The Bulletin of Health Science University
Online ISSN : 2433-4634
Print ISSN : 1882-5540
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Showing 1-21 articles out of 21 articles from the selected issue
Original Articles
  • Yuka Tanaka, Soichiro Mochizuki, Takafumi Watanabe, Akemi Washino
    2018 Volume 14 Pages 5-15
    Published: 2018
    Released: August 10, 2018
    JOURNALS FREE ACCESS
    Purpose:The purpose of this research was to clarify the perceptions of collaboration among the staff of the community comprehensive care center, attorneys, and judicial scriveners aimed at ensuring smooth practice of judicial social work for protecting the rights of the elderly and persons with disabilities.
    Methods:An anonymous, postal, questionnaire-based survey involved 455 individuals,including the staff of the community comprehensive care center, attorneys, and judicial scriveners in A Prefecture was implemented.
    Results:Significant differences were observed across professions, in the analysis of their responses to whether participants were familiar with the phrase, “judicial social work” or had been involved in judicial social works. The maximum number of positive responses was obtained from attorneys, whose collaborations were triggered by their daily operations as adult guardians or their participation in workshops on judicial social work.
    Discussion:Gaining a full understanding of each other’s work and sharing information on a regular basis are necessary for smooth collaboration. Judicial social work can possibly be strengthened by providing opportunities for joint training across professions and ensuring active participation of staff from all the three professional spheres.
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  • Takafumi Watanabe, Hisashi Anbo, Yumi Isaka, Erika Tsuchiya, Hiroyuki ...
    2018 Volume 14 Pages 17-27
    Published: 2018
    Released: August 10, 2018
    JOURNALS FREE ACCESS
     Recent years have seen an increasing demand for professionalized social workers in terms of quality as well as quantity, given the diverse social issues that need to be tackled. The need for improvement in curricula and methods to implement field training for students to become certified social workers is discussed frequently. More than ever before, field training supervisors are expected to have strong coaching abilities. This study is an attempt to identify the current situations and issues faced by supervisors in field training programs. A focus group interview was held with the field training supervisors. The interview data was analyzed using text mining techniques. These analyses revealed that issues facing supervisors were classified into seven categories. These classifications were discussed in relation to the current situation of and issues. The supervisor’s dilemma, the improvement of field training for supervisors, and supervisors’ lack of self-confidence are revealed as issues affecting the management of field training supervision.
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  • Miyuki Kobayashi, Hitoshi Ishii, Shiomi Furuya, Hisako Watanabe, Akino ...
    2018 Volume 14 Pages 29-46
    Published: 2018
    Released: August 10, 2018
    JOURNALS FREE ACCESS
    Objective:The objective of this study was to identify approaches to address the safety of patients and health practitioners, as well as the challenges that occurred during the heavy snow disaster in February 2014 at hospitals in A Prefecture.
    Methods:A survey of the safety managers at all hospitals in A Prefecture was conducted to assess their steps for securing the patients and staff safety before and during the snow disaster using self-administered anonymous questionnaires.
    Results:Responses were obtained from 38% (23 of 60) of the hospitals. About 90% of these hospitals contained fewer than 300 beds and 70% had fewer than 300 staff members. Of the safety managers, 4 (17%) worked full-time as a safety manager, 4 (17%) worked predominantly as safety manager but had some other duties, and 9 (39%) worked concurrently for other duties. All the safety managers that worked full-time were nurses. It was revealed that many hospitals started taking steps for medical safety management at the initial disaster stage in the jurisdictions of A, C, and D Health Centers, while few hospitals took advance preparation in B City and in the jurisdiction of C Health Center. The study revealed approaches at each disaster stage include “advance preparation,” “approaches for securing medical systems in an emergency,” “approaches for stabilizing medical systems,” “approaches for establishing measures against snow damage,” and “collaboration between hospitals and local communities during the snow disaster.”
    Conclusion:The study identified challenges of individual regions, interventions of cross-sectoral activities by safety managers during the disaster, and the approaches for securing in-hospital safety.
