scholarly journals Identifying Community/Public Health Nursing Competencies in Indonesia: A Modified Delphi Method

2020 ◽  
Vol 10 (3) ◽  
pp. 350-360
Author(s):  
Destia Widyarani ◽  
Tantut Susanto ◽  
Dwi Wahyuni ◽  
Huong Thi Thu Pham
Keyword(s):  
Public Health ◽  
Delphi Method ◽  
Policy Development ◽  
Quantitative Research ◽  
Program Planning ◽  
Sampling Technique ◽  
Public Health Nurses ◽  
Modified Delphi ◽  
Family Approach ◽  
Health Nursing

Background: Nurses in public health centers, or known as public health nurses (PHNs), have duties in implementing promotive, preventive, curative, and rehabilitative efforts. In Indonesia, there is no basic reference to the competencies that should be performed by PHNs. The provision of health services in the community should cover two areas, namely inside and outside the building (Minister of Health’s Regulation No. 279 Year 2006); it causes nurses in the community to further hone their skills while in the field.Purpose: This study aimed to identify the competencies of the Indonesian PHNs from experts using the C/PHN competencies of the Quad Council Coalition through a Delphi method.Methods: This study was quantitative research with a Delphi method. We employed a purposive sampling technique to recruit the experts of public health nurses. The experts did a Delphi method to identify, analyze, and modify the C/PHN Competencies of the Quad Council Coalition into the Indonesian version of C/PHN Competencies with local cultures.Results: Results showed that from eight domains of the Quad Council Coalition C/PHN competencies, there were changes for priority of the PHN competencies in Indonesia. All priorities were classified into eight groups, namely: (1) Leadership Skills and Thinking Systems; (2) Community Dimensions of Practice; (3) Assessment Analytic; (4) Policy Development and Program Planning; (5) Communication Skills; (6) Financial Planning and Management and Planning; (7) Public Health Sciences Skills; and (8) Cultural Competency.Conclusion: The Quad Council Coalition of C/PHN competencies are appropriate with the Indonesian PHN competencies, although the priority is changed related of local wisdom as stated in the Minister of Health’s Regulation No. 279 Year 2006. Therefore, the Indonesian P/HN competencies should be developed to support the Indonesian health people through family approach.

Enhancing Public Health Practice Through a Regional Student Field Placement Program

2017 ◽  
Vol 3 (1_suppl) ◽  
pp. 73S-80S ◽  
Author(s):  
Michelle Carvalho ◽  
Lisa C. McCormick ◽  
Laura M. Lloyd ◽  
Kathleen R. Miner ◽  
Melissa Alperin
Keyword(s):  
Public Health ◽  
Policy Development ◽  
Underserved Populations ◽  
Public Health Practice ◽  
Program Planning ◽  
Development Program ◽  
Thinking Skills ◽  
Executive Summary ◽  
Health Training ◽  
Public Health Training

Experiential learning links knowledge to real practice through seasoned mentor support, professional reflection, and hands-on experience in authentic work environments. While academic public health programs seek to train the future workforce, the current workforce has a critical need for training as well. The Region IV Public Health Training Center’s Pathways to Practice Scholar program gives public health students the opportunity to apply knowledge to competency-based experiences while fulfilling the current workforce’s short- and long-term human resource needs. Placements are offered in all eight states of the region to broaden opportunities for both agencies and student scholars. On completion of the program, scholars are required to submit an executive summary, reflection statement, photos of the experience, and a draft abstract suitable for submission to a professional conference. Since 2015, 36 scholars have been placed in positions across Region IV, 11 in states other than those of their home universities. Students were placed at state, local, and tribal health departments; area health education centers (AHECs); and other agencies (e.g., primary care settings), and the most common work plan domains selected by scholars were analytic/assessment, policy development/program planning, and leadership/systems thinking skills. Scholars’ perceived confidence increased across all domains with the highest increases in financial planning/management and cultural competency. Program implementation and evaluation findings are described, including types of projects, differences in confidence in performing competency domains, and confidence and interest in working with underserved populations. Evaluation findings indicate that the Region IV Public Health Training Center scholars increased their confidence in performing practice competencies while providing support for public health agencies serving underserved populations.

scholarly journals Development and content validation of a measure to assess evidence-informed decision-making competence in public health nursing

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248330
Author(s):  
Emily Belita ◽  
Jennifer Yost ◽  
Janet E. Squires ◽  
Rebecca Ganann ◽  
Maureen Dobbins
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Public Health Nursing ◽  
Public Health Nurses ◽  
Evidence Based ◽  
Informed Decision Making ◽  
Response Process ◽  
Validity Assessment ◽  
Content Coverage ◽  
Health Nursing

