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Comparison of Public Health Nurse’s Lifestyle Counseling Skills for Clients with Different Readiness of Behavior Changes in Primary Care Settings

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Health 2017年第6期9卷 921-929页

作者： Keiko Koide reiko okamoto Mari Okada Faculty of Education Shitennoji University Osaka Japan Division of Health Sciences Graduate School of Medicine Osaka University Osaka Japan Faculty of Health and Welfare Prefectural University of Hiroshima Hiroshima Japan

Purpose: Public health nurses (PHNs) are required to assess the readiness of the clients and provide lifestyle counseling accordingly. The purpose of this study was to compare the lifestyle counseling provided for clients with different levels of readiness based on self-evaluations and independent assessment. Methods: Participants were PHNs with 10 years’ experience or less. Lifestyle counseling skills were measured through a simulated counseling session in a primary setting lasting up to 30 minutes, followed by a review session, where the participant provided self-evaluations, and the simulated client provided others-evaluations, of the session. The simulated clients played the role of clients at either the pre-contemplation or contemplation stage of preparedness as per the stages of behavior change theory. Results: The self-evaluation results showed that the mean scores for five of the six skill categories, are lower in the precontemplation-stage client cases than in the contemplation-stage client cases, and significantly so for two skill categories. The others-evaluations showed significantly lower mean scores for all skill categories in the precontemplation cases than in the contemplation cases. Conclusion: The PHNs and simulated clients agreed that lifestyle counseling skills were inadequate for the precontemplation cases, as compared with the contemplation cases. The lifestyle counseling skills of PHNs with less experience may not be well-adjusted to the readiness of the client, indicating difficulties in supporting less prepared clients.

关键词： Skills in Lifestyle Counseling Readiness of Behavior Change Public Health Nursing Lifestyle-Related Disease

Relationship between Reflective Practice Skills and Volume of Writing in a Reflective Journal

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Health 2018年第3期10卷 283-288页

作者： Miho Tanaka reiko okamoto Keiko Koide Sakai City North Health Center Sakai Japan Division of Health Sciences Graduate School of Medicine Osaka University Osaka Japan Former Graduate School of Health Sciences Okayama University Okayama Japan Faculty of Education Shitennoji University Osaka Japan

Background: According to the diversification of the health needs and the expansion of health disparities, public health nurses need to improve their practical capabilities, starting from basic education in graduate and undergraduate courses. And Reflective Practice with using reflective journal is one way of improving practical capabilities. The purpose of this study was to investigate the relationship between the volume of reflective journal and the quality of progress in the reflective cycle. Methods: The participants in this study were 20 junior students majoring in public health nursing (hereinafter “PHN students”) at a university in the Chugoku area, Japan. We asked the participants to answer the questions on Reflective Practice Skills (RPS) composed of six criteria corresponding to the six questions of Gibbs on the reflective cycle before and after they started writing RJ. The volume of reflective writing was measured by the number of characters written by the PHN students in RJ of the reflective practice for three months. The study plan was approved by the Ethics Committee for Nursing Study, Okayama University. Results: Although the average total RPS score showed a change of about 3 points as a result of the 3-month RJ writing exercise, no correlation was observed between the RPS score and the RJ writing volume (r = 0.175). However, we did observe a moderately positive correlation between the RPS score and the RJ writing volume with regard to Items 5 and 6 (r = 0.475 and r = 0.444, respectively). Conclusion: This study indicated that detailed RJ writing helps to complete the reflective cycle all the way to theorization and action planning, and that the volume of writing may serve as a criterion for qualitative evaluation.

关键词： Reflective Journal Public Health Nursing Student Reflective Skill

Realities of Reflective Practice Skill among Public Health Nurses in Japan and Related Learning and Lifestyle Factors

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Open Journal of Nursing 2017年第5期7卷 513-523页

作者： reiko okamoto Keiko Koide Yuki Maura Miho Tanaka Division of Health Sciences Graduate School of Medicine Osaka University Osaka Japan Faculty of Education Shitennoji University Osaka Japan Faculty of Nursing and Rehabilitation Konan Women’s University Hyogo Japan Sakai City North Health Center Sakai City Japan

Background: According to the diversification of the health needs and the expansion of health disparities, it is necessary to raise their reflective practice skills so that PHNs present more appropriate activities. The purpose of this study was to elucidate the realities of reflective practice skills among public health nurses in Japan and identify related factors. Methods: This study covered 1725 public health nurses in the Chugoku/Shikoku area. We conducted an anonymous self-completed questionnaire survey. As reflective practice skills (RPS), we adopted the six components of the six cycles of the Gibbs reflective model. We used the 20 criteria of the Scale for Practical Competence (SPC). We set 25 learning history/daily lifestyle items. The study plan was approved by the Ethics Committee of Okayama University. Results: We analyzed the 962 (55.8%) valid responses. Although years of experience as a public health nurse was highly correlated with practical skills as measured by SPC, with a correlation coefficient of 0.627, it was not closely related with RPS, with a correlation coefficient as low as 0.129. A logistic regression analysis of the eight learning history items and six daily lifestyle items associated with RPS, with the introduction of the high/low RPS groups as dependent variables, showed a convergence to five factors (odds ratio of 1.38 - 2.29). Conclusions: Going forward, we will need to consider how to accumulate learning on a daily basis and how to include positive health practice in PHN education, in connection with exploring the curriculum and method of training.

关键词： Reflective Practice Public Health Nursing Education Skill Related Factors

Actual Status of Healthy Lifestyle Habits of Public Health Nurses in Japan

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Health 2018年第2期10卷 189-203页

作者： Yoko Nishida Keiko Koide reiko okamoto Saori Iwamoto Kayoko Goda Hiroko Seki Yukiko Sugimoto Department of Nursing Faculty of Health and Welfare Kawasaki University of Medical Welfare Okayama Japan Faculty of Education Shitennoji University Osaka Japan Division of Health Sciences Graduate School of Medicine Osaka University Osaka Japan Graduate School of Biomedical Sciences Tokushima University Tokushima Japan Faculty of Nursing and Rehabilitation Konan Women’s University Hyogo Japan Former Graduate School of Health Sciences Okayama University Okayama Japan

Background: The public health nurse should make efforts to keep his/her own mental and physical health good, which is the professional responsibility. However, a variety of challenging issues have been pointed out with regard to well-being of healthcare professionals. Public health nurses are likely to face some difficulties in their habits of leading healthy lifestyles. The purpose of this study was to identify how Japanese public health nurses actually live their healthy lives. Methods: This study covered 1725 public health nurses in the Chugoku/Shikoku Region. We conducted an anonymous self-completed questionnaire survey. As basic attributes, the following 6 categories were set. The health practice indices used in this research consisted of the 7 practices of Breslow’s Health Practice Index (B-HPI), the Morimoto’s 8 practices, and 6 practices related to lifestyle habits that have been developed independently by the authors of this research (Health Lifestyle Index (HLI)), that is, 16 practices in total. The study plan was approved by the Ethics Committee of Okayama University. Results: We analyzed the 960 (55.7%) valid responses. This survey has demonstrated that the healthy life-style practices of public health nurses are generally good. However, there were some practices such as eating between meals, having little physical activity, and not having a good rest/sleep, that need to be improved. None of the assessment tools correlated with the length of experience. Conclusions: This survey has clarified that the healthy lifestyle practices of public health nurses did not correlated with their length of experience, indicating that the healthy lifestyle practices are not intensified by the accumulated career experience as public health nurses.

关键词： Public Health Nursing Related Factors Health Practice Breslow’s Health Practice