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Vol. 13

Japan Academy of Community Health Nursing
Established October 15, 1997

Special Topics onInternational Conferences

MARCH 2014

Contents
・ Special Topics on International Conferences
・ Guideline for Public Health Nursing Practice at
the Community Level
・ Current Research Vol. 16(1)-(3) of JJACHN・ Announcement of the 17th Annual Meeting of
the JACHN

th1-1. Brief report on the 5 ICCHNR
Shuhei Fukagawa, MN, RN, PHN
Nishi Health Center, Sapporo City, Hokkaido
The two-day 5th ICCHNR was held from March 13
to 14, 2013, in Scotland’s capital, Edinburgh. The
theme of the conference was “Transforming Community Health: Nursing Impact.” A total of 96 poster entries from six themes were presented.
This ICCHNR was my first time participating as aforeign traveling attendee. The streets of Edinburgh
were old, reflecting the charm of each of the buildings.
In addition, the scenery surrounding Edinburgh Castleth1-2. Brief report on the 5 ICCHNR

was memorable.
Participants came from various countries, and I enjoyed the diverse atmosphere of the international

Ayano Saito, MN, RN, PHN
Shiroishi Health Center, Sapporo City, Hokkaido

conference. Indeed, the conference program included
For my first time stepping into another country, I was

tea time, through which I appreciated the cultural diversity of the program.

welcomed by a beautiful winter in Edinburgh; theA reception was held after the conference, where I

stone pavement along the streets and the orange

engaged in mutual exchange with participants fromstreet lights provided warmth despite the chill. It hadother universities in Japan as well as those from otherthe same temperature as Sapporo in March, and thecountries. Particularly, in my research field, “participa-

air in the city was relaxing. I reveled in passing time intion of the father in childcare,” I learned the importancea city with a long history.

of the cultural point of view through information ex-

I presented my poster at the University of Edinburgh.

change and discussion with researchers from similar

As there were many Japanese participants, I felt lessdomains. My English proficiency may be limited, but

tension, even though it was my first international con-the other scholars were very kind. I endeavored toference. My presentation was on self-medication, and,interact with other participants using body language.

given the varied international prescriptions, I received

In participating in this conference, I realized I am still

many questions from researchers from various coun-far from grasping all the charms of Edinburgh. Next

tries. This experience stirred me to consider deeper

time, after improving my English, I intend to return tothe systems in various countries and the differences

Edinburgh and discover its attractions thoroughly.

between Japan and other countries. I discussed
problems and common points in each country withother experts during the reception or during theirpresentations. It was such a learning experience for1日本地域看護学会誌 Vol.16 No.3, 2014

me. I also realized the importance of conveying mycountries in themessage in an international event in fluent English.

keynote lectures.

During mutual exchanges with many participants, I

Many

recognized that this direct meeting with participants

topics were also

from other countries allowed me to understand how

covered, such as

they think from interacting and sharing information.

integrating

theimportanceofThis trip to Edinburgh was an opportunity for me tocommonlearn the differences between practices in other coun-evidence-based

tries and those in Japan. It was also such a pleasantactual practice and community assessment in educa-

experience for me to enjoy academic exchange in thetion. I look forward to holding this conference in Japan

atmosphere of another country.

and to the day when public health nursing experts
gather again.

rd

2-1. Brief report on the 3 IPHNC
rd

2-2. Brief report on the 3 IPHNC
Shizuko Omote, PhD, RN, PHN
Faculty of Health Science, Kanazawa University,

Yuki Kanzaki, MN, RN, PHN

Kanazawa City, Ishikawa

Graduate School of Human Health Sciences, Tokyo
Metropolitan University, Arakawa City, Tokyord

The 3 IPHNC was held at the National Universityof Ireland, Galway (in Irish: Gaillimh), on August 25-27,

