Journal of Japan Society of Nursing Research
Online ISSN : 2189-6100
Print ISSN : 2188-3599
ISSN-L : 2188-3599
Volume 30, Issue 1
Displaying 1-10 of 10 articles from this issue
  • Akiyo Morishita
    2007 Volume 30 Issue 1 Pages 1_49-1_57
    Published: April 01, 2007
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    The purpose of this study is to examine the aspects of coping for difficulty in daily life of patients with cardiomyopathy. The research was performed in a qualitative and inductive design. Participants in this study were 30 patients with cardiomyopathy, 26 men and 4 women. The average age was 54.4±2.06 (SE). The interview to the participants was semistructured, and the content of the interview was analyzed according to the Content Analysis advocated by Krippendorff. Four categories, [making efforts to surpass oneself], [making a mutual rapport], [believing in a slight hope], and [compromising on one's mind] were extracted from analysis of participants' coping attitudes. The participants indicated they fought alone against the difficulties and problems they confronted, and were aiming to solve the problems with humane and physical expectation. Moreover, the participants were coping with their feelings by avoiding and/or giving up thinking about difficulties and problems that did not reach to a solution. These results suggest that the nurses should find clues to help and support patients who live with cardiomyopathy by recognizing their coping.
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  • Akiko Nozawa, Machiko Iwata, Kumiko Shirao, Naomi Sato, Rie Inakatsu
    2007 Volume 30 Issue 1 Pages 1_59-1_66
    Published: April 01, 2007
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    The objective of this study was to develop the self-management behavioral scale of hemodialysis patient and to study its reliability and validity. In August 2003, we investigated in 133 patients that consent was obtained, among hemodialysis patients in maintenance phase who go to a dialysis hospital in A city.
    The number of valid response was 129 patients (87 male and 42 female), and age was 59±11 years (mean±SD). After item selection was performed depending on response bias and answer deficiency, a factor analysis performed in these items extracted three factors which are 22 items of first factor "compliance of diet therapy and water restriction", 5 items of second factor "management of therapeutic measure and prevention of complication", and 6 items of third factor "adjustment of physical and psychosocial life". Cronbach's α for each factors was from 0.687 to 0.922, and scale in general was 0.919. In addition, each factors and scale in general was significantly correlated with preventive health behavior scale.
    The self-management behavioral scale of hemodialysis patient was almost recognized about reliability and validity. Hereafter the scale will be utilized for assessment index of nursing care to promote patient self-management in diet and daily life.
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  • Kyoko Kunikiyo, Yayoi Saito
    2007 Volume 30 Issue 1 Pages 1_67-1_77
    Published: April 01, 2007
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    The purpose of this study is to identify sense of control among early puerperal mothers. We conducted semi-constitutive interviews on 10 mothers who recently had babies. Qualitative analysis was then performed using Berelson's content analysis method. There are six types of childbirth experience related to sense of control: "births on their own", "births collaborated with babies", "births with the help of families and significant others", "births with the help of professionals", "births controlled by destiny and power of nature" and "births protected by spiritual existence". The first one is the only experience based on internal control, while the others are on external control. It is indicated that to make mothers aware of external control and to recover or reinforce internal control by regaining sense of control once transferred to external control are effective in helping mothers to find meaning of their childbirth experience.
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  • Naoko Shibuya, Futoshi Okumura, Akihiko Ogasawara
    2007 Volume 30 Issue 1 Pages 1_79-1_88
    Published: April 01, 2007
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    In the present study, we tried to standardize Japanese version of RAS (Rathus Assertiveness Schedule, RAS-J) that has 30 items and had already been standardized in Europe and America to measure the types of the self-expression in Japanese people, focused on the two-dimensional model of assertion.
    The questionnaire was administered to 213 nurses in five hospitals in A prefecture. We got 212 valid responses in total, and the subjects were all female. The exploratory factor analysis with Promax rotation found the following four factors: Assertive, Non-assertive, Aggressive, and Passive aggressive factors which were the same as the conceptual framework. As a result of investigation of items based on the values of factor loadings and so on, RAS-J with 20 items was confirmd. We could certify high construct validity, and reliability by means of Cronbach's α of RAS-J.
    These results agreed to the two-dimensional model of assertion in Japanese nurses. Further study is necessary for the establishment of RAS-J by increasing the numbers of subjects, including male subjects and the reexamining a Japanese translation of the RAS.
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  • Satoko Nakamura, Midori Furuse
    2007 Volume 30 Issue 1 Pages 1_89-1_95
    Published: April 01, 2007
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    The purpose of this study is to examine the searching process for the subject of graduation research in nursing college students. Eleven persons who graduated from the nursing college in 2003, the candidate performed the semi-structured interview. The Modified Grounded Theory Approach was chosen for this research design and analysis.
    Results showed as 3 categories which consist of 13 concepts were generated as a result of this study; "Motive category of searching for the research subject" about why the students tried to address the research subject, "Action category of searching for the research subject" about how the students acted for deciding on the subject, "Meaning category of the teacher's existence" about how the teacher's existence was recognized when the students searched the research subject. When the students searched for the research subject, existence of teacher affected each of the students' motive and action to search for the research subject. The students needed the involvement of the teacher in the early stage of the searching process for the research subject. It was suggested that ‹guide to graduation research› led to a students' sense of accomplishment and urged a more active search for the research subject.
