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Volume 33 (2010)
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Volume 33, Issue 1
Displaying 1-10 of 10 articles from this issue
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Haruji Hirose, Namika Ikuta2010 Volume 33 Issue 1 Pages 1_45-1_56
Published: April 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of this study was to clarify the experience of anticipatory grief in dementia family caregivers. The participants were 12 main family caregivers of dementia patients living at home. The method used was a semi-structured interview; the data were analyzed qualitatively and inductively. The results showed that the families whose members had dementia went through three phases of anticipatory grief. First, non-death loss emerges in the form of two categories "loss of patient's important characteristics" and "the loss of assets important to the family caregiver." Next, anticipatory grief as an emotional response to the non-death loss develops, comprised of "inability to accept the situation," "inability to control anger," "feelings of intolerance," "feelings of responsibility for all," and "anxiety and loneliness." Finally, adaptation evolves that is comprised of "acceptance of the illness," "maintaining affection and interest for the dementia patients," "being with the dementia patients" and "finding meaning in their loss." Furthermore, "relationship" and "recognition of social support" emerge as factors to promote or hinder the above three phases. In this study, by regarding the anticipatory grief to be an adaptive process for the non-death loss, support for the family caregivers was discussed.View full abstractDownload PDF (617K) -
Akemi Nakagaki2010 Volume 33 Issue 1 Pages 1_57-1_68
Published: April 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThis study examines crisis-causing adult experiences and their timing for female nurses from the perspective of life span development. Semi-structured interviews were conducted with 19 nurses in their twenties to fifties who were working in hospitals. Their experiences were categorized into personal, family, and work areas. The analysis indicated that approximately half the experiences affecting nurse development were related to work. Even personal and family experiences are often workrelated. As for the timing, work experiences are often predictable, while family experiences, including the struggles of childraising and caring for elderly parents, are experienced by all age groups. Some experiences are common to many working women, such as balancing work, child-raising, and caring for elderly parents, while some experiences are unique to nurses. The latter includes the differences in responsibilities and work roles between nurses and assistant nurses, and the changes in basic nurse education with college-educated nurses increasing. Both experiences common to many working women and experiences unique to nurses' complicated situations affect the life span development of female nurses.View full abstractDownload PDF (641K) -
Tomoko Kusaba2010 Volume 33 Issue 1 Pages 1_69-1_79
Published: April 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purposes of this study is to elucidate the psychological process and therapeutic behavior of patients with early rheumatoid arthritis (early RA) from the onsets. Semi-structured interviews in a qualitative inductive study were conducted among nine patients (1 male, 8 female).
As a result, 12 state-of-mind categories were found in the early RA patients. They are "No concern about RA, only knowing its name" , "Worry about unknown symptoms" , "Anxiety for terrible pains" , "Inconvenience in daily life and role conflict" , "Shock of the onset of RA" , "Fear for prognosis suggested by other patients with early RA" , "Denial of suffering from RA" , "Happiness of encountering with a good physician and a therapy suitable to patient" , "Relief from pain caused inconvenience" , "Positive mind on medical treatment" , "Worry about the future" and "Hope for the future". They went through complicated psychological processes, gradually accepted their disorders, and began to exhibit their own therapeutic behavior. To care the patients with early RA requires patient education and other care-providing intervention appropriate for their psychological process.View full abstractDownload PDF (681K) -
Yuko Nakamura2010 Volume 33 Issue 1 Pages 1_81-1_92
Published: April 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of this study is to clarify the process of "quantum leap experience" of proficient nurse by job displacement. I interviewed 5 proficient nurse adapted to a new job within three years after job displacement more than one year, that oneself and others (a manager) admitted that I was able to "quantum leap experience" by job displacement and analyzed by KJ method. As a result, it became clear that "quantum leap experience" of proficient nurse by job displacement was process comprising six phases of [change their mind toward a fresh start], [the attitude that is going to get over the negative thought that job displacement caused], [role recognition], [an actual feeling of growth], [discovery of the coordinate axis of the carrier development like oneself], [intention of nursing job continuation], and a one factors of [support of a heart that is necessary for improvement of the motivation]. "Quantum leap experience" of proficient nurse by job displacement meant attitude toward job displacement as the turning point , power to develop the intelligence that they got by job displacement to new practice, making of occupation identity as a proficient nurse.View full abstractDownload PDF (624K) -
A Comparison with School NursesKasumi Mikami, Akemi Tsushima, Yoshiko Nishizawa2010 Volume 33 Issue 1 Pages 1_93-1_101
Published: April 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of this study was to compare and clarify clinical and school nurses' recognition of feelings from the posture of patients. The participants were 195 clinical nurses and 40 school nurses. Fourteen original illustrations of patient postures were used as stimulant pictures. The illustrations of patient postures were considered to most effectively express the following seven emotions: Basic, Anxiety, Disappointment, Tension, Interest, Anger and Joy. The Mood Inventory was used to evaluate participant emotions. The clinical nurses and the school nurses, the scores for recognition of Depressive mood and Anxious mood were highest in disappointment and anxiety postures. It was suggested that the both groups adequately recognized that feelings. Clinical nurses exhibited different abilities in recognizing feelings depending on their years of experience, and the recognition score was significantly lower in those with fewer years of experience. As the ability to recognize feelings differed by occupation and years of experience in clinical nurses, it was hypothesized that the occupation and clinical nurses' experience were involved in the recognition of feelings from patient posture.View full abstractDownload PDF (548K) -
Kayo Nomura, Kumi Watanabe, Tomoe Terashima2010 Volume 33 Issue 1 Pages 1_103-1_109
Published: April 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe hospitalization of elderly people in need of care has caused the attenuation of the relationship between patients and their families. Therefore, nurses are required to create more trustful relationship with families. We conducted the qualitative analysis to examine the involvement required in creating more trustful relationship with patients at hospitals where many elderly people in need of care are hospitalized by showing the process and the effect factors.
