ObjectiveDementia is a major public health problem. More and more patients with dementia are being admitted to acute care hospitals for treatment of comorbidities. Issues associated in have not been adequately clarified. This study aimed explore the challenges nurses face providing Japan.MethodsThis was qualitative using focus group interviews (FGIs). The setting six surgical medical wards western region Japan. Participants were internal medicine wards, excluding intensive units. Nurses less...

Introduction: Currently, no self-care measurement tool specific to inflammatory bowel disease (IBD) exists in Japan. The Instrument for Diabetes Self-care Agency (IDSCA) is a reliable and valid patients with diabetes. Factors affecting ability assessed by IDSCA appear meet the requirements IBD. Therefore, we created adapted from as an original draft IBD extracted factors items required measure of Methods: An anonymous questionnaire survey was distributed among 226 patients. Exploratory...

Introduction: This study focuses on developing and validating an e-learning educational program for nurturing inflammatory bowel disease (IBD) nursing specialists. Methods: The was developed using the attention, relevance, confidence, satisfaction models within instructional design framework. validation encompassed four steps: (1) nurses took a basic IBD knowledge test (pretest), (2) participants scoring <80% were encouraged to undergo web-based training, (3) follow-up (posttest)...

The aim of this study was to examine a causal model self-care agency by exploring the relationship between structure "body self-awareness" and Instrument Diabetes Self-Care Agency (IDSCA).The participants were 353 patients with diabetes. internal consistency six items for body self-awareness examined calculating factor using principal analysis Cronbach's alpha. In order seven factors in IDSCA, path conducted.With regard structure, loading these five 0.511-0.743 (α = 0.739). analysis,...

Purpose: Chronic heart failure patients are often rehospitalized because they fail to seek appropriate, timely care. However, both and nurses experience difficulties in detecting signs of exacerbation. We aimed qualitatively investigate how visiting detect symptoms disease progression chronic their homes.Methods: Participants were three experienced home-visit who completed one-to-one interviews. Data analysed using the qualitative synthesis method (KJ method).Results: Six themes identified...

Background Early symptoms of worsening heart failure are difficult for patients to detect and manage, contributing the high readmission rate failure. Thus, it is important promote self-monitoring support in recognizing interpreting their symptoms. This study aimed explore ways which specialized nurses outpatient setting provide with chronic Japan. Methods exploratory adopted a qualitative design. The participants were convenience sample five certified nursing one advanced practice nurse care...

Aim Patients with severe heart failure undergo highly invasive and advanced therapies uncertain treatment outcomes. For these patients, shared decision-making is necessary. To date, the nursing perspective of process for patients facing difficulties how nurses can support in this have not been fully elucidated. This study aimed to clarify perceptions critical care regarding situations that require difficult decision-making, their role supporting patients. Methods Individual semi-structured...

目的:心臓血管手術経験をもち,疾患を抱えながら生活するマルファン症候群患者の体験を明らかにすることである.

Context: Transplant recipients require long-term immunosuppressive therapy, so continued medical follow-up is necessary for survival. Objective: To investigate the current role of recipient transplant coordinators (RTCs) in outpatient care organ Japan. Methods: We sent a questionnaire survey to doctors facilities affiliated with Japan Society Transplantation probing attitudes on RTCs clinics. The assessed responses using an ordinal scale 5 ranks. Results: In total, 139 were obtained from 233...

PurposeOvarian cancer treatment, involving surgery and chemotherapy, profoundly affects the psychosocial dimensions of patients, particularly their sexuality. However, detailed experiences among Japanese women with ovarian have not been clarified. This study was aimed to assess nuanced transformation sexuality in after treatment.MethodsEighteen who underwent treatment were interviewed. Data analyzed using a modified grounded theory approach by categorizing identified concepts based on...

The number of patients with inflammatory bowel disease (IBD) in Japan has continued to increase, leading diverse and complex patient backgrounds. Despite these challenges, the education IBD nurse specialists not kept pace evolving circumstances. Therefore, our research aimed develop validate an educational program for training specialists. We designed targeting nurses involved care. included e-learning on assessment activity self-care support, as well face-to-face group discussions....

Objective: In the present study, outpatients with diabetes were encouraged to perform self-evaluation in order clarify their responses on how they perceived self-care and significance attached it. Methods: The approach of encouraging patients was then qualitatively assessed. Five performed using a evaluation scale displayed touch panel. All interviewed while referring responses. study data collected between June 2011 April 2012 during outpatient visits scheduled once or twice month. analyzed...

目的：レシピエントとは別世帯を営むきょうだいの生体肝ドナーに焦点を当て，肝臓を提供しようと決意するまでの意思決定プロセスと，それに影響する要因を明らかにすることである．方法：ドナー5名に半構成的面接を実施し，質的帰納的に分析した．結果：提供の決意に至るプロセスには【きょうだいとの関係性】が影響し，【助けなければいけない】思いと，提供することでの【健康な自分が傷つけられる不安や恐怖】との葛藤が生じていた．【提供に納得がいくよう意味づけをする】ことは【助けなければいけない】という思いを強化し，【配偶者・家族の理解と支え】が【健康な自分が傷つけられる不安や恐怖】を支えていたことが示され，最終的には生体ドナーは【条件的に自分しかいないと決意】していた．結論：別世帯を営むきょうだいのドナーに対して慎重な意思決定支援と，配偶者や家族への関わりも含めた家族看護の必要性が示唆された．

Aim: This study aimed to structure the nursing practice of Certified Nurses in Emergency Nursing regard patients only required outpatient treatment primary or secondary emergency care departments Japan.Method: Questionnaire data and semi-structured interview were collected from 12 Kinki region Japan.All responses analyzed using qualitative synthesis method (KJ method).Results: Our extracted seven symbolic marks relation for treatment, as follows:[Independently observing following up on...

Introduction Considering the situation where number of people with diabetes is increasing, we need to find ways support more efficient and effective outpatient clinics. Therefore, it necessary develop methods elaborate a strategy as system for after grasping characteristics entire population diabetes. Objective The purpose this study was identify in settings by differences self-care agency examine how them based on recognized characteristics. Methods Participants were 261 under care Japanese...

Introduction: To reveal the actual conditions of blood glucose pattern management (BGPM) performed by nurses certified in diabetes nursing (DCNs) Japan and clarification related factors. DCNs are specialists for people with Japanese Nursing Association (JNA). BGPM refers to a method aimed at improving control ascertaining changes (patterns) levels conducting systematic multi-dimensional analysis factors contributing these patterns.Method: Subjects were (n = 303) whose names affiliations...

目的：慢性疾患領域において医師と看護師間の協働が進んでいる先行事例を調査し，今後の医師・看護師間の役割分担の推進に向けた示唆を得ることを目的とした．方法：先行事例を選定し，医師・看護管理者，看護師を対象にヒアリング調査を行った．医師と看護師間の協働の内容や特色，体制の特徴について分析した．結果：4事例に調査を行った．役割分担・連携の内容は，（1）看護師による患者把握に基づいた薬剤調整のアセスメントと医師への報告，（2）療養相談や心理的支援，（3）医師による検査や薬剤処方の指示，（4）医師による簡単な治療説明と，看護師による療養生活に即した詳細な説明，（5）看護師による検査や薬剤調整，説明，経過観察，であった．効果は，患者の満足度の向上，医師の本来業務時間の増加等であった．課題は，役割分担に関する取り決めがないことであった．結論：慢性疾患領域における医師と看護師の新たな役割分担・連携のあり方が示唆された．今後の実現に向け，院内プロトコールやリスク管理体制の構築，医師・看護師の人材育成が求められる．