The Process of Structuring Community Health Needs by Public Health Nurses Through Daily Practice: A Modified Grounded Theory Study

Abstract

It is extremely difficult to apply the model learned in basic education for public health nurses (PHNs) to conduct community health assessments. The purpose of this study was to clarify the process by which community health needs can be structured through PHNs' daily practice. Methods: Semistructured interviews were conducted in 29 PHNs, and continuous comparative analysis using a qualitative study was performed with a modified grounded theory approach. Results: The participants "used their five senses to understand the relationship between the health and life of people" and "considered those who do not attend" by "learning from stakeholders." To verify such subjective feelings sourced from vague phenomena within the communities, subjective phenomena were converted into qualitative data. Conclusion: The application of the findings to organizational continuous education systems may not only help appropriately improve community health assessment methods but can also help improve the evaluation of daily practice and contribute to professional human-resource development.

Factors associated with the utilization of community assessment models among Japanese nurses

“…The low percentage of model utilizing PHNs in this study was caused by both the working environment and the lack of practical model. Okura (2019) indicated that PHNs were too overwhelmed with supporting high risk cases to develop community need based activities. She clarified the process by which municipal PHNs identified health problems in their daily practice using qualitative research.…”

Meta-Synthesis Of Community Health Nursing Strategy

“…The results of several qualitative studies highlight that community health nursing plays a major role in addressing health disparities that occur in society. This needs to be supported by the presence of nurses' self-ability in carrying out nursing care, namely by building confidence and skills (Aston et al, 2009), able to reflect on and learn from experience (M. A Mabhala, 2013), have a keen interest in performing tasks, and are able to provide supervision to the community (Okura, 2019).…”

“…Community health nursing has grown very significantly in recent years. This development must also go hand in hand with improving the quality of nursing care by providing innovation, active involvement, and a skilled ability to provide quality services (Markham & Carney, 2008), conduct and evaluate clinical practice (Okura, 2019). This is used as the basis for a health strategy to obtain the health status of an individual or population related to quality of life (Mabhala, 2013).…”

“…Through community visits and learning from stakeholders, stakeholders can understand the various characteristics of society by using the five senses in understanding the relationship between health and life in the community. This is a way to get a picture of the situation as a whole, both subjective and objective phenomena in the community (Okura, 2019).…”

“…Home visits as a way of reorienting the care model and implementing health promotion (Jucelia Salgueiro et al, 2013). Thus, nurses will more often visit the community for which they are responsible (Okura, 2019).…”