In joining the three-day 3rdinternational public

2013. Galway is in the western part Ireland, approxi-

health nurse conference last August 25–27, 2013, I

mately three hours by train or highway bus from thehad the opportunity to visit Ireland National University,

capital, Dublin. The theme of the conference was

Galway. This conference was attended by 500 public“Making a Difference: Public Health Nursing Contribu-

health nurses (PHNs) from 24 countries, all of whomtion to Primary Health Care,” which included 40 oral

were practitioners and researchers of community

presentations and 50 poster presentations. Partici-

health nursing or public health nursing. The confer-pants were mostly from Ireland and other European

ence was attended by around 15 participants fromcountries, but there were also participants from 24

Japan.

other countries, such as Brazil, Sri Lanka, Australia,

Welcome lectures kick-started the meeting in theand the USA. Japan sent a delegation of 15 first-timeafternoon of the first day. Afterward, participants en-participants.

joyed a meal, with live performances of Irish songs in

I joined as a poster presenter, and I interacted withthe background, while socializing with other partici-

other participants during poster viewing. The northpants. The programs of the second and third days

latitude of Galway is 53 degrees, but snow does not

were keynote lectures, as well as oral and poster

fall during winter because it faces the Atlantic. How-

presentations. The keynote lectures emphasized theever, the cold rains and winds during winter are con-importance of implementing study results and theirsidered factors in the unhealthy lifestyle of many el-contribution to primary health care. The research

derly people, such as consuming alcohol, smoking

presentations varied in focus, such as the evaluation

tobacco, and living an inactive life, particularly for men.

of the public health nursing practice model, designs forThis lifestyle is considered their way of life and culture-

education curricula, community assessment education“no other choice,” they say. Important aspects of cul-using modern tools, efforts on various types of coop-ture should be retained, but harmful practices should

erative initiatives, and comparison of recognition andbe changed from the specialized perspective of publicknowledge based on different specializations. Partic-

health nursing. In addition, experts in public healthipants actively posed questions to presenters andnursing gathered in this conference. This event proved

exchanged opinions during the Q&A portion. In addi-

to be a valuable opportunity to learn the education andtion, participants discussed problems specific to theirways of thinking of other participants from various

country with one another during recess periods. I

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could feel an atmosphere of closeness in this meeting.
I presented a poster on the issue of the characteristics of the community-dwelling elderly who receive
continuous care from PHNs. Many expressed interestin my study and asked questions. As my English proficiency is poor, I felt that I could not completely answer the questions and did not provide a thoroughdiscussion. However, by receiving questions fromother researchers, I noticed a lack of explanation andambiguities in the ideas in my study.

The 141st Annual Meeting of the American Public

Participating in an international meeting reaffirmed

Health Association was held in Boston, Massachu-

my faith that PHNs and nurses who are active in theirsetts, USA, November 2-6, 2013. Boston, located onregion or country provide support for people’s healththe east coast, has a rich history and has seen the war

maintenance and enhancement. I observed that dif-for independence and, later, the birth of the USA. In

ferences in social background, health care systems,

addition, this area boasts renowned universities suchand health issues exist between Japan and foreign

as Harvard University and Massachusetts Institute ofcountries. By being exposed to studies conducted inTechnology.

other countries, I recognized the strengths and prob-

The theme of the conference this year was “Thinklems of nursing practices in Japan from a new point of

Global, Act Local: Best Practices around the World.”

view. In addition, by reporting Japanese practices andVarious sessions and presentations were conducted

problems at an international event, I benefited fromon the effort for regional problem solving oriented

exchanging opinions with researchers from otherimprovements from a global perspective. Apart fromcountries, which could help develop my study further.

the US participants, experts from Africa, China, SouthI realized my English proficiency is still limited, andKorea, and Japan gathered to create a meeting fortherefore I would like to challenge myself to present

fostering understanding of the conditions of various

my study results in other international events in the

countries’ public health services. Various workshops

future.

and presentations, particularly on problem solving
oriented collaboration between practitioners and local

3. Brief report on the 141st APHA

residents; PHN approaches for immigrants, homelesspeople, and the poor; various cultural background

