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Volume 44 (2021)
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Volume 44, Issue 1
Displaying 1-11 of 11 articles from this issue
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Rie Wakimizu, Yumiko Saito, Kozue Mochizuki, Haruo Kuroki2021 Volume 44 Issue 1 Pages 1_25-1_38
Published: April 20, 2021
Released on J-STAGE: April 20, 2021
Advance online publication: April 09, 2021JOURNAL FREE ACCESSObjective: To clarify whether primary caregivers prefer to use telemedicine, and to examine their attitudes toward telemedicine amid the ongoing spread of COVID-19. Methods: A questionnaire survey was conducted with primary caregivers of children who regularly visited a pediatric clinic. The data were analyzed quantitatively and qualitatively. Results: The findings revealed that 67.7% of primary caregivers were concerned about regular outpatient visits. Anxiety about going to the hospital was significantly higher among those who were familiar with telemedicine than in those who never had. Approximately 35% of the caregivers reported using telemedicine. Most users began using telemedicine in May and June of 2020. They regarded this practice as satisfactory and cited the “decrease in the risk of transmission of infectious disease” as their main motivation for using it. The majority of those who had never used telemedicine had negative perceptions of telemedicine because they preferred to experience the “reassurance of in-person communication with physicians.” Conclusions: These results suggest the necessity of improving communication and developing a satisfactory relationship. It is also important to develop a telemedicine system which primary caregivers feel comfortable using and to maintain regular child care consultations.View full abstractDownload PDF (1203K) -
Katsuhito Asai, Chieko Hatamochi, Fumiyo Minamimura2021 Volume 44 Issue 1 Pages 1_41-1_50
Published: April 20, 2021
Released on J-STAGE: April 20, 2021
Advance online publication: March 05, 2021JOURNAL FREE ACCESSObjective: This study implemented a medical record survey and a questionnaire survey to investigate the related factors of illness perception in patients with chronic heart failure (CHF). Methods: The framework of this study was made with reference to the Common-Sense Model. We collected data on background factors, illness perceptions (B-IPQ), stimuli, and heuristics. Results: We analyzed 160 patients with CHF. Univariate analysis of B-IPQ between stimuli and heuristics and multiple regression analysis were performed. Multivariate analysis illustrated that “with occupation” (β=−.14), “severity of dyspnea at rest” (β=.17), “severity of dyspnea on exertion” (β=.23), “severity of fatigue” (β=.21), and “affective heuristics” (β=.20) were significantly associated with B-IPQ (Adj R2=.43). Conclusions: We need to encourage patients to perceive the illness appropriately by understanding their interpretations of symptoms and recognition of the emotional effects of illness.View full abstractDownload PDF (1206K) -
Akemi Hirama, Akemi Ichijo, Yumiko Masuda2021 Volume 44 Issue 1 Pages 1_51-1_60
Published: April 20, 2021
Released on J-STAGE: April 20, 2021
Advance online publication: March 05, 2021JOURNAL FREE ACCESSObjective: This study aims to describe how nurses with excellent ethical judgment skills have acquired ethical judgment and nursing practice skills based on their clinical experience. Methods: Study participants were seven nurses working in clinical settings, with over six years of clinical experience as well as ethical judgment skills, regardless of position. The survey period was between November 2016 and March 2017, and data were collected from semi-structured interviews. The recorded interviews were analyzed through qualitative synthesisd. Results: The analysis showed the following items to be common to the participants: clinical experience in mind; nursing tat their best to support patients by understanding them and respecting their values and will; reflection, encouragement, and recognition from patients and those around the nurses; sharing information with nursing teams for patients and their families; and responsibilities and duties as an administrator. Conclusions: Nurses with excellent ethical judgment skills experienced ethical problems and addressed them. The findings show that nurses became aware of the importance of patient-centered nursing inherent in ethical principles through reflection, and shared awareness among the team as ethical knowledge.View full abstractDownload PDF (1385K) -
Kanako Sakane2021 Volume 44 Issue 1 Pages 1_61-1_71
Published: April 20, 2021
Released on J-STAGE: April 20, 2021
Advance online publication: March 05, 2021JOURNAL FREE ACCESSObjective: This study aimed to identify the nursing process of home-visit nurses in support of older adults living at home who experience difficulties with self-medication. Methods: Semi-structured interviews were conducted with 19 home-visit nurses. The findings of the interviews were analyzed using the modified grounded theory approach (M-GTA). Results: First, the home-visit nurses were involved in building friendly relationships with the older adults. After observing their ordinary activities regarding medication, information was collected to investigate the factors influencing medication self-management. Then, an assessment was conducted to clarify the causes of inability in medication self-management; which was followed by the nurses’ assistance of the older adults in finding a medication self-management method tailored to individual lifestyles. Depending on the situation, home-visit nurses utilized their leadership roles within a human network support group to reevaluate the support method for medication self-management. Conclusions: The importance of home-visit nurses was supported by their roles in estimating the self-administration capabilities of the older adults and helping in the selection of medications that suit each individual’s habitual lifestyle. Finally, their importance was demonstrated through their coordination role in using their understanding of the expertise and benefits offered by other collaborating medical staff.View full abstractDownload PDF (1292K) -
