Populations at Risk Across the Lifespan: Case Studies
The Strategies of Japanese Public Health Nurses in Medication Support for High-Risk Tuberculosis Patients
Article first published online: 24 OCT 2012
© 2012 Wiley Periodicals, Inc.
Public Health Nursing
Volume 30, Issue 4, pages 370–378, July/August 2013
How to Cite
Shimamura, T., Taguchi, A., Kobayashi, S., Nagata, S., Magilvy, J. K. and Murashima, S. (2013), The Strategies of Japanese Public Health Nurses in Medication Support for High-Risk Tuberculosis Patients. Public Health Nursing, 30: 370–378. doi: 10.1111/phn.12010
- Issue published online: 1 JUL 2013
- Article first published online: 24 OCT 2012
- The Japan Science Society
- nurse-patient relationship;
- posttreatment life;
- public health nursing practice;
- qualitative descriptive study;
The purpose of this study was to describe the support provided by Japanese public health nurses (PHNs) to high-risk tuberculosis (TB) patients, focusing specifically on the support aimed at preventing interruptions in treatment.
Design and Sample
A qualitative descriptive approach was used with a convenience sample of 11 PHNs in Japan who cared for TB patients at highest risk for medication adherence problems.
Semi-structured interviews were conducted to learn the scope and practice of PHNs with high-risk TB patients. Data were analyzed using a qualitative descriptive analysis process.
One main theme was identified: “Supporting the patients in overcoming tuberculosis, regaining health, and living a healthier life.” Three categories with five subcategories described the nurses' activities: (1) empathetic and reliable support, (2) motivational strategies for medication adherence, and (3) developing a foundation for healthier life.
The nurses interviewed described creative and extraordinary strategies used to promote medication adherence and facilitate development of a healthy posttreatment lifestyle. Their approach was patient-centered and culturally congruent. Findings may be transferrable to PHN practice in other regions as care for this economically disadvantaged and marginalized population is a critical need.