Fujioka Mana, Okamoto Reiko, Miyamoto Keiko, Koide Keiko, Kageyama Masako, Saeki Kazuko, Hirokane Kazue, Nagano Fusami, Takemura Shinji
Former Division of Health Sciences, Osaka University Graduate School of Medicine , Yamadaoka 1-7, 565-0871, Suita-city, Osaka, Japan.
Division of Health Sciences, Osaka University Graduate School of Medicine, Suita-city, Japan.
BMC Nurs. 2024 Apr 22;23(1):253. doi: 10.1186/s12912-024-01800-8.
The workload of public health nurses (PHNs) working for local governments has been increasing as health issues become more diverse and complicated. Even amidst the ongoing administrative and fiscal reforms, there is an urgent need to ensure how effectively and efficiently public health nurses can practice in health service development. The objective of this research was to clarify the actual conditions of best practice transfer (BPT) and its related factors.
An anonymous postal and self-administered questionnaire survey was conducted among PHNs working at 334 sites, including the local government offices and health centers across Japan, and analysed mainly through logistic regression analysis.
One hundred eighty-five of the 334 institutions (55.4%) agreed to participate, and of the 966 questionnaire forms distributed, 709 forms (73.4%) were collected, of which 702 responses (72.7%) were valid. Although less than half (43.2%) have experience in BPT in health service development, more than 80% are willing to perform going forward. Significant factors for both the group with experience in BPT and the group with willingness to perform include an organizational culture that promotes BPT, as well as multiple elements of the workplace environment and facilitating factors related to knowledge and learning. The experienced group recognised the needs for criteria to evaluate the adaptability of best practice, while the willing group, to evaluate the quality of practice.
Through a nationwide survey, this research elucidated for the first time the actual conditions of BPT by PHNs in Japan and related factors. The results indicated the importance of developing a system to promote BPT at the workplace level, also highlighted the importance for practitioners and experts, including researchers, to work together to develop practical guidelines to ensure evidence-based practices. Urgent actions are needed for the national and local governments to develop a system to promote BPT from diverse perspectives, building on the findings of this research.
随着健康问题变得更加多样化和复杂，为地方政府工作的公共卫生护士（PHN）的工作量一直在增加。即使在正在进行的行政和财政改革中，迫切需要确保公共卫生护士在卫生服务发展中能够多么有效和高效地开展工作。本研究的目的是阐明最佳实践转移（BPT）的实际情况及其相关因素。
对在日本各地334个地点工作的公共卫生护士进行了匿名邮寄和自填式问卷调查，主要通过逻辑回归分析进行分析。
334个机构中有185个（55.4%）同意参与，在分发的966份问卷中，收集到709份（73.4%），其中702份回复（72.7%）有效。虽然不到一半（43.2%）的人在卫生服务发展中有BPT经验，但超过80%的人愿意在未来开展。有BPT经验的组和愿意开展的组的重要因素包括促进BPT的组织文化，以及工作场所环境的多个要素和与知识和学习相关的促进因素。有经验的组认识到需要评估最佳实践适应性的标准，而愿意开展的组则需要评估实践质量的标准。
通过全国性调查，本研究首次阐明了日本公共卫生护士BPT的实际情况及其相关因素。结果表明在工作场所层面建立促进BPT系统的重要性，也强调了从业者和包括研究人员在内的专家共同努力制定实用指南以确保循证实践的重要性。国家和地方政府需要根据本研究的结果，从不同角度采取紧急行动来建立促进BPT的系统。
