Japan Academy of Community Health Nursing (JACHN)
Established: October 15, 1997
JACHN Newsletter No.11

Topics 1

1. Remarks on the 2nd Japan-Korea Joint Conference on Community HealthNursing
Katsuko Kanagawa, RN, PHN, PhD
President, Kobe City College of Nursing
The 2nd Japan-Korea Joint Conference on Community
Health Nursing was held on 17 and 18 July 2011 at the Kobe
City College of Nursing, attended by some 450 participants(including approximately 60 from Korea).
The theme of the Conference was “Challenge andInnovation on Community Based Nursing.” Despite someslight differences between Japan and Korea in social
conditions, (community) nursing education and practice,
workers involved in community nursing invariably have an
important role to play in improving the health and QOL of
local community members (individuals, households,
sub-groups and the community as a whole). The Conference
provided an opportunity to boost community-based nursing
activities by sharing conditions and information related tocommunity nursing based on a thorough understanding of its
context, and the exploration of innovative ideas.

Dr. Katsuko Kanagawa
Chairman of the 2nd Japan-Korea Joint
Conference on Community Health Nursing(President, Kobe City College of Nursing)

The program of the Conference included keynote speeches, special lectures, two symposia, two exchange
sessions, general presentations (18 oral presentations and 235 exhibitions) and open lectures. The keynote
speeches, symposia and exchange sessions in particular provided useful insight into the national context withspeakers participating from both countries.
Throughout the sessions, I was greatly impressed by the dynamism and keen interest shown by theparticipants from Korea. A traditional Japanese dance was performed at the informal dinner held in the evening ofDay 1, to which some of the Korean participants responded by singing a song in traditional clothing (jeogori). The
event certainly helped to deepen friendships between the two countries. In expectation of the next Conference infour years time, I hope that this year‟s meeting will encourage further exchanges and joint academic research with
community nursing workers in Korea.

12. Outline of Keynote Speeches
As a speaker from the Japanese side, I presented the major challenges and future prospects forcommunity-based nursing activities from a broad perspective, encompassing
the so-called public health nursing which focuses on preventive services for local community members, homenursing care activities for patients at home and their families, and industrial/school nursing for local employees,
schoolchildren and their families, all in thecontext of an ageing society with a fallingbirth rate. In my presentation, I also madesome recommendations regarding: (i) the
importance of the process for exploring andidentifying issues facing the local community(community nursing diagnosis) and thenecessity of its further development; (ii) theneed for talented individuals who areinterested and participate in community-based
nursing activities; (iii) the development ofcommunity-based nursing methods andtechniques; and (iv) the need to accumulate
and verify the findings of research that
contributes to community nursing.
Professor Yun of the SNU College ofNursing made a speech on behalf of the
Korean participants. She suggested that publichealth and community nursing activities in Korea both integrate nursing and public health sciences for thepromotion and maintenance of people‟s health, with a slight difference in definition: the former activities cover
the community as a whole while the latter are intended for individuals, families and groups. Thus,
community-based nursing activities seem to be geared toward the needs of patients and their families. Indeed,
Professor Yun stressed the provision of care in the acute and chronic setting as well as integrated, ongoing
services as practical activities, which gave me the impression that community-based nursing in Korea represents
an extension of hospital nursing to the local community. Major challenges in Korea included the reduction of ill
health and inequalities in health, support for long-term care, health action and education to prevent metabolic
syndrome, and cost effectiveness.
The keynote speeches pointed to the ever-increasing needs for community-based, holistic nursing activities.
Such activities would entail the participation of community members, coordination with other actors, intervention
study (rather than descriptive study), action research, health care system research and many other tasks at thenational, regional and international levels.

Staff of the Secretariat for the Japan-Korea
Joint Conference on Community HealthNursing2

