Journal of Japan Academy of Community Health Nursing
Online ISSN : 2432-0803
Print ISSN : 1346-9657
Volume 22, Issue 1
Displaying 1-6 of 6 articles from this issue
Original Article
  • Toshiko Otsuka, Asami Tatsumi, Rika Tsubomi
    2019 Volume 22 Issue 1 Pages 4-12
    Published: 2019
    Released on J-STAGE: April 20, 2020
    JOURNAL FREE ACCESS

    Purpose: The purpose of this research is to develop self-assessment scales measuring partnership activities between public health nurses and nursery teachers in their support of parents of children of concern.

    Methods: We drew up the draft of scales(31 items)by analyzing the interview data of public health nurses and nursery teachers and sent questionnaires to 248 public health nurses and 881 nursery teachers in nine cities in order to test their reliability and validity.

    Results: A total of 940(83.3%)questionnaires were returned, of which 773 were valid. Four items were excluded from the draft of scales through item analysis. Then, the optimal solution of six factors and 25 items was obtained by exploratory and confirmatory factor analyses. Six factors were as follows: “exchange of information useful to mutual support,”; “opportunities and relationship associated with the type of each job,”; “understanding of the type of each job and social resources and its use,”; “care for the approval of guardians on information sharing and the exchange of support consequences,”; and “refinement of affiliated institutions’ rules on information sharing.” These results satisfied good internal consistency, and construct validity, confirming their reliability and validity.

    Discussion: In this research we developed “self-assessment scales of partnership activities between public health nurses and nursery teachers in their support to parents of children of concern” which comprise six factors and 25 items whose reliability and validity were confirmed. This scale is expected to be used for self-assessment partnership activities between public health nurses and nursery teachers.

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Research Reports
  • From the Point of View of Effective Postpartum Care and Evaluation
    Noriko Hatakeyama, Shizuka Harada, Hisako Nakayama, Shinobu Sakurai
    2019 Volume 22 Issue 1 Pages 13-25
    Published: 2019
    Released on J-STAGE: April 20, 2020
    JOURNAL FREE ACCESS

    Objective: The aim of this research is to clarify the kinds of feeling produced after using postpartum care, and elicit proposals on how to implement the project.

    Method: Interviews were conducted on the psychological states of mothers who used these post-partum care programs before and after treatment and on their feelings about the direct care providers during treatment. These data were analyzed qualitatively and inductively according to a grounded theory approach.

    Result: Six psychological state categories were identified among the mothers prior to their use of local government-supported post-partum care: “I want to reduce my feelings of anxiety/uneasiness,” “I want an environment where I can be introspective in both body and mind,” “Facing so many new experiences head-on makes it easy for me to have negative emotions,” “I want others to accept me no matter how I’m feeling,” “I can’t help but compare myself with other mothers and my ideal of what a mother should be,” and “I want to find out about people and services I can trust for advice as soon as possible.” Four categories were identified in mothers after their use of the programs: “Felt that mothers themselves are cherished,” “Felt more at ease and shifted toward more positive thinking,” “Experienced the opportunity for interaction with other mothers,” and “Started to see the reasons for previously vague anxiety.” Mothers who used these care programs experienced positive psychological changes.

    Conclusion: After childbirth, new mothers frequently experience a loss of confidence and conflict as they take on their new roles. During this period in their lives, feeling the comfort of being accepted as they are, receiving support from specialists who believe in the strength of women, and reflecting on themselves in a safe place caused positive changes in their perception of themselves, their children, their families, and society. These results suggest the importance of emotional support, in addition to physical and psychological care, as a part of post-partum care programs.

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  • Yaeko Akabori, Rie Tsuboi, Motoi Saito
    2019 Volume 22 Issue 1 Pages 26-34
    Published: 2019
    Released on J-STAGE: April 20, 2020
    JOURNAL FREE ACCESS

    Objective: This study aims to clarify the relationship between the views of community residents on health and their lifestyle.

    Methods: A questionnaire survey was conducted on 3,510 people selected by stratified random sampling from community residents aged 20 to 64 in Town B. We prepared question items using Shimanouchi(2007)and other earlier studies for the health criteria, and the HLC Scale on Health and another scale for the views of health. The χ2 test evaluated the relationship between age groups and both health criteria and lifestyle, and one-way analysis of variance assessed the relationship between age groups and views of health. A logistic regression analysis was conducted on views of health that influence lifestyle.

    Results: Data of 843 valid responses were analyzed. The valid return-rate stood at 24.0 percent. Most respondents considered “being mentally/physically sound” as their judgement standard of being in good health. On the HLC scale, residents in their 30s marked the lowest scores. On the Prioritizing Health Behavior over Living Activities scale, there was a strong tendency for residents in their 60s to prioritize health behavior. We found that the health view affecting lifestyle the most was the priority of health behavior. Those with higher priority had about 1.6 times as many good groups of lifestyle as bad ones.

    Discussion: Since a gap was found in health views and lifestyle by age groups, it is important to grasp the individual lifestyles of the residents and to support them according to their characteristics by age.

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  • Asami Kemmochi, Atsushi Matsunaga, Atsuko Taguchi, Chie Myouchin, Etsu ...
    2019 Volume 22 Issue 1 Pages 35-42
    Published: 2019
    Released on J-STAGE: April 20, 2020
    JOURNAL FREE ACCESS

    Aim: It is important for interprofessional medical staff to help patients with discharge and continuation of home care. We aimed to elucidate the aspects of interprofessional support for patients who continued home care after discharge and the factors which enabled this support.

    Methods: We conducted a qualitative descriptive study at one hospital in Japan. We selected two cardiovascular disease patients who had been discharged, visited the outpatient department regularly, and were not re-hospitalized from April 2014 to March 2016. To determine the support available to patients, we conducted semi-structured interviews with seven medical professionals such as doctors, nurses, a pharmacist, and a physical therapist from March to September 2016. The ethics review committee of the university to which the first author belonged approved this research.

    Results: Our participants supported the patients from hospitalization to outpatient visits, helping them continue their self-care and building trust relationships by remaining involved with them. In carrying out such support, our participants reached a consensus on treatment policy with other interprofessional medical staff. The consensus was established on the basis of good relations that made consultations easy.

    Discussion: The results of this research suggest the following key points in interprofessional support for patients’ home care. Interprofessional medical staff need to provide their patients with continuous support for their self-care, acutually meeting with them. In addition, interprofessional medical staff not only need to share their patients’ goals but truly understand the value of interprofessional collaboration.

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