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Volume 40 (2017)
- Issue 5 Pages 5_783-
- Issue 4 Pages 4_613-
- Issue 3 Pages 3_266-
- Issue 2 Pages 2_113-
- Issue 1 Pages 1_57-
Volume 40, Issue 5
Displaying 1-11 of 11 articles from this issue
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Mitsue Takaoka, Fujika Katsuki2017 Volume 40 Issue 5 Pages 5_737-5_745
Published: December 20, 2017
Released on J-STAGE: December 27, 2017
Advance online publication: December 13, 2017JOURNAL FREE ACCESSPurpose: The purpose of this study is to investigate the relationship between delusion-like ideation and burnout syndrome for newly graduated nurses.
Methods: A questionnaire survey was conducted to nurses who have been working at an acute hospital for less than one year since they graduated. The subjects are all 26 years old or younger.
Results: Out of 383 participants, 354 (92.4%) experienced delusion-like ideation and those who have the experience tended to develop burnout syndrome more often than those who have not (p=.001- .19, t-test) . The subjects with higher levels of anxiety or anger, feelings associated with delusion-like ideation, tended to have a stronger tendency to suffer from burnout as a long-term stress reaction (p=.000 - .030, One-way ANOVA) .
Conclusions: The findings suggest that a possible beneficial effect of reducing burnout development is expected by managing negative emotions like anxiety or anger accompanied by delusion-like ideation.View full abstractDownload PDF (1021K) -
A Focus on Adapting to Life with Disease Physically and Psychologically through Their Lives from Adolescence to AdulthoodKyoko Miyagishima, Sakie Omi, Yumiko Takahashi2017 Volume 40 Issue 5 Pages 5_747-5_757
Published: December 20, 2017
Released on J-STAGE: December 27, 2017
Advance online publication: December 13, 2017JOURNAL FREE ACCESSPurpose: This study aimed to elucidate how childhood cancer survivors self-reflected on having cancer from the time they became aware of their disease to adulthood.
Methods: We conducted semi-structured interviews with 13 childhood cancer survivors aged 20-36 and performed an interpretive analysis using the modified grounded theory approach.
Results: 34 concepts, 10 'categories', and one [core category] were generated. Childhood cancer survivors 'struggled to accept the situation' of the 'physical changes' and 'threat to their life' associated with the onset, recurrence, and late-onset complications of childhood cancer. Afterward they were supported by 'being together', they 'resigned to accept treatment' and were able to again 'have future hopes and life expectations. Then, they attempted to [build and maintain a normal life] , which led them to 'gain confidence'. Through this process, they were able to 'socially reintegrate', 'experience life events', and 'ascertain how to explain their disease to others and adjust to the sense of distance between self and others'.
Conclusions: These findings suggest the importance of supporting childhood cancer survivors in adjusting lifestyles, including fostering relationships with others and experiencing life events, and considering the physical and psychological changes that occur with the onset and late effects of childhood cancer.View full abstractDownload PDF (1084K) -
Saori Kikuchi, Kiyoko Kanda2017 Volume 40 Issue 5 Pages 5_759-5_770
Published: December 20, 2017
Released on J-STAGE: December 27, 2017
Advance online publication: December 18, 2017JOURNAL FREE ACCESSThis study was undertaken to clarify the processes by which a spouse living together with his/her partner diagnosed as having intractable cancer carves a new role for himself/herself, and to explore ways to provide nursing support for such a spouse. Towards this end, we carried out semi-structured interviews of 13 spouses and analyzed the data by modified grounded theory approach (M-GTA). The initial step for the spouse was to understand the intractable nature of his/her partner's disease. Then, through "taking on the spouse's roles while believing that 'the sick partner is still OK' ", the spouse perceives a renewed sense of gratitude for the existence of the patient in his/her life. Thereafter, triggered by a "recognition of the patient's continuing to weaken", the perspective of the spouse changes markedly, followed by the role acquisition process and acquisition of the "new role formed through the processes of role substitution". The spouse undergoes growth through these processes. At the same time, he/she comes to vividly feel the "value of the patient's existence, deepened through the role substitution processes". Nurses should become involved at the appropriate time when the spouse begins to detect weakening of the patient and carry out continuous assessment to ensure that the spouse does not feel excessively burdened.
View full abstractDownload PDF (1079K) -
Masako Takahashi, Shizuko Sugaya, Yasuhiro Suzuki, Mieko Ishizu, Junko ...2017 Volume 40 Issue 5 Pages 5_771-5_782
Published: December 20, 2017
Released on J-STAGE: December 27, 2017
Advance online publication: December 18, 2017JOURNAL FREE ACCESSObjective: The objective of this study was to develop the Japanese version of values history. The purpose of the values history is to assist reflecting on value to justify his/her decision making for the end-of-life care.
