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Volume 36 (2013)
- Issue 5 Pages 5_35-
- Issue 4 Pages 4_19-
- Issue 3 Pages 3_68-
- Issue 2 Pages 2_35-
- Issue 1 Pages 1_39-
Volume 36, Issue 5
Displaying 1-7 of 7 articles from this issue
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Miharu Ogasa, Masayo Toume, Hiroko Takeshita2013 Volume 36 Issue 5 Pages 5_1-5_12
Published: December 01, 2013
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSObjective: To develop an "Elective Surgery Worry Assessment Tool" (ESWAT) for patients undergoing surgery under general anesthesia and to investigate its reliability and validity.
Methods: The question items were selected based on the results of a qualitative study on elective surgery patients and a questionnaire survey on surgical nurses as well as a literature review of anxiety and concerns regarding surgery. A questionnaire survey was then conducted using a 36-item trial version of ESWAT for which content validity had been confirmed. Subjects comprised 192 individuals.
Results: Based on the results of exploratory factor analysis and confirmatory factor analysis, an acceptable fit was confirmed for ESWAT as a second-order factor structural model consisting of 20 items and five factors with "anxiety regarding surgery" as a higher-order factor. Cronbach's α of ESWAT was .967, indicating internal consistency. Moreover, the criterion-related validity of ESWAT was investigated in comparison with the Hospital Anxiety and Depression Scale (HADS) and Short Form-8, and a significant correlation was observed for the HADS anxiety score.
Conclusion: The reliability and validity of ESWAT were confirmed, and ESWAT was considered useful as an assessment scale for assessing needs in preparatory education for elective surgery patients as well as nursing intervention.View full abstractDownload PDF (1012K) -
Mariko Ishitobi, Mihoko Koshida, Yukiko Ogata2013 Volume 36 Issue 5 Pages 5_13-5_24
Published: December 01, 2013
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of this study was to reveal the process of attaining "independence" among male patients with schizophrenia living with their elderly parents. Semi-structured interviews were conducted on seven male patients with schizophrenia, and the following eight categories were identified based on analysis using the modified grounded theory approach (M-GTA): "parental support is my only recourse", "realization of changes in interaction with parents", "switching back and forth between being the recipient and provider of care", "conflict between dependence on parents and independence", "persistence of illness", "tension-free parent-child relationship", "finding one's place in society", and "advance preparation for death of parents". The categories "realization of changes in interaction with parents", "switching back and forth between being the recipient and provider of care", and "finding one's place in society" were associated with "independence".
It is necessary to promote confidence and motivation by taking a positive view of the reversal of roles between male patients with schizophrenia and their parents. The need for support that considers the characteristics of male patients with schizophrenia, specifically their tendency to become isolated from society, poor communication skills, and lack of stresscoping strategies, was also suggested.View full abstractDownload PDF (1100K) -
Eri Yoshida, Kazuko Yamada, Hiromi Shibataki, Ikuharu Morioka2013 Volume 36 Issue 5 Pages 5_25-5_33
Published: December 01, 2013
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSTo clarify a possible association of Sense of Coherence (SOC) with stress reactions and their related factors, this study incorporated an anonymous questionnaire survey on 463 female nurses (average age 32.3 years) in a hospital in Japan.
The questionnaire consisted of SOC, Brief of Job Stress Questionnaire, Brief Scales for Coping Profile and characteristics.
Judging from partial correlation coefficient corrected for age, SOC was significantly related to stress reactions (psychiatric symptoms and somatic symptoms) and their related factors (stressors and influential factors of Brief of Job Stress Questionnaire, and subscales of Brief Scales for Coping Profile). Multiple linear regression analysis was used to find factors relevant to stress reactions. The dependent variable was set to the points of the stress reactions. The independent variables were set to the scores of SOC and 19 factors related to stress reactions, age and appointment.
