Objective Evaluation of the Effects of Human-Robot Communication Using Gaze and Cerebral Blood Flow

Biomedical Journal of Scientific & Technical Research


Analysis of Emotions Using Multimodal Data: A Case Study


Development and psychometric testing of the Professional Interpersonal Competency Assessment Scale for Novice nurses (PICASN)

Assessing the professional interpersonal competency of novice nurses is crucial for preventing staff turnover and promoting effective work. However, none of the instruments identified in the literature specifically target novice nurses. This study aimed to develop and psychometrically test the perception dimension of the Professional Interpersonal Competency Assessment Scale for Novice nurses (PICASN) in Japan. The study comprised four steps: 1) concept identification, 2) item construction, 3) validity measure, and 4) reliability measure. A cross-sectional web-based questionnaire was administered from February to April 2023 and was completed by 203 novice nurses. Data quality was assessed using mean, item response, missing values, floor and ceiling effects, internal consistency, and item-rest correlations. Content validity index (CVI) was used to determine the instrument's validity, while exploratory factor analysis (EFA) using maximum likelihood estimation with Promax rotation was employed to assess the factor structure. Cronbach's alpha was used to evaluate reliability. The 27-item PICASN demonstrated an Item-CVI of 0.94 and a Scale-CVI of 0.88. EFA revealed two factors: 1) Basic competencies as a novice nurse (15 items) and 2) Relationship building skills within the healthcare team (12 items), which explained 80% of the variance. Internal consistency reliability was excellent at 0.94 and 0.91 for the factors, and the overall scale reliability was 0.95. The item-rest (I-R) correlation values exceeding 0.6 were considered acceptable. The PICASN demonstrates satisfactory psychometric properties, making it an effective tool for measuring professional interpersonal competency among novice nurses in Japan. This instrument serves to assist novice nurses by promoting self-awareness and offering targeted insights into specific areas requiring improvement. Additionally, it provides experienced nurses and nurse managers with valuable insights into team dynamics, guiding interventions for continuous quality improvement.


Development and psychometric properties of the Person-centered Palliative Care Nursing Instrument (PPCNI) in the Philippines


Relationship between nursing and technology: analysis of research trends by text mining

テキストマイニングによる看護とテクノロジーに関する研究動向


Examining Factors Associated with Dynapenia/Sarcopenia in Patients with Schizophrenia: A Pilot Case-Control Study


The roles and competencies of welfare commissioners supporting children with developmental disorders and their families expected by Japans public health nurses


Comparison of Subjective Facial Emotion Recognition and Facial Emotion Recognition Based on Multi-Task Cascaded Convolutional Network Face Detection between Patients with Schizophrenia and Healthy Participants


Relationship between assertiveness of new nursing staff and their perceptions of their working environment

新人看護師のアサーティブと職場環境認識の関係性 ―システマティックレビュー

JNI : The Journal of Nursing Investigation


Usefulness of 2D Video Analysis for Evalution of Shoulder Range of Motion during Upper Limb Exercise in Patients with Psychiatric Disorders

Aging and its associated problems related to movement impacts the care of people with psychiatric disorders. This study sought to clarify the usefulness of 2D video analysis for evaluating shoulder range of motion (ROM) during upper limb exercises in patients with psychiatric disorders. Subjects (N=54) were patients with psychiatric disorders categorized as the following:having either a high or low activities of daily living (ADL) score using the Barthel Index;experiencing shoulder ROM limitation, and whether or not compensatory movements were exhibited. Compensatory movement was also considered in patients with Parkinsonism, cerebrovascular disease, and cognitive dysfunction. Shoulder joint ROM was measured using a goniometer and active ROM was captured using ImageJ. No significant difference between passive ROM measured by a goniometer and active ROM measured by ImageJ considering disease groups, ADL level, and shoulder ROM limitation was found. Factoring in compensatory movements, however, significant differences were found between passive and active ROM:existence compensatory movement group, left side (z=-2.30, p=0.02);nonexistence compensatory movement group, right side (z=-2.63, p<0.001). Image-evaluating devices help assess ROM in patients with psychiatric disorders, enhancing the development of physical rehabilitation programs to regain critical ADL, sustaining self-care capabilities. J. Med. Invest. 69 : 70-79, February, 2022.

