The aims of this study were to clarify pediatric nurses' perceptions of psychological preparation of preschoolers medical procedures, their approaches to it, the gap between their perception and approach, and to examine the accelerative and obstructive factors behind that gap. A questionnaire survey was conducted among 296 nurses in the pediatric ward of hospitals and children's hospital in A prefecture in August-September, 2006. As a result, it was clarified that they thought psychological preparation was more necessary and prepared more the older the children were, but despite understanding of the need, they were unable to do so the younger the preschoolers were. Among the six principal components, the factors affecting psychological preparation seemed to be the first principal component, "respect for children patients' fundamental human rights" as the accelerative factor, while the second principal component "negative workplace environment", and the fourth principal component "lack of confidence in execution", were suggested to be the obstructive factors in relation to the gap. Therefore, to encourage a better system for psychological preparation and its dissemination, the accelerative factor should be increased and the obstructive factors should be decreased by some effective actions.

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The purpose of this study was to identify (1) the characteristic injury-prevention behaviors of mothers with one-year-old children, (2) the relationship between current injury-prevention behaviors and past injury or alarming experiences, and (3) the relationship between current injury-prevention behaviors and the prevention of recurrences. We asked 250 mothers who were nurturing one-year-old children. As a results, dropping, scalding, pinching accidents, and traffic accidents, mothers more than 80% carried out an injury-prevention behavior. But mothers who carried out an accident-prevention behavior of falling, collision, the traumatic accident, and drawing were less than 50%. In 8 out of 10 items surveyed for past experiences, the proportion of alarming experiences was higher than that of injury experiences. There were items in which the rate of carrying out current injury-prevention behaviors was significantly lower among mothers who answered that they 'had an injury or alarming experience in the past' in comparison to mothers who answered that they 'had no injury or alarming experiences', thus suggesting that past experience may not be effectively associated with the carrying out of current injury-prevention behaviors.

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The purposes of this study were to explain how public health nurses (PHNs) assist family members in providing care for children with chronically illness or disabilities, and to investigate PHNs' perceptions of partnerships with family members and collaboration of caring among other professionals. Subjects were 159 PHNs work at public health centers and at municipal health centers in one prefecture. Data were collected using a questionnaire created for this study. The data indicated that PHNs felt difficult to involve in family members deeply, to obtain an understanding and cooperation from family members and to coordinate relationship between other professionals and family members. In particular, there were many cases of family members in providing care for children with developmental disorder. However, some PHNs reported that they managed to establish closer relationship by spending more time with families. Although many PHNs recognized the importance of establishing partnerships with family members and collaboration of caring among other professionals, because of characteristic of children's disorder. In conclusion, the results suggest that it is necessary to establish support systems that continuously support family members and to provide opportunities for improving PHNs' knowledge and skills.

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[in Japanese]

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[in Japanese]

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[in Japanese]

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[in Japanese]

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[in Japanese]

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[in Japanese]

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