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  • Manami Hiraka, Junko Fuse
    2007 Volume 30 Issue 1 Pages 1_97-1_107
    Published: April 01, 2007
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    In this study, constituent factors of reality shock among new graduate nurses are elucidated and other related factors are examined. The subjects were 408 new nurses who graduated from nursing school in 2004 and were working for 24 general hospitals with 500 beds or more in the Tohoku region. We surveyed 62 items to measure reality shock, extracted a relevant factors such as "human relations in the work place," "practical nursing abilities," "physical factors," "psychological factors," "business and condition in the work place," "challenges and enjoyment in the job," "sense of responsibility for the occupation," and "responses to patient deaths." The sampling adequacy of these factors by the Kaiser-Meyer-Olkin measure, the cumulative contribution, and the Cronbach Coefficient Alpha were 0.92, 42.52%, and between 0.67 and 0.92, respectively, which are highly reliable. In addition, it turned out that noticeable reality shock was experienced with "psychological factors" and "practical nursing abilities." The results suggest that their reality shocks are affected by the kind of hospital wards to which they are assigned, the complexity of the specialty they deal with, and how much they wish to leave their jobs.
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  • Manami Hiraka, Junko Fuse
    2007 Volume 30 Issue 1 Pages 1_109-1_118
    Published: April 01, 2007
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    In this study, the difference between recognition of reality shocks experienced by new graduate nurses and that perceived by their preceptors are examined. The subjects were 408 preceptors and 408 new graduate nurses who graduated from nursing school in 2004 and were working for 24 general hospitals with 500 beds or more in the Tohoku region. The result shows that they also perceived that the new graduate nurses' reality shocks are affected by the kind of hospital wards to which they are assigned, the complexity of the specialty they deal with, and how much they wish to leave their job. The new graduate nurses perceived their reality shocks about "practical nursing abilities," "physical factors" and "psychological factors" higher than their preceptors did. On the other hand, the preceptors perceived the new graduate nurses' reality shocks about "human relations in the work place," "business and condition in the work place," "challenges and enjoyment in the job," "sense of responsibility for the occupation," and "responses to patient deaths" higher than the new graduate nurses did.
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  • Mari Kuraishi
    2007 Volume 30 Issue 1 Pages 1_119-1_127
    Published: April 01, 2007
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    This study was aimed at clarifying the process how a person of advanced age with single paralysis after a cerebrovascular accident and commute to function training (A type) pass through any kind of thought and acquired a quality of oneself after a discharge. The data were collected from interviews of 5 individuals, and analyzed using the Modified Grounded Theory Approach. As a result, their feelings about oneself of them swung in the prospective feelings and backward feelings mainly on [perplexity to aggravation]. In other words, future feelings is controlled by how to catch their disease aggravation. It was suggested as follows that there is the danger that getting a quality of oneself is disturbed by [consciousness to death], but they will stare at oneself again, and besides, get a quality of oneself by being going to deal in the feelings forward through various experiences,. In addition, it was thought that it's process was not completed by getting a quality of oneself once, and it always shifted between categories fluidly.
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  • Shinko Minotani, Ryuuko Fukushima, Nobuko Sugimiya
    2007 Volume 30 Issue 1 Pages 1_129-1_135
    Published: April 01, 2007
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    This study developed and evaluated a home-care support system utilizing a liaison form for hospital discharge preparation to facilitate the transition of clients from hospital to home care. In this system, the client is helped by nurses to assess probable life under care after discharge from hospital. Client lifestyle and needs are described in an assessment sheet for homecare, sent by the client to a home-care support center while still in hospital. The home-care support center acts according to requests and tasks described in the form. This series of steps was applied to 7 cases. Nurses completed liaison forms after recognizing the system as useful for developing connections between clients discharged from hospital and the community. Clients considered the system as a tool for addressing problems, and provided information at their discretion. The home-care support center acted according to requests in liaison forms, which represented information provided by clients. Throughout the process of utilizing liaison forms, nurses achieved educational support to improve self-care abilities in patients, acting with respect for the self-selection and self-determination of clients. Future improvements in usability of the liaison form will be achieved by modifying and reviewing the operating system with increased numbers of cases.
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  • Sanae Oriyama
    2007 Volume 30 Issue 1 Pages 1_137-1_144
    Published: April 01, 2007
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    The purpose of this study was to clarify the structure of students' learning in the psychiatric nursing practice, and to obtain the material of an effective education method. First, the analyses are carried out by the remarks from 9 nursing students who finished nursing practice. Next, based on these categories, a questionnaire was prepared and was disseminated to 26 nursing students who did not use the nursing process and 25 nursing students who used the nursing process. As a result, analysis identified the following 6 core categories. "understanding patients", "How to relate to patients", "The nursing skills necessary for caring for mental disease patients", "Method of using communication skills", "Life environment for mental disease patients" and "Self-understanding".
    In addition, most of the categoies arose as an effect of the nursing process in psychiatric nursing practice. Especially, the score of "Understanding of recreational therapy", "Understanding of nursing method", "Self-understanding" and "Psychological distance from patients" were significantly higher in those using the nursing processes than in those not the using it.
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