The Journal of Medical Investigation : JMI


Nurses Awareness and Actual Nursing Practice Situation of Stroke Care in Acute Stroke Units: A Japanese Cross-Sectional Web-Based Questionnaire Survey

International Journal of Environmental Research and Public Health


Psychometric Testing of the Technological Competency as Caring in Nursing Instrument Revised (English Version Including a Practice Dimension)


Reimagining quarantine: Assuring hopefulness in nursing and healthcare

This article aimed to explore issues of concern related to quarantine, its social consequences and influences, challenging its effects on human behavioral expressions during social isolation. The advent of the coronavirus disease 2019 (COVID-19) pandemic impacted human lives in multifarious ways, threatening the meaning of normalcy. Quarantine, lockdown, isolation, and other terms reflecting conditions limiting human freedoms have become synonymous in importance to safety, security, and survival. To understand human defiance in the face of maintaining limited mobility during the COVID-19 pandemic, reimagining situations of "unfreedoms" is explained as thinking of changes to inspire and improve the meaning of living lives meaningfully. During the pandemic, issues regarding healthcare practices and social behaviors focused much attention on interactive challenges that enhance ways to mitigate the spread of contagious diseases. Illuminating these issues, discussing concerns and highlighting recommendations to engage in alternative approaches and practices, heightens the declaration of efficiency of quarantine outcomes and effectiveness. Implications are proposed with the hope that they may lead the way forward in exercising contemporary healthcare practices.


Perceptions of nurse managers and staff nurses regarding Technological Competency as Caring in Nursing theory in general hospitals in Japan


災害支援活動を行う看護職の身体的・精神的・社会的負担に関する文献レビュー

災害支援活動を行う看護職の身体的・精神的・社会的負担に関する文献レビュー


Psychometric Properties of Grief Traits and State Scale for Nurses to Measure Levels of Grief


Relationship between Loneliness and Self-Efficacy Among Persons with Schizophrenia in Indonesia

Pakistan Journal of Medical and Health Sciences


Assessing the Psychometric Properties of the Technological Competency as Caring in Nursing Instrument-Revised


Human Psychological Burden and Thinking Process while Operating a Humanoid Robot Conversation App Program

International Journal of Advanced Intelligence (IJAI)


The AI Development Through Transforming Tacit Knowledge to Explicit Knowledge of Nurses' Dialogue for Patients with Dementia


Developmental Issues of Communication for Robot Applications in Older People Care: An Integrative Review


The Effects of Gaze and Paralanguage for Communication in Nursing: A Systematic Review


Nurses' perception regarding patient safety climate and quality of health care in general hospitals in Japan


Intelligent humanoid robots expressing artificial humanlike empathy in nursing situations


Rehabilitation care with Pepper humanoid robot:A qualitative case study of older patients with schizophrenia and/or dementia in Japan

Humanoid robots are increasingly deployed in various health facilities to complement long-term care in Japan. Although this technology influx is still in its infancy, many health providers are optimistic about its capabilities. Thus, it is crucial to investigate its preliminary utilization and effects as precautionary measures in understanding the use of humanoid technology in healthcare. The study intends to describe the rehabilitation care experience for older patients with schizophrenia and/or dementia in the use of Pepper humanoid robot. A qualitative case study was conducted to explore the rehabilitation recreational activities of older patients with schizophrenia and/or dementia (n=9) in geriatric health facilities. After securing ethical clearance, observational data were recorded and analyzed using a case-oriented understanding and framework of reaction, interaction, and benefaction. Reaction focuses on their attitudes and impressions toward Pepper. During the rehabilitation and recreational sessions, interaction deals with the relationship between older patients with schizophrenia and/or dementia, Pepper, and providers. Lastly, benefaction reflects the actual health outcome of the reaction and interaction with Pepper. As observed, humanoid robots can elicit simple and individual instructions for simple activities (e.g. exercise) and start the simple conversation (question-answer loop) with its subjects. However, deploying humanoid robots in long-term care requires numerous improvements in robotic technology to elicit an increase in communication and other physical activities, motivation, and a sense of calmness from its clients.