Katsuhiro Hiratsuka2021 Volume 44 Issue 1 Pages 1_73-1_85
Published: April 20, 2021
Released on J-STAGE: April 20, 2021
Advance online publication: March 05, 2021JOURNAL FREE ACCESSObjective: This study outlined the process by which adolescent and young adult patients with biliary atresia survive with their native liver to stimulate interest in and organize their daily lives by themselves. Methods: Data were collected from interviews conducted with nine patients with biliary atresia and analyzed using the modified grounded theory approach. Results: The results of the interviews showed the following findings: The patients needed to stimulate interest in their current and future lifestyle choices, despite the uncertainty of their illness and treatment, while gaining experience in organizing their daily living activities. Furthermore, the status of the parent relationship is complicated by the possibility that a parent could become a living liver donor; therefore, the roles of reconfirmation of affection in the process were identified. Conclusions: The nurses were required to detect any delays in the study process and to introduce a probabilistic view and encourage patients to look at what they currently have control over, while overseeing the process.View full abstractDownload PDF (1313K) -
Bed ClinicsMiyuki Kobayashi, Michiyo Komura2021 Volume 44 Issue 1 Pages 1_87-1_98
Published: April 20, 2021
Released on J-STAGE: April 20, 2021
Advance online publication: March 05, 2021JOURNAL FREE ACCESSObjective: This study aims to clarify the safety culture of nurses in non-bed clinics. Methods: Ethnography was employed as study design, and the participants were five nurses from otolaryngology in local cities. Results: Eight categories and four themes were extracted as safety culture of non-bed clinic nurses. Theme 1, “Continues following basics,” was extracted from “Finger hand rub method that does not stop the flow and hand-washing with soap that stops the flow” and “Check with two nurses.” Theme 2, “Continues improving flexibly,” was extracted from “Improvement with flexibility” and “Positive and flexible attitude.” Moreover, Theme 3, “Takes mistakes as own problem,” was extracted from “Relationship with easy communication” and “Shared mistakes,” and Theme 4, “Read each other’s intention,” was extracted from “Exquisite following” and “Yellow and white cards that are recognized at first sight.” Conclusions: The above results suggested four basic assumptions: sense of duty to follow safety, orientation aiming at safety, mutual confidence to support safety, and implicit cooperation to enhance safety.View full abstractDownload PDF (1284K) -
Madoka Nakamura2021 Volume 44 Issue 1 Pages 1_99-1_110
Published: April 20, 2021
Released on J-STAGE: April 20, 2021
Advance online publication: March 05, 2021JOURNAL FREE ACCESSObjective: This study aimed to examine the perception of the respective roles of hospital ward nurses and discharge-planning nurses in supporting patients’ decision making to be discharged from a hospital. Methods: There were a total of 13 participants in this study: seven ward nurses and six discharge-planning nurses. The obtained data were analyzed qualitatively. Results: Ward nurses perceived their role to consist of “leveraging relationships with patients and their families to understand their intentions and wishes.” Of discharge-planning nurses, they expected “coordination and cooperation for the realization of these intentions.” Discharge-planning nurses perceived their role as “networking with ward nurses and local regions,” and they expected ward nurses to “express their thoughts and judgments.” Conclusions: Our findings suggest that promoting specialized role engagements for each specialized nursing type, even as these medical staff as dedicated nurses share a common perception of their responsibility to be closely involved in the recuperation of their patients.View full abstractDownload PDF (1192K) -
Hiroko Takahashi, Junko Nakanishi2021 Volume 44 Issue 1 Pages 1_111-1_121
Published: April 20, 2021
Released on J-STAGE: April 20, 2021