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Research Notes
  • Hiroyuki Naraki
    2018 Volume 14 Pages 47-66
    Published: 2018
    Released: August 10, 2018
    JOURNALS FREE ACCESS
     This paper aimed to analyze self-assessment questionnaires conducted three months after training sessions for renewal of effective period of long term care support specialist certification to confirm whether the training had any effect on actual practices and to measure the degree of effects. The research subjects were 151 practitioners who underwent training sessions implemented during FY2015 in A Prefecture. The self-assessment on the subject, “Social Case Work( lecture/seminar)” was conducted three months after the training. The self-assessment values in preand post-training( three months later) were compared, and the changes in the values between these periods were examined. In addition, text mining method was used to extract frequently appearing words in the texts written in the free description space in the assessment form and analyzed them using a co-occurrence network.
     Based on the analysis of the self-assessment conducted three months after the completion of training, the following three points are suggested:(1) the selfassessment provided an opportunity for the participants to reflect on the contents of training and their day-to-day practices;(2) the training had an effect on their actual practices;(3) the self-assessment was associated with the evaluation through participants’ self-reflection of the training contents and actual practices. These results suggest that the self-assessment conducted three months after the training for renewal of effective period of long term care support specialist certification showed the effects of the training on the participants’ actual practices in the post-training period.
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  • Mutsuyo Yoshioka, Rie Kubokawa, Michiko Nakamizo, Takami Mizoguchi, Ma ...
    2018 Volume 14 Pages 67-81
    Published: 2018
    Released: August 10, 2018
    JOURNALS FREE ACCESS
    Objective:To describe in detail what freshman nursing students learned during a situation setting seminar of techniques for daily support.
    Methods:The subjects were fifty-three students who gave written consent for participation. Using the reports submitted by the participants after the situation setting seminar, a qualitative and descriptive content analysis of what they observed and learned from the seminar was conducted.
    Findings:The content analysis extracted 257 data, and 74 subcategories and 11 categories were generated. These 11 categories include ‘all at the least expense of vital power to the patient,’ ‘well-thought-out nursing skills,’ ‘basic consideration for nursing care practice,’ ‘privacy protection,’ ‘respecting the human dignity,’ ‘mutual understanding between patient and nurse,’ ‘compassion toward patients,’ ‘all at the least expense of vital power to the nurse,’ ‘devising a nursing care plan ,’ ‘acquired skills and knowledge in the seminar,’ and ‘thoughts on the seminar.’
    Discussion:With their acquired knowledge, prior learning, and lectures provided before the seminar, nursing students were able to participate the practicum, being conscious of Nightingale philosophy of nursing.
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Case Studies
  • Kosuke Nakanishi
    2018 Volume 14 Pages 83-94
    Published: 2018
    Released: August 10, 2018
    JOURNALS FREE ACCESS
     The intervention was carried out for the elderly with dementia who displayed apathy at a health service facility. The procedure of daily life support planned by an occupational therapist was used to improve the subjective quality of life( QOL) and the care staff’s sense of satisfaction. The care staff was involved in direct living support. The evaluation was performed using the Quality of Life in Alzheimer’s Disease Scale (QOL-AD), Hyogo Activities of Daily Living Scale (HADLS), nine stages of Numerical Rating Scale (NRS), the care staff’s descriptions of implementation during the intervention, and a free description after the intervention. As a result of the intervention, the subjective QOL of the elderly with dementia and sense of satisfaction of the care staff improved. The intervention using the procedure of daily life support, which clarified the purpose and intention of the intervention, and methods of intervention and evaluation, and points of attention in the intervention, reconstructed the subjective living of the elderly with dementia. It is suggested that achieving such subjective living of the elderly with dementia was effective for both the person receiving care and the person providing it.
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  • Hiroshi Sakamoto, Satoshi Shimo, Yoshihito Sekiguchi, Syo-syo Sei, Toy ...