Consideration of Safety Management When Using Pepper, a Humanoid Robot for Care of Older Adults


Legal Issues Arising from Care Robots and its Examination

ケアロボットのもたらす法的問題点とその検討

Our research group studies on care and rehabilitation using Care Robots(CRs). Legal issues arising from these CRs are diverse. In this paper, we examined legal issues that should be considered in each stage ; manufacturing, processing, installation, use, deterioration, and disposal of CRs, and especially the cases where CRs as medical devices cause damage to patients. Thus, this paper pointed out the subjects as below : ``Product Liability Act mainly and secondary general tort law in the manufacturing stage'', ``Defect liability in the processing stage'', ``General tort law in the installation stage'', ``Obligation of security or faulty performance responsibility in the use stage'' and ``Personal Information Protection Law at the disposal stage''. In addition, we suggested the presumed issues that should be examined and indicated the direction of the way of thinking. This study will contribute to creating safety guidelines for the future use of CRs.


The Intermediary Roles of Public Health Nurses (PHNs) in Utilizing Communication Robots(CRs) in Community Health Care Practice


Relation between oral condition and internal use condition of psychotropic drugs of patients with chronic schizophrenia during hospitalization : Cross-sectional survey at a psychiatric hospital with dentistry

慢性期統合失調症入院患者の口腔保健状態と抗精神病薬および biperiden内服状況との関係:歯科を有する単科精神科病院における横断的調査


A novel in-service nursing education optimizing theory of technological competency as caring in nursing

Journal of Nursing Education and Practice


Ethico-Legal Issues with Humanoid Caring Robots and Older Adults in Japan


Perceived Inventory of Technological Competency as Caring in Nursing (PITCCN): Psychometric Evaluation

International Journal of Studies in Nursing


Perceptions of Self of Persons with Visible Artificial Devices : A Review of the Literature

Not much is known about the self-perceptions of persons using prosthetic devices. The purpose of the literature review was to explore the self-perceptions of persons living with visible artificial devices from published articles between 2010 and 2017. Using key words to search for published literature in the PubMed,CINAHL, IEEE Proceedings, and Scopus indices showed 680 articles. Braun and Clarke's six phases of qualitative thematic analysis were used on 25 articles meeting the inclusion criteria, revealing 29 data extracts (themes) as data summaries. Three key thematic categories were revealed : Body image and ownership, integration of prosthetic device into the self-body, and suspended enjoyment or delight, reflecting the longings for completeness affecting persons' use of prosthetic devices. Consistent with self-perceptions understood through social biases and customs, completeness is achieved through the happy paradox of a person made whole through artificial devices. This experience informs nursing practice in helping people find meaning in their life. Further research into selfperceptions with prosthetic devices is essential, particularly those reflecting the cultural influences of artificial devices on quality of life. J.Med.Invest. 66:58-64, February, 2019.

The Journal of Medical Investigation : JMI


Characteristics of Transactive Relationship Phenomena among Older adults, Care Workers as Intermediaries, and the Pepper Robot with Care Prevention Gymnastics Exercises

Healthcare for older adults is a significant problem in Japan and in other developed countries. To address this problem, healthcare robots, now realized, can assist and meet healthcare and welfare practice demands. The aim of this study was to clarify characteristics of Transactive Relationships (TR) in older adults, in care workers as intermediaries, and Pepper (Softbank Robotics Corporation) a robot equipped with the application program of Care Prevention Gymnastics Exercises for Pepper (Pepper-CPGE) made by Xing Company, Japan. Data were collected by observing TRs between Pepper and older patients in Kagawa Prefecture,Japan between from May 8 to August 1 2018. The Transactive Relationship Theory of Nursing (TRETON) was used to explain how Pepper-CPGE led the exercises with older adults as physical exercises. The role of PepperCPGE was to provide instructions for the older adults in performing gymnastic exercises. During the exercising activity, care workers were present to prevent falls of the older adults, and to operate and observe the video presentations by supporting and caring for the participants. In using Pepper-CPGE, it was possible to change the role of the healthcare providers, originally thought to contribute to increasing the quality of older adult care and their rehabilitation. J. Med. Invest. 66 : 46-49, February, 2019.


