Journal of Japan Society of Nursing Research
Online ISSN : 2189-6100
Print ISSN : 2188-3599
ISSN-L : 2188-3599
Volume 31, Issue 5
Displaying 1-9 of 9 articles from this issue
  • Rie Igusa, Ken Aoki, Mami Kameda, Ken-ichi Iwasaki, Tamiko Matsuda, Ry ...
    2008 Volume 31 Issue 5 Pages 5_21-5_27
    Published: December 01, 2008
    Released on J-STAGE: March 05, 2016
    JOURNAL FREE ACCESS
    In the present study, we investigated effects of foot massage on autonomic nervous activity. Eighteen female students participated in this experiment. All subjects maintained semi-supine position throughout the experiment. In massage group,nine subjects underwent 20-min stimulation to soles, toes, ankles, and lower legs. The other nine subjects in control group only maintained rest without massage throughout the experiment. The heart rate decreased significantly and the high-frequency power of R-R interval variability in the range of 0.15-0.40 Hz increased significantly during the first 2 min from the beginning of massage. On the other hand, the low-frequency power of R-R interval variability and blood pressure variability in the range of 0.04-0.15 Hz, and high-frequency power of R-R interval variability increased significantly after the end of the massage. These results indicated that cardiac parasympathetic nervous activity was activated in the initial phase of foot massage. Moreover, cardiac sympathetic and parasympathetic nervous activities, in addition to sympathetic vasomotor activity, were augmented after the 20-min foot massage. Foot massage during nursing care is expected to increase autonomic nervous activity.
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  • -The Ability of Relatively to Apply Clinical Judgment while Taking a Health History-
    Miho Tonai, Yukiko Miyakoshi, Kazuyo Ando
    2008 Volume 31 Issue 5 Pages 5_29-5_37
    Published: December 01, 2008
    Released on J-STAGE: March 05, 2016
    JOURNAL FREE ACCESS
    This study aimed to clarify processes for making clinical judgments by inexperienced nurses (RINs). The process of clinical judgment includes : determining what is relevant for the patient, collecting specific data, and incorporating data to design a plan of care for the new patient. I interviewed 12 RINs. We used non-participant observation of history taking situations and semi-structured interviews. RINs tended to either act "according to the manual" or "evaluated the patient by using their existing skills and current level of knowledge". The nurses who acted "according to the manual" tended to "only take patient data", "perceive only part of the situation "and "ask sporadic questions". Nurses who "evaluated patients by using their existing skills and current level of knowledge" tended to focus on "establishing the initial bond with the patient or the family". They carefully listened to the patients' stories, and were able to "sense" the meaning and determine the "irrelevancies".
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  • Mitsue Fujita, Kazuyo Kawashima, Yukiko Moroe
    2008 Volume 31 Issue 5 Pages 5_39-5_48
    Published: December 01, 2008
    Released on J-STAGE: March 05, 2016
    JOURNAL FREE ACCESS
    This study clarifies changes in recognition of patients with chronic illness who lead to maintain their improved eating habits, and defines the influence of self-evaluation of health and food on maintaining eating habits. Semi-structured interviews were conducted with patients undergoing medical treatment at hospitals within the prefecture. I restructured the interviews based on interview transcripts and extracted commonalities among seven patients who improved their eating habits and changed their recognition of the connection between eating habits and chronic illness. As a result, I extracted six commonalities : (1) patients perceive and question physical changes ; (2) patients recognize the connection between eating habits and physical changes ; (3) patients are able to view their eating habits objectively ; (4) patients comprehend the point of practical eating habits and control conditions ; (5) patients establish rules concerning diet; and (6) patients' concern for health and diet increases. In addition, individual situations also exerted an influence on patients by promoting or interfering with changes in recognition. It was found to be important that patients perceive and begin questioning physical changes, and that they visualize such physical changes and connect them specifically to eating habits.
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  • Sanae Oriyama, Kumi Watanabe
    2008 Volume 31 Issue 5 Pages 5_49-5_56
    Published: December 01, 2008
    Released on J-STAGE: March 05, 2016
    JOURNAL FREE ACCESS
    This study was aimed to clarify traumatic stress of nurses who had witnessed patients' actual or attempted suicide at their psychiatric hospitals. A questionnaire survey based on the Brief Scales for Coping Profile (BSCP) and the Impact of Event Scale, Revised (IES-R) was conducted among 458 nurses working for psychiatric hospitals in Okayama and Hiroshima Prefectures. The survey identified 267 nurses (65.3%) who had witnessed their patients' actual or attempted suicide, of whom 25 (9.4%) were at high risk of PTSD on the IES-R scale. Recognition of the presence of certain support was found to be a factor related to the development of PTSD. Their answers demonstrated that the greatest support had actually come from the hospital staff, and indicated "assistance of (or consultation with) someone in an objective, neutral position" as the type of support they expected from the workplace. These results suggest that nurses who witnessed their patients' actual or attempted suicide require support from the hospital staff as well as someone able to assist (or listen to) them and their nursing teams from a neutral standpoint.
