Evaluation of culturally appropriate health counselling to prevent lifestyle-related diseases and its modification for practical use as the new ABC model of culturally appropriate counselling for Japanese public health nurses

Authors

  • Miki Marutani Phd PHN RN,

    Associate Professor, Corresponding author
    • Chiba Prefectural University of Health Sciences, Chiba, Japan
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  • Sugako Tamura Phd PHN RN,

    Professor
    1. Graduate School of Medicine and Pharmaceutical Sciences for Research, University of Toyama, Toyama, Japan
    Current affiliation:
    1. School of Nursing, Toyama University, Toyama-shi, Toyama, Japan
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  • Misako Miyazaki Phd PHN RN,

    Professor
    1. Chiba University Graduate School of Nursing, Chiba, Japan
    Current affiliation:
    1. School of Nursing, Chiba University, Chiba-shi, Chiba, Japan
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  • Yuko Amamiya DScHSS MHSc PHN RN

    Lecturer
    1. Chiba Prefectural University of Health Sciences, Chiba, Japan
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Correspondence: Miki Marutani, School of Nursing, Chiba Prefectural University of Health Sciences, 2-10-1 Wakaba, Mihama-ku, Chiba-shi, Chiba 261-0014, Japan. Email: miki.marutani@cpuhs.ac.jp

Abstract

This study evaluates culturally appropriate health counselling to prevent lifestyle-related diseases and suggests modifications of the method for practical use.

Semi-structured interviews were conducted with 13 public health nurses (PHNs) in seven cities with different cultural backgrounds. Data were analysed qualitatively with the following research questions: Do we need to add other cultural factors to the previous six categories or to improve their expression for practical use? Are the methods for using cultural factors valid and expressed in appropriate language for practical use?

The original factors were re-categorized into three classifications—Values, Styles and Relationships—using colloquial expressions. The original methods of using cultural factors were re-categorized and modified into five phases: Assessment, Acceptance, Awareness, Balance and Connection. The names of the methods were also modified.

Modified culturally appropriate health counselling is easily understandable by any PHN and highlights the unique Japanese culture and style of public health nurses.

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