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Public Health Nursing in Japan: New Opportunities for Health Promotion

Authors

  • Sachiyo Murashima R.N., P.H.N., D. Hlth. Sc.,

    1. Sachiyo Murashima is an Associate Professor in the Department of Community Health Nursing at the Graduate School of Health Sciences and Nursing, Faculty of Medicine, University of Tokyo, Japan. Yoko Hatono is a Senior Research Officer in the Department of Public Health Nursing at the National Institute of Public Health, Tokyo, Japan. Nora Whyte is an Adjunct Assistant Professor at the University of British Columbia, Vancouver, Canada. Kiyomi Asahara is an Associate Professor at Nagano College of Nursing, Komagane, Nagano, Japan.
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  • Yoko Hatono R.N., P.H.N., M.N.,

    1. Sachiyo Murashima is an Associate Professor in the Department of Community Health Nursing at the Graduate School of Health Sciences and Nursing, Faculty of Medicine, University of Tokyo, Japan. Yoko Hatono is a Senior Research Officer in the Department of Public Health Nursing at the National Institute of Public Health, Tokyo, Japan. Nora Whyte is an Adjunct Assistant Professor at the University of British Columbia, Vancouver, Canada. Kiyomi Asahara is an Associate Professor at Nagano College of Nursing, Komagane, Nagano, Japan.
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  • Nora Whyte R.N., M.S.N.,

    1. Sachiyo Murashima is an Associate Professor in the Department of Community Health Nursing at the Graduate School of Health Sciences and Nursing, Faculty of Medicine, University of Tokyo, Japan. Yoko Hatono is a Senior Research Officer in the Department of Public Health Nursing at the National Institute of Public Health, Tokyo, Japan. Nora Whyte is an Adjunct Assistant Professor at the University of British Columbia, Vancouver, Canada. Kiyomi Asahara is an Associate Professor at Nagano College of Nursing, Komagane, Nagano, Japan.
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  • Kiyomi Asahara R.N., P.H.N., D.Hlth.Sc.

    1. Sachiyo Murashima is an Associate Professor in the Department of Community Health Nursing at the Graduate School of Health Sciences and Nursing, Faculty of Medicine, University of Tokyo, Japan. Yoko Hatono is a Senior Research Officer in the Department of Public Health Nursing at the National Institute of Public Health, Tokyo, Japan. Nora Whyte is an Adjunct Assistant Professor at the University of British Columbia, Vancouver, Canada. Kiyomi Asahara is an Associate Professor at Nagano College of Nursing, Komagane, Nagano, Japan.
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Address correspondence to Nora Whyte, 4313 Cliffmont Road, North Vancouver, BC, Canada V7G 1J6.

Abstract

Major changes are taking place in public health nursing in Japan. These include significant developments in employment, education, and roles of public health nurses (PHNs). Demographic and economic factors have prompted the Japanese government to focus health service delivery on community-based care, particularly for the growing elderly population. Public health nurses are redefining their roles and are assuming important functions in planning, implementing, and evaluating community health programs for the elderly. Japanese PHNs are using a variety of health promotion strategies to initiate change at the local level. This article presents two case studies to highlight the leadership role of PHNs in creating new services that foster healthy communities.

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