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Volume 39 (2016)
- Issue 5 Pages 5_1-
- Issue 4 Pages 4_89-
- Issue 3 Pages 60-
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Volume 39, Issue 5
Displaying 1-8 of 8 articles from this issue
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A Study of Interprofessional Team Members and Team ProcessKatsue Tanaka, Mayumi Kato2016 Volume 39 Issue 5 Pages 5_1-5_14
Published: December 20, 2016
Released on J-STAGE: May 18, 2017
JOURNAL FREE ACCESSObjective: To clarify the factors associated with "better end-of-life care" in specialist nursing homes, based on staff composition and care processes in interprofessional teams.
Methods: Participants throughout Japan completed an anonymous, self-administered questionnaire about specialist nursing homes providing end-of-life care. The questionnaire was designed to identify factors associated with "better" and "regrettable" end-of-life care, as influenced by the team care. Data were analyzed using multiple logistic regression analysis.
Results: Five factors identified to be associated with better end-of-life care were as follows: 1) age of the resident, 2) involvement of physicians as core members, 3) development of individual plan for end-of-life care, and 4) cooperation and collaboration among interprofessional teams and staff, 5) treatment performed (enema).
Conclusion: The findings of the present study suggest that end-of-life care can be improved by greater interprofessional staff cooperation and collaboration, the development of individualized end-of-life care plans, and the involvement of physicians as core members of the team.View full abstractDownload PDF (1067K) -
Etsuko Arai, Masayo Toume2016 Volume 39 Issue 5 Pages 5_15-5_27
Published: December 20, 2016
Released on J-STAGE: May 18, 2017
JOURNAL FREE ACCESSObjective: The present study aimed to develop a Lymphedema Self-Management Skill scale (LESMS scale) for patients diagnosed with lymphedema, and to investigate the scale's reliability and validity.
Methods: The question items on the LESMS scale were extracted from original articles and books on nursing of lymphedema patients published between 2001 and 2011. A questionnaire survey was conducted using a 36-item trial version of the LESMS scale for which content validity had been confirmed. The subjects were 284 lymphedema patients who provided informed consent to participate in the study.
Results: Exploratory factor analysis and confirmatory factor analysis revealed a 16-item, 4-factor structured model with "lymphedema self-management skill" as the higher order factor. The scale also had a valid goodness-of-fit level. Cronbach's α of the LESMS scale was .858, indicating internal consistency. The LESMS scale was thus confirmed to be valid.
Conclusion: The LESMS scale has confirmed reliability and validity and can be used to assess the self-management skills of lymphedema outpatients.View full abstractDownload PDF (1025K) -
From the Perspective of Compassion FatigueMaki Shibata2016 Volume 39 Issue 5 Pages 5_29-5_41
Published: December 20, 2016
Released on J-STAGE: May 18, 2017
JOURNAL FREE ACCESSPurpose: The purpose of this study is to shed light on nurses' emotional responses, in particular the state of their compassion fatigue, while attending to the narratives of psychiatric inpatients in a clinical setting, and to discuss how to actively enhance nurses' involvement in listening to patients' narratives.
Methods: Semi-structured interviews were performed with eight nurses who work at different psychiatric hospitals. The interviews were then qualitatively and descriptively analyzed.
Results and discussion: When listening to patients' accounts of traumatic experiences, the nurses experienced painful emotions such as guilt, anxiety, fear, anger, and exhaustion, leading to compassion fatigue. Ward culture, which discourages sharing of such narratives, prevented the nurses from unburdening themselves about these occurrences to their coworkers. Fostering a culture in wards which would enable nurses to talk openly about their emotional experiences without anxiety is important, not only to further the narratives of patients, but also to protect the nurses' mental health.View full abstractDownload PDF (1007K) -
Kimie Fujita, Kiyoko Makimoto2016 Volume 39 Issue 5 Pages 5_43-5_50
Published: December 20, 2016
Released on J-STAGE: May 18, 2017
JOURNAL FREE ACCESSThe purpose of this study was to investigate what total hip arthroplasty patients consider important domains of life and to monitor changes in these priorities and their associated satisfaction levels. A secondary purpose was to examine other arthritis scales and satisfaction scores. Data were collected preoperatively and at 6 weeks and 6 months postoperatively. Patients were asked to select the five most important domains of their lives, to report their satisfaction levels in these domains, and to complete two arthritis scales (Western Ontario and McMaster Universities Osteoarthritis Index and Arthritis Impact Measurement Scale 2). Completed questionnaire data were collected from 434 patients at all three time points (valid response rate: 77.9%). The most important domains of life were Personal health, Locomotion/limp, Independence in activities of daily living, Family, and Relationships. A majority of females selected Housework as an important life domain; a majority of males selected Work. Patients ≥ 65 years were more likely to select Independence in activities of daily living. Satisfaction scores improved between pre-operative and 6 months post-operative assessments. Age and gender were associated with choice of important life domains. To assess the important domains of life of total hip arthroplasty patients, nurses must consider the patient's perspective.View full abstractDownload PDF (1294K) -
