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Volume 39 (2016)
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Volume 39, Issue 1
Displaying 1-7 of 7 articles from this issue
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Mitsuyo Ohmura, Kaeko Yamashita2016 Volume 39 Issue 1 Pages 1_1-1_7
Published: April 20, 2016
Released on J-STAGE: December 02, 2016
JOURNAL FREE ACCESSPurpose: The aim of this study was to examine the reliability and validity of a scale developed to evaluate the degree of nursing competence for end-of-life care in nursing homes, and to determine the practicality of its application.
Method: A total of 298 nurses working in nursing homes were evaluated in terms of their degree of nursing competence for end-of-life care in nursing homes. The data collected were subjected to confirmatory factor analysis and correlation analysis.
Results: The average value of Cronbach's alpha coefficient for the reliability of the scale was 0.848, which confirmed internal consistency. Goodness of fit was verified via confirmatory factor analysis, and a significant correlation between the proposed scale and an existing scale was observed.
Conclusion: Nursing competence for end-of-life service in nursing homes was evaluated in terms of 21 items relating to 5 factors identified as having reliability, construct validity, criterion-related validity and convergent validity. The results of evaluation regarding nursing competence for end-of-life service in nursing homes suggested general versatility in various facilities for the elderly.View full abstractDownload PDF (912K) -
Study of its Reliability and ValidityIsako Ueta, Chiemi Onishi2016 Volume 39 Issue 1 Pages 1_9-1_17
Published: April 20, 2016
Released on J-STAGE: December 02, 2016
JOURNAL FREE ACCESSThe purpose of this paper is to develop the Scale on Psychological Adjustment of Cancer Survivors (PACS) and analyse its reliability and validity. We prepared a temporary scale consisting of 74 items based on a concept analysis with expert examination of the content validity, as well as a pilot study. The subjects of the analysis were 238 cancer survivors. Factor analysis extracted the following four factors, comprised of 18 total items: "accepting myself as a patient living with cancer"; "feeling personal psychological growth"; "regaining myself"; and "experiencing a lack of well-being". The reliability of the scale was confirmed by a Cronbach's α internal consistency reliability coefficient of .87 for the 18 items. Test-retest reliability and criterion-related validity were almost satisfactory for all areas. Confirmatory factor analysis was conducted by analyzing covariance structures, and the hypothesised statistical model was found to fit the actual data. In conclusion, the reliability and validity of the PACS were confirmed, and this scale may be suitable for use with cancer survivors, though further refining of the scale is necessary.View full abstractDownload PDF (1127K) -
Atsuko Kobiyama, Eiko Suzuki, Yuko Takayama2016 Volume 39 Issue 1 Pages 1_19-1_31
Published: April 20, 2016
Released on J-STAGE: December 02, 2016
JOURNAL FREE ACCESSObjectives: This study set out to identify factors that work against alleviation of anemia at the 30th day postpartum in women diagnosed with anemia on three days postpartum.
Method: We conducted a retrospective longitudinal study, involving 246 women giving birth, all had been diagnosed with anemia on three days postpartum, and provided a blood sample at the medical examination one month after the birth. Analysis was performed with the demographic data of the participants, details of the anemia, adherence to the nutrition advice, family structure, assistance by others, and self-management skills (SMS) by dividing the participants into anemia alleviated and non-alleviated groups at the 30th day postpartum.
Results: Of the 211 valid responses, one-fifth (45 women, 21.3%) showed no alleviation. The multiple logistic regression analysis showed a strong relationship between anemia risk and SMS: the absence of anemia alleviation increased 2.5 times when the total of the SMS score decreased one point (p < .01) and 279.5 times when any of breakfast, lunch, or supper was missed during non-pregnancy (p < .01).
