Yoshioka-Maeda Kyoko, Katayama Takafumi, Shiomi Misa, Hosoya Noriko, Fujii Hitoshi, Mayama Tatsushi
Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
Department of Statistic and Computer Science, College of Nursing Art and Science, University of Hyogo, Hyogo, Japan.
Pilot Feasibility Stud. 2022 Apr 27;8(1):92. doi: 10.1186/s40814-022-01054-8.
Promoting of local healthcare planning is crucial for assisting public health nurses in improving community health inequities. However, there is no effective educational program for developing relevant skills and knowledge among these nurses. Therefore, this study aims to assess the feasibility of a newly developed web-based self-learning program to promote the involvement of public health nurses in the local healthcare planning process.
A pilot randomized control trial randomly allocated eligible public health nurses to intervention and control wait-list groups [1:1]. The former will be exposed to six web-based learning modules from July to October 2021. After collecting post-test data, the wait-list group will be exposed to the same modules to ensure learning equity. The primary outcome will be evaluated by implementing a validated and standardized scale designed to measure public health policy competencies at the baseline and post-intervention, while secondary outcome will be measured on an action scale to demonstrate the necessity of healthcare activities. The third outcome will be the knowledge and skills related to local healthcare planning by public health nurses. The participants will provide feedback through free descriptions on the trial feasibility and a web-based self-learning program to identify improvement points for continual refinement.
The results will provide suggestions in preparation for a future definitive randomized controlled trial. This will provide preliminary data for an intervention aimed at improving relevant competencies among public health nurses who are tasked with resolving health inequities in their respective communities through local health planning.
The protocol for this study was registered with the University Hospital Medical Information Network Clinical Trials Registry and approved by the International Committee of Medical Journal Editors (No. UMIN000043628 , March 23, 2021).
促进地方医疗保健规划对于协助公共卫生护士改善社区健康不平等状况至关重要。然而，目前尚无有效的教育项目来培养这些护士的相关技能和知识。因此，本研究旨在评估一项新开发的基于网络的自学项目的可行性，以促进公共卫生护士参与地方医疗保健规划过程。
一项试点随机对照试验将符合条件的公共卫生护士随机分配到干预组和对照等待名单组[1:1]。前者将在2021年7月至10月期间接触六个基于网络的学习模块。在收集测试后数据后，等待名单组将接触相同的模块，以确保学习公平性。主要结果将通过实施一个经过验证和标准化的量表来评估，该量表旨在测量基线和干预后的公共卫生政策能力，而次要结果将通过行动量表来衡量，以证明医疗保健活动的必要性。第三个结果将是公共卫生护士与地方医疗保健规划相关的知识和技能。参与者将通过对试验可行性和基于网络的自学项目的自由描述提供反馈，以确定持续改进的要点。
研究结果将为未来确定性随机对照试验的准备工作提供建议。这将为一项干预措施提供初步数据，该干预措施旨在提高公共卫生护士的相关能力，这些护士的任务是通过地方卫生规划解决各自社区的健康不平等问题。
本研究方案已在大学医院医学信息网络临床试验注册中心注册，并获得国际医学期刊编辑委员会批准（编号UMIN000043628，2021年3月23日）。
