A Study on Public Health Nurses Behavior in Settings of Mass Health Checkup for Elderly

DOI
  • Haraga Miki
    Department of Nursing, School of Health Sciences, University of Occupational and Environmental Health
  • Nomura Yoshiko
    Department of Nursing, School of Medicine, Oita University
  • Shiga Tazuyo
    Department of Nursing, School of Medicine, Oita University
  • Ide Chieko
    Department of Nursing, School of Medicine, Oita University

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Other Title
  • 老人保健法による集団健康診査実施場面での保健師の行動に関する研究

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Purpose : This study examined the importance and value of the behaviors and meanings, perceptions of public health nurses (PHNs) in settings of mass health checkups for elderly. Methods : Semi-structured interviews were conducted with 4 PHNs with at least 5 years of professional experience regarding the behaviors and meanings, perceptions of PHNs during health checkups. Behaviors were analyzed based on the stage and progress of the health checkups and whom the meanings of the behaviors were directed, while perceptions contributing to the behaviors were classified and organized into broad categories. Results : Among the 136 behaviors, "contact, report, confirm"-were observed during all process of health checkup. The 222 meanings of the behaviors were showed to : facilitate efficient, safe, and relaxed health checkups ; encourage relationship building among people ; and promote healthy behavior among local residents, community leaders, and health professionals. It was possible to classify the 22 instances in which it was good or useful as a perception that contributed to behaviors into 7 categories, and to classify the 12 hopes for the future into 6 categories. Discussion : The PHNs were constantly aware of the flow of the examinees in the conduct of health checkups as a whole, and they made an effort to play the role of a coordinator. They also had multiple intentions at the same time, and they put into practice activities that combined assistance skills and techniques. Seven points were suggested in terms of the importance and value of the high engagement levels of PHNs, including: "smooth conduct of health checkups," "deepening of relationships with residents," "getting to know the community," "identification of needs and tasks," "results of activities," "development and expansion of activities," and "introduction of administrative services."

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