担当区分：筆頭著者   記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：Elsevier {BV}  

DOI： 10.1016/j.puhip.2020.100005

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担当区分：筆頭著者   記述言語：英語  

DOI： 10.1111/jan.14526

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担当区分：筆頭著者   記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.1111/jjns.12274

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掲載種別：研究論文（学術雑誌）  

DOI： 10.1016/j.pedn.2026.07.006

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

BACKGROUND: Developmental dysplasia of the hip remains a preventable yet underdiagnosed condition. Conventional screening strategies that rely on physical examination demonstrate limited sensitivity and fail to achieve comprehensive population coverage. Although universal ultrasound screening has shown promise, evidence supporting scalable, sustainable, and nurse-led community-based implementation models within real-world public health systems remains limited. OBJECTIVE: To evaluate a nurse-led community-based ultrasound hip screening program integrated into routine maternal and child health services in Japan using the Reach, Effectiveness, Adoption, Implementation, Maintenance framework. DESIGN: A prospective cohort study with a mixed-methods design. SETTINGS: Three rural Japanese municipalities (February 2024 to August 2025). PARTICIPANTS: Public health nurses, midwives, infants, and their caregivers who underwent routine newborn home visits or child-rearing consultations in the participating municipalities. METHODS: The existing maternal and child health services evaluated across the following dimensions: Reach (coverage rate); Effectiveness (the proportion and mean age of infants referred early to medical institutions, and caregiver-reported outcomes following referral); Adoption (nurse adoption rate); Implementation (the proportion of ultrasound images meeting Graf's criteria, examination time, operational challenges, and cost); and Maintenance (continuation and policy integration). Ultrasound images were uploaded to a secure encrypted cloud server and interpreted remotely by Graf-certified pediatric orthopedic surgeons, with structured feedback provided to nurses throughout the implementation process. RESULTS: A total of 818 examinations were performed in 349 infants. The estimated coverage rate was 95.6%, indicating a near-universal range. Standard-plane images meeting Graf's criteria were obtained in 85.8% of examinations. Non-Type I hips accounted for 8.7% of cases, and 7.0% of infants were referred for further evaluation. Of these referred infants, 97.6% visited medical institutions, 54.8% required continued follow-up, and 4.8% required treatment. Adoption was high, with 95.5% of trained nurses conducting screenings. Implementation challenges included infant positioning, data-upload errors, and limited digital integration; however, interprofessional feedback from orthopedic surgeons improved technical performance. Ultrasound visualization enhanced caregiver understanding and facilitated timely adherence to referral recommendations. All municipalities continued screening, demonstrating strong maintenance. CONCLUSIONS: Nurse-led ultrasound hip screening can be feasibly integrated into routine maternal and child healthcare systems. This model enables early identification of suspected developmental dysplasia of the hip without clinical signs, and offers an equitable approach in resource-limited settings from a precision public health nursing perspective. REGISTRATION: University Hospital Medical Information Network Clinical Trial Registry; UMIN000051929 (https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_his_list.cgi?recptno=R000059248). Registration date: September 16, 2023. Start of recruitment: November 01, 2023. SOCIAL MEDIA ABSTRACT: Nurse-led community ultrasound hip screening achieved 95.6% coverage, and 8.7% of the screened infants had a suspected dislocation or hip dysplasia.

DOI： 10.1016/j.ijnurstu.2026.105552

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

OBJECTIVE: Physical assessment by public health nurses is vital for childhood health, but its education remains unclear. This study examines the structure, process, and outcomes of physical assessment education for newborn and infant home visits in public health nursing schools. DESIGN: Nationwide cross-sectional study. SAMPLE: Of the 280 public health nursing schools in Japan, 85 were analyzed. MEASUREMENTS: Survey based on Donabedian's model: structure (e.g., program type), process (e.g., practice-oriented education score), and outcome (e.g., proportion of graduates who achieved the graduation goal). Descriptive statistics and regression analysis were conducted. RESULTS: Although 69.4% of schools rated physical assessment education as "very important," graduation goals varied substantially: 11.8% targeted "Does independently with minimal guidance," 32.9% "Does under supervision," 50.6% "Shows," and 4.7% "Knows." Practice-oriented education scores ranged widely across schools (9-80). Higher graduation goal levels were significantly associated with greater practice-oriented education (B = 5.669, p = 0.024). Greater practice-oriented education was positively associated with higher proportions of graduates achieving graduation goals (B = 0.029, p = 0.042). CONCLUSIONS: Substantial variability exists in the structure and delivery of physical assessment education for newborn and infant home visits. Strengthening practice-oriented, competency-based education may support more consistent competency development in foundational education. TRIAL REGISTRATION: Clinical trial registration was not required for this study.