Symposium 1
Etsuko Tadaka, RN, PHN, PhD
Yokohama City University

The theme of symposium 1 was „Strategies for Effective Community Development for Health
Promotion‟.
The purpose of this symposium was to discuss effective strategies, methodologies,
challenges, and prospects for community development, based on the report of pioneering workin Japan and Korea in order to further health promotion. The moderators were Dr. Hosihn,
Ryu (Korea University) and Dr. Etsuko Tadaka (Yokohama City University).
First speaker, Dr. Junko Omori (St. Luke’s College of Nursing, Japan) presented the themeof „Development of Strategies for Healthy Community Building through Accumulation of
Evidence‟ in which, discussed the development of a health promotion program to encourageinteraction among community peers, esp. for women in their 50s and 60s living in a newresidential area, from the culture that underlies their daily lives.
Second speaker, Ms. Eiko Uchino (Public Health Department, Kobe City, Japan), presented
the theme of „Future Scheme of Community-Based Nursing from Experiences of the Great
Awaji-Hanshin Earthquake.‟ in which, reported a health risk management scheme called “Kobe
Model”, the collaboration with municipal public health nurses and community residents,
developed after the Great Awaji-Hanshin Earthquake Disaster on January 17, 1995,
Third Speaker, Dr. Insook Lee (Seoul National
University, Korea)presented the theme of„Strategies for Effective Community Development for
Health Promotion in Korea: Comprehensive visiting
health care services for vulnerable population incommunity.‟ in which, discussed the national healthpromotion project in Korea, “New Health Plan 2010,”
to secure „healthy life expectancy‟ and „the equity ofhealth.‟ Especially, the “Tailored Visiting HealthCare Service” on the vulnerable population, and theireffects on the subjects and their communities.
And last speaker, Dr. Soon Ok Yang (Hallym
University, Korea) presented the theme of „Strategies for Health Promotion of the Public
Health Care in Korea. She reported that two government system of health promotion, one isthe central government to set up the basic operative principles for health promotion and theother is the local governments to implement specific plans according to the principles. And
they are formulated for systematic health promotion services in Korea.
Through the symposium1, We found out that we mutually have the same values forcommunity development for health promotion based on the philosophy of community healthnursing between Korea and Japan,
and also that we have the uniquestrategies, methodologies, and thechallenges to health promotion basedon each culture, history, system, andcommunity of Korea and Japan.
The moderators would like toexpress our great appreciation to the
speakers and all the persons
concernedin
this
successful
symposium.
3Symposium Ⅱ: Distinguishing Activities of Community-based Nursing
Ayumi Kono, RN, PHN, PhD.
School of Nursing, Osaka City University
The aim of this session is to discuss the development and outlook of community-based nursing practice in lightof its expanding role. Discussion will be in reference to four valuable reports of distinctive community-based
nursing practice.
Dr. Kaoru Konishi, RN, PhD, Professor of Showa University, previously presented “Creation a culture of patient
safety in „Nanbyo‟ care: Community-based nursing practice”. Nanbyo is a Japanese-specific term for diseases
such as ALS or Parkinson diseases, for which no cause or treatment has been identified and consequently areassociated with a significant burden to patients and their family members. An effective interdisciplinary
community-based team care approach has been suggested to support patient autonomy and assure patient safety.
Mr. Takashi Kawazoe, RN, and CEO of Carepro INC previously spoke on the “Challenge and perspective ofcommunity based one coin health check”. Approximately 40% of Japanese do not attend for regular healthcheck-up, regarding it as a bothersome or expensive task. The One coin health check campaign was launched,which provided people without health insurance the option of having a low-cost blood test for only 500 yen. So far,more than 60,000 people have already utilized this service. It is important to continually reconsider and reassess
the ongoing needs of community care in order to create innovative nursing practices.
Dr. Chungnam Kim, RN, PhD, Professor of Keimyung University lectured on “The innovative community nursing
centers in Korea”. With an increasing emphasis on holistic care, Parish Nursing Centers in Korea have provided
an innovative health delivery program through several church-based communities. Continued collaboration with
Asian nurses will enable better standards and strategies of health care delivery, and improve on quality of care in
our parish communities.
Dr. Kyung Ja June, RN, PhD, is a Professor of Soonchunhyang University and spoke on “Looking back on thepast 30 years: role and function of community health practitioners in rural and remote area in Korea”. Community
health posts in regional and rural areas of Korea are strategically located within 30 minutes of most residents inthese communities, and served by nurses as Community Health Practitioners. They provide several types of careincluding clinical, health promotion and long-term combined care. The innovative roles and functions of such
community health practitioners provide an opportunity to explore the community-based characteristics of thesecenters and how they adapt to changes in social care needs.
This session has prompted us to respond sensitively to the rapidly changing needs of the community, which canalso be defined as a social network of interacting individuals, and promote innovative nursing practices to further
improve the current system of care of the nursing discipline.

