Japanese Journal of Nursing and Health Sciences
Online ISSN : 2424-0052
ISSN-L : 2424-0052
Volume 13, Issue 2
Displaying 1-4 of 4 articles from this issue
Study Paper
  • Naomi Yamaguchi, Emiko Shinozaki, Ai Kurita, Yuki Nishi, .Tetsuya Fuji ...
    2015 Volume 13 Issue 2 Pages 22-29
    Published: 2015
    Released on J-STAGE: November 01, 2017
    JOURNAL FREE ACCESS
    To investigate the current situation and future directions of the teaching contents that are necessary for intravenous injections in basic nursing education, we conducted a questionnaire survey of faculty members at nursing schools nationwide about the teaching contents in anatomy and physiology that are necessary for administering an intravenous injection. Of the educators, 35.6% taught their students to select the basilic vein in the cubital fossa for bolus IV injections and 28.8% taught their students to select the same vein for intravenous infusion. In regard to the knowledge of anatomy needed to administer an IV injection, 4.5% did not teach their students that the nerves and arteries lie deep behind the cutaneous veins, and 10.2% did not teach them that the median nerve and brachial artery accompany the basilic vein in the cubital fossa, which suggested that not all the educators were familiar with the anatomical structure of the nerves and arteries in relation to intravenous injections when they taught their students about which vein should be selected for puncture. As to physiological knowledge, 59.0% did not tell their students about the possibility of a vasovagal reaction (VVR). It is considered necessary to teach students about the specific contents and rationale of adverse reactions associated with administration of intravenous injections.
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  • Rie Shimotakahara, Kazuharu Mine, Shigemitsu Ogata
    2015 Volume 13 Issue 2 Pages 30-34
    Published: 2015
    Released on J-STAGE: November 01, 2017
    JOURNAL FREE ACCESS
    The purpose of this study clarified the sensory nerves that innervate the area near the trigger point of the jaw opening reflex. The trigger point is located at the midpoint between the palatoglossal arch and pterygomandibular fold and medial to the retromolar pad. For the morphological investigation of sensory innervation in this area, we exposed the cranial nerves in 52 halves of cadaver head and observed their distribution in soft tissue. In all the observed examples, the branches of the lingual nerve together formed mesh networks and distributed to the mucosa near the palatoglossal arch, retromolar pad, and the lingual gingiva of the last molar. It was suggested that the sensory nerves distributing to the area around the trigger point of jaw opening reflex were the branches of the lingual nerve, namely the branches to isthmus of fauces. We believe that the information herein may be of use to substantial nursing care and dysphagia rehabilitation.
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Clinical Data
  • Junko Kusano, Masako Takano, Yuko Fujita
    2015 Volume 13 Issue 2 Pages 35-42
    Published: 2015
    Released on J-STAGE: November 01, 2017
    JOURNAL FREE ACCESS
    The purpose of this research was to clarify the actual use of internet by guardians at home, and what kinds of medical information the guardians of children who have completed late medical examinations utilized to make consultation decisions. We investigated a total of 20 items, including how guardians acquired medical information, their reasons for consultations, the internet environment of the guardians, and the expectations of guardians for published information. A total of 286 successful replies were analyzed, revealing that 52.8% of the guardians used municipal newsletters as a source of medical information, while 46.9% of the guardians used the internet as a source of medical information. The date also revealed that there was an age difference concerning the usage of the information source.Concerning the decision to seek consultation with the onset of illness of children, most guardians (52.8%) made the decision based on their own self-experience, whereas only 7.2% of guardians made the decision based on internet usage, revealing that the decision of most guardians to seek consultation was not based on medical information found on the internet. It is thought that the use of internet by guardians will continue to increase, and that it is necessary that easy to understand medical information be published on the internet that guardians can use to make consultation decisions.
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Project
Oita University of Nursing and Health Sciences The 15th International Nursing Forum
  • Insook Lee, Soong-nang Jang
    2015 Volume 13 Issue 2 Pages 43-62
    Published: 2015
    Released on J-STAGE: November 01, 2017
    JOURNAL FREE ACCESS
    In South Korea, public health nurses delivered an innovative program for vulnerable populations nationwide to promote health and self-efficacy. We reviewed and extended recent scholarly literature to provide an overview and evaluation of the strategies for the future direction of community care in South Korea, with a particular focus on home healthcare at the local level. We also reviewed community-based nurse visiting programs and their design and effects. We present a set of propositions that outline the evaluation of the results, issues, dilemmas, and implications of the current Korean program. The home healthcare program reduces healthcare disparities by addressing the social determinants of health that contribute to health outcomes in adults and the elderly. This kind of program uses "upstream" strategies that address issues surrounding quality of life, living conditions, and socioeconomic resources for disadvantaged individuals. Key program components include proactive and comprehensive care to improve the health of vulnerable groups, a focus on helping people to achieve economic sufficiency, and strategies to assist people in providing competent care for community-dwelling individuals. Intervention subjects, when compared to control subjects, demonstrated improvements in self-management of chronic disease, smoking cessation rates, and regular exercise rate. An intervention designed specifically to meet the needs of vulnerable populations with respect to poverty and chronic disease was feasible and beneficial beyond improving health behaviors and health status. Further population-based health impact evaluation is required to identify why and how we should continue or expand such programs. Additionally, practical methods of an interdisciplinary approach and collaborating with community resources are both key to challenging issues present in some communities. We discuss the limitations of the study and possible issues regarding the home healthcare program and conclude with the consideration of several key areas for future research.
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