DOI： 10.1111/phn.70138

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記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：Elsevier BV  

BACKGROUND: Conventional physical examinations sometimes fail to detect developmental hip dysplasia. Ultrasound hip screening, non-invasive and radiation-free, can identify these cases earlier, and nurse-led maternal, newborn, and infant home visits and childcare consultations at community health centers offer an ideal platform for community implementation. Knowing the relationship between Objective Structured Clinical Examination scores and nurses' ability to capture diagnostic-quality hip images would inform training standards and credentialing, ensuring safe scale-up of nurse-led hip-screening services. However, this link remains unknown. OBJECTIVE: To examine the association between Objective Structured Clinical Examination performance and nurses' success in capturing standard hip ultrasound images during maternal and child health service consultations. DESIGN: Prospective cohort study. SETTINGS: Three municipalities in Japan. PARTICIPANTS: The study included 21 nurses (18 public health nurses, 1 registered nurse, and 2 midwives). METHODS: Participants completed an e-learning course, knowledge tests, hands-on training seminars, and the Objective Structured Clinical Examination before undergoing ultrasound examinations during home visits. Two trained researchers assessed exam performance using a global rating scale (range: 1-6), total score (range: 0-360 points), image acquisition time, and successful capture of standard images of the right and left hips using phantoms-infant-shaped models for training ultrasound hip screening. Pediatric orthopedic surgeons evaluated the ultrasound images obtained during home visits between February 2024 and May 2025. Linear regression analysis examined the associations among participant demographics, examination performance, and imaging success rates. RESULTS: The mean examination global rating score was 4.48 (standard deviation = 0.66), and the mean total score was 330.8 (standard deviation = 22.0). During home visits, 611 ultrasound examinations were conducted, of which 494 (80.9%) were successful. The success rate did not vary substantially based on the cumulative number of examinations performed by each nurse. Lower age (B = -5.2, p = 0.030) and successfully capturing a standard plane of the left hip during the examination were associated with significantly higher imaging success rates in maternal and child health service consultations (84.7% vs. 71.4%, p = 0.039). A shorter image acquisition time (B = -0.1, p = 0.009) was also significantly associated with higher success rates. CONCLUSIONS: Successful capture of left-hip image and faster performance during the Objective Structured Clinical Examination independently predicted nurses' field imaging success, supporting this examination as a readiness checkpoint and guide for targeted remediation. REGISTRATION: University Hospital Medical Information Network Clinical Trial Registry; UMIN000051929 (https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_his_list.cgi?recptno=R000059248). Registration date: 16/09/2023. Start of recruitment: 01/11/2023. SOCIAL MEDIA ABSTRACT: Objective structured clinical examinations predict the success of nurses in hip ultrasound screening during real-world practices.

DOI： 10.1016/j.ijnsa.2025.100449

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記述言語：英語  

DOI： 10.1111/jocn.70375

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.1186/s12912-026-04520-3

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

AIMS: Early detection of developmental dysplasia of the hip in newborns and infants is essential to ensure lifelong mobility. As several municipalities conduct nurse-led hip ultrasound screenings during newborn and infant home visits, nurses must acquire the accurate technique smoothly and effectively. Clarifying the challenges nurses face when performing ultrasound procedures helps support effective education. This study aimed to identify challenges inexperienced nurses face when performing basic ultrasound using the Graf-method in home settings. DESIGN: Descriptive case study. METHODS: Ultrasound training was provided to 22 nurses in Japan to enable use during newborn and infant home visits. We analyzed 25 video cases from three nurses who required > 180 s to obtain a standard plane image. Videos were transcribed and inductively analyzed to identify challenges with reference to Yin's case study methodology. RESULTS: Conditions of the challenges were categorized into knowledge, skills, and attitudes with reference to Bloom's taxonomy. The knowledge gap led to the failure to correctly judge whether the femoral head/standard plane was captured. Skill deficiencies led to failure to move the probe vertically and difficulty maintaining the infant's straight lateral position. The combination of inadequate knowledge and skills resulted in failures to (1) place the probe directly over the femoral head, (2) display the image in the correct position and orientation, and (3) move the probe correctly regarding direction and range while maintaining the image in the correct position and orientation. Regarding attitude gaps, nurses failed to improve the procedure. CONCLUSIONS: Improving ultrasound proficiency for developmental hip dysplasia detection requires training in anatomy integration, sensory experience, and probe-screen coordination while addressing posture, equipment handling, and motor skills. TRIAL REGISTRATION: University Hospital Medical Information Network Clinical Trial Registry: UMIN000051929.