Criterion-related Validity of the Perceived Inventory of Technological Competency as Caring in Nursing (PITCCN) in Acute Care Settings

The Perceived Inventory of Technological Competency as Caring in Nursing (PITCCN) based on Locsin's theory of Technological Competency as Caring in Nursing (TCCN, 2005) was developed (Kato et al. 2016) and revised by Miyamoto et al. (2017). The purpose of this study was to verify criterion-related validity of PITCCN using the Practice of Caring Behavior Questionnaire (PCBQ, Shigehisa, 2007). The study was approved by the Ethical Review Board of Tokushima University Hospital. Data were collected from September 2017 to October 2017. Of the 402 questionnaire copies distributed, only 299 copies were returned and analyzed to determine correlations between total score value and Mean Factor Point of each factor for PITCCN and PCBQ. These were analyzed using Pearson correlation coefficients. Statistical significance was at .01 levels. Strong positive correlation coefficient was obtained between total score values (r=.76, p?.01) and factors of PITCCN and PCBQ (r=.19 to .68, p?.01) , except the PITCCN's factor 3 : "Utilization of information obtained from technology and continuous knowing" and PCBQ's factor 6 : "Enriched relationships between patient and nurse", (r=.13, not significant). From these results, the criterion-related validity of PITCCN as the inventory of TCCN could be confirmed. J. Med. Invest. 66 : 42-45, February, 2019.


Psychiatric nurses' anxiety, learning motivation, learning behavior, knowledge, experience concerning intramuscular injection technique for long acting injectable antipsychotics

精神科看護者の抗精神病薬持効性注射剤の筋肉注射に関する不安，学習意欲，学習行動，知識，経験との関連性


Humanoid Nurse Robots as Caring Entities: A Revolutionary Probability?


Can humanoid nurse robots replace human nurses?


Comparative Examination between the Perceived Inventory of Technological Competency as Caring in Nursing (PITCCN) and the Technological Competency as Caring in Nursing Instrument (TCCNI)

International Journal of Nursing & Clinical Practices


Recognition and Status of Practicing Technological Competency as Caring in Nursing by Nurses in ICU


The Development of the Perceived Inventory of Technological Competency as Caring in Nursing

看護におけるケアリングとしての技術力の認識尺度の開発

The purpose of this research was to develop the Perceived Inventory of Technological Competency as Caring in Nursing(PITCCN)for Intensive Care Unit(ICU)nurses. The inventory has twenty three item statements derived from Locsin's theory on caring. The research study received approval from the University of Tokushima Hospital Clinical Study Ethical Review Board (Approval No.2585). The time frame was from September2016to November2016. Copies of the Inventory were sent to426ICU nurses working in hospitals in Japan. Only308questionnaire copies were returned with no missing value(response rate was72%). Factor analysis(principal factor analysis, varimax rotation), the Kaiser-Meyer-Olkin(KMO)and the Bartlett's test of Sphericity were used to assess the adaptive validity of the factor analysis. Factor loadings were set at0．4or more for the configuration of items. Internal consistency and reliability were established using Cronbach's alpha coefficient. Statistical significance was at0．05level. Four factors were extracted and labelled as(1)Training of nurses to provide optimal care,(2)empirical knowledge and whole human knowing,(3)Utilization of information obtained from technology and continuous knowing, and(4)Intentional and ethical nursing of persons. Cronbach's alpha was 0．894 for the questionnaire(20 items)and 0．869, 0．872, 0．876, and 0．734, for the four factors respectively. This showed that the over-all data obtained high internal consistency for each factor. The KMO sample adequacy was0．88and the Bartlett's test of sphericity was p<0．001. These results showed that the Perceived Inventory of Technological Competency as Caring in Nursing was reliable.


医療系大学生に対する多職種連携教育の効果-患者の移動・移乗援助演習前後の学生の意識変化-

It is important that inter-professional team work is established as the cooperation and collaboration of members in order to provide high-quality care. The purpose of this research was to describe the changes in the awareness of students in nursing science and radiological science regarding their clinical practice activities of body positioning and transfer care through interprofessional education. In 2015, first grade nursing students and third grade radiological students in a local university jointly practiced changing body positions and transfer care of patients. They answered a fourteen-item questionnaire about inter-professional education before and after the changing activities. This research was approved by the Clinical Research Ethics Review Committee of the Tokushima University Hospital. Of the 105 questionnaire copies distributed, 102 copies were returned but only 89 copies were complete with no missing values and were analyzed using the paired t-test statistic. Inter-professional education provided the following effects : understanding of the ethics of other professions, understanding rational behavior of other occupations, usefulness of educational conference, the necessity of trusting other occupations, understanding the need to work hard on their own jobs, understanding mutual and complementary work, awareness of incompetence, awareness of the importance of team approach, and the usefulness of multi-disciplinary cooperative practice. This study illuminated the necessity of providing opportunities for engagements among students of other professions through lectures and practice of skills using inter-professional education values prior to professional practice in the hospital.