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  • Committee of BSN or ADN Programs Encounter
    Tomomi Kameoka, Naomi Funashima, Yuriko Nomoto, Michiko Murakami, Miwa ...
    2008 Volume 31 Issue 5 Pages 5_57-5_62
    Published: December 01, 2008
    Released on J-STAGE: March 05, 2016
    JOURNAL FREE ACCESS
    The purpose of the study was to identify the problems that nursing faculty who were members of faculty development(FD) committee of BSN or ADN programs encountered. Data were collected by semi-structured interview. The purpose and procedure of the study, and protection of anonymity and privacy were explained to the participants, and nine nursing faculty from 6 BSN programs and 3 ADN programs agreed to participate the study. The data were analyzed by using Berelson's content analysis technique. As a result, thirteen categories (e.g, "resistant or passive attitude of faculty to participating FD programs", "difficulty in carrying out the role of FD committee member because of lack of knowledge", or "difficulty to manage FD programs systematically and effectively"), were formed. The results suggested that lack of special knowledge related to faculty development and lack of human resources and money in each school are important issues in promoting the activities of FD committee members. Furthermore, inadequate understanding of FD leads to passive attitude or confusion of faculty.
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  • Yukiko Sato, Hitoshi Shiwaku, Mina Yamamoto, Megumi Fujita
    2008 Volume 31 Issue 5 Pages 5_63-5_69
    Published: December 01, 2008
    Released on J-STAGE: March 05, 2016
    JOURNAL FREE ACCESS
    The purpose of this study was to identify the maladaptive behaviors experienced by children with neuroses or psychosomatic disorders. The process records of interventions for 14 children with neuroses and psychosomatic disorders were analyzed through continuous comparison using the grounded theory approach. Nursing services were provided by eight nurses.The following results were obtained. The maladaptive behaviors experienced by children with neuroses or psychosomatic disorder were categorized as follows. The first category, 〈Symptoms and problem behaviors〉, comprised "Somatic symptoms" and "Problem behaviors" as constructive concepts. The second category, 〈Immature development〉, comprised "Immature the sense of trust", "Immature individual expression", "Immature emotional regulation", "Extreme uncertainty and nervousness", "Reduced sense of integration", and "Low self-esteem". The third category, 〈Difficulty with interpersonal relationships〉, comprised "Difficulty with interpersonal relationships" as a constructive concept. The forth category,〈Social isolation〉, comprised "Unable to be part of society" and "disturbed life pattern" as constructive concepts.
    These concepts identify problems encountered by nurses when providing care for children with neuroses or psychosomatic disorders.
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  • Takako Sinpou, Hiroko Kunikata
    2008 Volume 31 Issue 5 Pages 5_71-5_78
    Published: December 01, 2008
    Released on J-STAGE: March 05, 2016
    JOURNAL FREE ACCESS
    Semi-structured interviews were conducted with 12 patients with schizophrenia coming to a psychiatric day care or smallscale workshop to explore the process of reaching "Oriai" , living of myself world. The interviews yielded qualitative date that were coded and put into five categories: "I have become relaxed" , "I am coping with the present situation" , "I have faced the past" ,"I am staring into the future" , "I accept myself as good enough" , the last one being the core category. Patients managed to feel relaxed, acquire coping ability to situation, face the past, fell as if their situation is all right, and accept their situation. However, they live daily trying to cope with everything happening to them, cope with worrying about their future, and trying to look into the near future.
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  • Aki Okamoto, Hiroko Kunikata, Michiyo Kayahara, Kumi Watanabe, Sanae O ...
    2008 Volume 31 Issue 5 Pages 5_79-5_87
    Published: December 01, 2008
    Released on J-STAGE: March 05, 2016
    JOURNAL FREE ACCESS
    The relationship of family acceptance, stress coping behavior, distress in daily life to familial negative attitude was investigated using causal analysis in 150 family members living in the Chugoku and Shikoku districts returned completed questionnaires. Family acceptance and stress coping behavior were indirectly determines familial negative attitude via distress in daily life while family acceptance was directly determines. The determination coefficients were 0.34 for distress in daily life and 0.47 for familial negative attitude which indicate 34% of the variance in distress in daily life was explained by family acceptance and stress coping behavior, 47% of the variance in familial negative attitude was explained by distress in daily life based on family acceptance and stress coping behavior. These results suggest potential clues to nursing support for family members based on statistical evidence.
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  • Koichi Takatsuji, Yoshie Sugimoto
    2008 Volume 31 Issue 5 Pages 5_89-5_92
    Published: December 01, 2008
    Released on J-STAGE: March 05, 2016
    JOURNAL FREE ACCESS
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