DOI： 10.1155/jonm/8226375

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掲載種別：研究論文（学術雑誌）  

DOI： 10.1111/JOCN.70173

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

AIM: To evaluate the effect of satogaeri, a Japanese custom of mothers returning to their parents' home for perinatal and postnatal support, on the health statuses of mothers and infants and the child-rearing support from the surrounding environment. METHODS: We conducted a retrospective cohort study of all pregnancies reported at a city in Tokyo in 2020. Propensity score matching was performed between expectant mothers with the intention to have satogaeri (satogaeri group) and those without (residence group), with age, birth order, place of their parents' residence, and other psychosocial conditions at pregnancy reporting as variables. Follow-up data on mothers and infants from the newborns' 4-month checkup were compared. RESULTS: We analyzed 1559 expectant mothers, including 399 who had satogaeri. Follow-up data of 270 and 314 in the satogaeri and residence groups, respectively, were compared after matching. Satogaeri was associated with neither infants' 4-month checkup results, including pediatrician assessments (no abnormality: satogaeri group 54% vs. residence group 46%, p = 0.342), nor mothers' health conditions, including perceptions of parenting difficulties (12% vs. 13%, p = 0.749). However, satogaeri was associated with increased support from the mothers' families (65% vs. 55%, p = 0.013) and decreased support from neighbors (0% vs. 3%, p = 0.013). More mothers in the satogaeri group tended to lack knowledge of the city's childcare services (16% vs. 11%, p = 0.052). CONCLUSIONS: Satogaeri was not associated with the health status of mothers and infants at the 4-month checkup. The possible effects of satogaeri suggest the necessity for continuous support for families that select satogaeri.

DOI： 10.1111/jog.70171

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記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：MDPI AG  

Japan’s rapidly aging population necessitates new approaches that enable citizens to actively participate in caring for themselves and others. However, a comprehensive framework defining the specific competencies needed for this critical community role has not yet been established. This study, therefore, aimed to define the novel concept of “care competency” and establish a consensus on its comprehensive component list for community citizens. We defined care competencies and developed a list using a modified Delphi technique (RAND/University of California, Los Angeles) involving 10 nursing researchers. Items were adapted from Japan’s Model Core Curriculum for Nursing Education, and a total of 528 items were evaluated and refined. In this study, care competency was defined as the complex ability to acquire and utilize knowledge and skills, based on evidence and intentional choices, to maintain the well-being of oneself, loved ones, and people in the community. The Delphi process identified 151 care competency items. This study thereby presents a novel framework that provides a foundation for developing globally applicable educational programs to foster mutual support and effective caregiving.

DOI： 10.3390/ijerph22121774

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

AIM: To clarify how public health nurses allocate their time across various tasks and compare time-use patterns between prefectural and municipal public health nurses in Japan, where distinct administrative mandates define their roles. DESIGN: A self-reported, prospective time study. METHODS: Public health nurses from two municipalities and one prefecture recorded their daily practices and time allocations using Kintone. Time allocation differences by administrative level and job position were analysed using linear mixed-effects models. RESULTS: Overall, 121 participants contributed 9502 person-days of data. Participants spent an average of 463.6 min/workday on work-related activities. Municipal public health nurses dedicated more time to application paperwork (64.0 min), health examinations (57.6 min), and individual coordination (48.3 min). Prefectural public health nurses allocated more time to business management and organisational operations (69.0 min) and traveliing, particularly in rural contexts. Managers spent less time on direct care and more on administrative tasks. CONCLUSION: This study provides the first quantitative, self-reported evidence of task distribution among public health nurses across administrative levels and positions. The findings reflect structural differences in role expectations and underscore the need to reallocate workloads to better align with each level's mandate. IMPLICATIONS FOR THE PROFESSION: Task prioritisation, information and communication technology tool integration, and administrative support are essential in optimising public health nurses' contributions to community health. These strategies can reduce non-clinical workload and enable public health nurses to focus on high-impact, value-added public health services that promote health equity. IMPACT: This study closes a longstanding gap by quantifying PHNs' time allocation, revealing the hidden burden of administrative work, and providing critical insights for workforce planning and sustainable public health service delivery. REPORTING METHOD: This study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology guideline. PATIENT OR PUBLIC CONTRIBUTION: No Patient or Public Involvement. TRIAL REGISTRATION: UMIN Clinical Trials Registry; UMIN000051509 (https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_his_list.cgi?recptno=R000058761; August 1, 2023).

