Journal of Japan Academy of Nursing Science
Online ISSN : 2185-8888
Print ISSN : 0287-5330
ISSN-L : 0287-5330
Current issue
Showing 1-5 articles out of 5 articles from the selected issue
Original Articles
  • Junko Hatanaka, Michiyo Hatanaka, Masako Takasaki
    Type: Original Article
    2020 Volume 40 Pages 5-13
    Published: 2020
    Released: June 19, 2020
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    Purpose: The purpose of the study is to uncover expert occupational health nurse actions taken to understand purposes important to them in occupational health nursing practice.

    Methods: Semi-structured interviews were conducted with 10 expert occupational health nurses. The results were analyzed using the qualitative synthesis method.

    Results: The following seven elements were extracted: “Realize living and working as oneself while restricting within work and health”, “Stay engaged so that one is physically and mentally healthy and approaches retirement positively”, “Offer suggestions for activities at an appropriate time by assessing the state of affairs within the corporate organization and identifying key personnel”, “Develop human resources and accumulate phased activities toward self-sustaining occupational health activities by the corporate organization”, “Coordinate opinions among employees/managers and integrate support activities for employees with those for the employer”, “Build relationships of trust by staying engaged as a professional from an impartial standpoint”, and “Continue learning from experience and gain expert knowledge”.

    Conclusion: Activities of occupational health nurses were conducted by building relationships of trust and making preformed study so that workers can live and work for themselves and the corporate organization can be self-sustaining and promoting occupational health activities.

  • Megumi Toriya, Masumi Hasegawa, Tomoko Aohda
    Type: Original Article
    2020 Volume 40 Pages 14-22
    Published: 2020
    Released: June 27, 2020
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    Purpose: This study aims to describe the perceptions of recurrent risk based on the experience of elderly patients with minor ischemic strokes.

    Methods: Semi-structured interviews were conducted with 18 patients with minor ischemic strokes, aged between 65 and 88, and the interview data about their thoughts of recurrent risk, disease, and health management were qualitatively and descriptively analyzed.

    Results: Narratives of the elderly patients with minor ischemic strokes showed that they did not seriously perceive risks of recurrence, stating that [I cannot clearly imagine what the recurrence is like], [I do not know what to do to prevent recurrence], and [It is no use worrying excessively about recurrences]. It was also shown that they thought indefinitely about recurrences based on their evaluation of the own paroxysm of disease and their health management, stating that [My stroke was minor and I am recovering], and [Before the stroke occurred, I have been able to manage my health].

    Conclusion: Elderly patients with minor ischemic strokes do not perceive the significance of and vulnerability to recurrence, and are insufficiently motivated to prevent the recurrence. These findings suggest that nurses need to understand the subjective patient perceptions of the recurrence risk, and attempt to provide support as appears necessary based on the understanding presented by individual patients.

  • Kayo Nomasa, Yoshie Yokoyama
    Type: Original Article
    2020 Volume 40 Pages 23-31
    Published: 2020
    Released: June 27, 2020
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    Objectives: The objectives of this study were to explore the experience of relatives of patients with Huntington’s disease and to develop a foundation for discussing nursing professional’s roles in the care of patients with this disease.

    Methods: Data collected through semi-structured interviews were analyzed by a qualitative descriptive approach.

    Results: Participants (mean age = 53.6; SD = ±28.5) were 10 first-degree blood relatives of patients with Huntington’s disease. Results of our analysis generated 7 categories and 39 subcategories describing participants’ experience about their families and the disease. Many appeared to have a “sense of alienation toward affected individuals” and only a “vague awareness of their kin’s disease,” given the existence of family members with similar symptoms. They also often reported they felt “constrained by their hereditary status,” and were “hesitant to tell others about their family history.” In addition, participants who spent time with patients often “imagined themselves contracting the disease,” and reported that “changes in their relative’s personality interferred with their lives.” Also participants felt that “patients and their families stood alone from the communities”.

    Conclusion: These first-degree relatives of patients with Huntington’s disease appeared to have complicated feelings toward their own hereditary disease status as well as that of other family members and the affected relative.

  • Yuka Nishimura, Midori Furuse
    Type: Original Article
    2020 Volume 40 Pages 32-39
    Published: 2020
    Released: July 03, 2020
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    Purpose: To elucidate the changes in Schedule for the Evaluation of Individual Quality of Life (SEIQoL) and the relationships between SEIQoL and a disease-specific scale as well as health-related QOL in elderly total hip arthroplasty (THA) patients.

    Methods: The subjects were 30 patients aged ≥65 years undergoing a first THA. Semi-structured interviews with the SEIQoL-Direct Weighting (DW) and questionnaire surveys with a disease-specific scale (Japanese Orthopaedic Association Hip-Disease Evaluation Questionnaire; JHEQ) and health-related QOL (8-item Short Form Health Survey; SF-8TM) were conducted at hospital admission, discharge, and 6 months after discharge.

    Results: The SEIQoL Index Score rose significantly with time in THA patients. In the relationships between the SEIQoL Index Score and the JHEQ as well as SF-8TM, differences in significantly related content were seen at each point in time.

    Conclusion: The results suggest that there were postoperative improvements in the QOL of elderly THA patients. They also suggest that the content of the QOL that is regarded as important differed at each time point, namely, hospital admission, discharge, and 6 months after discharge.

Material
  • Hiroko Irie, Naomi Morikawa, Junko Kaneko
    Type: Material
    2020 Volume 40 Pages 1-4
    Published: 2020
    Released: June 05, 2020
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    Chest compressions were performed on 46 nursing students while these students lay on the floor, a bed, and a backboard put on a bed, which all produce a different hardness beneath the body surface, and differences in compression depth, number of compressions, and appropriate decompression rate for compressions were compared in order to develop educational suggestions for examining the impact of nursing students on chest compressions. The results showed a significant difference in compression depth due to variation in hardness beneath the body surface depending on whether the compressions were performed on the floor or a backboard on a bed. Furthermore, differences between the sexes were seen in compression depth and decompression rate. Male students showed a deep compression depth and low decompression rate, whereas female students showed a shallow compression depth and high decompression rate. These findings suggest the importance of chest compression exercises and training that take into account sex-related differences in compression depth, as well as the need for an approach to correct physical characteristics and posture during compressions.

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