Chu Hyang Oh, MNS, RN, PHN

adjusted and health promotion oriented efforts; sex-

Graduate School of Human Health Sciences, Tokyo

ually transmitted diseases in young people; and life-

Metropolitan University, Arakawa City, Tokyo

style related diseases, abuse related issues, and PHN
education. These themes have also become significant in Japan. The conference was a great learning
opportunity for me, particularly in relation to the future
efforts of PHNs in Japan.
The academic meeting included oral presentations.
As I participated as an oral presenter for the first timein this conference, the meeting was a major stage forme. However, through sharing opinions and watching
the presentations of other participants, I appreciatedthe meeting for helping me decide my future directions
and solutions to pressing problems.

3日本地域看護学会誌 Vol.16 No.3, 2014

Guideline for Public HealthNursing Practice at theCommunity Level

In addition, the creation of social capital is planned(An excerpt from Part 1 of the Guideline)

support individual’s self-help and mutual assistancethrough community-based practice. PHNs cooperatewith community people by using this resource. They

Part 1. The fundamental direction of community healthschemes, and then promote independent and contin-

activities by PHN

uous health promotion.

(1) Implementation of the plan-do-check-act cycle(5) Promotion of district assignment system(PDCA cycle) based on community healthdiagnoses

PHNs determine district assignment across sectors.
They grasp the health needs of community people,

PHNs provide health services and standards inhouseholds, and an entire community through healthpractices at the district level. In addition, they are re-practices under a district assignment system frame-quired to understand the health statuses of community

work. They act as important support coordinators topeople and living environments based on evaluation

address health needs in the households and thestudies and statistical information; they then analyze

community comprehensively and across sectors, as

the elements that constitute health needs. By clarifying

well as promote health practices in the community ofhealth needs occurring in a community, they could set

their responsibility.

the priority of health needs. In addition, based on the(6) Healthy community promotion based on com-

PDCA cycle, public health-related measures and theirmunity characteristics

evaluation are developed and implemented.

To support health promotion, PHNs create social(2) Shift in perspective from individual needs tocapital. They plan extensive cooperation with related

community needs and practice development

organizations such as schools and business settings.

PHNs grasp not only individual’s health needs but

They strive toward the improvement of the social en-

also community health needs, in a comprehensive

vironment, and promote the creation of healthy com-manner, as well as health-related measures based onmunities based on community characteristics.

community characteristics. In addition, they connect(7) Department cross-sectional cooperation andcommunity people with related organizations for solv-

collaboration in health practice

ing health needs, promote people’s independent ac-

In addition to planning mutual cooperation, PHNs

tions of applying self-help and seeking mutual assis-

carry out health practices by cooperating and collab-

tance, and support a continuous community based

orating with staff members from other departments ofapproach.

their local health units , related organizations, and(3) Emphasis on preventive support

community people. Furthermore, they share problems

PHNs are responsible for preventing the onset or

beyond sections and departments if needed. They

worsening of lifestyle-related diseases in residents. In

analyze health needs based on an orientation of

addition to preventing dependent medical care andhealth needs solving, and they cooperate and collab-

disability states, they are required to foresee potential

orate with other departments and across sectors.

health problems related to abuse, to provide important(8) Construction of a community care system

information for residents, and to conduct early inter-

To allow community people with health needs tovention.

thrive in life, PHNs are required to adjust their services(4) Strengthening of practice from the view ofcomprehensively, including public health, medical care,

community-based practicewelfare, and nursing care. In addition, they address

To support healthy and high-quality of life for com-the lack of service as well as construct a community

munity people, PHNs must be actively involved in theircare system.

district by creating home visit, health consultation,(9) Development and implementation of various

health education, and community organization activi-

health medical care welfare plansties. Through community-based practices, they can

To solve community health needs, PHNs cooperate

grasp the actual lifestyle conditions of community

with community people, related individuals, and re-people as well as the factors involved in health needs.