DOI： 10.1111/jan.70314

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

OBJECTIVES: This study demonstrated the usability of a co-designed benchmarking dashboard for supervisory public health nurses (PHNs) and their staff and identified supervisory PHNs' management challenges and strategies for system use. DESIGN: Descriptive case study. SAMPLE: Fifty-seven PHNs from three municipalities participated in the study using snowball sampling. MEASUREMENTS: Feedback was collected before, during, and after the dashboard development on the Kintone app. Participant attrition and System Usability Scale (SUS) scores were used to evaluate the dashboard's feasibility and usability using descriptive statistics. Content analysis was conducted to identify supervisory PHNs' management challenges and strategies for system use. RESULTS: There were no dropouts. The dashboard achieved an SUS score of 67.5, slightly higher than that of the existing system (66.0). Management challenges included human resource development, managing numerous individual cases, and conducting communityased activities. Dashboard use strategies included advancing evidence-based human resource development and strengthening data-driven management. CONCLUSIONS: Per the findings, strategies for developing the benchmarking dashboard supported evidence-based workforce management and promoted reflective practices, suggesting that dashboard systems can enhance supervisory PHNs' leadership and improve the quality and equity of community health services. TRIAL REGISTRATION: University Hospital Medical Information Network (UMIN) Clinical Trials Registry: UMIN000051509 [https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000058761].

DOI： 10.1111/phn.70023

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

AIMS: To assess the reliability and validity of a negative emotion scale for public health nurses conducting child abuse prevention activities. DESIGN: A four-phase mixed method design. METHODS: Participants were public health nurses with experience in child abuse prevention across Japan. The initial scale was developed and refined based on previous studies, expert panel reviews, interviews with public health nurses, and a questionnaire-based pilot study. In 2024, 549 public health nurses completed a questionnaire on scale items. Item analysis, exploratory factor analysis, confirmatory factor analysis, comparisons with a preexisting scale, the number of times negative attitudes and the types of behaviours exhibited by parents were used to narrow the scale and assess its psychometric properties. RESULTS: Item analysis and exploratory factor analysis reduced the scale to 15 items on two factors: 'negative emotions toward aggressive and emotional attitudes' and 'negative emotions toward rejecting and uncooperative attitudes.' Confirmatory factor analysis indicated a good model fit. The Cronbach's alpha was high, and the negative emotions scale score positively correlated with the pre-existing scale, negative attitudes and parental behaviours. CONCLUSIONS: The Cronbach's alpha coefficient and other factors confirmed the scale's reliability, and correlations with other scales confirmed its validity. IMPLICATIONS FOR THE PROFESSION: Evaluating negative emotions provides critical insights into the quality of support and its influence on psychological well-being. IMPACT: By assessing negative emotions that public health nurses find difficult using this scale, the support system for them can be examined. REPORTING METHODS: STROBE checklist for cross-sectional studies was followed. PATIENT OR PUBLIC CONTRIBUTION: Public health nurses were involved in the generation of items for the scale. Their perspective was sought in determining the items for the scale. TRIAL AND PROTOCOL REGISTRATION: Registered in the UMIIN Clinical Trial Registry (UMIN-CTR ID UMIN000054650).

