Journal of Japan Academy of Home Care
Online ISSN : 2758-9404
Print ISSN : 1346-9649
Volume 27, Issue 1
Displaying 1-17 of 17 articles from this issue
Contents
Foreword
Robotics, Artificial Intelligence, Information and Communication Technology for Application to Home Care
Original Articles
  • Ritsuko Kamata, Koko Takahashi, Yuko Sakamoto
    Article type: Original Articles
    2023 Volume 27 Issue 1 Pages 38-46
    Published: 2023
    Released on J-STAGE: September 26, 2023
    JOURNAL FREE ACCESS

    This study investigated the everyday life experiences viewed positively by older adults, who returned to live in areas where an evacuation order was lifted following a long-term evacuation because of the Great East Japan Earthquake and Fukushima nuclear power plant accident. Semi-structured interviews were conducted with 10 older adults, and the data obtained were subjected to a qualitative descriptive analysis. The results revealed the following eight categories of everyday life experiences viewed positively by older adults in areas with a lifted evacuation order: “a life in one’s home that brings about the realization of how good one’s hometown is,” “feeling deep emotion in a life in one’s original home that carries on the wishes of its family members and ancestors,” “having a good time together with family members who live together or separately, is a time filled with the joy of being able to be together,” “exchanges in which one feels a bond with friends who have had the same experience of evacuating from their towns,” “activities that bring joy to oneself and others,” “feeling a sense of relief in seeing the number of people living in the town increase,” “interactions with members of younger generations who give hope for the future,” and “a fulfilling life where one can live sufficiently through one’s own efforts.” These findings suggest that the older adults’ fulfillment of their roles in relation to their families and ancestors in their original homes, and their close interactions with younger generations constituted experiences that were positively viewed by them.

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  • Tatsuya Takama, Mitsunobu Kohno, Shunji Sawa
    Article type: Original Articles
    2023 Volume 27 Issue 1 Pages 47-54
    Published: 2023
    Released on J-STAGE: September 26, 2023
    JOURNAL FREE ACCESS

    We examined the utility of the Stroke Drivers’ Screening Assessment Japanese Version (J-SDSA) to assess the driving skills of people with stroke and head trauma. An actual driving skills evaluation and J-SDSA, were performed on 30 participants. Our examination revealed that 13 of 14 people who were predicted to pass by J-SDSA, actually passed the driving test: however, 11 of the 16 who were predicted to fail by J-SDSA also passed the driving test, creating doubts about the prediction of driving skills based on J-SDSA alone.

    One of the reasons for J−SDSA predictions and driving assessment being inconsistent may have been the impact of difficulty level of road conditions on assessment. When judging the driving skills of those with brain damage, assessments should include other neuropsychological tests in addition to J-SDSA.

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  • Yuriko Inoue, Hisae Nakatani
    Article type: Original Articles
    2023 Volume 27 Issue 1 Pages 55-64
    Published: 2023
    Released on J-STAGE: September 26, 2023
    JOURNAL FREE ACCESS

    Purpose: This study clarifies the changes in ikigai-kan (Japanese: the feeling that life is worth living) among older adults participating in social activities during the COVID-19 epidemic.

    Methods: An anonymous, self-administered questionnaire was distributed to 598 adults aged 65 or older. Two longitudinal survey studies were conducted after the state of emergency declaration in April 2020. Survey questions were concluded by attribute , health status, mental health, social support, and the ikigai-kan. Participants were divided into healthy and non-healthy groups. Mental health, social support, and ikigai-kan were compared.

    Results: Among the 267 respondents, 240 were included for analysis. The healthy older adults (n=184) had a decreased ikigai-kan (P=0.002). Non-healthy older adults (n=56) had improved depression (<0.001) and social support (P=0.003) in the second session compared to the first.

    Conclusions: Healthy older adults’ Ikigai-kan decreased when social activities were limited. The depression of non-healthy older adults had alleviated because the social support had been improved by the second session. Therefore, the study suggested the importance of support for non-healthy older adults to participate in ongoing social activities.