lated organizations. Apart from determining various

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health medical care welfare plans (health promotion,

Health Guidance Intervention. 16(1): 29-39, 2013.

preventive measures against cancer, moderation in

Junko Fujita, Minako Watanabe, Sakiko Fukui: Home

health-care cost, specific health checkup implementa-

Care Nurse Collaborative Practice with Care Man-tion, maternal and child health, welfare for people withagers / Home Health Aides for Elderly in Terminal

disabilities, long-term care insurance service support,

Stage. 16(1): 40-47, 2013.

long-term care insurance services, and medical pro-

Yasumasa Adachi, Masae Ueno, Kyoko Izumi: Factors

grams), PHNs carry out appropriate and effective

Related to Workers’ Depression in Small and Me-progress management and evaluation of various

dium-sized Workplaces. 16(1): 48-55, 2013.

health care, medical care and welfare plans in coop-

Community Health Nursing Reports

eration with related individuals and organizations.

Yukiko Kanaya, Ayumi Kono, Chieko Tsumura: Eval-(10) Development of human resources

uation of the Home-visiting Nurse’s Home-care

To render appropriate services, PHNs are required

Consultation Program at the Hospital. 16(1): 56-62,

to carry out self-development independently. In addi-

2013.

tion to acquiring the knowledge and learning tech-

Informationniques related to the latest health care, medical care,

Fumiko Okamoto, Yumiko Nakamura: Bereavement

welfare, and nursing care, they are also required toReactions and Coping of Bereaved Family Care-learn cooperation, coordination and administrative

givers for End-of-life Cancer Patients at Home.

management, and the capability for health care, med-

16(1): 62-69, 2013.

ical care, welfare, and nursing-related human resource development.

Vol.16 (2)Notice: English translation by JACHN

Preface
Reiko Okamoto: Recommendation to Continue theCurrent Research Vol. 16(1)-(3)of JJACHN

Reflective Practice from the Beginning of Professional Education. 16(2): 5-6, 2013.
Original Articles

Vol.16 (1)Tomoko Yamabe, Etsuko Tadaka, Yuka Dai: Cogni-

Prefacetive Social Capital and Related Factors in Junior

Kiyomi Asahara: Obligation and Collaboration of Au-

High School Students Living in Urban Areas. 16(2):thors: Reviewers and Editors in a Review Process
for Development of Community Health Nursing

7-14, 2013.
Mai Yamanoi, Etsuko Tadaka, Rie Hakamada-

Science. 16(1): 3, 2013.

Taguchi: Factors Related to Nutritional Status in theOriginal Articles

Community-dwelling Elderly. 16(2): 15-22, 2013.

Yuuko Doi, Masae Ueno, Kyoko Izumi: Relationshipbetween the Residential Environment and Domestic

Preliminary Reports
Ayako Atsumi, Yukiko Anzai: Cooperative Behaviors

Falls by Elderly Women. 16(1): 4-11, 2013.

of Public Health Nurses When Providing HealthPreliminary Reports

Services to Individual Patients. 16(2): 23-31, 2013.

Taichi Narita, Yuko Uda, Keiko Kobayashi: State ofCommunity Health Nursing Reports

Measures against Natural Disasters at Community

Emi Kunori, Yukiko Kanaya, Ayumi Kono: Evaluation

Comprehensive Support Centers in Shin’etsu Area.

of the Effectiveness of the Program and Trial to16(1): 12-19, 2013.