DOI： 10.1111/jocn.70128

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

BACKGROUND: Ultrasound hip screening is crucial for the early detection of developmental dysplasia (DDH), but little is known about standardized training approaches for nurses. This study aimed to evaluate an educational program combining web-based learning and objective structured clinical examination (OSCE) training to improve nurses' knowledge and skills in ultrasound hip screening and DDH prevention during universal neonatal and infant home visits. METHODS: The program targeted two objectives: (1) to enable nurses to understand the Graf method and acquire standard plane ultrasound images, and (2) to equip them to provide preventive health education on DDH. The intervention included five web-based modules and a two-day OSCE-based hands-on program, supervised by orthopedic pediatric surgeons. Outcomes included (1) knowledge test scores obtained from the web-based modules (range: 0-50 points), (2) OSCE scores (36 items, range: 0-360; global rating ≧3 on a 1-6), including delivery of preventive health education, (3) ability to capture a standard plane image using a phantom within three minutes, and (4) ability to capture a standard plane image with infant volunteers, assessed by medical supervisors. RESULTS: Nineteen participants (18 public health nurses and one midwife) from three municipalities completed the program. The mean knowledge test score was 47.2 (SD: 2.2), and the mean OSCE score was 329.3 (SD: 21.7), with a global rating of 4.4 (SD: 0.7). All participants conducted the preventive health education component. Eighteen participants (right hip) and 17 (left hip) successfully captured standard plane images using a phantom within three minutes. In scans of 39 infant volunteers, 34 scans (87.2%) successfully captured the standard plane; participants self-reported 31 as successful, though two were objectively classified as failures. CONCLUSIONS: The educational program improved nurses' ultrasound hip-screening skills and their capacity to deliver preventive health education during universal home visits. These findings support the potential feasibility of expanding nurse-led ultrasound screening and DDH prevention efforts in community settings. TRIAL REGISTRATION: This study was registered with the University Hospital Medical Information Network Clinical Trial Registry before starting the study (No. UMIN000051929, August 16, 2023).

DOI： 10.1186/s12909-025-07519-7

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記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：Wiley  

ABSTRACT

Objective

This study aimed to develop essential individual care needs assessment (EICNA) items and evaluate the validity of that judgment.

Design

We used a sequential two‐phase design for this study.

Methods

Item selection was conducted using φ coefficients between these items’ values and the care need levels and discussions with supervisory PHNs. Phase 1 was a cross‐sectional, nationwide survey of 275 mid‐level public health nurses (PHNs) from 196 municipalities in Japan (December 2022 to January 2023), including 46 potential EICNA items. In Phase 2, PHNs piloted the EICNA items in clinical settings, entering data into a web‐based system that used an algorithm to determine care need levels based on the weighted sum of 21 items (August 2023 to January 2024). Thereafter, the PHNs evaluated the appropriateness of the algorithm's judgments.

Results

Twenty‐one essential items were identified. Among 1867 cases, care need levels were categorized as low (n = 1008, 54.0%), moderate (n = 652, 34.9%), and high (n = 207, 11.1%), with 94.9% of PHNs considered the algorithm's classifications appropriate.

Conclusion

Twenty‐one EICNA items were identified to assess the care needs, and the level of care needs determined by the weighted sum of these items was deemed appropriate by PHNs.

Trial Registration: UMIN000051509 (https://www.umin.ac.jp/ctr/; August 1, 2023).

DOI： 10.1111/phn.13545

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記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：SAGE Publications  

Introduction

Early identification of developmental dysplasia of the hip (DDH) is necessary to minimize its negative effects. Ultrasound screening is useful for detecting DDH in hospitals. Awareness about community-based screening systems is low in Japan. Despite established nationwide home visiting services and child health checkups in the country, more than 10% of DDH patients are diagnosed at the age of ≥1 year. This review aimed to clarify the status of universal ultrasound screening for DDH among infants in community settings in Japan.

Methods

The electronic databases of Igaku Chuo Zasshi, MEDLINE, CHINAL, ERIC, and APA PsycInfo were searched for articles published between 2002 and 2022. Articles were evaluated with the reach, effectiveness, adoption, implementation, and maintenance framework.

Results

In total, 148 articles were identified. Two articles were manually added, and 67 articles were excluded through abstract reviews, of which 20 were duplicates. Finally, 18 articles were included in the analysis. There are two types of universal ultrasound screening in community settings: municipality-led and hospital-led. Since 1992, municipality-led screening has been conducted during public infant health checkups in five municipalities. Six hospitals implemented ultrasound screening. The participation rate was around 90%. The Graf method is typically used for this purpose. The prevalence of abnormal hips was 3.6%–16.6%. Owing to limited human resources and skills in ultrasound, all studies mentioned the necessity of a universal screening system for the early detection of DDH.