    2018 Volume 14 Pages 95-111
    Published: 2018
    Released: August 10, 2018
    JOURNALS FREE ACCESS
     The purpose of this study is to investigate the importance of providing healthcare professionals with practical training using human anatomical specimens. The training was conducted as a postgraduate educational program of the Health Science University during the academic year in April 2017. Therefore, most of the participants (26/33) were graduates of the university and were in their twenties. They responded to questionnaires designed to collect background information, to reveal their perceived need for the training seminar, to ascertain the level of their satisfaction with the seminar, to gather their opinion regarding areas that need improvement, and so forth. We divided participants into two groups according to their years of clinical experience:( 1) the first group of participants having four years or more of clinical experience, and (2) the second group of participants having less than four years of clinical experience. The statistical analysis suggests that the first group benefited more from the training seminar and also expressed greater satisfaction with the teaching methods used in the seminar than the second group. The survey also revealed differing views held by the participants when evaluating the achievement of their purposes. The first group described their feelings of achievement using their higher professional knowledge and skills whereas some of the second groups described their issue or points to look back at concerning their practice. Overall, the participants expressed a strong need for these kinds of seminars, and were satisfied with the seminar. These findings provide valuable guidelines for drafting future management strategies for training seminars, especially for those who have less experience.
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Review Articles
  • Ryota Shimose
    2018 Volume 14 Pages 113-122
    Published: 2018
    Released: August 10, 2018
    JOURNALS FREE ACCESS
     When assessing muscle function, it is recommended to measure not only the maximum voluntary contraction strength but also the rate of force development (RFD). RFD is derived from the average slope of the force development phase after the onset of muscle contraction. It is influenced by neural factors and better relates to performance in some activities of daily living, such as walking. With age, RFD declines earlier and to a greater extent than maximum voluntary contraction strength. Some patients have lower RFDs compared with age-matched healthy adults. Improving the RFD is more difficult than improving maximum voluntary contraction strength. Few studies about RFD, from which important information about neural factors can be gleaned, have been carried out in clinical settings. It is important to improve the RFD in rehabilitation strategies, but no consistent findings have been reported with respect to the training effects of RFD. Further investigation into RFD is necessary if it is to be used for more effective rehabilitation.
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  • Daisuke Takagi
    2018 Volume 14 Pages 123-129
    Published: 2018
    Released: August 10, 2018
    JOURNALS FREE ACCESS
     In Japan, owing to the increasingly aging society, the onset of frailty, which is increased vulnerability to stressors and is likely to have adverse health outcomes in old age, is a major concern. Increasing the amount of physical activity is a useful method of preventing frailty in older adults. In general, bodily movements are associated with exercise; however, activities performed at home(e.g., housework and taking care of children or pets)are also classified as physical activities. Therefore, it is important to determine an individual’s role at home and accordingly create opportunities for performing bodily movements within the range of that role. It has also been reported that using pedometers helps increase the number of steps taken per day and may be important to self-track one’s activities. Moreover, hobbies such as gardening help pleasantly perform bodily movements and are approximately equal to 3-6 metabolic equivalents. By engaging in hobbies, it is easy to ensure the necessary intensity and duration of physical activity; thus, this is a useful method of preventing frailty.
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Technical Materials
  • Tsuyoshi Takada
    2018 Volume 14 Pages 131-141
    Published: 2018
    Released: August 10, 2018
    JOURNALS FREE ACCESS
     There are people who find it difficult to be aware of body heat in voice training.Little research has been done to analyze the relationship between individual difference variables and effect of voice training method. The purpose of this study was to explore the features of participants with low awareness of their energy, using a worksheet of a voice training method. Using heat as an index of energy, analysis was performed based on their ego function regarding their energy. The study involved 44 male and female participants whose age ranged from 10 to 70 years. The findings suggested that participants with low awareness of energy can be categorized into 2 types: “participants who can develop their awareness of energy by their awakening of energy” and “participants who found it difficult to both awakening and awareness of energy”. The further study should clarify the validity of operational definition. Meanwhile, 22 participants who were not classified into either category need for further examination. The possibility of using the voice training as an assessment method for ego function regarding energy awakening, energy awareness and energy management should be explored.
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  • Yujiro Masu
    2018 Volume 14 Pages 143-150
    Published: 2018
    Released: August 10, 2018
    JOURNALS FREE ACCESS
     With the recent advances in scientific technologies, analytical techniques have markedly progressed, leading to the development of a musculoskeletal model-based analytical method to simultaneously examine multiple muscles using data on coordinates. This new method allows us to evaluate the activities of various muscles, including deep muscles that have been difficult to evaluate using conventional methods. On the basis of the results of analysis using this method, this study explains the characteristics of various types of muscle activities when delivering overhead strokes.
