Identifying Community/Public Health Nursing Competencies in Indonesia: A Modified Delphi Method

Destia Widyarani  -  Universitas Jember, Indonesia
*Tantut Susanto orcid scopus  -  Universitas Jember, Indonesia
Dwi Wahyuni  -  Universitas Jember, Indonesia
Huong Thi Thu Pham  -  Haiphong University of Medicine and Pharmacy, Viet Nam
Received: 9 Apr 2020; Revised: 21 Aug 2020; Accepted: 26 Aug 2020; Published: 28 Dec 2020.
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Abstract

Background: Nurses in public health centers, or known as public health nurses (PHNs), have duties in implementing promotive, preventive, curative, and rehabilitative efforts. In Indonesia, there is no basic reference to the competencies that should be performed by PHNs. The provision of health services in the community should cover two areas, namely inside and outside the building (Minister of Health’s Regulation No. 279 Year 2006); it causes nurses in the community to further hone their skills while in the field.

Purpose: This study aimed to identify the competencies of the Indonesian PHNs from experts using the C/PHN competencies of the Quad Council Coalition through a Delphi method.

Methods: This study was quantitative research with a Delphi method. We employed a purposive sampling technique to recruit the experts of public health nurses. The experts did a Delphi method to identify, analyze, and modify the C/PHN Competencies of the Quad Council Coalition into the Indonesian version of C/PHN Competencies with local cultures.

Results: Results showed that from eight domains of the Quad Council Coalition C/PHN competencies, there were changes for priority of the PHN competencies in Indonesia. All priorities were classified into eight groups, namely: (1) Leadership Skills and Thinking Systems; (2) Community Dimensions of Practice; (3) Assessment Analytic; (4) Policy Development and Program Planning; (5) Communication Skills; (6) Financial Planning and Management and Planning; (7) Public Health Sciences Skills; and (8) Cultural Competency.

Conclusion: The Quad Council Coalition of C/PHN competencies are appropriate with the Indonesian PHN competencies, although the priority is changed related of local wisdom as stated in the Minister of Health’s Regulation No. 279 Year 2006. Therefore, the Indonesian P/HN competencies should be developed to support the Indonesian health people through family approach.

Keywords: Community nurse; C/PHN; Delphi method; nurse competencies; public health
Funding: Ministry of Research and Technology / National Research and Innovation Agency (BRIN)

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Section: Articles
Language: EN
In Vol 10, No 3 (2020): (December 2020)
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  1. American Public Health Association. (2013). The definition and practice of public health nursing. Washington D.C.: American Public Health Association.
  2. Carter, KF., Kaiser, KL., O'Hare, PA., & Callister, LC. (2006). Use of PHN competencies and ACHNE essentials to develop teaching-learning strategies for generalist C/PHN curricula. Public Health Nursing, 23(2), 146–160. doi: 10.1111/j.1525-1446.2006.230206.x
  3. Cross, S., Block, D., Josten, L., Reckinger, D., Olson Keller, L., Strohschein, S., Savik, K. (2006). Development of the public health nursing competency instrument. Journal of Public Health Nursing, 23(2), 108–114. doi: 10.1111/j.1525-1446.2006.230203.x
  4. Hewitt, CM., Roye, C., & Gebbie, KM. (2014). Core competency model for the family planning public health nurse. Journal of Public Health Nursing, 31(5), 472–479. doi: 10.1111/phn.12133
  5. Kalb, KB., Cherry, NM., Kauzloric, J., Brender, A., Green, K., Miyagawa, LA., & Shinoda-Mettler, A. (2006). A competency-based approach to public health nursing performance appraisal. Journal of Public Health Nursing, 23(2), 115–138. doi: 10.1111/j.1525-1446.2006.230204.x
  6. Ministry of Health of Republic Indonesia. (2006). Perawatan Kesehatan Masyarakat (Perkesmas) No. SK/279/MENKES/IV/2006. [Public Health Nursing (PHN) No. SK/279/MENKES/IV/2006]. Jakarta: Kementerian Kesehatan.
  7. Ministry of Health of Republic Indonesia. (2018). Data dan Informasi. [Data and information]. Jakarta: Kementerian Kesehatan.
  8. Ministry of Law and Human Rights of Republic Indonesia. (2014). Undang-Undang Republik Indonesia Nomor 38 Tahun 2014 tentang Keperawatan. [Constitution of Indonesian Republic No. 38 year 2014 about Nursing]. Jakarta: Kementerian Hukum dan HAM.
  9. Ministry of Health of Republic Indonesia. (2006). KMK No. 279 tentang Pedoman Penyelengaraan Upaya Keperawatan Kesehatan Masyarakat di Puskesmas. [KMK no. 279 about Guidance of Administration of Public Health Nursing Efforts in Community Health Center]. Jakarta: Kementerian Kesehatan.
  10. Ministry of Health of Republic Indonesia. (2010). KMK No. 908 tentang Pedoman Pelayanan Keperawatan Keluarga. [KMK No. 980 about Guidance of Nursing Family Service]. Jakarta: Kementerian Kesehatan.
  11. Polivka, BJ., & Chaudry, RV. (2015). Public health nursing position descriptions congruence with ANA standards, public health essential services, and Quad council domains. Journal of Public Health Nursing, 32(5), 532–542. doi: 10.1111/phn.12148
  12. Quad Council Coalition of Public Health Nursing Organization. (2018). Community/Public Health Nursing Competencies. North Carolina: Quad Council Coalition of Public Health Nursing Organizations.
  13. Reckinger, D., Cross, S., Block, DE., Josten, L., & Savik, K. (2013). Public Health nursing competency instrument: Scale reduction and reliability of factors. Journal of Public Health Nursing, 30(6), 566–574. doi: 10.1111/phn.12032
  14. Septiyani, R. (2012). Analisis beberapa faktor individu, organisasi, psikologi yang berhubungan dengan kinerja koordinator program keperawatan kesehatan masyarakat (PERKESMAS) di puskesmas kota Semarang tahun 2012. [Analysis of several individual, organisational, and psychological factors relating to performance of coordinator program of public health nursing in community health centers in Semarang. Master Thesis: Universitas Diponegoro.
  15. Susanto, T., Bachtiar, S., & Turwantoko, T. (2019). Performance of public health nurses and coverage of the nursing care program by community health centers in Jember, Indonesia. International Journal Community Based Nursing and Midwifery, 7(2), 161–168. doi: 10.30476/IJCBNM.2019.44887
  16. Swider, S. M., Krothe, J., Reyes, D., & Cravetz, M. (2013). The quad council practice competencies for public health nursing. Journal of Public Health Nursing, 30(6), 519–536. doi: 10.1111/phn.12090
  17. Waltz, C., Strickland, O., & Lenz, E. (2010). Measurement in nursing and health research: Fourth edition. New York: Springer Publishing Company.

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