Conclusion

Embedding universal ultrasound screening in community health checkup systems enables collaboration between healthcare professionals and caregivers to improve health inequities and ensure early detection of DDH cases.

DOI： 10.1177/23779608241272462

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その他リンク： https://journals.sagepub.com/doi/full-xml/10.1177/23779608241272462

記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：MDPI AG  

Ultrasound hip screening is suitable for the early identification of developmental dysplasia of the hip (DDH). Newborn and infant home visits are good opportunities for hip screening in the community, but studies focusing on nurse-led screenings are lacking. Based on a pre–post design, this study aims to develop and evaluate an ultrasound training program to improve nurses’ assessment skills in detecting DDH cases during newborn and infant home visits. Said educational program will include e-learning, hands-on seminars, and clinical training. The primary outcome will be the success rate of imaging standard planes (standardized images for hip assessment) in clinical training. The secondary outcomes will include knowledge test results, objective structured clinical examination scores, time required for imaging, and inter-rater reliability between nurses and physicians. The educational program will address the issue of missed and late detection of DDH cases in resource-limited communities. This study will demonstrate the feasibility of procedures and the effectiveness of the educational program in 2024. The protocol was registered in the University Hospital Medical Information Network Clinical Trial Registry before starting the study (no. UMIN000051929, 16 August 2023).

DOI： 10.3390/nursrep14010012

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

OBJECTIVE: This study aimed to identify predictors of parenting difficulties at 18 months from the results of the 4-, 6-7-, and 9-10-month infant health checkups among caregivers who had not experienced difficulties at 4 months. DESIGN AND SAMPLES: This retrospective study used data from infant health checkups conducted in a city in Tokyo from November 2019 to October 2021. The participants were caregiver-child dyads of children who had undergone four checkups. Low birthweight, preterm, and multiple birth infants, and caregivers who experienced difficulties at 4 months were excluded. MEASUREMENTS: Data included caregiver, child-rearing environment, and child factors at the 4-, 6-7-, and 9-10-month checkups and caregivers' self-reported parenting difficulties at the 18-month checkup. RESULTS: Of the 555 caregivers, 48 (8.6%) experienced parenting difficulties at 18 months. Logistic regression analyses showed that mothers' physical condition (4 months), children being male, abnormal child growth (4 months), less than 10th percentile for children's height (6-7 and 9-10 months), and abnormal examination results (6-7 months) were significantly associated with parenting difficulties at 18 months. CONCLUSIONS: To prevent child abuse, public health nurses should consider the identified factors to detect and support caregivers with emerging parenting difficulties.

DOI： 10.1111/phn.13277

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記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：MDPI AG  

Early detection of developmental dysplasia of the hip (DDH) in children is crucial. Due to COVID-19, maternal and child health services have been suspended temporarily, increasing the risk of late detection of DDH. This study aimed to reveal Japan’s current situation regarding community hip screening for newborns and infants and to provide health guidance for caregivers regarding DDH. A web-based, nationwide cross-sectional survey was conducted between February and March 2023 (n = 1737). One public health nurse overseeing maternal and child health per municipality responded to the 2022 municipality hip screening system. Among the 436 municipalities that responded (response rate: 25.1%), 97.5% implemented hip screening within 4 months, and approximately 60% performed it during newborn home visits, while only 2.3% conducted hip ultrasound screening. Perfect checking of the risk factors for DDH during newborn home visits and training opportunities for home visitors must be improved. Educational programs regarding DDH for home visitors and caregivers are needed to prevent the late diagnosis of DDH. Furthermore, collaboration between pediatric orthopedic surgeons and nurses is crucial for developing effective community-based hip-screening systems by bridging the evidence and practice gap in the early detection of DDH.

DOI： 10.3390/nursrep13040121

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記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：JMIR Publications Inc.  

Background

Digitalization and information and communication technology (ICT) promote effective, efficient individual and community care. Clinical terminology or taxonomy and its framework visualize individual patients’ and nursing interventions’ classifications to improve their outcomes and care quality. Public health nurses (PHNs) provide lifelong individual care and community-based activities while developing projects to promote community health. The linkage between these practices and clinical assessment remains tacit. Owing to Japan’s lagging digitalization, supervisory PHNs face difficulties in monitoring each department’s activities and staff members’ performances and competencies. Randomly selected prefectural or municipal PHNs collect data on daily activities and required hours every 3 years. No study has adopted these data for public health nursing care management. PHNs need ICTs to manage their work and improve care quality; it may help identify health needs and suggest best public health nursing practices.