As a result, we found that nurses had "negative feelings toward self-centered families" at first, but they gradually "recognized the need to appeal their nursing efforts" in the process of creating relationship. And by practicing the "strategical involvement to create more trustful relationship with families" , they lead the "response of families' interest in patients and nursing" . This process was caused by the psychological factors of nurses and the functional factors of hospitals. Also, we found the "process of relationship-creating aimed at the advancement of mutual understanding with patients' families." The result showed that it is necessary for nurses to appeal their nursing efforts at first and then to try to recreate more trustful relationship between patients and their families through a strategical involvement in the process of establishing unique families-nurses relationship.View full abstractDownload PDF (587K) -
Toshiko Himeno, Mitsu Ono2010 Volume 33 Issue 1 Pages 1_111-1_120
Published: April 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of this study was to confirm the effect of foot care for Health Promotion and Disease Prevention. We conducted foot care on 11 elderly persons living at home by a foot bath, keratin removal, foot massage or exercise. Furthermore, we compared the changes in structure and function of feet before and after these foot care interventions by testing the standing balance and walking performance.
Following foot care intervention, foot problems, including blood circulation and muscle fatigue, improved. Keratinized and callused soles were replaced by normal skin with good condition. The sensation of touch and pressure increased in all elders. Surface temperature of skin and standing balance improved in almost all subjects. All subjects, except for one, had better walking performance. Maintaining standing balance and walking performance are necessary to accomplish daily living activities for elderly people. Moreover, such activities are the greatest concern for the Health Promotion and Disease Prevention program.
From these results, it was proved that foot care may contribute to Health Promotion and Disease Prevention as well as improve the condition of feet.View full abstractDownload PDF (660K) -
Kyoko Akagi, Kimie Fujita, Kazuko Sato2010 Volume 33 Issue 1 Pages 1_121-1_131
Published: April 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe present study elucidates the preoperative and postoperative life experiences of patients undergoing total hip arthroplasty (THA) . In addition, in order to clarify the condition of postoperative daily living, we analyzed living conditions following discharge and quantitatively assessed activity levels. Semi-structured interviews, observations, and measurements of activity levels were performed for a total of 17 patients who had undergone primary THA one year earlier. The life experiences of patients included "restrictions in life due to severe pain" preoperatively, "release from pain and concern regarding the artificial joint" at discharge, and "coming to terms and coping with the artificial joint" one year postoperatively. Based on comparison of experiences by age and social roles, the following three groups were identified: "late elderly individuals", "early elderly individuals and middle-aged housewives" , and "employed middle-aged individuals" .Comparison of median activity levels showed that employed middle-aged individuals had higher activity levels (5.71 METs-hours/day) than late elderly individuals (1.68 METs-hours/day) . These findings indicate the importance of providing nursing care that considers the individual characteristics of patients, such as their preoperative and postoperative life experiences, living conditions, and activity levels.View full abstractDownload PDF (1043K) -
Mika Murakami, Maeda Hitomi2010 Volume 33 Issue 1 Pages 1_133-1_139
Published: April 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThis research aims to develop a job stress scale for new graduate nurses, and investigate its validity and reliability. As a first step, we administered a questionnaire, which included a sentence-completion test, meant to be taken by the new graduate nurses who had been on duty for around 10 months, after being employed in 2006 and 2007. The data was studied by using content analysis methods. A scale of 23 items on a 5-point Likert scale was drafted.
In the second step, we conducted a survey of 383 new graduate nurses in 3 prefectures; these nurses had been on duty for 6-7 months, after securing employment in 2007. Three factors, comprising 16 items, were selected by factor analysis - "workplace environment" , "nursing practice" , and "self growth" . The reliability of this scale was confirmed by using Cronbach's α coefficient (0.86) . In addition, a positive correlation was discovered between the scale and the Center for Epidemiologic Studies Depression Scale, whereas a negative correlation was found between the scale and Rosenberg's selfesteem scale. The new scale is almost perfectly reliable and valid, and is a possibility for practical use.View full abstractDownload PDF (429K) -
Sachiko Hara, Mitsumi Ono, Masako Ohata, Shinobu Iwagou, Kyoko Numoto2010 Volume 33 Issue 1 Pages 1_141-1_149
Published: April 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of this study is to clarify the actual situation of end-of-life care services provided by care staff of elderly care facilities as well as the staff's emotional instability with people approaching the end of their lives. A questionnaire survey was given to 501 nurses and 1,274 caregivers from 45 elderly care facilities that provide end-of-life care services. A total of 485 valid questionnaires were collected for analysis. Regarding the care staff's attitude toward end-of-life care, it was found that nurses had a more active attitude than caregivers, with 53% of nurses surveyed reporting that they are active in end-of-life care, while 39% of caregivers said so. Forty percent of nurses reported they had experienced emotional instability themselves, while 32% of caregivers said so. It was also found that care staff of elderly care facilities were coping with emotional instability by participating in multi-professional meetings. The results of this study suggest that it is important to hold multi-professional meetings to provide care staff with opportunities to discuss and share strategies to cope with emotional instability, by taking advantage of the strength of elderly care facilities, i.e., that various types of healthcare professionals are working collaboratively.View full abstractDownload PDF (540K)
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