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Psychosocial Characteristics of Fathers Who Have Abused Their Children as Seen by Public Health Nurses

Open Journal of Nursing 2014年第9期4卷 669-675页

作者： izumi Ueda hisako izumi Kazuko Saeki Kyoko Namikawa Mizue Shiromaru Faculty of Health Sciences Hokkaido University Sapporo Japan School of Health Sciences Kawasaki University of Medical Welfare Kurashiki Japan School of Health Sciences Sapporo Medical University Sapporo Japan

This study aims to identify details of the psychosocial characteristics of fathers who have abused children as they appear to public health nurses (PHNs). In this study a qualitative descriptive design was applied to the data analysis. Interviewees were 10 public health nurses (PHNs), in charge of maternal and child health services for 5 or more years at public health centers. The study analyzed 13 cases reported in the PHNs interviews. The characteristics of the fathers who had abused children as seen by the PHNs were the psycho-social characteristics of ‘weak suppression and control of impulsiveness’, ‘cognitive dissonance in the fatherhood role’, ‘poor social sensitivity’, ‘unbalanced relationship with other members of the family’ and ‘weak relationships with people around the father’. The father’s impulsiveness and cognitive dissonances in the fatherhood role are associated with weaknesses in the family relationships and social adaptation. Conversely, the weakness in the strength of family relationships and social adaptation affects the father’s ability to control impulsiveness and give rise to the cognitive dissonance in the fatherhood role. These in turn interact to create a negative downward spiral, a steadily worsening situation. The findings of this study suggest the necessity for PHNs to focus on the background to the cognitive dissonance in the fatherhood role and to work to educate and guide the fathers.

关键词： Public Health Nurse Child Abuse Father Psychosocial Characteristics

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Evaluation of the effects of a leader-training program on public health nurse leadership for staff in Japan

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Open Journal of Nursing 2012年第3期2卷 246-253页

作者： izumi Ueda Kazuko Saeki Mariko Kawaharada Michiyo Hirano Miyuki Seki hisako izumi Department of Nursing Saitama Prefectural University Koshigaya Japan Department of Nursing Sapporo Medical University Sapporo Japan Faculty of Health Science Hokkaido University Sapporo Japan

This paper is a report of a study of the effects of a leader-training program, focusing on how public health nurse (PHN) leaders manage staff. In Japan, a system of training after graduation or training after acquisition of the PHN license has not been established. At present, PHN leaders are unable to devote as much time as they previously could to in-service education, and this has made it difficult to establish a suitable full-fledged in-service education system. Therefore, it is paramount for PHN leaders to acquire the necessary competence to train staff efficiently and, ultimately, play a more prominent role in the in-service education of novice PHNs. The effecttiveness of this program was evaluated before and after conducting the program over a 1-year period. A total of 145 leaders working for local government agencies in Japan participated in the program, and data from 87 participants were analyzed. Before the training program, Plan-Do-Check-Act cycle activities were less frequent than after the program. Intervention using a leader-training program that combines group and on-the-job training is effective for PHN leaders.

关键词： PHN Leaders Leader-Training Program In-Service Education Management Practice Japan

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The Effectiveness of Hyperlipidemia Prevention Intervention Designed to Affect Behavior Change: Focus on Changes in Health Behavior

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Open Journal of Nursing 2014年第13期4卷 962-970页

作者： hisako izumi Michiko Mastubara Kazuko Saeki Hiromi Imuta Mitsuru Mori School of Health Sciences Sapporo Medical University Sapporo Japan Faculty of Health Sciences Hokkaido University of Science Sapporo Japan Faculty of Health Sciences Hokkaido University Sapporo Japan Faculty of Health Sciences Tokyo Metropolitan University Tokyo Japan School of Medicine Sapporo Medical University Sapporo Japan

Hyperlipidemia prevention intervention for behavior change was conducted on subjects in their 30s and 40s to evaluate changes in health behavior and investigate the effectiveness of these changes, with respect to early prevention and improvement of disease. Subjects were middle-aged individuals aged 30 - 49, suffering from serum lipid abnormalities. Intervention designed to affect behavior change was implemented for 3 weeks in 11 employees (nine males, two females) at five workplaces. Intervention mainly consisted of improving self-efficacy. The study’s purpose was explained and the written consent was obtained from subjects. Subjects filled questionnaires (characteristics, history of present illness, health behavior, self-efficacy scale for prevention of hyperlipidemia, etc.) both before and after intervention. Subjects recorded their physical activity using accelerometers and dietary intake photographically. Each subject created realistic behavior goals and recorded their progress using self-monitoring charts. Data were analyzed using descriptive statistics;therefore, pre- and post-intervention data were compared. Physical activity and achievement rate of goals during the first week and over the next 2 - 3 weeks were compared. Health behavior scores showed modification of behavior in a desirable direction after intervention compared with those before intervention. No significant difference in self-efficacy before and after intervention was observed. However, the subscale for diet was significantly higher after intervention compared with that before intervention. Steps, total calories, and activity calories were increased in the second and third weeks compared with those in the first week. Three weeks of intervention resulted in health behavior changing in a desirable direction. We infer that intervention in the form of self-monitoring using accelerometers that make physical activity visible was effective in leading to behavior change.

关键词： Hyperlipidemia Prevention Middle Age Health Behavior Self-Efficacy Behavior Change

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Factors that affect the process of professional identity formation in public health nurses

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Open Journal of Nursing 2013年第1期3卷 8-15页

作者： Mika Okura Miyoko Uza hisako izumi Masami Ohno Hidenori Arai Kazuko Saeki Department of Human Health Sciences Kyoto University Graduate School of Medicine Kyoto Japan Department of Site Management Organization Sehma Co. Ltd. Fukui Japan Faculty of Health Sciences Hokkaido University Sapporo Japan School of Health Sciences Faculty of Medicine University of the Ryukyus Nishihara Japan School of Health Sciences Sapporo Medical University Sapporo Japan

Objective: The aim of this study was to elucidate the process of professional identity formation and the factors that affect the process in public health nurses (PHNs). Methods: We performed an inductive qualitative analysis based on semi-structured interviews and focus group interviews of 65 PHNs. Results: At years 1 - 5, PHNs did not have a professional self-identity. Therefore, it was important for them to recognize the significance of their own work. At years 6 - 10, PHNs acquired self-assurance as a practitioner through feedback from residents. It was important for them to have a better understanding, broader viewpoints and more affection for their own community. At years 11 - 20, PHNs felt ambivalent toward the challenges and heavy responsibilities based on the objective assessment of their jobs and roles. PHNs felt embarrassed by role changes when they became a manager or an expert. It was important for them to become aware of their new role through managerial education and training. However, some PHNs who were unable to establish a clear PHN identity experienced setbacks at each developmental stage. Conclusions: Our data suggest that a differential approach dependent on the stage and level of confidence in an individual’s PHN identity is required for the formation of PHN identity.

关键词： Professional Identity Public Health Nurse Professionalism Career Development

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