Mixed‐method analysis of the quad council competencies for public health nurses

Harmon, Monica; Joyce, Barbara; Johnson, Regina Gina H; Hicks, Vicki; Brown-Schott, Nancy; Pilling, Lucille

doi:10.1111/phn.13009

Cited by 3 publications

(2 citation statements)

References 34 publications

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“…Additionally, senior and managerial PHNs play a vital role in bridging community needs assessment and grassroots projects in ways that support novice PHNs. Clarifying and translating PHNs’ tacit knowledge into explicit knowledge would be essential to developing health care systems [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

New Web-Based System for Recording Public Health Nursing Practices and Determining Best Practices: Protocol of an Exploratory Sequential Design

Yoshioka‐Maeda¹,

Matsumoto²,

Honda³

et al. 2023

JMIR Res Protoc

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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

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Section: Discussionmentioning

confidence: 99%

New Web-Based System for Recording Public Health Nursing Practices and Determining Best Practices: Protocol of an Exploratory Sequential Design

Yoshioka‐Maeda¹,

Matsumoto²,

Honda³

et al. 2023

JMIR Res Protoc

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“…Utilization of the competencies is important to encourage the integration of C/PHNs in all aspects of their organization (Harmon et al., 2022). Nurses were at the forefront of the Centers for Disease Control and Prevention (CDC) response to the pandemic.…”

Section: Introductionmentioning

confidence: 99%

The use of Community/Public Health Nursing Competencies during the COVID‐19 pandemic

Smith,

Klein,

Smith

2024

Public Health Nursing

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Objectives(1) Ascertain the use of the Quad Council Competencies for Community/Public Health Nursing (QCC‐C/PHN) Competencies by community/public health nurses (C/PHNs) during the COVID‐19 pandemic; (2) Inform from a systems‐level the need to sustain the C/PHN workforce; (3) Assess the C/PHN infrastructure for response capacity.DesignCross‐sectional. Statewide email distribution lists were used for dissemination.SampleConvenience sample (n = 169) obtained using emailed Qualtrics link with the eligibility criteria of self‐identification as a C/PHN who works in the state of Missouri.MeasurementsDemographic questions included employment sector, nursing education level, years of nursing, and C/PHN experience. Two Likert‐type questions and one optional open‐text question were created for the eight domains.ResultsOne hundred sixty‐nine participants’ data were analyzed. One hundred fifty‐four were employed in a local public health agency. Total 63.2% held a bachelor's degree in nursing or higher. The average number of years of nurse experience was 20.84, and C/PHN experience was 9.84. The domain of Communication Skills scored highest and Cultural Competency was the lowest. Three themes emerged from the open‐ended questions including vulnerabilities of the public health system.ConclusionUnderstanding the experiences of C/PHNs in Missouri related to the utilization of QCC‐C/PHN competencies informs efforts to strengthen public health infrastructure and target resources to equip Missouri's C/PHNs.

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New Web-Based System for Recording Public Health Nursing Practices and Determining Best Practices: Protocol of an Exploratory Sequential Design (Preprint)

Yshioka-Maeda¹,

Matsumoto²,

Honda³

et al. 2022

Preprint

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BACKGROUND Digitalization and information and communication technology (ICT) promote effective and efficient care for individuals and communities. Previous research has primarily focused on hospital or clinic-based individual care. Due to most public health nursing practices being based on tacit knowledge among public health nurses and having yet to be standardized, little work has been done on the function of ICT in public health nursing. OBJECTIVE The protocol of this study aims to develop and validate an electronic recording and management system for the evaluation of the necessity of different public health nursing practices, including individual care, community-based activities, and project development, and for the according determination of their best practices. METHODS This study used an exploratory sequential design. Set in Japan, this study consists of two phases. Phase 1 comprises a panel discussion to develop the system’s structure and content with supervisory public health nurses in local governments. Phase 2 comprises interviews and a nationwide questionnaire survey distributed to supervisory and mid-career public health nurses across local governments. RESULTS Data collection will be completed in January 2023. CONCLUSIONS This study will reveal public health nurses’ tacit knowledge about their practices and assess the necessity of different approaches. Additionally, this study will promote evidence, information, and communication technology-based practices in public health nursing. The system will enable public health nurses to record their daily activities and share them with their supervisors to improve their performance, community care, and health equity. Furthermore, supervisory public health nurses can use the findings of this study to create benchmarks for the performance of each staff and their department. CLINICALTRIAL UMIN000049411.

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Mixed‐method analysis of the quad council competencies for public health nurses

Cited by 3 publications

References 34 publications

New Web-Based System for Recording Public Health Nursing Practices and Determining Best Practices: Protocol of an Exploratory Sequential Design

New Web-Based System for Recording Public Health Nursing Practices and Determining Best Practices: Protocol of an Exploratory Sequential Design

The use of Community/Public Health Nursing Competencies during the COVID‐19 pandemic

New Web-Based System for Recording Public Health Nursing Practices and Determining Best Practices: Protocol of an Exploratory Sequential Design (Preprint)

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