Conclusion: Providing an intervention program to alleviate postpartum anemia is important due to the potential for non-alleviation with low SMS and the danger of non-alleviation with missed meals before pregnancy.View full abstractDownload PDF (974K) -
Sayaka Oda, Kazuyo Kawashima2016 Volume 39 Issue 1 Pages 1_33-1_42
Published: April 20, 2016
Released on J-STAGE: December 02, 2016
JOURNAL FREE ACCESSA self-administered questionnaire survey was conducted to investigate nurses' level of empathy toward elderly adults with dementia, and associated factors. A questionnaire was sent to 1,064 nurses working on acute general wards. The response rate was 70.7%, and the mean length of employment was 10.8±9.2 years. The Empathic Experience Scale Revised (EESR) results showed that the mean score for sharing experience was 32.55 (9.55), while that for insufficient sharing experience was 31.45 (10.25). Factors associated with empathy toward elderly adults with dementia included reflection on nurses' own relationship with the patients; the way of assessing the patients' physical and social characteristics; likes and dislikes regarding communication with the patients; and teamwork among medical professionals for implementation of care. EESR results were not significantly associated with nurses' individual characteristics or surrounding physical environment. These results suggest that factors associated with empathy in nurses were associated with consciously changeable features, such as the interpersonal environment at work and abilities attained through learning and experience in nursing care.View full abstractDownload PDF (971K) -
Kiyomi Yamada, Kimiaki Nishida2016 Volume 39 Issue 1 Pages 1_43-1_51
Published: April 20, 2016
Released on J-STAGE: December 02, 2016
JOURNAL FREE ACCESSObjective: This study was undertaken in a rural area to examine the respective relations between self-perceived hearing problems of frail elderly people and hearing threshold levels (HTL) and speech recognition thresholds (SRT).
Method: We administered a questionnaire survey assessing self-perceived hearing problems among 35 frail elderly people of a rural area, and conducted tests for HTL and SRT.
Results: The following results were obtained.
1. Average values of HTL were 28.0±15.4.9dB for the better ear and 37.4±21.2dB for the worse ear.
2. Average values of HTL in the better ear and in the worse ear from reports of self-perceived hearing problem were significantly different between "Have hearing problems" and "Occasionally have hearing problems." However, no significant difference was found between "Have no hearing problems" and "Occasionally have hearing problems".
3. Examination results by self-perceived hearing problems revealed correlation coefficients between HTL and SRT in the better ear and in the worse ear: r = .718 - .975 (p < .01) for the better ear and r = .648 (p < .05) - .745 (p < .01) for the worse ear.
4. Results indicate that analyzing HTL in the worse ear and in the better ear might increase the validity of self-perceived hearing problems in elderly people.
Conclusion: When using self-reported hearing difficulties to identify hearing loss in the frail elderly in a region, results suggest the necessity of gathering information about both ears, including left-ear and right-ear hearing differences.View full abstractDownload PDF (895K) -
Izumi Kira2016 Volume 39 Issue 1 Pages 1_53-1_59
Published: April 20, 2016
Released on J-STAGE: December 02, 2016
JOURNAL FREE ACCESSPurpose: This study compared women's constipation severity and quality of life (QOL) by laxative usage.
Methods: Participants were 120 women, ages 20-39, with score of 5 or more on the Constipation Assessment Scale (CAS). Sixty took laxatives and the others did not. Participants recorded their daily defecation over a period of two weeks and completed the CAS, the Constipation QOL15 (CQ15), and the SF-36 at the end of each week in this period. Intergroup and intragroup comparison data were analyzed.
Results: We excluded incomplete records and analyzed data from 89 subjects (laxative=39, non-laxative=50). There were no significant differences in CAS, number of days with normal defecation, or frequency of defecation per day. There were significant differences in QOL between groups. Laxative-takers had a higher CQ15 score overall as well as significantly higher scores on the CQ15 physical and psychosocial subscales than non-laxative-takers (high scores indicate low QOL). The former also scored lower on the SF-36 vitality and mental health subscales than the latter.
Conclusion: Despite no significant constipation severity differences, women taking laxatives had significantly lower QOL.View full abstractDownload PDF (1036K) -
Sayori Sakanashi, Yasuko Tashima, Yoshie Aoki, Miyuki Munemasa, Chizuk ...2016 Volume 39 Issue 1 Pages 1_61-1_70
Published: April 20, 2016
Released on J-STAGE: December 02, 2016
JOURNAL FREE ACCESSPurpose: The purpose of this study was to describe the themes of basic nursing education in order to develop educational programs on blood pressure measurement in undergraduate education.
Methods: We collected data by conducting group interviews with four novice nurses and analyzed them qualitatively and inductively.
Results: There were following seven themes: the understanding of biological functions on blood pressure, the understanding of the purposes of vital signs measurement, the understanding of basic principles of the methods of blood pressure measurement, the support based on scientific judgments on blood pressure measurement, involvement taking care of the feelings of patients who receive blood pressure measurement, and the understanding of the meaning of touching patients during blood pressure measurement, the understanding of principles and characteristics of electronic sphygmomanometer.
Conclusion: It was shown the utility of reflection and the necessity of new educational methods in which students learn knowledge and techniques of blood pressure measurement not only in the first and second years of college but also before the start of clinical practice for third-year and fourth-year students and immediately before graduation, suggesting the possibility of contributing to the development of an educational program.View full abstractDownload PDF (934K)
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