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Volume 37 (2014)
- Issue 5 Pages 5_55-
- Issue 4 Pages 4_1-
- Issue 3 Pages 3_74-
- Issue 2 Pages 2_1-
- Issue 1 Pages 1_49-
Volume 37, Issue 1
Displaying 1-8 of 8 articles from this issue
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Masako Takahashi, Junko Fuse2014 Volume 37 Issue 1 Pages 1_49-1_60
Published: April 01, 2014
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSPurpose: Japan will enter super-aged society shortly. It is imperative for health care providers to respect the homebound seniors' decisions on their end-of-life care. The purpose of this study was to identify core information that helped the visiting nurses understand Japanese homebound seniors' end-of-life care preferences.
Method: Questionnaires were mailed to 756 visiting nurses (with 107 valid responses received). The questionnaire asked questions about 57 items regarding the seniors' terminal care decision. These items were extracted from the Values History and interview for five visiting nurses. The researcher conducted the exploratory factor analysis and built a high order model based on the results from the analysis. The fit indexes were identified using the analysis of covariance. Lastly, the core information was identified.
Results: A total of three factors and 11 items were rendered as a result of the exploratory factor analysis. The researcher created a high order model where "understanding will" was the secondary factor, and three factors extracted as abovementioned were the primary factors. The fit indexes were high (i.e., GFI＝0.909, AGFI＝0.835, CFI＝0.947, RMSEA＝0.057).
Conclusion: Three factors ("End of life without regret", "Peaceful life" and "Clue of how to live") were identified as core information for understanding the seniors' will.View full abstractDownload PDF (1018K) -
Takiko Imai, Yukiko Miyakoshi, Miyuki Takase, Hiromi Kawasaki, Tsuyosh ...2014 Volume 37 Issue 1 Pages 1_61-1_74
Published: April 01, 2014
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThis study aimed to develop a written examination comprising 76 items asking newly graduated nurses to assess the basic knowledge that would be required of them as novice nurses in ICU units, and to inspect its reliability and validity. Data were collected from 252 third-year students at nursing diploma schools. The examination was conducted three times by linkable anonymity, before and after the national licensing examination for nurses. In addition, this study collected data on 48 second-year students and 54 ICU nurses, predicting a difference in knowledge when compared with the third-year students.
In item analysis on the basis of classical test theory, ５ items about the nursing care of postoperative patients and patients requiring respirator control did not have adequate item difficulty and discrimination power. Otherwise, the results showedreliability (KR-20 ratio = .785-.873) and criterion-related validity (test scores had a significantly positive correlation with academic achievement [r = .415-.637] ). The third-years' test scores were significantly lower than those of the ICU nurses (p<.001), indicating good discriminant construct validity. Therefore, the examination can be regarded as useful, but further consideration is needed concerning the items about care of postoperative patients and patients requiring respirator control.View full abstractDownload PDF (1098K) -
Kiyoka Niiya2014 Volume 37 Issue 1 Pages 1_75-1_82
Published: April 01, 2014
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThis research outlined how the nursing education of patients grew from the end of World War II to the 1980s, and examined its various implications using documentary research methodologies centered on collecting, interpreting, and analyzing archives. From the standpoint of patient education, we aimed to establish a more effective setup within continuing practice, emphasizing the basic principle of moving from a nurse-centered to a patient-centered approach and incorporating an interdisciplinary methodology combined with practical thinking centered on behavioral sciences and self-care. This is the process of moving from the provision of abstract and generalized to specific and individualized information; teacher-taught to mutually supportive relationships; unidirectional leadership to practice based on behavioral science; and issue resolution to clarification. By adapting to practical action in this way, patient education has grown methodologically both from an interdisciplinary perspective and as an independent field of study.View full abstractDownload PDF (866K) -
─ Focusing on the Nurses' CareYukari Sumiya2014 Volume 37 Issue 1 Pages 1_83-1_93
Published: April 01, 2014
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSPurpose: This study was designed to explore the experiences of very old people who are hospitalized and require care from nurses to carry out everyday activities.
Method: Participant observation at a hospital and semi-structured interviews were conducted with five very old people. The data obtained was analyzed using qualitative and descriptive methods.
Findings: The study participants were experiencing having "to face the reality of becoming unable to do things" while "being distressed about their body not moving as they want". In addition, in an attempt "to live their own life", they were making an effort "to give care a meaning" as an act that is beneficial for themselves. On the other hand, there was an inpatient who was unable to accept the nurse's involvement as care and thus experienced the "feeling of his life being controlled".