Advance online publication: March 05, 2021JOURNAL FREE ACCESSObjective: To clarify what counseling skills and how they are used by expert nurses to support smoking cessation in clinics. Methods: Participant observation on smoking cessation support scenes and semi-structured interviews were conducted with two qualified nurses who had been supporting smoking cessation for more than five years and analyzed qualitatively and descriptively. Results: “Skills that attract patients’ interest, make use of easy-to-understand explanations, and guide patients to ‘understand’,” “attainable skills that encourage positive thinking and increase confidence to continue smoking cessation,” “skills that strengthen motivation for smoking cessation and reduce factors that weaken motivation,” “skills that intervene flexibly and concretely in accordance with the patient’s individual world and life experiences,” “skills to avoid the risk of smoking relapse with praise and attention,” and nine other smoking cessation counseling skills were extracted. Conclusions: Expert nurses focused on improving cognition and self-efficacy, to prevent relapse after understanding the characteristics of nicotine-dependent patients in clinics. During the limited period of time and number of visits, expert nurses effectively made full use of smoking cessation counseling skills freely in each visit.View full abstractDownload PDF (1291K) -
Yukako Ando, Suzumi Okuda, Shunsuke Aoki, Toshio Kobayashi2021 Volume 44 Issue 1 Pages 1_123-1_133
Published: April 20, 2021
Released on J-STAGE: April 20, 2021
Advance online publication: March 05, 2021JOURNAL FREE ACCESSObjective: This study aimed to gain a comprehensive understanding of disease self-management and depression in home-dwelling people with Parkinson’s disease (PD). We focused on depression, as it greatly affects the quality of life of people with PD. Methods: An anonymized self-administered questionnaire survey which was conducted with 185 people with PD received 177 (95.7%) valid responses. Results: The proportion of participants with depression (K6 score of 5 points or more) was 49.7%, and approximately half the participants exhibited depressive tendencies. Regarding disease self-management, although the implementation rate of “drug administration” was relatively high, the implementation rates of “maintaining a record of symptom changes” and “frequency and amount of defecation” were low. This indicated a need for self-monitoring education. Additionally, the Barthel Index score and the disease self-management aspects of “continuation of favorite activities” and “being optimistic without overthinking” showed a significant negative relationship with depression. Conclusions: In teaching disease self-management, it is necessary for nursing staff to encourage people with PD to continue practicing their hobbies and things they find enjoyable. Further, nursing staff should consider the way people perceive their illness.View full abstractDownload PDF (1453K) -
Akiyo Sasaki-Otomaru, Tomomi Enokigura, Ikuko Kashiwazaki, Mayumi Bous ...2021 Volume 44 Issue 1 Pages 1_135-1_144
Published: April 20, 2021
Released on J-STAGE: April 20, 2021
Advance online publication: March 05, 2021JOURNAL FREE ACCESSObjective: To clarify the present situation regarding the intention of nursing students to work in home-visit nursing stations, and provide suggestions for the implementation of the same. Methods: A Japanese municipality-wide survey was conducted to investigate the factors involved in such intentions to work as home-visit nurses. Results: A total of 2,703 nursing students responded to the survey, with a response rate of 54.0 percent. Among professional school nursing students, 708 (37.0%) intended to work as home-visit nurses in the future, while 18 (0.9%) intended to work as home-visit nurses soon after graduation. Among university nursing students, 233 (30.0%) intended to work as home-visit nurses in the future, and 8 (1.0%) intended to work as home-visit nurses soon after graduation. Multivariable logistic regression analysis found that having an acquaintance who worked as a home-visit nurse, attending a training program, and grasping the job description were significant independent related factors of interest in working as a home-visit nurse (p‹.05). Conclusions: Educational institutions should provide nursing students with opportunities to participate in more attractive training programs on home-visit nursing to encourage them to take up employment in this area of nursing.View full abstractDownload PDF (1111K) -
Ayumi Sugimura, Takako Mitsuyuki, Shoko Ando2021 Volume 44 Issue 1 Pages 1_145-1_150
Published: April 20, 2021
Released on J-STAGE: April 20, 2021
Advance online publication: March 05, 2021JOURNAL FREE ACCESSObjective: To investigate the current status and characteristics of management for dyspnea in respiratory wards (RW) and palliative care units (PCU) in Japan. Methods: A survey was conducted among nurses who agreed to participate (112 nurses from RW and 92 nurses from PCU) at RW and PCU with over 20 beds in core cancer care hospitals in Japan. The self-completed questionnaire contained 27 items covering background information and details of patient care. The frequency of application of each care procedure was compared between RW and PCU using the chi-squared test. Results: There were no significant differences in the background factors between the two groups. Nurses from PCU had a significantly lower performance rate for four items on patient care (p‹.05), including breathing methods and assisted sputum removal, whereas those from RWs had a significantly lower performance rate for 11 items (p‹.05), including environmental adjustment and providing instructions for the family. Conclusions: Although nurses from both institutions provided basic dyspnea care, such as postural adjustment and touching, RW nurses exhibited lower rates of providing instruction to patient families, whereas PCU nurses exhibited lower rates of breathing care. Therefore, positive efforts to address such concerns are required.View full abstractDownload PDF (1090K)
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