Objective

We aim to develop and validate an electronic recording and management system for evaluating different public health nursing practice needs, including individual care, community-based activities, and project development, and for determining their best practices.

Methods

We used a 2-phase exploratory sequential design (in Japan) comprising 2 phases. In phase 1, we developed the system’s architectural framework and a hypothetical algorithm to determine the need for practice review through a literature review and a panel discussion. We designed a cloud-based practice recording system, including a daily record system and a termly review system. The panels included 3 supervisors who were prior PHNs at the prefectural or municipal government, and 1 was the executive director of the Japanese Nursing Association. The panels agreed that the draft architectural framework and hypothetical algorithm were reasonable. The system was not linked to electronic nursing records to protect patient privacy. Phase 2 validated each item through interviews with supervisory PHNs using a web-based meeting system. A nationwide survey was distributed to supervisory and midcareer PHNs across local governments.

Results

This study was funded in March 2022 and approved by all ethics review boards from July to September and November 2022. Data collection was completed in January 2023. Five PHNs participated in the interviews. In the nationwide survey, responses were obtained from 177 local governments of supervisory PHNs and 196 midcareer ones.

Conclusions

This study will reveal PHNs’ tacit knowledge about their practices, assess needs for different approaches, and determine best practices. Additionally, this study will promote ICT-based practices in public health nursing. The system will enable PHNs to record their daily activities and share them with their supervisors to reflect on and improve their performance, and the quality of care to promote health equity in community settings. The system will support supervisory PHNs in creating performance benchmarks for their staff and departments to promote evidence-based human resource development and management.

Trial Registration

UMIN-ICDR UMIN000049411; https://tinyurl.com/yfvxscfm

International Registered Report Identifier (IRRID)

DERR1-10.2196/45342

DOI： 10.2196/45342

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.1177/1010539520982489

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記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：MDPI AG  

Most nursing simulation programs focus on persons’ healthcare needs in hospital settings, and little is known about how to identify them in home settings. This study aims to develop and validate a virtual reality (VR) simulation program for nursing students to improve their clinical reasoning skills and confidence in assessing persons’ healthcare needs in home settings. We developed a VR simulation program based on a literature review and expert discussion. In Phase 1, home visit nurses or public health nurses will validate the program through their interviews in 2022. In Phase 2, we will conduct a pilot and main single-blinded randomized trial for nursing students to confirm the effectiveness from 2022 and 2023. Participants will be randomly allocated into an intervention group using VR simulations and a control group receiving videos regarding three kinds of community residents’ lives [1:1]. After obtaining informed consent, the students will submit their anonymous data to the researchers to prevent associating their grade evaluation. The primary outcome will be their clinical reasoning skills. The second outcome will include their satisfaction and self-confidence. This study will examine the effectiveness of improving their clinical reasoning skills and confidence in assessing persons’ healthcare needs in home settings.

DOI： 10.3390/nursrep12040093

PubMed

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

Objective This study aimed to explore the support extended by prefectural public health nurses (PHNs) toward the human resource development (HRD) of municipal PHNs in Japan.Methods We performed a qualitative descriptive study involving nine prefectural PHNs from April 2019 to May 2020. The data were collected through semi-structured interviews using an interview guide, described qualitatively, coded, and then categorized.Results Five categories were extracted. "Clarifying the needs and problems related to HRD and daily PHN activities in the municipalities," "Creating an environment where all municipal PHNs have equal opportunities for off-the-job training," and "Helping municipal PHNs recognize the meaning of practice and develop an evaluation perspective" were extracted from the prefectural government PHNs and prefectural health center (HC) PHNs. "Clarifying problems and future prospects to encourage the growth of PHNs" and "Creating an environment where the significance and value of the activities of PHNs are recognized within the organization and HRD can easily take place" were extracted from the HC PHNs.Conclusion Much of the HRD support provided by the prefectural PHNs to the municipal PHNs was analogous to the PHN activities provided to the community and residents. To promote HRD effectively, prefectural PHNs should apply their individual care skills to the HRD of municipal PHNs.

