Journal of Japanese Association for Emergency Nursing
Online ISSN : 2189-6771
Print ISSN : 1348-0928
ISSN-L : 2189-6771
Current issue
Showing 1-4 articles out of 4 articles from the selected issue
  • Yukari Hisaka, Saori Kakita
    2020 Volume 23 Pages 1-8
    Published: 2020
    Released: June 06, 2020
    JOURNALS OPEN ACCESS
    目的:意識障害と高次脳機能障害や片麻痺のある脳出血患者の、発症直後からの意識障害や病態が回復する過程での自己の障害に対する認識の変化を明らかにした。 方法:脳出血を発症した複数の障害のある患者に対して参加観察を行い、研究対象者の言動や表情、その時の出来事、診療記録をデータとして質的記述的に分析した。 結果:対象者は50代前半の男性で、右被殻視床混合出血・脳室穿破と診断され、発症時は中等度の意識障害と高次脳機能障害や左片麻痺を認めた。参加観察は発症直後から転院までの18日間行い、意識障害の回復に伴い第1期〜第4期にデータを分類し、自己の障害の認識の変化を明らかにした。第1期は自己の障害を認識していない、第2期は自己の障害の認識はあるが一時的なものと考えている、第3 期は自己の障害による日常生活動作の困難さを認識する、第4期は自己の障害が完全には治らないことを認識する時期であった。 考察:発症時に脳出血による意識障害と片麻痺のある本症例では、発症後数日は自己の障害に対して認識がなく、 意識障害の回復に伴って自己の障害が治らないことを認識していった。中等度の意識障害のある時期は、苦痛の軽減や生理的欲求の充足を行い、記憶できなくても繰り返しの説明が重要である。意識障害の回復や病状の安定に伴い日常生活動作を拡大する訓練を行いながら、患者の自己の障害の認識に合わせた支援が重要である。
    Download PDF (716K)
  • Harumi Ejiri, Emiko Shinozaki
    2020 Volume 23 Pages 9-18
    Published: 2020
    Released: June 06, 2020
    JOURNALS OPEN ACCESS
    The purpose of this study was to examine the literature published in the previous 10 years on the nursing care for patients with post intensive care syndrome (PICS), to elucidate the trends nursing care for patient with PICS and discuss future tasks in Japan. A search of the literature was conducted using CINAHL, Pub Med and Japana Centra Revuo Medicina. Searches were limited to the English and Japanese language during the last 10 years. Finally, 14 reports were identified and groped by similar codes. The following main grouped could be extracted:“Progressive mobility”,“ ICU diary”,“ Recovery program and evaluation of program” and “Narrative of experience of after critical care”. The 14 reports included 7 from Northern Europe, 5 from the US and 2 from the Netherlands; there were no reports from Japan. Based on the results of this study, we consider that trend of nursing care for patients with PICS are; “Progressive mobility”, “ICU diary”, “Recovery program and evaluation of program” and “Narrative of experience of after critical care”. The issue of nursing support for PICS in Japan requires that nurses understand PICS and provide long-term follow-up system for patients with PICS. Furthermore, the evaluation of follow-up programs are important. In addition, it is necessary to nurse and multidisciplinary follow-up system.
    Download PDF (788K)
  • Manabu Hayashitani, Yumiko Masuda
    2020 Volume 23 Pages 19-29
    Published: 2020
    Released: July 01, 2020
    JOURNALS OPEN ACCESS
    This study aims to identify the influence of achievement motivation and autonomy on work engagement (WE) of nurses in emergency and critical care centers. Of 288 emergency and critical care centers in Japan 120 centers were randomly sampled, and anonymous self-rating questionnaires were mailed to 915 nurses. We collected 329 responses (36.0%), and analyzed 318 valid responses (34.8%). Based on the standard total score of the Utrecht Work Engagement Scale (UWES), the scores of the responses were classified into three: low (207 nurses, 65.1%), normal (81, 25.5%), and high (30, 9.4%). A multiple regression analysis was performed using the WE as the dependent variable, and demographics, details of employment, awareness of duty achievement motivation, and autonomy as independent variables. The results of the analysis showed that the total score of the achievement motivation scale, job satisfaction, willingness to continue employment, and the total score on the scale for professional autonomy in nursing influence the WE. The total score of achievement motivation scale also influenced all of the subordinate concepts of the WE, “vigor” “dedication” and “absorption”. Achievement motivation is the achievement of a goal based on own standards, leading to positive emotions. If nurses act on their own responsibility toward a goal, this may develop their autonomy as professionals and affect the WE. The findings suggest that “achievement motivation” “job satisfaction” “willingness to continue employment” and “autonomy” that affect the WE of nurses are ‘personal resources’, a factor specified in the WE and also a factor that improves the WE.
    Download PDF (889K)
  • Koji Ishikawa, Yuko Hayashi, Michiyo Yamamoto
    2020 Volume 23 Pages 30-36
    Published: 2020
    Released: July 01, 2020
    JOURNALS OPEN ACCESS
feedback
Top