There are professional expectations for public health nurses to develop competencies in evidence-informed decision-making (EIDM) due to its potential for improved client outcomes. Robust tools to assess EIDM competence can encourage increased EIDM engagement and uptake. This study aimed to develop and validate the content of a measure to assess EIDM competence among public health nurses. A four-stage process, based on measure development principles and the Standards for Educational and Psychological Testing, was used to develop and refine items for a new EIDM competence measure: a) content coverage assessment of existing measures; b) identification of existing measures for use and development of items; c) validity assessment based on content; d) validity assessment based on response process. An EIDM competence measurement tool consisting of EIDM knowledge, skills, attitudes/beliefs, and behaviour items was developed using conceptual literature and existing measures (Evidence-Based Practice Competency Tool and Evidence-Based Practice Beliefs Scale) to address limitations of existing EIDM tools identified from the content coverage assessment. Item content validity index ratings ranged from 0.64–1.00. Qualitative themes from validity assessment based on content and response process included word changes to improve clarity, reducing item redundancy, separating multi-component items, and ensuring items reflect nursing role expectations. Upon determining its reliability and validity, there is potential for the EIDM competence measure to be used in: public health nursing practice to identify competence gaps and strengths to facilitate professional development activities; in research to support development of strategies to build EIDM capacity; and for curriculum planning and development across nursing education programs.

Exploring Perceived Enablers and Barriers to Social Marketing Use in Public Health Nursing

2009 ◽  
Vol 15 (3) ◽  
pp. 100-112
Author(s):  
Kristin Knibbs ◽  
Lynnette Leeseberg Stamler
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Social Marketing ◽  
Group Process ◽  
System Level ◽  
Nominal Group ◽  
Public Health Nursing ◽  
Public Health Nurses ◽  
Health Nursing ◽  
Health Managers

Public health managers' perceptions of enablers and barriers to social marketing use among public health nurses were examined. Employing qualitative, action research methods, this study incorporated focus groups using nominal group process and group discussion. Eleven public health managers from large urban, small urban, and rural Canadian public health departments participated. Content analysis was conducted on the focus group transcripts, and trustworthiness was strengthened through independent review by participants and subject experts. Several enablers to social marketing use were identified in the areas of educational preparation of nurses and the nature of public health nursing practice. The majority of barriers to social marketing use related to human and financial resources at the system level. In addition, we identified as imperative that managers at those levels responsible for budgetary planning understand the principles of social marketing more fully if they are to be expected to support its use. Social marketing has the potential to positively influence the health behavior of populations. However, if public health nurses and other health-promotion professions are to incorporate this health-promotion strategy more effectively into their practice, issues related to its use must be addressed.

Beyond the Boundary Between Science and Values: re-evaluating the moral dimension of the nurse’s role in cot death prevention

2002 ◽  
Vol 9 (2) ◽  
pp. 137-154 ◽  
Author(s):  
Klasien Horstman ◽  
Engeline van Rens-Leenaarts
Keyword(s):  
Public Health ◽  
Ethical Dilemmas ◽  
Public Health Nurses ◽  
The Public ◽  
Cot Death ◽  
Science And Values ◽  
Rules And Principles ◽  
Standards And Guidelines ◽  
Prone Sleeping ◽  
Health Nursing

This article combines a philosophical critique of the idea that public health nurses are primary technicians who neutrally hand over scientifically established facts on risks to the public and an empirical analysis of the actual work of public health nurses. It is argued that the relationship between facts and values in public health is complex and that, despite the introduction of several scientifically-based standards and guidelines, public health nurses are not technicians. They do moral work and experience ethical dilemmas. To get a grip on the specific character of this moral work, we distance ourselves from the idea that there are ethical dilemmas in public health nursing for which we can provide general ethical rules and principles. Instead we suggest a contextual ethical approach, in which several different kinds of consideration may be important. To illustrate this, we analysed 15 in-depth interviews with nurses involved in the prevention of cot deaths in the Netherlands. It is shown that these nurses do not neutrally pass on the epidemiological facts on the risks of prone sleeping, warm bedclothes and passive smoking, but they are the moral architects of this preventive practice. It is also shown that this moral work and the ethical dilemmas they experience cannot be characterized in terms of general ethical rules and principles. It becomes clear that the moral work of nurses differs according to the three main risks at stake: the balance between virtue, risk taking and responsibility depends on the specific context.

Community/public health nursing faculty's knowledge, skills and attitudes of the Quad Council Competencies for Public Health Nurses

2018 ◽  
Vol 35 (5) ◽  
pp. 427-439 ◽  
Author(s):  
Barbara L. Joyce ◽  
Monica Harmon ◽  
Regina Gina H. Johnson ◽  
Vicki Hicks ◽  
Nancy Brown-Schott ◽  
...  
Keyword(s):  
Public Health ◽  
Public Health Nursing ◽  
Public Health Nurses ◽  
Health Nursing
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