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 Health  Vol.9 No.7 , July 2017
Designing a Scale to Assess Family Nursing Practice among Public Health Nurses in Japan
Abstract:
Background: The promotion of family nursing by public health nurses (PHN) presupposes an accurate assessment of the family nursing support they already provide. However, as there is no assessment tool for this purpose, this study aimed to develop a scale to assess family nursing currently provided by PHN. Methods: We developed the Family Nursing Practice Scale (FNPS) for PHN based on the results of a previous study. The content validity of the FNPS was established through discussion with three other researchers. A pilot study was conducted to confirm face validity. To confirm reliability and validity, an anonymous, self-reported questionnaire was sent to PHN working in municipal offices. The statistical analyses included the Kaiser-Meyer-Olkin (KMO), Barlett’s Test of Sphericity, exploratory factor analysis (EFA), Cronbach’s alpha, correlation coefficient and t-test. Results: Seven hundred fifty-four PHN participated in this study. Cronbach’s alpha of FNPS was 0.94. The KMO measure was 0.948, and Bartlett’s Test of Sphericity was p < 0.01. Two factors together accounted for 63.2% of the variance in EFA. No items were excluded because of low loadings. Construct validity was confirmed through comparison with categories from a previous study. The correlation coefficient of FNPS and selected items of the Practice of Breastfeeding Support Scale was r = 0.56 (p < 0.01). The result of the t-test showed that the FNPS score of PNH who had received training in family nursing was significantly higher than that of PHN who had not (t = -2.0; p < 0.05). Conclusion: The reliability and validity of the FNPS were confirmed. The FNPS comprised 15 items and two factors. The score for “Active support for the family” was lower than “Support given with awareness of the family’s situation.” The findings of this study strongly suggested that the FNPS would be effective in clarifying the current state of family nursing provided by PHN and factors related to this activity and thus greatly assist the efforts of PHN to promote family nursing.
Cite this paper: Toyama, N. , Kurihara, K. , Muranaka, M. , Shirai, K. and Kamibeppu, K. (2017) Designing a Scale to Assess Family Nursing Practice among Public Health Nurses in Japan. Health, 9, 1019-1028. doi: 10.4236/health.2017.97074.
References

[1]   Ministry of Health, Labour and Welfare. (2009) Statistics about the Divorce.
http://www.mhlw.go.jp/toukei/saikin/hw/jinkou/tokusyu/rikon10/01.html

[2]   Ministry of Health, Labour and Welfare. (2012) Result of Comprehensive Survey of Living Conditions.
http://www.mhlw.go.jp/toukei/saikin/hw/k-tyosa/k-tyosa12/dl/02.pdf

[3]   Ministry of Health, Labour and Welfare. (2016) Result of Child Abuse.
http://www.mhlw.go.jp/seisakunitsuite/bunya/kodomo/kodomo_kosodate/dv/dl/about-01.pdf

[4]   Suzuki, K. and Watanabe, H. (1993) A Review of Literature on Development of Family Nursing. Journal of Graduate School of Nursing, Chiba University, 15, 1-8.

[5]   Kinoshita, Y. (2002) Nursing Family. Studies of Oita University of Nursing and Health Sciences, 2, 55-57.

[6]   Suzuki, K. (2006) Development Process of Family Nursing. In: Suzuki, K. and Watanabe, H., Eds., Family Nursing, 3rd Edition, Japanese Nursing Association Publishing Company, Tokyo, 4-8.

[7]   Yonabaru, S. (1983) Public Health Nurse in Okinawa. Azuma-do, 16-17.

[8]   Nakayama, M. (2008) Representative Assessment Model. In: Yamazaki, A. and Hara, R., Eds., Family Nursing, Nankodo, Tokyo, 76-91.

[9]   Meiers, S.J., Tomlinson, P. and Peden-McAlpine, C. (2007) Development of the Family Nurse Caring Belief Scale. Journal of Family Nursing, 13, 484-502.
https://doi.org/10.1177/1074840707310734

[10]   Simpson, P. and Tarrant, M. (2006) Development of the Family Nursing Practice Scale. Journal of Family Nursing, 12, 413-425.
https://doi.org/10.1177/1074840706290806

[11]   Matsuzaka, Y. and Arakida, M. (2017) Development of a Scale Facilitating the Assessment of Public Health Nurses’ Practical Skills for Family Support: Analysis of Reliability and Validity. Journal of Family Nursing, 22, 74-86.

[12]   Shibagaki, T. (2004) Differences of Recognition and Behavior between Hospital Nurses and Visiting Nurses in Family Nursing. Vol.29, Reports of Nursing Research, Nursing Teacher’s Course of Center for Professional Education, Kanagawa University of Human Services, 258-265.

[13]   Ishizawa, M., Tomioka, S., Ohtake, M., Akama, A., Suzuki, I., Kobayashi, A., Sato, C. and Kanoya, Y. (2009) The Actual Situation of Visiting Nurses’ View of a Family and Family Nursing Practice and Factors Affecting Visiting Nurses’ Family Nursing Practice. Yamagata Medical Journal, 27, 79-88.

[14]   Toyama, N., Muranaka, M., Kurihara, K., Shirai, K. and Kamibeppu, K. (2017) Designing a Scale to Assess Breastfeeding Support among Public Health Nurses in Japan. Health, 9, 964-974.
https://doi.org/10.4236/health.2017.96069

 
 
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