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Reports on Information exchange 1:
Supporting the infirmed elderly and their families dwelling in the community underlong term care systems within Japan and South Korea
Reiko Okamoto, RN, PHN, PhD
Graduate School of Health Sciences, Okayama University
Kwangsoo Yoo (Chonbuk National University) and I were facilitators for this session. We had about sixty
participants. The first speaker was Ms. Toyomi Horii, who is President of NPO Minakuchi. Her theme was "The
Issues of Long Term Care System and the Role of Community Health Nurses in Japan". And the second was Dr.
Jung Soon Kim, who is a professor at College of Nursing, Pusan National University. Her theme was "The KoreanLong-term Care Insurance and Actual Condition of In-home Long term Care for the Elderly".
In this session, we found that the Japanese and Korean long-term care insurance schemes have much incommon: home services are made available to users in accordance with the identified level of need for care andthe low percentages of people using visiting nursing care.
However, we also identified differences between the two
schemes. The Japanese scheme incorporates systematic
preparation of care plans by care managers and theprovision of care prevention benefits involving publichealth nurses and social welfare counselors, which is not
the case in Korea. Conversely, the Korean scheme differsfrom the Japanese scheme in that it provides cash benefits.
Japan and Korea still need to learn from each other inorder to ensure a healthy long-lived society in bothcountries.
Thanks to all participants of the session.

Reports on Information exchange 2 :Strategy of Public health nursing action on Child health: Collaboration withrelated Agencies
Mikiko ITO, RN, PHN, PhD
Dept. of Health Promotion Science,
Faculty of Health Science,
Graduate School of Medicine, Osaka University
In Hyae Park and I were facilitators for this session. We had about thirty participants.
The first speaker was Ms. Mi-Lan Han, who is President of Korean Health Teacher‟s Association, School Health
Teacher of Ewha Girl‟s High School. Her theme was "Korean School Healthcare, Focusing on the School Health
System and Education." And the second was Dr. Masae Ueno, who is a professor at Osaka Prefecture University.
Her theme was "Maternal and Child Health Activities with Health and Welfare Agency, Focusing on the System."
The session themes were broad, so there was not enoughdiscussion, but the referral questions became the main partof discussion. For future planning, we had better focus
more on the specific topic or narrow the vision for a deeper
exchange. Korean- Japanese Translators were debuted of
the international conference, and they did their very best.
And Thanks to all participants of the session.
[Picture]With Korean delegates after the session
2nd row: Prof. Ueno; the second person from left, and Ms.
Han; the third, Third row: Dr. Park: the forth from left and I
was the second.
5

The 2nd Japan-Korea Joint Conference on Community Health Nursing-Awarding of prizes to the excellent presentations

1.
Development and Evaluation of an Undergraduate Nursing Educational Program for Community
Health Risk Management –Focused on People in Need of Aid during Disasters.
Yuka Dai, Etsuko Tadaka, Yuki Imamatsu, Waka Itoi, Chie Kawahara, Rie Yaguchi.(Nursing course
School of medicine,Yokohama City University)2.
Support Groups for Families Living with Persons who Suffered from Traumatic Brain Injury:
Activities of a Japanese Public Health Center.
Takako Miyata1, Ayumi Kuroda3, Shino Yamamoto3, Chisako Aisaka3, Saori Sakuraoka3, Jyunko
Imamura3, Michiyo Hirano2, Mariko Kawaharada2, Kazuko Saeki2.
(1Graduate school of health science, Hokkaido University, 2Faculty of Health Sciences, Hokkaido
University, 3Tomakomai Public Health Center)3.
A Study of the Correlation between Dependency and Social Support of Vulnerable Elderly.
Ji Eun Kim, In sool Lee.
(College of Nursing Seoul National University)

Let’s interview, Ms. Yuka Dai who got “In Gratitude for the Poster Award”

Dear Mr./Ms. ………,
First, I would like to sincerely thank you for honouring me with the Poster
Award.
In my presentation, I addressed health crisis management, a subject that isdifficult to learn by experience whether in the classroom or on the job. Yet,
it is an essential skill for public health nurses, enabling immediate
assessment of the situation as well as flexible judgment and behaviour,and has become even more important since the Great East Japan
Earthquake on 11 March 2011.
We have therefore developed a simulation-based program to learn throughexperience and facilitate the acquisition of health crisis management skills.
The program may be summarized as follows.

Yuka Dai
Dept. of Community Health Nursing,
Graduate School of Medicine,
Yokohama City University

The program consists of two components. The first stage, “community assessment at the time of disaster”,
involves predicting what will happen when a disaster occurs, taking account of the characteristics of the local
6

community. The second stage, “support for those who need help at the time of disaster”, considers activities invarious phases, building on typical scenarios developed in the first stage. At this second stage, we identify model
communities in readily-accessible areas around the university and present the students with actual issues andsituations in small steps. This links their practical training with solving the issues. The teaching staff held many
meetings and model simulations to create this program.
I know that many educational institutions already run experimental lectures and seminars on health crisis
management, so it is a great honour to receive this award in recognition of our initiatives. However, our programis still only in its second year and still has much room for improvement. I therefore hope that the program will
pave the way for friendly competition among educational and healthcare institutions, so that creativity in
education and training may be shared.