Conclusion: It was suggested that by choosing nursing care of their own will, seeing it as beneficial, and ascribing a positive meaning to the care, these very old people are trying to come to terms with the conflict between their former self-image as being able to live independently and their current state of relying on nursing care.View full abstractDownload PDF (967K) -
Misuzu Akamine, Sachiko Waki, Ryo Inoue, Yukiko Fukui2014 Volume 37 Issue 1 Pages 1_95-1_103
Published: April 01, 2014
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSObjective: The purpose of this study is to explore the motivational factors behind nurses' hand hygiene, and to clarify what factors cause them to act to prevent infection. Methods: A questionnaire was given to 487nurses. Data analysis is composed of statistical factor analysis method, calculation of content validities, and calculation of composite variable (RAI) which is statistically weighed by self-determination in the subscales. After obtaining these values, we examined the statistical correlation between RAI and subscales. Results: We found that behavioral motivation of hand hygiene was composed of ４ factors. These are "extrinsic motivation determined by instrumental and heteronomous action", "intrinsic motivation which refers to intentional motivation that comes from within an individual", "identified motivation for autonomous action", and "introjected motivation being dependent on an outcome". The obtained α-value was .77～.91. RAI showed a significant correlation with subscale scores. We have confirmed that correlation of values among conceptually similar scales is significant, and, on the other hand, that the more conceptually separated the scales were, the less significant the mutual correlation was. Conclusion: As regards motivation for hand hygiene, the above identified 4 factors, which center on the concept of selfdetermination, are mutually related.View full abstractDownload PDF (1005K) -
Mothers of Children with Autism Spectrum DisorderAkiko Kadoma, Midori Asano, Mami Yamamoto, Yukimi Ohashi, Ayako Furuza ...2014 Volume 37 Issue 1 Pages 1_105-1_113
Published: April 01, 2014
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThis study aimed to examine the narratives－particularly those centered on family experiences－of mothers of children with autism spectrum disorder by using group interviews; further, it aimed to explore the possibility of such groups building "community narratives". Participants were 51 mothers of children with autism spectrum disorder. The participants were presented with 33 cards depicting family values and then asked to choose which values were closest to their own; then, we analyzed the values in relation to mothers' narratives and conversation.
The cards included "Laughter in our home", "My kids developing normally", "My relationship with my partner", "Having alone time", "Loving my kids", "Having meals together as a family", and others. In spite of the occasional problems, each mother spoke of her experience as being unique. By listening to and sharing stories with other mothers, participants were able to expand their social realities and better understand their families, as well as tell stories that they had never told before. Thus, by having access to an attentive and understanding audience, mothers were able to form "community narratives", which allowed them to tell new stories.View full abstractDownload PDF (952K) -
Sumiyo Nabeshima, Kiyomi Yamada2014 Volume 37 Issue 1 Pages 1_115-1_122
Published: April 01, 2014
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThis study aimed to identify the relationship between pure-tone thresholds and self-perceived hearing in community-frail elderly, and elucidate the characteristics of elderly people with a discrepancy between pure-tone thresholds and self-perceived hearing. A group self-administered questionnaire and pure-tone audiometry were carried out with elderly participants of a care prevention program. The subjects were 139 people. A discrepancy between pure-tone threshold and self-perceived hearing was seen in four people who could not hear any tones and seven people who could hear only some tones, but did not think they had poor hearing. They tended not to have ear disease, not to have been told they are hard of hearing, and not to have a hearing handicap. Twenty-three people who could hear all tones but thought they had poor hearing tended not live with family and to have ear disease, to have been told by others they are hard of hearing, and to have a hearing handicap.
This suggests that when a self-administered hearing questionnaire is used in place of pure-tone audiometry, confirmation of whether a person has an ear disease, has been told by others they are hard of hearing, has a hearing handicap, and lives with family is necessary.View full abstractDownload PDF (1200K) -
Analysis by the Longitudinal StudyEmiko Manabe, Mitsuyo Komatsu, Yasuko Okayama2014 Volume 37 Issue 1 Pages 1_123-1_131
Published: April 01, 2014
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSA study was conducted of job stressors along with changes in reaction to stress and their related factors during the first three years of employment targeted at 34 nurses employed at the same health care institution. The contents of the survey consisted of attributes, job stressors, stress coping, emotional support and reaction to stress, and it was conducted using a selfadministered questionnaire which after 12, 24, 36 months employment.
We found that during the first year, the subjects perceived a lack of nursing competency as the primary stressor, and demonstrated a greater decrease in their sense of personal accomplishment the greater the degree of that stressor. During the second year, although stressors relating to their relationships with superiors served to promote a decrease in their sense of personal accomplishment, stressors relating to co-workers and physicians served to curtail decreases in their sense of accomplishment. The behavioral tendencies indicative of depersonalization weakened the greater the extent to which actions were taken to cope with approach issues in the second year.
These results suggested the importance of providing support coinciding with stressors, changes in the manner in which stress is coped with and behavioral tendencies, and particularly the need to provide support for improving nursing skills in the first year and acquiring the ability to adapt to personal relationships in the second year.View full abstractDownload PDF (1262K)
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