Journal of Japan Academy of Critical Care Nursing
Online ISSN : 2187-400X
Print ISSN : 1880-8913
ISSN-L : 1880-8913
Current issue
Displaying 1-4 of 4 articles from this issue
  • Atsuko Ueda, Ryuhei Sato, Koji Egawa
    2025Volume 21 Pages 13-23
    Published: March 31, 2025
    Released on J-STAGE: May 13, 2025
    JOURNAL OPEN ACCESS

    Objectives: This study aimed to clarify the conditions and factors associated with nurses’ spiritual care in intensive care units [ICU] and high care units [HCU].

    Methods: An internet questionnaire survey was conducted with staff nurses working in the ICU or HCU. Data on the actual conditions of nurses’ spiritual care were collected using nurses’ spiritual care practices [NSCP]. After univariate analysis, multiple regression analysis was performed with the total NSCP score as the dependent variable and individual and environmental factors as the independent variables.

    Results: The valid response rate was 32.2%. The mean total NSCP score was 25.5. Moral sensitivity, spirituality, and departmental atmosphere and systems were associated with the overall NSCP scores.

    Conclusions: These findings suggest the importance of enhancing the moral sensitivity and spirituality of each nurse in the ICU or HCU in addition to establishing a departmental atmosphere and systems to promote spiritual care among ICU or HCU nurses.

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  • Misuzu Nakamura, Keiko Akashi, Akemi Utsunomiya, Noriko Yoshida, Sachi ...
    2025Volume 21 Pages 24-39
    Published: March 31, 2025
    Released on J-STAGE: September 10, 2025
    JOURNAL OPEN ACCESS

    Objective: This study aims to generate the constructs of the model from the results of critical care nurses’ perceptions of the components of nursing practice that promote recovery, and to construct a nursing practice model that promotes recovery in acute and critical care patients.

    Methods: Questionnaires were developed based on the following subcategories: thinking to promote recovery, practice to promote recovery, assessment of recovery status, and factors influencing recovery. A web-based questionnaire was administered to all the participants. A total of 262 valid responses were analyzed, constructs were generated by factor analysis, and the nursing practice model was examined concerning the method of theory synthesis.

    Result: Thinking to promote recovery was a construct that included 《Identifying the patient’s current cognitive status》 and 《Assessing the patient’s physical stability and progress in the treatment process》. Practices that promote recovery include 《Use the patient’s autonomy in their care》 and 《Interventions to minimize risk》. Factors promoting recovery were a two-factor structure including 《Patient-centered medical and family system》 and 《Improvement of the patient’s physical and mental》. In contrast, factors hindering recovery were a construct including 《Instability of the patient’s physical and mental》 and 《Situations that are not patient-centered》.

    Conclusion: We will be able to construct a nursing practice model by examining the constructs of nursing practice that promote recovery in critical care patients. Validating this model in real-world clinical practice is a future challenge.

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