Initiatives of a Public Health Nurse-centered Organization to Improve the Implementation Rate of the Specific Health Guidance

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  • 特定保健指導実施率向上の取り組みと組織作り
  • トクテイ ホケン シドウ ジッシリツ コウジョウ ノ トリクミ ト ソシキ ズクリ

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Abstract

<p>Objective: We investigated initiatives to improve the implementation rate of specific health guidance and their consequences.</p><p>Methods: We described the number of initial interview guidelines and the Health Guidance program’s continuous support from April 2011 to March 2018, and the annual implementation rate. We summarized the transition of numbers of the medical staff and the process improvement and organization development initiatives in chronological order for the same period.</p><p>Results: First, interviews were continued to increase from 357 in 2011 (54.0%) to 2,309 in 2018 (99.1%). The completion rate for continuation support increased from 20.1% in 2011 to 80.9% in 2018. We have systematically built the competence of the public health nurse over the years since joining the team. All the public health nurses experienced wide-ranging efforts in the health check-up center in the first year. A clerk in charge of specific health guidance was assigned in 2014. Since 2017, occupational safety, health activities, and health guidance have been conducted in the workplace.</p><p>Conclusions: The implementation rate improved steadily due to ingenuity. Our competence formations made it possible to cooperate with other staff members smoothly. Through OSH activities, we introduced the health guidance programs in workplaces. It was suggested that the public health nurse-centered organization fostered a culture of solving their problems with others and achieved high goals efficiently.</p>

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