Educate Local Residents Regarding Self-neglect

Miki Marutani, Yuko Amamiya, Shoko Tsuruoka,
MisakoMiyazaki:

Culturally

Sensitive

Healthamong the Elderly. 16(2): 32-38, 2013.
InformationCounseling to Prevent Lifestyle-related Diseases

Yumiko Yamaji, Fuki Okoshi: Difficulties Experienced

Used by Public Health Nurses in Suburban Settings

by Public Health Nurses in Providing Initial Supportof Japan. 16(1): 20-28, 2013.

to Elderly Patients with Tuberculosis. 16(2): 39-46,

Itsuko Ozaki, Michiko Konishi, Emi Matsuura: The
Effects on Workers’ Lifestyles of Using Web-based

2013.
Masako Kageyama, Atsuko Taguchi: Child-raising5日本地域看護学会誌 Vol.16 No.3, 2014

Support Skills Provided by Public Health Nurses for16(3): 32-40, 2014.

Mothers with Serious Mental Illness. 16(2): 47-54,

Chisato Hayashi, Kazuo Hayakawa: Study on Factors

2013.

Predicting Fathers’ Participation in Childcare. 16(3):Mitsuko Shimizu, Hisako Izumi, Kyoko Namikawa:

41-52, 2014.

Actual Support of Public Health Nurses for Families

Hitomi Matsuura, Mariko Nishijima, Yukari Hoshita: A

Needing Continuous Support for At-risk Mother andDevelopment of Scales Illustrating How PublicChild. 16(2): 55-62, 2013.

Health Nurses Nurture the Social Capital for Suicide

Yatsuko Kinjyo, Hiroyo Hatashita, Shiho Kawata,

Prevention. 16(3): 53-64, 2014.

Naoko Uemura, Makiko Martinez: The Life Skills of

Junko Goto, Takiko Hosoya, Atsuko Kobayashi, Yuka

People in Advanced Old Age Living Alone to Live

Kanoya, Mariko Ohtake, Yuko Morikagi: Factors As-

Functional Decline on Remote Islands. 16(2): 63-70,

sociated with Functional Capacity Decline Risk over2013.

a 6-year Period among Independent Elderly Persons

The 16th Annual Conference of JACHN : Presi-

Living in the Community. 16(3): 65-74, 2014.

dential Address

Community Health Nursing Report

Toshiko Tada: Share of Power to Support the People

Minori Tanaka, Akiko Kanefuji, Mie Okuda, Michie

Living in the Community. 16(2): 71-75, 2013.

Nomura, Reiko Okamoto; Kiyoko Miyauchi: Arising

Committee Reports

Changes among Public Health Nurse in Administra-

JACHN Education Committee: Public Health Nursing

tive Management Positions by Support Compilingand Community Health Nursing. 16(2): 76-80, 2013.
JACHN Project for Improvement of Disaster Relief:

Portfolio. 16(3): 75-81, 2014.
Informations

Radiation Health Effect and Health Care Manage-

Yuko Ushio, Mitsuko Matsushita, Rie Iino: Educational

ment for Residents. 16(2): 81-90, 2013.

Priorities When Teaching Community Diagnosis
Identified by the Nurse Faculties among Different

Vol.16 (3)University Nursing Programs. 16(3): 82-89, 2014.

Preface

Chie Kawasaki: Birth and Child-rearing Experiences of

Ayumi Kono: Health and Social Capital in Community.

Immigrant Women in Japan and Their Support

16(3): 3, 2014.

Needs: A Literature Review. 16(3): 90-97, 2014.

Review Article

NEWS FROM JACHN

Kyoko Yoshioka-Maeda: A Comprehensive Review of

16(3): 98-106, 2014

Related Literature Focusing on the Program andProject Development by Japanese Municipal Public
Health Nurses (from 2001-2013). 16(3): 4-12, 2014.
Research Reports
Junko Yoda, Etsuko Sato, Mie Izumune, Yuki Suda,
Narumi Ide: The Structure of the Difficulties and Issues experienced by Visiting Nurses in Their Cooperation with Care Managers: Focus Group Interviews
with Visiting Nurse Managers．16(3): 13-21, 2014.
Kyoko Aoyama, Yuuko Kunii, Satoko Yanagisawa,
Miho Ishizaki, Kayoko Furuta, Kiyomi Sakuma, Maiko
Motoki： Support Process of Public Health Nurses for
Foreign Children with Special Health Care Needs(CSHCN) and the Factors Affecting to Its Progress.
16(3): 22-31, 2014.
Miho Hamayoshi, Ayumi Kono: Reliability and Validityof the Advance Directive Knowledge Test and Attitude Survey for Japanese in Local Older Residents.

