeding with plans as scheduled” and the factor 3-related score. In contrast, “the presence of colleagues showing reluctance to take on an increased workload” was significantly and positively correlated with the total score.

    Conclusion: In order to improve public health nurses’ competencies, it may be useful to develop post-graduate nursing education systems in consideration of their correlation with difficulties with implementation faced by such nurses confirmed in this study.

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