Yuka Kondo, Mayumi Kubokawa2016 Volume 39 Issue 5 Pages 5_51-5_64
Published: December 20, 2016
Released on J-STAGE: May 18, 2017
JOURNAL FREE ACCESSThe purpose of the present study was to clarify attitudes toward care of the dying and the frequency of spiritual care among 4 professions involved in home care of elderly adults with terminal non-cancer disease. In 2 prefectures of Japan, we conducted a questionnaire survey with medical doctors, visiting nurses, care managers, and home helpers working for in-home treatment support clinics, where home care services are offered to elderly adults with terminal non-cancer disease. The analysis of survey data obtained from 295 participants revealed that visiting nurses had a higher score in FATCOD-B-J than did other professions. Moreover, visiting nurses had a significantly higher score [medical doctors (p < .01), care manager (p < .001), helpers (p < .001)] on factor I ("positive attitudes toward care") of the FATCOD-B-J. With regard to the frequency of spiritual care, visiting nurses had a higher score on more than half of the relevant questionnaire items. For all professions, scores on "giving hope" and "accepting death/integrating life" were low. The results suggest that visiting nurses play an important role in the care of elderly adults with terminal non-cancer disease, and that the standards of terminal care for the elderly need to be raised.View full abstractDownload PDF (987K) -
Tomoko Ogawa, Tomoko Hayashi, Kazumi Imura2016 Volume 39 Issue 5 Pages 5_65-5_74
Published: December 20, 2016
Released on J-STAGE: May 18, 2017
JOURNAL FREE ACCESSThis study aimed to identify the characteristics of "slow progress" nurses as perceived by nurses engaged in education and to clarify the provided education and support. Semi-structured interviews were conducted on 10 nurses engaged in education. The interviews showed that "A: difficulty in integrating what they had learned", "B: insufficient skills necessary to practice nursing", "C: lack of safety", "D: difficulty forming relationships with patients and staff", "E: mental weakness", and "F: lack of awareness and responsible conduct as part of the nursing staff" were perceived by nurses responsible for education as being associated with "slow progress". To address these characteristics, the nurses responsible for education provided the "slow progress" nurses with "(1) practical guidance", "(2) learning support", "(3) understanding of the object and guidance suited to the object", "(4) promotion of sociability", and "(5) promotion of independence". In addition, they changed their work shift, conventional working methods, and their way of thinking by providing support in terms of "(6) ensuring safety" and "(7) environmental improvement and adjustment".View full abstractDownload PDF (958K) -
Yuka Hattori, Mitsuko Obata, Tokiko Isowa2016 Volume 39 Issue 5 Pages 5_75-5_83
Published: December 20, 2016
Released on J-STAGE: May 18, 2017
JOURNAL FREE ACCESSWith the aim of clarifying the effects on student stressors, stress response level, and emotional intelligence stress response during perioperative practical training, a self-administered questionnaire survey was administered to 205 students caring for perioperative patients. Stress response was measured with a visual analogue scale and state-trait anxiety inventory (STAI), and emotional intelligence was measured with the Japanese Emotional Intelligence Scale (EQS). To examine the effects on emotional intelligence stress response, a multiple regression analysis was conducted with STAI as the dependent variable and EQS, individual factors, and situational factors as explanatory variables. The results showed that stressors recognized with a high frequency were a "large number of records", "tough training early in the morning", and "evaluations by teachers", and the mean STAI score was high. With regard to the effects on the emotional intelligence stress response, situational coping and situational control were shown to be effective in reducing the stress response even when the stress response was intensified by various stressors during practical training.View full abstractDownload PDF (973K) -
Minako Kanesaki, Takashi Saino, Satoshi Horii2016 Volume 39 Issue 5 Pages 5_85-5_94
Published: December 20, 2016
Released on J-STAGE: May 18, 2017
JOURNAL FREE ACCESS[Objective] This study aimed to clarify the difficulties encountered by family members of patients with Creutzfeldt-Jakob disease (CJD).
[Methods] Semi-structured interviews were conducted for the family members of patients who died of CJD, and their responses were categorized by including similar responses in a single category on the basis of the meaning. The interview was recorded by using an IC-recorder. This study was approved by the ethics committees of the participating hospitals, to protect the rights of the subjects.
[Results] We extracted 13 categories of difficulties encountered by family members of patients with CJD, including "a negative feeling created by confusion and uncertainty in the period preceded the time of diagnosis with CJD", "emotional distress caused when a request for hospital admission was declined by other hospitals after a definitive diagnosis of CJD", and "mental agony due to the fear of becoming a source of infection".
[Discussion] Some difficulties faced by family members of patients with CJD were attributed to the failure to maintain medical standards, such as using inappropriate infection control measures owing to lack of knowledge or anxiety among medical staff, obtaining forced informed consent, and violating patients' fundamental human rights during treatment.View full abstractDownload PDF (894K)
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