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  • Yuko Harakuni, Mika Sakamoto, Mineko Shinoda
    2018 Volume 14 Pages 151-162
    Published: 2018
    Released: August 10, 2018
    JOURNALS FREE ACCESS
     This report aimed to reveal the factors influencing the Parent Training (PT) program for parents of children with developmental disorders. 31 Japanese literatures were reviewed and analyzed. It was found that only 16% of regional institutions had PT programs, whose effectiveness was already established. Promoting PT programs in regional institutions is an important issue because it is effective for children with developmental problems; easy access for users; and helpful for service providers to gain information regarding children, parents in individual contexts. For this purpose, standardization of a brief PT program seems to be of utmost urgency. Apart from this, it was suggested that involvement of occupational therapists is effective in designing an appropriate plan for target behaviors.
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  • Rie Kuroda
    2018 Volume 14 Pages 163-172
    Published: 2018
    Released: August 10, 2018
    JOURNALS FREE ACCESS
    Objective:To report learning of nursing students participating in a medical rally held at Ibaraki and Tokyo.
    Methods:Six undergraduate nursing students observed a medical rally in 2016 are focused. After the observing the rally, students were asked about satisfaction with it and its importance. Moreover, students were asked if there are any requests for learning in nursing especially in emergency and disaster nursing. Meanwhile, students are required to make a summary after the event.
    Results:The ratings of satisfaction and importance by the students who experienced the rally were high. Nursing students reported learning about skills necessary for emergency/disaster nursing, cooperation among medical staffs, and communication between medical staff and patients and their families. These students also claim that their interests toward emergency and disaster nursing are stimulated.
    Conclusions:Nursing students who observed the rally were able to realize the importance of the knowledge and skills gained in the university. In addition, nursing students improved their interest toward emergency nursing and disaster nursing. It was suggested that student participation in medical rally as a part of the simulation education from the early stage would help in their practical education in nursing.
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  • Mari Takemura, Sayaka Yamazaki, Megumi Omata, Mai Yamada
    2018 Volume 14 Pages 173-187
    Published: 2018
    Released: August 10, 2018
    JOURNALS FREE ACCESS
     This study examined challenges and corresponding measures for the succeeding year’s practicum. We reflected on items concerning the preparation by the faculties for the first Basic Nursing Practicum II and the differences among each faculty’s response to the practicum instruction system based on the assigned practicum facilities, cooperation with clinical practicum instructors, and the faculties’involvement with students.
     It became clear that during the nursing clinical practicum, cooperation between faculty members and clinical practicum instructors is of utmost importance, and that faculty members “support the development of relationships among students, patients, and clinical practicum instructors” while also being “student advocates,” playing a role in establishing students’ practicum environment. In an effort to achieve this, faculty members are expected to gain communication skills and clinical practicum skills, in addition to education abilities to understand students’ acquired knowledge and skills and to stimulate their thinking capacities. We found that the clinical practicum instructors expect faculty members to understand patient information such as the patient’s condition and care content, to seek new research findings regarding these, to specifically share with the clinical practicum instructors, and to provide learning support for students who deal with patients.
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  • Miyuki Tanaka, Mayumi Sakakibara, Yumi Kobayashi, Sachiko Onodera
    2018 Volume 14 Pages 189-201
    Published: 2018
    Released: August 10, 2018
    JOURNALS FREE ACCESS
    Objective : The present study aimed to elucidate the current conditions of and issues regarding support for mothers and children at a perinatal care center.
    Methods:The study focused on 294 mothers who received the services at the center. Data were obtained through basic information sheets that were filled following admission to the care center, care plan worksheets, questionnaire surveys conducted after using the care center service, application sheets sent by the municipal office where the mother resided, and information from utilization report forms.
    Results:It was found that 294 users received overnight stay perinatal care services. They received postnatal care, counseling related to child rearing, and neonatal care. It was revealed that the users were satisfied with received advice on physical care and specific instructions on child-rearing methods. Moreover, they were highly satisfied by the staff’s caring and supportive attitude. They appreciated that there was someone they could talk to, and they expressed their desire to continue using the service.
    Conclusions:Since the number of users is not many, it is urgent to clarify and publicize the advantages of using the care center. In addition further efforts include asking health care professionals to introduce the center and promoting a better understanding of the center among pregnant women, mothers, and their families are necessary.