The3nd Japan-Korea Joint Conference on Community Health Nursing
will be held in Korea!

Topics 2
The Latest News;
Building an international network of public health nurses
Reiko Okamoto
Chief of Committee for Promoting International Exchange Activities
The International Council of Nurses (ICN), established in 1899, is a federation of more than 130 national
nurse associations, representing more than 13 million nurses worldwide. It organizes a Quadrennial Congress andintersessional Conference meetings. Currently, the ICN has 13 formal networks on various topics such as nursing
education, research and HIV/AIDS. Congress meetings have provided opportunities for improving those networks,
both quantitatively and qualitatively.
Apart from the ICN, midwife associations have established their own forum, the International Confederationof Midwives, because many countries have separate licensing systems for nurses and midwives. However, few
countries have established separate national licensing systems for clinical nurses and public health nurses despite
the rising demand for public health nurses with advanced skills increasingly required for public health activities
following the outbreak of emerging infectious diseases or for the prevention of lifestyle-related diseases. Against
this backdrop, active efforts have been made to build an international network of public health nurses, led by the
UK, Japan and other countries with a PHN licensing system.
Specific initiatives include discussions on the objectives and method of building such a network in
conjunction with the June 2009 Congress meeting in Durban, South Africa and the May 2011 Conference meeting
held in the Mediterranean country of Malta. The Malta Conference saw the number of participating nations
increase to eight: Norway, Hong Kong, Canada and Finland in addition to the original endorsing countries of theUK, Ireland, South Africa and Japan. A steering group composed of those eight countries will work towards thelaunch of the network at the ICN 25th Quadrennial Congress in 2013, after securing support from existing national
networks and nurse associations.
7Topics 3

The 15th Annual Research Conference of JACHN

We introduce the 15th annual research conference of JACHN 2012.
The main theme of the conference is “The Philosophy of community
health nursing.” Speeches, symposium, oral and poster presentations,and workshops will be planned to allow members to present theirpractical exercise as well as results of educational and research
activities, and to exchange opinions on them. We look forward to theparticipation of our members and many other people to ensure a
successful conference and contribution to community health nursing.
Date: 23-24 June, 2012
Venue: St. Luke‟s College of Nursing
10-1, Akashicho, Chuo-ku, Tokyo, 104-0044, Japan(http://www.slcn.ac.jp/)
Chairperson: Kiyomi Asahara (Professor, St. Luke‟s College of Nursing)
ProgramFirst day, June 23 (Sat.)-

Chairperson‟s speech: Kiyomi Asahara-

Keynote speech: Elizabeth Peter (Associate Professor and Associate Dean of Academic
Programs, University of Toronto)-

Oral and poster presentations and work shops
Banquet-Symposium“Ethical issues in community health nursing practice”“Ethics of community health nursing practice: From perspectives of feminist ethics”

Second day, June 24 (Sun.)-“The heart of community health nursing that should be handed down from generation to
generation”

Masako Akiyama (Director and manager, Cares Hakujuji Home Visiting Nursing Station）
Chiyo Igarashi (Associate professor, Tokyo University of Technology)
Etsuko Kuchiki ( Manager of public health, Osaka City）
Ruriko Suzuki （Professor, Iwate College of Nursing）
Special speech: Akira Sugenoya (Mayor of Matsumoto City, MD)“Policies valuing residents‟ lives: From the experiences of activities at Chernobyl and policy

making for health promotion”

For further information:
http://jachn.umin.jp/meeting/m15/index.html
Fax：+81-3-5206-7757
E-mail：ckango@zfhv.ftbb.net
Secretariat of JACHN:
Department of Community Health Nursing,
Graduate School of Medicine, The University of Tokyo
7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan 113-0033
Fax: +81-3-5841-3648
E-mail: chikango-acd@umin.ac.jp

Publisher: Committee for Promoting International Exchange Activities
Reiko Okamoto (Okayama University), Kiyomi Asahara (St. Luke's College of Nursing),
Mikiko Ito (Osaka University), Saori Iwamoto (Kobe City College of Nursing),
Miho Ono (Kawasaki University of Medical Welfare), Mari Okada (Okayama
University) Graduate School of Health Sciences, Okayama University, Yuko Tanaka(Seisen University)
2-5-1 Shikata-cho, Kita-ku, Okayama, Japan 700-8558
Fax: +81-86-235-6865
E-mail: reiko@md.okayama-u.ac.jp8