The results showed that SOC had a significant association with stress reactions along quantitative overload, one of the factors related to stress reactions, and age. It follows that SOC could possibly be an independent factor to decrease the stress reactions of nurses.View full abstractDownload PDF (928K) -
Masako Takahashi, Junko Fuse2013 Volume 36 Issue 5 Pages 5_35-5_47
Published: December 01, 2013
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSAim: The study aimed to clarify information required by visiting nurses to respect the wishes of elderly people being cared for at home regarding end-of-life care, through case studies where it was judged that end-of-life care in accordance with the wishes of the elderly person had been provided.
Methods: Unstructured interviews conducted with 5 visiting nurses were transcribed verbatim, and the interview data were analyzed using qualitative descriptive methods to elicit information required for determination of wishes. In addition, similarity of the elicited information to the content of Lambert et al.'s values history, which forms the basis of decision-making for end-of-life care, was examined.
Results: The following 8 categories were elicited as information required to respect wishes: "Way of living", "Decision-making", "Religion/funeral", "Health", "Life expectancy", "Costs of care", "Relationship with medical and care teams" and "Wishes regarding end-of-life care". With a few exceptions, most of the information elicited was similar to the content of the values history.
Conclusion: The study suggests that in Japan, as in the USA, information that forms the basis of decision-making, shown through ways of thinking and characteristics of the individual as specified in the values history, is necessary to respect wishes regarding end-of-life care.View full abstractDownload PDF (942K) -
Seiji Mitsubayashi, Kiyomi Yamada2013 Volume 36 Issue 5 Pages 5_49-5_55
Published: December 01, 2013
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSTo elicit suggestions to create fall prevention measures for elderly people with dementia. this study investigated the relation between fall experience during the prior six months and behavioral and psychological symptoms of dementia (BPSD) among 40 elderly people with dementia who had been admitted to a dementia-specialized unit of a psychiatric hospital. Of all subjects in the study, approximately 40% had a fall experience during the prior six months and 85% had BPSD. The average number of occurrences of BPSD was 1.8±1.3. Examination of the relation between BPSD and fall experience during the prior six months revealed that those who had insomnia were more likely to have had a fall experience during the prior six months. Furthermore, an examination of the relation between two factors, insomnia and wandering, and fall experience during the prior six months revealed that the group of people with insomnia and wandering had an approximately three times higher rate of fall experience than a group of people without insomnia and wandering: a synergetic effect of insomnia and wandering was observed for fall experience. Results suggest the necessity of developing nursing intervention for insomnia symptoms to prevent falling by elderly people with dementia.View full abstractDownload PDF (800K) -
Junko Kobayashi, Miki Yamamoto, Shigeko Yasunami2013 Volume 36 Issue 5 Pages 5_57-5_66
Published: December 01, 2013
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of the present study is to examine related factors influencing medical safety learning of nurses who have experienced medical incidents and accidents. An anonymous-based, self-completed questionnaire survey was conducted among nurses working in general hospitals in Hokkaido. The subjects were asked to complete the questionnaire while recalling the most memorable medical incidents and accidents they have experienced and the relationships among medical safety learning, the organizational characteristics (involvements and approaches in the workplace, reporting system, frequency of study meeting regarding medical accidents in the attending unit, organizational attributes), personal characteristics (Locus of Control) and experiences with medical incidents and accidents were examined. Valid responses, obtained from 297 nurses (mean age: 34.3 ± 8.9 years old), were analyzed. As a result of multiple linear regression analysis, specific advice from the nurse manager/staff and discussions within the workplace about preventing recurrence of medical incidents and accidents were found in the organizational characteristics to be related factors for medical safety learning. The result suggests that involvement of others is important to enhance medical safety learning and it is necessary for the organization to involve systematically with the persons concerned.View full abstractDownload PDF (925K) -
[in Japanese]2013 Volume 36 Issue 5 Pages 5_67-5_76
Published: December 01, 2013
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSDownload PDF (1109K)
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