[in Japanese]

View full abstract

 Aim：This study aimed to clarify and conceptualize self-management in middle-aged mild stroke survivors.
　Methods：Semi-structured interviews were conducted with 12 mild stroke survivors. The interview contents included recognition and implementation for disease management, resource utilization, and partnerships between the patient and medical professionals. The results were analyzed using a qualitative descriptive methodology.
　Results：Four categories were extracted for self-management in middle-aged mild stroke survivors: “consideration of self-management methods for decision-making”, “implementation and refinement of self-management methods according to life situation”, “selection and utilization of appropriate resources”, and “collaboration with medical professionals to prevent aggravation of their condition”.
　Conclusion：The four categories of self-management in middle-aged mild stroke survivors found in this study are similar to those of individuals with other chronic diseases; however, characteristics of mild stroke survivors may include implementation of disease-specific self-management steps based on blood pressure control, and refinement of self-management methods according to life situation.

View full abstract

　Purpose：This study aimed to clarify differences in contamination status between novices and experts in the one- and two-person methods for removing personal protective equipment（PPE）featuring coverall-type protective clothing. .
　Methods：A non-randomized controlled study with 10 nurses was conducted, and the following hypotheses were established：1）The two-person method leads to fewer contaminated sites and shorter undressing time compared with the one-person method. 2）Experts have fewer contaminated sites and shorter undressing time than novices.
　Results：A total of 40 cases were collected, including 10 cases of the one-person method （1 pattern） and 30 cases of two-person method （3 patterns）. The two-person method led to fewer contaminated sites and required a shorter undressing time compared with the one-person method. Moreover, novices had fewer contaminated sites than experts. Comparison of the contamination status in accordance with the PPE wearing/removal interval revealed that the group with less than 32.5 days of experience （20 cases） had fewer seriously contaminated sites than the group with 32.5 days of experience or longer （20 cases）.
　Conclusion：The results demonstrated that the two-person method leads to less contamination and allows undressing to be performed in a shorter time, in comparison with the one-person method. Two-person method C, which is performed by the removal assistant from the peeling off of the reinforcement seal of the coverall-type protective clothing to the pulling out of the arms from the sleeves, may be a method that allows undressing to be performed more safely compared with the one-person method. The results suggested that in maintaining safe undressing skills for PPE using coverall-type protective clothing, the possibility that the interval of wearing/removal of PPE featuring coverall-type protective clothing may affect the maintenance of undressing skills should be taken in consideration, along with educational methods for establishing knowledge and integrating practical training.

View full abstract

　Purpose：The purpose of this study was to determine nursing practices that outpatient nurses evaluate as important for supporting outpatients with cancer such that the patients can demonstrate their independence and be themselves. Methods：An 86-item questionnaire on outpatient nursing practices, specifically referring to the nursing practices for supporting outpatients with cancer such that the patients can demonstrate their independence and be themselves, was conducted on 1130 outpatient nurses at a designated cancer hospital. The nurses were asked to what extent such practices are important and to what degree they are performing them. Results：The valid response rate was 78.6% （n＝598）. The 86-items on outpatient nursing practices were evaluated by outpatients nurses as “important” for supporting outpatients with cancer such that the patients can demonstrate their independence and be themselves. Results of exploratory factor analysis showed that the nursing practices that the outpatient nurses viewed as important comprised the following five elements：1）Providing support for patients to acquire skills to resolve problems and encouraging the patient’s positive attitude towards living with cancer；2）Ascertaining the patient’s thoughts and feelings and understanding them as they are；3）Providing support through multi-disciplinary collaboration and showing the attitude and knowledge of fulfilling nursing duties；4）Providing support to obtain information from physicians during outpatient visits；and 5）Explaining possible side effects and how to deal with them at home. Regarding the extent of performing these five elements, the study participants rated them as “Not necessarily not performing them, but not exactly performing them either.” Discussion：In order to support outpatients with cancer such that they can demonstrate independence and be themselves, it is necessary to develop an educational program that cultivates the ability to accurately perform these five nursing practice elements.

View full abstract

 This study aimed to clarify how discharge planning, ward, and visiting nurses collaborate to provide coordinated care during the period of transition from hospital care to home care. We conducted semi-structured interviews with 2 groups, each consisting of a discharge planning nurse, a ward nurse, and a visiting nurse who were involved in transition support for the same patient （total, 2 patients） and qualitatively analyzed the results. The following 6 categories were extracted:“discharge planning, ward, and visiting nurses provide transition support focused on the desires of the patient and family members”, “discharge planning and ward nurses cooperate to promote transition support”, “ward nurses provide support while imagining the patient’s home living condition and confirm with visiting nurses”, “discharge planning nurses connect the ward and visiting nurses”, “discharge planning and visiting nurses trust each other to take over the handling of patient issues and nursing care”, and “visiting nurses provide feedback on patient home life to the discharge planning and ward nurses”. Coordinated care provided by the three parties during the transition period included not only recognizing each nurses’s particular position and role, focused on the desires of the patient and family members, but also acting in consideration of each nurse’s position and role, and then providing feedback on maintaining the patient’s lifestyle at home after the transition.

View full abstract

[in Japanese]

View full abstract

[in Japanese]

View full abstract