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Announcement of the 17th Annual Meetingof the JACHN
Date: August 2–3, 2014
Venue: Okayama Convention Center, Okayama
City, Okayama Prefecture
Greetings:
Reiko Okamoto, Ph. D, RN. PHN
President of the 17th Annual Meeting of the Japan Academy ofCommunity Health Nursing
Department of Nursing, Graduate School of Health Sciences, Okayama University

Reiko Okamoto, Ph. D, RN. PHN

The two-day 17th Annual Meeting of JACHN will be held from August 2 to 3, 2014, at the
Okayama Convention Center, Okayama. The main theme will be “Action research on the heritageand innovation of community health nursing.”
In addition to giving nursing care for the health and welfare of people, with the heritage of
wisdom and culture, community health nurses are action researchers who introduce innovative or
needed changes.
In the 17th annual meeting, with a main theme of action research in community health nursing,
the programs aim to impart practices in the methods used and visualization of real-world conditions. Through this meeting, I encourage all participants to experience the aspects of action research involving “solving problems occurring in actual practice” and “collaborating between citizens and researchers.”
The meeting will coincide with the Okayama Momotaro Festival. Participants can enjoy a direct view of the fireworks during the social gathering, during which a course is prepared so guests
can enjoy the tastes of Okayama. We look forward to your participation.
We are very excited to meet everyone in August 2014, to gather for practice and research oncommunity health nursing, and to engage in mutual exchange. This meeting can serve as a fresh
break from daily practice, and therefore we welcome you all to participate. I thank you in advance.

7日本地域看護学会誌 Vol.16 No.3, 2014

Program:Keynote lecture
Shigeru Suganami, The head of the group
The Association of Medical Doctors of Asia (AMDA)
Title: The action of mutual aid based community: the history of primary care promotion in Okayama and the international emergency humanitarian aid for 30 years
Symposium
Title: The heritage and innovation of Aiiki committee activities: the history from the overnight stayhome visit by public health nurses for 60 years in Aiiku village
Emi Oba, Department Director
Imperial Gift Foundation Boshi-Aiiku-Kai
Special lecture 1
Katsuya Yamori, Professor
Research Center for Disaster Reduction System, Disaster Prevention Research Institute Kyoto
University
Title: To regional contribution by outcomes of the action research: the Crossroads produced by
Hanshin Awaji great earthquake disaster
Special lecture 2
Yumi Tamura, Professor
Graduate School of Health Care Sciences, Jikei Institute,Translator of “Reflective Practice inNursing”
Title: Reflective practice to improve the specialty of community health nursing
Special lecture 3
Tetsuya Kimura, Historian
Author of “In Times of Resident Public Health Nurse System”
Title: Suggestions for community health nursing and home care
Day 1 (Saturday, August 2, 2014)
 Opening remarks and orientation
 Presidential lecture Seminar organized by the Board of Directors
 Keynote lecture Public symposium Poster session
 Workshop
 Exhibition/exchange

Day 2 (Sunday, August 3, 2014)
 Special lecture Poster session
 Workshop
 Exhibition/exchange Closing ceremony

Publisher: Committee for Promoting International Exchange Activities
Emiko Saito (Tokyo Metropolitan University), Takako Ishihara (Gifu University),
Shizuko Omote (Kanazawa University), Kanako Murata (Showa University), Chu
Hyang Oh (Tokyo Metropolitan University)
Graduate Schools of Human Health Science, Tokyo Metropolitan University
7-2-10, Higashiogu, Arakawa, Tokyo, 116-8551, JAPAN
Phone & Facsimile +81-3-3819-7418 Email:saito@hs.tmu.ac.jp

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