Cariaso Josephine E, Bonito Sheila R, Dones Luz Barbara P, Melendres Julia Czen N, Sebastian Christiane Jannie B
College of Nursing, University of the Philippines Manila.
Acta Med Philipp. 2024 Jul 15;58(12):78-85. doi: 10.47895/amp.v58i12.9301. eCollection 2024.
Public health nurses (PHNs) perform more than the provision of direct care to clients. They are also expected to perform roles as leaders, managers, and collaborators in different settings, especially in areas where there are no physicians. Their continuous professional development must be facilitated to empower them to lead the delivery of health programs and services in pursuit of universal healthcare. This study aims to determine the perceived competencies of public health nurses and describe their training needs.
A descriptive, cross-sectional study was utilized, where an online survey was administered to PHNs across the Philippines to determine their self-perceived competencies and training needs based on the eight domains of core competencies of public health professionals. Descriptive statistics was used to summarize the data.
A total of 330 PHNs answered the survey. The results showed that at baseline, PHNs perceived themselves to be competent (from most to least) in the following: communication, analytical/assessment, community dimensions of practice, policy development/ program planning, leadership and systems thinking, cultural competency skills, public health science, and financial planning and management. In terms of training needs, the enablers mentioned include a supportive work environment that can provide a work schedule that is inclusive of time for professional development and work-life balance; a learning environment where colleagues and supervisors support the need for training and innovation; strong internet connection; and enough equipment to participate and submit deliverables for courses taken.
Filipino public health nurses perceived themselves to be competent in the areas of communication and community practice, but less competent in public health science, and financial planning and management. Future capacity-building programs must be designed to meet this demand. Furthermore, to make training programs truly responsive to the needs of nurses, steps must be taken to promote capacity-building enablers.
公共卫生护士（PHNs）的职责不止于为客户提供直接护理。他们还需在不同环境中担任领导者、管理者和协作者的角色，尤其是在没有医生的地区。必须促进他们的持续专业发展，以使他们有能力领导健康项目和服务的提供，以追求全民医疗保健。本研究旨在确定公共卫生护士的感知能力，并描述他们的培训需求。
采用描述性横断面研究，通过对菲律宾各地的公共卫生护士进行在线调查，根据公共卫生专业人员核心能力的八个领域来确定他们的自我感知能力和培训需求。使用描述性统计来汇总数据。
共有330名公共卫生护士回答了调查。结果显示，在基线时，公共卫生护士认为自己在以下方面有能力（从最强到最弱）：沟通、分析/评估、实践的社区层面、政策制定/项目规划、领导力和系统思维、文化能力技能、公共卫生科学以及财务规划与管理。在培训需求方面，提到的促进因素包括一个支持性的工作环境，能够提供包含专业发展时间和工作与生活平衡的工作时间表；一个同事和上级支持培训和创新需求的学习环境；强大的互联网连接；以及足够的设备来参与并提交所修课程的作业。
菲律宾公共卫生护士认为自己在沟通和社区实践方面有能力，但在公共卫生科学以及财务规划与管理方面能力较弱。未来的能力建设项目必须设计以满足这一需求。此外，为使培训项目真正满足护士的需求，必须采取措施促进能力建设的促进因素。
