Confusions and responses of managerial public health nurses during the COVID-19 pandemic in Japan.

Public Health Nursing (Boston, Mass.) Pub Date : 2022-01-01 Epub Date: 2021-11-09 DOI:10.1111/phn.13011
Chikako Honda, Yuka Sumikawa, Kyoko Yoshioka-Maeda, Riho Iwasaki-Motegi, Noriko Yamamoto-Mitani
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引用次数: 3

Abstract

Objective: This study aimed to elucidate the experiences of public health nurses (PHNs) in Japan during the first wave of COVID-19.

Design and sample: Twelve PHNs in charge of responding to COVID-19 in X-city within Tokyo metropolis in Japan participated in this case study.

Measurements: Data were collected through self-administered questionnaires and semi-structured interviews on PHNs' experiences from January 2020 to May 2020.

Results: Initially, only infectious disease control division (IDCD) PHNs experienced confusion due to the rapidly increased workload. Managerial PHNs attempted to explain the need for a dispatch system for the IDCD, using available statistical data from other managerial members, within one's maximum understanding of this unprecedented situation. Without having a clear and forward-looking understanding regarding the purpose and reasons for dispatching, some dispatched PHNs had concerns and frustrations; they did not view the COVID-19 pandemic as a disaster. In the never-ending, exhausting work, PHNs managed to modify the provision of conventional services to residents.

Conclusions: Despite experiencing confusion, PHNs worked to continuously provide community services, re-considering the meaning of public health nursing. Prioritizing the work and shifting tasks to other professionals at an early stage of the pandemic may prevent organizational dysfunction.

新冠肺炎大流行期间日本公共卫生管理护士的困惑与应对
目的:本研究旨在了解日本公共卫生护士(phn)在新冠肺炎(COVID-19)第一波疫情中的经验。设计与样本:日本东京都内x市负责应对COVID-19的12名phn参与了本案例研究。测量方法:通过自填问卷和半结构化访谈对2020年1月至2020年5月的phn经历进行数据收集。结果:最初,只有传染病控制科(IDCD)的phn因工作量迅速增加而感到困惑。管理phn试图在最大限度地了解这一前所未有的情况的情况下,利用其他管理成员提供的现有统计数据,解释需要一个IDCD调度系统。部分外派人员对派遣目的和原因没有清晰、前瞻性的认识,存在顾虑和挫折感;他们没有把COVID-19大流行视为一场灾难。在永无止境、令人筋疲力尽的工作中,初级保健护士设法改变了向居民提供的传统服务。结论:在经历混乱的情况下,初级保健护士继续努力提供社区服务,重新思考公共卫生护理的意义。在大流行的早期阶段确定工作的优先次序并将任务转移给其他专业人员,可防止组织功能失调。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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