義足を使用して社会生活を送っている女性の体験に関する症例報告

義足を使用して社会生活を送っている女性の体験に関する症例報告

It is imperative that a concern of physical function is addressed such as ability to walk, and how the disease and the sophistication of artificial devices influence person's quality of life(QOL). A woman in her 50s who has a lower limb prosthetic device after amputation. She lived with this prosthesis for more than 20 years. Interviews were recorded, transcribed, and analyzed. The findings of the study revealed that hoping for a better QOL can be lost due to unbearable suffering from adverse reactions during chemotherapy. This lived experience made her decide to discontinue chemotherapy giving her greater than expected grief experience than her postamputation. Watchful ambulation became distinctive and purposive with each step so as not to fall. This walking style was to show her normal gait, rather than worrying about the gaze from people. Furthermore, it was found that feelings of incompleteness still existed even with the prosthetic device. This was often attributed to the physical pain and discomfort while wearing this device even while knowing that she is now a whole person. Still she felt incomplete in the moment. Visible artificial device becoming her essential part, provided a meaningful life that enabled her to grow with the family.


Recommended Design and Direction of Development for Humanoid Nursing Robots Perspective from Nursing Researchers


新卒看護師が入職する精神科病院の特徴

新卒看護師が入職する精神科病院の特徴

The current state of employment of nursing staff at psychiatric hospitals is beset with patient care problems such as of shortage of nurses and the increasing number of older nurses.Considering these situations, Nurse administrators in psychiatric hospitals are challenged to increase the number of younger nurses as a solution towards improving the staffing shortage thereby enhancing quality of nursing services. The purpose of this study was to clarify the characteristics of psychiatric hospitals that newly graduated nurses found to be a good place to practice their profession. A survey was conducted using a questionnaire which was provided to 277 sychiatric hospital nurse administrators. About 40% of the 234 hospitals administrators who responded employed newly graduated nurses. Employment of newly graduated nurses was significantly related to hospitals with 200 beds or more than 200 beds or less(x2 ＝35.37∼13.75,φ＝0.40∼0.25, p<0.001). The characteristics of a psychiatric hospital where newly graduated nurse found to be a good place to practice their profession enters are as follow(: 1)Hospital Nursing staff taught courses in psychiatric nursing at the newly-graduated nurses nursing school/nursing college( 2)The students had their clinical experience at the particular psychiatric hospital and(3)The hospital has employed a Certified Nurse Specialist or Certified Nurse in Psychiatric Mental Health Nursing. A useful approach to the employment of newly graduated nurses in psychiatric hospitals were suggested as follow(: 1)To establish a procedure in which the essence and appeal of psychiatric nursing are recognized, such as promoting psychiatric clinical practice settings and providing staff to conduct lectures at particular nursing education institutions and(2)To nurture and recognize nurses who have become excellent role models.


Relationship between Lifestyle, Quality of Sleep, and Daytime Drowsiness of Nursing Students of University A


Characteristics of Psychiatric Hospital Work Environment Found Attractive by Professional Nurse Administrators in Japan


Availability of Thickness Estimation of the Subcutaneous Fat by Using the Near-infrared Ray Measuring Device


Prioritizing Patient Assessment Data (PAD) Using the Japanese Psychiatric Nursing Assessment Classification System (PsyNACS)©


The Development of the Japanese Psychiatric Nursing Assessment Classification System (PsyNACS©)


Development of the Diabetes Oral Health Assessment Tool © for Nurses


Nurse administrators and hospital directors' perspectives about nurses' abilities in performing specific medical practices in hospitals within Tokushima Prefecture