Method: This study was a quantitative descriptive research using the Delphi method. Survey items were extracted from the preceding studies and used values history in U.S. The subjects included a total of 418 nurses (363 certified visiting nurses and 21 certified nurses specialized in home care services).
Results: The Japanese version of values history included 35 items such as "how to confront your health issues", "information provided by your physician about health issues", "how you feel about the rest of your life and the reasons", "characteristics of your decision making", and "characteristics of your communication with people".
Discussion: It is speculated that the Japanese version of values history has reflected the situation in Japan that patients are not always informed of their diagnosis or prognosis of their illness as well as the characteristics of decision making of Japanese people who care about situations of other people around and the atmosphere of the place.View full abstractDownload PDF (953K) -
Mie Izumi, Emiko Manabe, Sayo Uematsu, Ayako Watanabe2017 Volume 40 Issue 5 Pages 5_783-5_790
Published: December 20, 2017
Released on J-STAGE: December 27, 2017
Advance online publication: December 18, 2017JOURNAL FREE ACCESSPurpose: To obtain basic data for the prevention of obesity in postpartum women, we investigated the transition of autonomic nervous activity in the postpartum period, which is considered related to postpartum body composition and energy metabolism, and the relationship between sympathetc and parasympathetic activity.
Methods: Forty-nine subjects with a lean or standard body mass index (BMI) before they became pregnant able to cooperate three times within the first year postpartum were recruited and their body weight (BW), body fat percentage (BF%), and ANS activity were measured.
Results: BW and BF% were significantly reduced with the passage of postpartum time. At 9 to 12 months postpartum, the rate of "pre-normal weight obesity" was 34.7% and that of "normal weight obesity" was 16.3%. Among the 35 cases who were of standard BMI before pregnancy, 28.6% did not return to their prepregnant weight. ANS activity did not change during the postpartum period. A decrease in BW or BF% per day and the sympathetic nervous system index showed a negative correlation. In contrast, these were positively correlated with the parasympathetic nervous system index.
Conclusions: BW and BF% were reduced with the passage of postpartum time. ANS activity did not change during the postpartum period. Reduction in BW and BF% is associated with ANS activity.View full abstractDownload PDF (1155K) -
Work Environment and Training Programs for New EmployeesKazumi Kakeya, Hiromi Jono2017 Volume 40 Issue 5 Pages 5_791-5_802
Published: December 20, 2017
Released on J-STAGE: December 27, 2017
Advance online publication: December 13, 2017JOURNAL FREE ACCESSObjective: To clarify a correlation between Off-JT/OJT of novice nurses and their learning levels, we surveyed people responsible for novice nurse training from middle-sized hospitals having 100 to 299 beds nationwide.
Method: We conducted a questionnaire survey by mail about work environment, Off-JT/OJT of novice nurses, and their learning levels. The institutional review board of Tokai University, The School of Health, approved this study.
Results: About 90% of the hospitals had training officials and hands-on trainers. The same person played both roles in about 80% of the hospitals. Learning levels of novice nurses were improved by the following factors: OJT for individuals; Spiral learning in Off-JT; Suport for the Off-JT according to the characteristics of the middle-sized hospitals; Relationships within hospitals.
Conclusion: There was no difference in the learning levels depending on the number of beds in the hospitals. Work environment and Off-JT/OJT of novice nurses had an influence on the learning levels. Our results also revealed that their learning levels were improved by the following factors: Training tailored to their physical and mental conditions; Comprehension of the Off-JT by hands-on trainers and nurses; Sufficient number of trainers; Talking to the novice nurses by hospital staff.View full abstractDownload PDF (987K) -
Saori Yamada, Mihoko Koshida2017 Volume 40 Issue 5 Pages 5_803-5_811
Published: December 20, 2017
Released on J-STAGE: December 27, 2017
Advance online publication: December 18, 2017JOURNAL FREE ACCESSPurpose: The purpose of this article is to clarify the process in which novice public health nurses gain the sense of personal growth.
Methods: A semi-structured interview was conducted with first-year public health nurses. The data were analyzed using modified grounded theory approach (M-GTA).
Results: The process in which novice public health nurses gain the sense of personal growth was depicted as the change of three categories, starting from "the loss of confidence on health-care activities" to "so-what attitudes and breaking out of one's self", which in turn resulted in "acting out based on self-efficacy". This change was influenced by three categories: "the gain of psychological home place", "the awakening of professional conscience", and "the deepening of skills by the accumulation of experience".
Discussion: We need to understand the process in which novice public health nurses gain the sense of personal growth on the in-service education. Then, it is necessary to systematically support them by tailoring to each one's own pace, with the effective utilization of preceptorship, job rotation, and the use of portfolios.View full abstractDownload PDF (1007K) -
Ryoko Hotta, Kumiko Ichimura2017 Volume 40 Issue 5 Pages 5_813-5_822
Published: December 20, 2017
Released on J-STAGE: December 27, 2017
Advance online publication: December 20, 2017JOURNAL FREE ACCESSPurpose: To clarify the meaning of self-perception as a sexual being who sustained spinal cord injuries in adulthood.
