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Societal ageing, the rising prevalence of chronic diseases, and the COVID-19 pandemic have changed the global healthcare environment dramatically. These challenges have significantly burdened community medical and healthcare systems and complicated the work of public health nursing. As an important care provider on the frontlines of primary care, public health nurses (PHNs) must keep up with the current state of the medical environment and statistical data interpretation, scientific data translation, community resource sharing, and telehealth applications. These demands have greatly impacted the traditional routines and existing professional core competencies of PHNs. Discussions among 12 Taiwanese public healthcare experts and the definition of public health nursing capacity from World Health Organization were considered in this review. In addition to reflecting on social changes and the professional development of public health nursing, eight prospective recommendations were provided in this review to enhance the professional competence of PHNs and better prepare them for future changes in the health environment and primary healthcare. The suggestions provide a reference for updating the position statement of PHNs. [ABSTRACT FROM AUTHOR]

Objectives: To analyze the relationship between the work burden and burnout of nursing staff in public health centers to propose suggestions for improving their health and welfare. Methods: An online survey of nursing staff in public health centers was conducted by contacting the said staff through email. The survey was conducted from July 25 to August 13, 2019. The authors sent out 3,742 emails and received 1,215 responses (response rate: 32.5%). After survey samples from Taipei and non-nursing staff were excluded, the sample size was 751. Results: Regarding the work demands dimension, work burden and red tape were positively correlated with work burnout and client burnout; weekly working hours were positively correlated with work burnout. In the work resources dimension, organizational support relieved work burnout, while client support alleviated client burnout. Although public service motivation (PSM) was negatively correlated with work and client burnout, it exacerbated the relationships of work burnout with work burden and red tape when it was analyzed as a moderator. Conclusions: The authors suggest that policy makers should reduce the workload, red tape, and over time working hours of nursing staff in public health centers. PSM could be an impetus for increasing work engagement and thus alleviate work burnout. However, it could also exacerbate the work burnout of the nursing staff due to increased work engagement in scenarios of a heavy workload and red tape. [ABSTRACT FROM AUTHOR]

Objective To understand the status quo and needs of community nurses training to provide a reference basis for formulating the targeted training course and scheme.Methods The purposive sampling method was adopted to select 18 community nurses from 12 community health service centers of Chongqing City for making up 2 groups and conducting the focus group interview. The interview place was in the meeting room of the community nurse training base，and the interview time in each group was 60-120 min. Results The training mode of community nurses was mainly the onjob training，the training contents were dominated by the health education guidance and basic nursing operating skill of elderly people and patients with chronic diseases，the training needs were mainly concentrated in the aspects of new theory and new progress of community nursing，interpersonal communication skills and focus group health management，moreover hoped to have more chances to participate in various short term off-job training. Conclusion The community nurses training should be oriented by the community nurses needs，establishes standardized training system，carries out the stratified community nurse training，thus increases the nurse training enthusiasm and elevates the effect of community nurse training. [ABSTRACT FROM AUTHOR]

Public health nurses are the largest manpower component in community-based psychiatric care in Taiwan. However, controversies related to primary responsibility for such have erupted and must be addressed in order to ensure patients receive the most appropriate care and healthcare professionals are adequately trained and supported. This article used the STEP (social-technological-economical-political assessment) method to assess the macro-level contextual changes that have affected healthcare centers and public health nurses providing community psychiatric care as well as their role function and development. This study recommends several policy changes based on findings. [ABSTRACT FROM AUTHOR]

According to Taiwan's Health and Welfare Ministry statistics, Taiwan had a total of 122,538 people who were officially registered as mentally disabled at the end of December 2013. Worldwide, schizophrenia ranks as the sixth most burdensome disease in terms of total expenditures. The present paper uses the two actual care stories of the families of mental illness patients and compares and contrasts these with the community mental illness care models used in other countries. The hospital-based psychiatric and community-based mental illness care that is practiced in Taiwan presents dilemmas and has long focused on "disease-orientated care" rather than holistic care. The gap between institutional and community mental rehabilitation services in Taiwan are examined. We recommend that policy makers create an open space for mental illness family caregivers and public health nurses to engage in dialogue in order to effectively integrate the care resources available to community mental illness patients and to break down the care barriers that currently separate community mental illness patients, family caregivers, and public health nurses.