徳島県内の看護職員高度人材育成研修推進事業における特定行為に係る実態調査

The purpose of this survey was to determine nurse administrators and hospital directors' perspectives about nurses' abilities in performing specific medical practices in hospitals in Tokushima Prefecture. The nurse administrators and hospital directors of all hospitals (113 hospitals) in Tokushima Prefecture were invited to respond to a survey questionnaire by mail posted during the period between February and March of 2015. Responses were received from 46 nurse administrators (response rate, 41%) and 38 hospital directors (response rate, 34%). The obtained data were analyzed using descriptive statistics and the narrative descriptions summarized. Majority of responses from nurse administrators and hospital directors were accepting that nurses have responsibilities for administering medicines such as tranquilizers, anti-anxiety and anticonvulsant drugs. This result was not affected by the size of the hospital, in which fifty four percent (54%) of respondents were from hospitals with less than 100 beds. In Japan, only hospitals with 100 beds or more may have procedures involving highly invasive treatments. Because of this, many of the respondents answered ``not applicable'' to statements in the questionnaire which were related to invasive treatments. Recruitment of nurses, strategies to cope with accidents and education curriculum were important concerns of nurse administrators and hospital directors which remain to be answered in future investigations.


Professional Nurses'Attitudes towards the introducution of Humaniod Nursing Robots(HNRs) in Health Care Settings


Methodology for Developing a Nursing Administration Analysis System

Nursing administration requires a large volume of wide-ranging information, and nurse administrators are limited in their ability to compile and analyze information for nursing administration. The purpose of this study is to create methodology for developing a nursing administration analysis system to aid nurse administrators in performing outcome analysis. In this methodology, information required for nursing administration in the PSYCHOMS? (Psychiatric Outcome Management System, registered trademark) database is analyzed according to the individual needs of nurse administrators. It features a combination of a classification method and an extraction method for obtaining quantitative and qualitative data as information required for nursing administration, and enables nurse administrators to easily obtain analysis results that they directly need. This methodology converts the time required nurse administrators to collect and organize information into time for making considerations in order to devise strategies for improving the quality of nursing care services, and can improve the quality and efficiency of nursing administration. This may lead to an increase of the quality of nursing care services at psychiatric hospitals. This methodology is highly versatile as it can be applied in information management, not only for nursing, but for the entire psychiatric hospital.

看護管理に必要な情報が多岐にわたり膨大となっている．看護管理のための情報の整理や分析は看護管理者の努力だけでは限界があり，看護管理者が行うアウトカム分析を支援することを目的に看護管理分析システムを開発した．看護管理に必要な情報を看護管理者個々のニーズに応じて，PSYCHOMS○R(Psychiatric Outcome Management System, registered trademark)のデータベースに保存されているデータを分析する．その特徴は，分類と抽出の2種類の方法を混合して量的・質的データをアウトプットとして表示することができるため，看護管理に必要な情報を出力できる．看護管理者が直感的に必要と考えたことに対する分析結果を簡便に得ることができる．このシステムを活用することで，看護管理者が情報の収集と整理に要していた時間を，看護サービスの質を改善するための方略を考えるための思考の時間に変換することができるため，看護管理の質と効率性を高めることができる．その結果，精神科看護サービスの質向上につなげることが可能となる．本システムは看護だけにとどまらず，精神科病院全体の情報管理にも応用可能であり，汎用性がある．


Development of Algorithm and System for Automatic Generation of Nursing Summaries from Nursing Care Plans


Discussion of Nursing Robot's Capability and Ethical Issues

Information : an International Interdisciplinary Journal


Development of Rating Scale for Novice Nurses' Recognition of Working Environment

新人看護師の職場環境認識に関する尺度の開発

The purpose of this study was to develop a rating scale for novice nurses' recognition of working environment. The survey questionnaire on working environment was sent to 810 novice nurses in the western region of Japan, of which 634 were returned with a response rate of 78%. A principal factor analysis with a varimax rotation was conducted on the final 16‐item scale and two factors (11‐items) were extracted. The Cronbach α coefficient for the total scale was 0．882, indicating high internal consistency. The first factor was named ``educational-support environment,'' and consisted of six items regarding instruction in the workplace, tackling issues, and relationship with managers, and the second factor was ``working environment satisfaction,'' which consisted of five items regarding human relationships in the workplace, relationship with patients, and vacation. The developed ``rating scale for novice nurses' recognition of working environment'' can easily evaluate the cognitive state of a subject's workplace environment. Therefore, it was considered that this scale was useful when examining working environment.