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Research Report
  • Miyuki Koeda, Kaori Ohno
    Article type: Research Report
    2023 Volume 27 Issue 1 Pages 65-75
    Published: 2023
    Released on J-STAGE: September 26, 2023
    JOURNAL FREE ACCESS

    This study examined a model of interprofessional collaboration to determine how home-visit nurses and home helpers can adeptly collaborate to administer medication. Group interviews were conducted with 15 managers home-visit nurses stations and 13 individuals in charge of providing visiting care. Their responses were qualitatively analyzed. The results were integrated into a conceptual model of interprofessional collaboration from a previous study to create a model of interprofessional collaboration by home-visit nurses and home helpers regarding medication administration. The model yielded four prerequisites, four elements, and three results of interprofessional collaboration. After sharing more specific methods of administering medication by “Sharing and Consolidating Information,” home-visit nurses and home helpers began to “Administer Medication while Assigning and Augmenting Roles.” This practice occurred while home-visit nurses and home helpers were “Creating and Using Common Tools to Administer Medication.” home-visit nurses and their home helpers “Laid the Groundwork for Interprofessional Collaboration” to ensure proper functioning of interprofessional collaboration. “Laying the Groundwork for Interprofessional Collaboration” involved creating a community of practice that transcended the type of facility where one worked, one’s profession, and foundational elements in which one worked while collaborating. The usefulness of a model must be determined through practical applications, and the model needs to be further refined.

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  • Yasuko Aoki, Noriko Hirasawa, Chikako Takabayashi
    Article type: Research Report
    2023 Volume 27 Issue 1 Pages 76-83
    Published: 2023
    Released on J-STAGE: September 26, 2023
    JOURNAL FREE ACCESS

    Objective: This study aimed to clarify the status of discharge support practices performed and self-evaluated by nurses on community-based comprehensive care ward and related factors.

    Methods: An anonymous and self-administered mail questionnaire survey was administered to 396 nurses working in community-based comprehensive care wards. The questionnaire examined the nurses’ basic attributes, scores from the Discharge Planning of Ward Nurses (DPWN) as a scale for ward nurses to evaluate their own discharge support practices, and seven items associated with the DPWN scores. The obtained data were analyzed by calculating descriptive statistics and Spearman’s rank correlation coefficient for DPWN scores, basic attributes, and the seven associated items.

    Results: A total of 176 responses (valid response rate: 95.6%) were analyzed. The mean total DPWN score was 100.49±14.42, and the items associated with the total DPWN score was “achieving a sense of accomplishment from successful discharge support” (rs=0.44, p<0.01).

    Discussion: The mean total DPWN score was higher than those reported in previous studies. To improve nurses’ self-evaluation of discharge support practices, it may be important to help them achieve a sense of accomplishment from successful discharge support.

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  • Emiko Wada, Hiroki Chiba, Nakako Fujiwara, Katsuko Tanno
    Article type: Research Report
    2023 Volume 27 Issue 1 Pages 84-92
    Published: 2023
    Released on J-STAGE: September 26, 2023
    JOURNAL FREE ACCESS

    This study aimed to conceptualize the nature of interprofessional support felt necessary from the perspective of other professionals collaborating with home care helpers (“care helpers”) in the provision of home care. Moreover, it identified observations that other professionals could obtain from care helpers to facilitate collaboration. A total of 45 home care team members, including 13 professionals, participated in semi-structured interviews, and the data were analyzed using the KJ method.

    The nature of interprofessional support is based on a “search” for [the preferred method of information sharing by other professionals] and [arrangements for the transfer of important information throughby care helpers]. Based on this, while there are [expectations from other professionals for care helpers], “confirmation” from a medical perspective is desired for care helper information in light of [the way helpers deal with information] and [the influence of care helpers on users]. Thus, “suggestion” of specialized knowledge was mentioned as [a need for educational support for care helpers]. Thirty-one observation items were identified as areas in which other professionals could promote cooperation with care helpers, including diet and medication.

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  • Hiromi Kobayashi
    Article type: Research Report
    2023 Volume 27 Issue 1 Pages 93-101
    Published: 2023
    Released on J-STAGE: September 26, 2023
    JOURNAL FREE ACCESS

    Objective: This study aimed to gain insights into home-visiting nurses’ perceptions of anticipatory grief support for families of terminally ill patients and identify the factors associated with such perceptions. A questionnaire survey was conducted nationwide to shed light on this issue.

    Methods: A self-administered questionnaire survey was administered to 1,400 full-time home-visiting nurses. The questions pertained to their basic attributes, spirituality, and perception of anticipatory grief support.

    Results: A total of 422 questionnaires were returned (recovery rate: 30.1 %), of which 420 were used. The data were analyzed using exploratory factor analysis and covariance structure analysis. Five factors were extracted from the participants’ responses to 20 questions regarding anticipatory grief support. Among these, two items were related to perception: 1 ) approach left to the tacit atmosphere and 2) necessity for consciously identifying anticipatory grief. Of the two, many nurses responded with the latter. In addition, a model was created through covariance structure analysis using the five extracted factors to measure the degrees of fit (GFI = .95, AGFI = .94, RMSEA = .04).

    Conclusion: The findings suggest that home-visiting nurses consciously identified anticipatory grief by valuing the experience of grief with the families of terminally ill patients. This process may lead to a change in their outlook on life and death.

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Practical Report and Case Study
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