P-089 Literature Review on the Activities of Self-Employed Public Health Nurses in Occupational Health Services at Small and Medium-Sized Enterprises

Introduction This study is intended 1) to review the literature on issues facing self-employed public health nurses in providing occupational health services to small and medium-sized enterprises, and 2) to clarify the need for and difficulties involved in employing public health nurses in private practice to provide occupational health services to small and medium-sized enterprises. Methods Using the keywords “Private public health nurse” or “Freelance and public health nurse” or “Self-employed public health nurse” and “Occupational health” or “Occupational health service,” we conducted a search on the database of the NPO Japan Medical Abstracts Society website(ver.5). Results We screened the literature and included seven articles in our analysis. The following were identified as difficulties that practicing public health nurses faced in providing occupational health services as small and medium-sized enterprises: “Difficulty obtaining understanding from companies and management,” “Requires many skills,” “Lack of network for learning opportunities,” and “Self-cost of study.” Discussion and conclusion Given the above, we believe that the provision of occupational health services to small and medium-sized enterprises by employing self-employed public health nurses and providing a system that offers self-improvement opportunities that anyone can easily participate in.