Methods: Semi-structured interviews were conducted with 8 adults with spinal cord injuries and their narratives were analyzed in a qualitative descriptive method.
Results: The following five categories were identified: "dissociation from the image of what a man or woman should be" and "maintenance of dignity as a man or woman" during hospitalization and "loss of the ability to fulfill their roles during the sexual act and loss of purpose", "loss of opportunity and the positivity required to form a relationship with sexual partners", and "perception of a sense of confidence as a man or woman that could be preserved" at the time of discharge.
Conclusions: The responses to questions regarding whether patients with a spinal cord injury regarded themselves in a sexual role, whether they were able to experience sexual pleasure, whether they were able to achieve the goal of sharing sexual satisfaction with their partner, and whether they regarded themselves as sexual beings after the injury suggested that the patients considered themselves as men or women. Therefore, nurses should understand the diverse viewpoints of sexuality and should support patients with a spinal cord injury in discovering their value and confidence as sexual beings.View full abstractDownload PDF (883K) -
A comparison between Japan and the United StatesMika Moriyama, Misae Ito2017 Volume 40 Issue 5 Pages 5_823-5_836
Published: December 20, 2017
Released on J-STAGE: December 27, 2017
Advance online publication: December 13, 2017JOURNAL FREE ACCESSThis literature review aimed to clarify the issues related to nursing practice in critical care concerning do-not-attemptresuscitation (DNAR) orders in Japan through a comparison with that of the United States. Literatures were classified into "basic attributes and clinical condition of the patient with the DNAR order", "the situation of the family making decisions regarding DNAR", "ambiguity of the physician's DNAR diagnostic criterion", and "nurse's perception and nursing practice supporting DNAR decision making". The results showed few patients with advanced directives and no significant differences in DNAR nursing practice between Japan and the United States. Guidelines and manuals regarding DNAR are available in the United States, but critical care nurses misunderstand the meaning of DNAR and refrain from treating and caring for patients after receiving a DNAR order. In Japan, few hospitals have DNAR order manuals and nurses might misunderstand the DNAR meaning and have difficulty dealing with patients' families.View full abstractDownload PDF (1247K) -
Sayaka Yamamoto, Yumiko Momose2017 Volume 40 Issue 5 Pages 5_837-5_848
Published: December 20, 2017
Released on J-STAGE: December 27, 2017
Advance online publication: December 18, 2017JOURNAL FREE ACCESSAim: This study aimed to create a comprehensive evaluation index for discharge support in ward nurses.
Method: A questionnaire survey of 2,115 ward nurses was conducted with questions based on the findings from previous studies and the concept of quality of medical care by Donabedian (1969). Content validity of the index for discharge support in ward nurses was confirmed by experts. Additionally, the reliability and validity were investigated.
Results: A total of 1,021 nurses participated in the analysis (response rate: 48.3%). Exploratory factor analysis revealed 7 factors with 35 items. The Cronbach's alpha coefficient for each factor ranged from .83 to .94. To investigate the validity, t-test was performed on the evaluation criteria for structure and outcomes in the higher- and lower-ranking groups for the total score of importance. Significantly higher scores were obtained for the higher-ranking group. Furthermore, second-order factor analysis confirmed moderate goodness of fit. The results suggested that the index items included items with content that could lead to quality improvement of discharge support in ward nurses.View full abstractDownload PDF (1129K) -
A Research Conducted on Students from Nursing Junior Colleges and Nursing Schools in TokyoHiromi Iwaya, Taisuke Togari2017 Volume 40 Issue 5 Pages 5_849-5_858
Published: December 20, 2017
Released on J-STAGE: December 27, 2017
Advance online publication: December 13, 2017JOURNAL FREE ACCESSThe objective of this study was to investigate the relationship of self-regulated learning strategies to confidence and academic performance in nursing skills acquisition, specifically strategies from the two aspects of cognition and motivation. We conducted a survey on 308 second-year students at four nursing junior colleges and nursing vocational schools in the Greater Tokyo Area. The results of hierarchical multiple regression analysis showed that, with regard to the relationship between selfregulated learning strategies and confidence in nursing skills acquisition, students who used the "rehearsal strategy", which involves repeated practice, were more likely to gain confidence in nursing skills acquisition by using the "variation strategy", in which the amount and duration of practice are varied. As for relationships to academic performance, students who used the "rehearsal strategy" and the "understanding/recall/organization strategy", in which previously learned contents are recalled and their relationships determined, were more likely to use the "arrangement strategy", in which the learning environment is arranged, and the "imagination strategy", in which positive images are visualized, and to thereby make good progress in overall academics.View full abstractDownload PDF (1131K)
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