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  • Yasunori Hiyoshi, Ryoji Shinohara
    2018 Volume 14 Pages 203-216
    Published: 2018
    Released: August 10, 2018
    JOURNALS FREE ACCESS
    Purpose:In 2016, the proportion of enrollees in the Faculty of Nursing, Health Science University, at the time of opening was 68% of the admission quota. The aim of the study was to clarify students’ reasons for enrolling in our department.
    Methods:A questionnaire survey was conducted among students enrolled in our department in 2016.
    Results:Students’ reasons for enrolling in a nursing college showed the same tendency as in previous studies: The most frequent reason that was to gain parents’ favor, and less than 60% in other cases. On the other hand, when comparing passive entrance and active entrance groups, a significant difference was found in the item “to contribute to the community.” Regarding information collection about taking the examination, students suggested utilizing the Internet.
    Discussion: For students’ admission decisions to our university, it seems necessary to consider more effective information provision that includes parents as well as students. In addition, the results suggested that the active entrance group positively captures regional contributions, so it is necessary to emphasize this as one of the attractions of our university.
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  • Sayaka Yamazaki, Rie Kuroda, Kimiko Miki
    2018 Volume 14 Pages 217-229
    Published: 2018
    Released: August 10, 2018
    JOURNALS FREE ACCESS
    Objective : To examine the changes in nursing students’ views of the elderly after they completed the “Introduction to Gerontological Nursing” course.
    Methods:Participants were 54 first-year university nursing students. A questionnaire survey was conducted before and after the class. The questionnaire consisted of 25 items covering basic physical, mental, and social facts about aging that were considered to represent students’ views of the elderly.
    Results:Response rates were 94.4% and 77.7% for the pre- and post-class surveys, respectively. There were significant differences between the pre- and post-class scores for 4 items: one-person household, memory, sexuality, and inefficiency. Nursing students’ views of the elderly improved significantly after the course.
    Conclusion:Our results suggest that “Introduction to Gerontological Nursing” course plays an important role in the appropriate development of first-year nursing students’ views of the elderly.
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  • Mai Yamada, Mari Takemura
    2018 Volume 14 Pages 231-237
    Published: 2018
    Released: August 10, 2018
    JOURNALS FREE ACCESS
     The current study is a literature review to identify available support for collaboration between daycare centers and families in toilet training. Relevant studies were searched through the Japan Medical Abstracts Society Database Web Version Ver. 5 using “toilet/excretion training,” “training,” and “toilet training” as keywords. Analysis of Eight papers identified was performed, and their contents were classified into the following three categories: “young children’s actual excretion behaviors,” “timing and consultation for toilet training,” and “guardians’ needs.” In terms of “collaboration in toilet training,” the results suggest that effective communication between daycare centers or preschool teachers and the mother or other family members was a necessary condition. With regard to “interactions between the nurse and mother of a child undergoing toilet training,” it was suggested that nurses must understand what information mothers are seeking for toilet training and then provide information based on the perceptions of professional nurses.
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  • Hiroshi Sakamoto, Masanori Nagai, Ken-ichi Ozawa, Ryoji Shinohara, Tak ...
    2018 Volume 14 Pages 239-246
    Published: 2018
    Released: August 10, 2018
    JOURNALS FREE ACCESS
     The current study reviews the collaborative activities conducted between the Health Science University(the University) and the town of Fujikawaguchiko(the town) in 2017. It also evaluates the extent to which goals set by the “Agreement on Community Collaboration” were achieved. As per the “Co-ownership of Intellectual Property” listed in the agreement, three lectures aimed at the community members were organized by the University professors. The theme of this year’s lectures was on “A healthy lifestyle.” The first lecture was by a professor at the Kawaguchiko Camus, who is an expert in Chinese health techniques. The second lecture was in the new Tsuru Campus by the dean of the faculty of Nursing as an event in the University festival. The third was part of the town festival, “Community Festa,” by a University professor whose specialty is physical therapy. Meanwhile, governmental officers in the community organized lectures for the University students and introduced the work contents and problems. Eighty students completed the course this year. The University students became actively involved in local volunteer works, such as in a disaster drill operation in case Mt. Fuji erupts and as “Health Science University Walking-and-Cleaning Troops.”
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