An Official Journal of the Japan Primary Care Association
Online ISSN : 2187-2791
Print ISSN : 2185-2928
ISSN-L : 2185-2928
Volume 46, Issue 2
Displaying 1-11 of 11 articles from this issue
  • Chiyo Higashine, Kazuoki Inoue, Masahiko Koda, Shin-ichi Taniguchi
    2023 Volume 46 Issue 2 Pages 36-42
    Published: June 10, 2023
    Released on J-STAGE: June 24, 2023
    JOURNAL FREE ACCESS

    Introduction: To clarify the utility of a community care conference that incorporated continuous dialogue between multiple professions.

    Methods: Group interviews were conducted with nine facilitators in March 2019, and the data were qualitatively, inductively analyzed.

    Results: Six categories of utility were extracted: "the changing atmosphere of the community care conference," "new groups of people participating," "getting to know people from other professions," "building relationships with people from other professions," "changing perspectives on the case study," and "changing the quality of assistance. "

    Conclusion: A conceptual framework of utility of these meetings was identified, which is transformed qualitatively through the following three stages: "transforming the location," "transforming interprofessional relationships and perspectives," and "transforming assistance."

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  • Rie Kubota, Emi Sezaki
    2023 Volume 46 Issue 2 Pages 43-51
    Published: June 10, 2023
    Released on J-STAGE: June 24, 2023
    JOURNAL FREE ACCESS

    Introduction: In Japan, online medical care for emergency contraceptives (ECP) was approved in 2019, but only trained pharmacists can fill the prescriptions. Pharmacists are required to confirm necessary information and provide medication counseling and psychological support for women. The government mentions the need for future consideration regarding over-the-counter (OTC) drugs. Therefore, this study aimed to clarify the awareness and efforts of pharmacists regarding ECP through a questionnaire survey.

    Methods: A web-based questionnaire survey was conducted involving 229 randomly selected pharmacists.

    Results: The self-assessment of pharmacists' ECP-related knowledge was low, especially their lack of knowledge of the mechanism of action (31.9%). It was also suggested that 60.3% of pharmacists were concerned about women's psychological support. No pharmacist requested an ECP prescription through online medical care, but 46.9% wanted to attend a training session in the future and request a prescription. A total of 44.5% of pharmacists were against OTC conversion of ECP.

    Conclusion: At this point, many pharmacists are worried about ECP-related knowledge and the psychological support of patients. Common patient-handling procedure manuals and explanatory documents are required to appropriately respond to patients'. Additionally, improving the knowledge and preparation of pharmacists for OTC drugs was considered necessary.

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  • Yoshie Suganuma, Nobuko Katahira
    2023 Volume 46 Issue 2 Pages 52-61
    Published: June 10, 2023
    Released on J-STAGE: June 24, 2023
    JOURNAL FREE ACCESS

    Introduction: The purpose of this study was to identify the thinking and practice of skilled home health care nurses to determine the necessity of multidisciplinary collaboration for users with complex issues.

    Methods: Semi-structured interviews were conducted with 7 home health care nurses who met the following criteria: years of home health care nursing experience, affiliation, etc. Data on the thoughts and practices of the home-visit nurses were extracted from the interview records and analyzed qualitatively.

    Results: Seven categories were extracted as thoughts of skilled home health care nurses when judging the need for multidisciplinary collaboration to support users with complex issues, such as: "intending to foster a common understanding among related organizations and professions". Eight categories were extracted for practices of related organizations and professions, such as: "Establish a system appropriate for the conditions of the user and his/her family", and 4 categories were extracted regarding practices for users and their families, such as: "Involvement to reduce the burden of caregiving on the family".

    Conclusion: The study revealed that skilled home health care nurses promote multidisciplinary collaboration by utilizing various means while emphasizing a common understanding with related organizations and professionals. In collaboration with other professions, it was necessary to utilize the expertise of nursing professionals for assessment and management.

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