DOI： 10.11236/jph.21-078

PubMed

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

This cross-sectional study aimed to (1) describe the unclassified contents of telephone consultation services provided by a public health center during the first wave of COVID-19 in Japan and (2) examine whether the contents required assistance from public health nurses (PHNs). We analyzed a total of 207 calls in which the purpose of the call was unclassified into pre-set categories. PHNs transcribed the exact text of the consultation conversations recorded from 25 March to 20 April 2020 in City A. Approximately half of the calls were from residents. Seven categories were extracted through a qualitative content analysis. The most common topic was infection control measures, where the presence of COVID-19 infection was assumed (n = 62); the second most common was extreme anxiety and fear of infection (n = 50). Questions about the COVID-19 response system (n = 30), discrimination and misunderstandings about COVID-19 (n = 24), and response measures for COVID-19 outbreaks within organizations (n = 18) were also included. The unclassified consultations included various topics, several of which required the expertise of a PHN. Each local government should consider sharing and task-shifting telephone consultation services among PHNs and other staff to reduce their burden and allow them to concentrate on conducting infection control more effectively.

DOI： 10.3390/healthcare9111593

PubMed

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

This study aimed to (1) describe the characteristics of community residents who used coronavirus disease 2019 (COVID-19)-related telephone consultation systems by public health nurses (PHNs) and (2) analyze the concerns they had during the first wave of COVID-19 in Japan. Among 1126 telephone consultations, PHNs recorded telephone consultations between 25 March, and 30 April, 2020, in City A, Japan. We analyzed 1017 consultations involving 799 (79%) community residents (resident group) and 218 (21%) organizational representatives (organization group) located in City A. Half of the consultations were made during midmorning, and most of the consultations were regarding COVID-19 symptoms. Among the resident group, visiting a primary care doctor was the most common recommendation by the PHNs; there was no difference in provision of consultation by sex. Health- and welfare-related organizations mainly consulted PHNs about "having COVID-19-related symptoms" and "undergoing PCR testing," and PHNs' recommended them to visit a primary care doctor and coordinate PCR testing. The results suggest that public health centers should provide more helpful information on COVID-19 that accurately reflects the concerns of the population.

DOI： 10.3390/healthcare9081022

PubMed

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

The number of coronavirus disease 2019-infected people taking treatment at home is increasing every day in Japan. Even though they need to be hospitalized, due to the inability to secure childcare, infected parents are taking medical treatment at home. This short report focused on developing a new childcare system in Japan for parents infected with coronavirus disease 2019. It is important that each public sector makes family-friendly policies to ensure the development of a childcare system equipped to deal with the current pandemic.

DOI： 10.1177/1010539520984361

PubMed

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

A combination of natural calamities and coronavirus disease 2019 (COVID-19) would cause a complex emergency. Modifying a disaster prevention plan to combat COVID-19, by developing an evacuation and monitoring system for the COVID-19 cases and their contacts who stay at their homes, is urgently needed in the public sector. This short communication presents a preparation for the complex disaster by public health nurses who could contribute to preventing risks and death of community-dwelling people.

DOI： 10.1177/1010539520947885

PubMed

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記述言語：英語  

DOI： 10.1111/jan.14409

PubMed

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.5582/bst.2016.01032

Web of Science

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出版者・発行元：株式会社医学書院  

DOI： 10.11477/mf.1664201859

CiNii Research

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J-GLOBAL

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記述言語：日本語   出版者・発行元：(株)医学書院  

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J-GLOBAL

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記述言語：日本語   出版者・発行元：(株)医学書院  

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記述言語：日本語   出版者・発行元：(公財)政策医療振興財団  

3歳時健診対象者633人に対し質問紙を郵送し、健診を受診した(対象児の保護者)550人中、質問紙に回答した369人から回答に欠損のあった31人を除いた336人を対象に、家の中で起こる子どもの不慮の事故による傷害の関連要因について検討した。転落、誤飲、やけど、おぼれの四つについては受診の有無を問わずいずれかの事故にあった子どもは全体の6割で、受診を伴う事故の経験者は13%、受診を伴わない事故の経験者は48%であった。受診の有無に関わらず各事故を経験した割合は転落46.4%、誤飲9.9%、やけど15.3%、おぼれ11.3%であった。家庭内で予防策を実施していない親については、子どもの基本的生活習慣や家族の習慣の実施状況との関連がみられ、健診で把握し予防策の実施に向けて介入できる可能性が考えられた。

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記述言語：日本語  

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種別：テレビ・ラジオ番組

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