Required competency of inexperienced public health nurses working at local government

目的：在日本，随着权力下放，居民的许多社区保健服务由县的市提供。方法：邮寄自填问卷给1967名phn和935名管理人员，其中1137人（39.2%）有效回复。所需胜任力采用4分制，由5个领域组成的实践胜任力进行测量。数据分析采用Mann-Whitney U检验。结果：对于具有5年工作经验的PHNs，要求的能力水平被描述为“这项活动可以在协助下完成”。对于有10年经验的phn，所要求的能力水平被描述为高于“这项活动可以完成”，对于有20年经验的phn，这个水平被描述为“这项活动可以完成，其他活动可以监督”。初级保健护士和行政人员之间的比较表明，行政人员在社区卫生保健机构进行决策和行政程序方面需要更高水平的能力。结论：从这个时期开始，对决策能力和行政能力进行充分教育的基本教育内容是非常重要的。建立规范的机构公共卫生护士胜任力标准，特别是十年初级保健护士的胜任力水平，是初级保健护士与管理者达成共识的重要内容。

Purpose:In Japan, as changing to decentralization, many community health services for residents were provided by a municipality from a prefecture.Methods:The self-reported questionnaire was sent to 1,967 PHNs and 935 administrators by mail, and of 1137(39.2%) respond effectively. Required competences were measured with 4 point scales by practical competencies composed of 5 domains. Dates analyze were used Mann-Whitney U test.Results:For PHNs with 5 years of experience, the required level of competence was described as "this activity can be done with assistance." For PHNs with 10 years of experience, the required level of competence was described as higher than "this activity can be done," and for PHNs with 20 years of experience, this level was described as "this activity can be done and others can be supervised." Comparison between PHNs and administrators showed that the latter required a higher level of competence in conducting policy-making and administrative procedures in community health care settings.Conclusion:The basic educational content that can be education enough about policy-making competency and administrative competency is important from this time forward. It is important for PHNs to make consensus with the administrators to establish standardized criterion of competency of public health nurses in the agency, especially competency level of ten years PHNs.