142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Effects of a Reflection-Based Health Guidance Skills Training Program, Part1: Perceptions of Public Health Nurses -

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Sunday, November 16, 2014

Mari Okada , Faculty of Health Sciences, Prefectural University of Hiroshima, Hirosima, Japan
Keiko Koide , Department of Health Science, The University of Okayama, Kita-ku, Okayama, Japan
Chiyori Haga , Department of Health Science, The University of Okayama, Kita-ku, Okayama, Japan
Reiko Okamoto, RN, PHN, DNSc. , Department of Nursing, Graduate School of Health Sciences, Okayama University, Okayama-city, Japan

Japanese public health nurses (PHNs) need proficiency in health guidance to support people in improving their lifestyle, and to prevent lifestyle-related disease. Unfortunately, there are few effective education programs targeted at the improvement of PHNs’ health guidance skills. The present study sheds light on the learning gleaned by the PHNs after undergoing a reflection-based training program on good health guidance. This program was developed by Koide et al.


Over the period of three months, 11 PHNs participated in the above program. They recorded and described (in pre-prepared worksheets) their experience in response to each of the modules undertaken. The modules included group activities and role-plays of simulated situations in which PHNs’ had to provide health guidance. Data were analyzed using content analysis. To improve the validity of the results, the categories were discussed with the co-authors of this study.


Content analysis revealed three categories of learning: “deliberate attempt to improve health guidance skills upon identification of personal weaknesses,” “practicing methods learned to improve own health guidance skills,” and “increased personal awareness of the need for continuous professional development as a PHN.”


We found an increase in the PHNs’ awareness for continual professional development. Additionally, in comparison with their original state of mind, they were more inclined after the program to improve their skills through role-plays and group activities. Nevertheless, further research on the outcomes of this program is necessary.

Learning Areas:

Chronic disease management and prevention
Communication and informatics
Public health or related education

Learning Objectives:
Evaluate the effects of a reflection-based health skills training program for public health nurses

Keyword(s): Nursing Education, Communication

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have researched about Health Guidance by public health nurses with co-authors since this study started, and I major in qualitative research.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Prefectural University of Hiroshima Commnity Health Nursing Employment (includes retainer)

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.