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


Communication skills required by new nurses, accordinh to nurses in charge of newcomer educaion

新人教育担当看護師が考える新人看護師に求められるコミュニケーション力


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


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)


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


AESTHETIC EXPRESSION OF CARING IN NURSING AMONG JAPANESE UNDERGRADUATE NURSING STUDENTS


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


Development of a Velocity-Based Mechanical Safety Brake for Wheeled Mobile Nursing Robots: Proposal of the Mechanism and Experiments


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


The Effect of In-Service Educational Programs on Nurse Managers Understanding of the Theory of Technological Competency as Caring in Nursing


Interactions between healthcare robots and older people in Japan: A qualitative descriptive analysis study


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


長期入院精神障害者に対する多職種連携による作業療法活動への積極的動 機付け

長期入院精神障害者に対する多職種連携による作業療法活動への積極的動 機付け


Potential legal issues when caring healthcare robot with communication in caring functions are used for older adult care

The issue of older adults' care is becoming a serious concern in Japan, which has a rapidly aging population and a low birthrate. The development of robots is pushed forward as a measure to compensate for the healthcare worker shortage. The purpose of this paper is to consider the potential legal issues of caring healthcare robot (CHR) for older adults' care. A CHR must recognize the speech, face, and presence of older adults, and make judgments and relay information based on acquired information. CHRs fulfill the caring function by being close to patients, to know them deeply, and to look after them. Therefore, communication functions by advanced artificial intelligence based on caring in nursing are essential for CHRs. The ability to maintain and improve the activities of daily living (ADL) of older adults is to facilitate activities through bidirectional information relay. Furthermore, without guarantees on the safety and ascription of responsibilities, the introduction of CHRs in clinical practice will not proceed. As laws differ from country to country, it is necessary to examine Japanese policies and related laws when using CHRs in Japan. Currently, there are no central rules on information security. In Japan, the law is made after a case has occurred; thus, dealing with novel issues as they occur will not have the benefit of legal guidance. Creating a broad legal framework or taking preventive measures at an early stage is needed. Therefore, as a first step, establishing guidelines for the use of CHRs will be valuable.


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.


Autonomic nervous activity of patient with schizophrenia during Pepper CPGE-led upper limb range of motion exercises

Healthcare for the increasing senior population is a significant challenge. To address this problem, the use of healthcare robot is increasingly being recognized to have strong potential in addressing older adult and psychiatric patients' healthcare and welfare needs. The purpose of this preliminary study is to evaluate the changes in the autonomic nervous activity of an elderly patient with schizophrenia during upper limb range of motion (ROM) exercises led by Pepper (SoftBank Robotics) with the application program of Care Prevention Gymnastics Exercises (Pepper-CPGE) made by Xing Company in Japan. A Pepper-CPGE-led three-minute radio gymnastics program (Radio Exercises #1, consisted of three types of exercises) and instructions were developed. The normal aging 69-year old schizophrenic subject followed instructions from Pepper throughout the intervention. Electrocardiography (ECG) records, heart rate, acceleration score, and ROM exercises of upper limb were collected and analyzed using the GSM's Bonaly Light instrument and Image-J analysis. (1) The high-frequency (HF) (indicative of parasympathetic nervous activity), and low-frequency (LF)/HF ratio (indicative of sympathetic nerve activity) were increased in reference from the baseline data before the exercise stretching the chest. (2) The momentum decreased as the ROM of shoulder joint flexion declined. Declines in both parasympathetic and sympathetic nervous activity were observed. Also, (3) when the exercise "bend the body forward" was performed, the HF and LF/HF also decreased. Evaluation of robot-based rehabilitation exercise program effectiveness by the ROM exercises image analysis and autonomic nervous activity is essential for the futurist programming of ROM exercise among patients with schizophrenia.


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


Disruptive Engagements With Technologies, Robotics, and Caring Advancing the Transactive Relationship Theory of Nursing


The Optimization of Humanoid Robots Dialog in Improving Communication between Humanoid Robot and Older Adults


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


Encounter of Pepper-CPGE for the elderly and patients with schizophrenia: an innovative strategy to improve patient's recreation, rehabilitation, and communication

In Japan, humanoid robots has been introduced in the medical and elderly care environment. The application program of Care Prevention Gymnastics Exercises for Pepper (Pepper-CPGE) made by Xing Company, Japan is a body-brain gymnastics recreation program for 40 minutes tailored to the elderly's functional level. It consists of moving, watching/healing, and playing. "Move the body" exercise and other active range of motion activities are done according to the music. Pepper-CPGE was introduced as a clinical trial at the Mifune hospital, beginning in May 2018. At the units where clinical trials are done, 80% of the patients are with mental illness diagnosis with decreased physical functions often moving by wheelchair only. When Pepper-CPGE was introduced, the following changes were observed : (1) communication between patients and nurses during rehabilitation care using Pepper-CPGE was increased ; (2) patients wereinteractive, engaged, and actively participated in the Care Prevention Gymnastic Exercises using Pepper-CPGE ; (3) patients had fun and enjoyed talking to Pepper-CPGE. Interventions using Pepper-CPGE appear to be an effective rehabilitation strategy to increase engagement and participation of elderly patients who require long-term care and rehabilitation. J. Med. Invest. 66 : 50-53, 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.


A Reflective Journey of Caring : A Case Study Between A Patient with Schizophrenia and the Interdisciplinary Team

This case study focuses on caring for a patient living with schizophrenia who has been isolated from the community caused by long-term hospitalization in Japan. Using the philosophical perspective of caring, which focuses on nurturing the wholeness and well-being of persons in caring relationship, the case study illuminates the caring, empathy, and courage among the interdisciplinary team. The purpose of this case study is to discuss the interdisciplinary caring process for patients living with schizophrenia using Carper's ways of knowing. Personal knowing is presented through the lens of patients and families and the stigma associated with mental illness. The expression of respect and caring for the patient and their families led by the interdisciplinary team aided in destigmatization of mental illness. Empirical and ethical knowing is demonstrated through the mental health care team's delivery of high quality and clinical excellence with competence, compassion and caring. Aesthetic knowing was offered by the interdisciplinary team focused on the patient's underlying hopes, dreams and aspirations. Through the support of the interdisciplinary team, patients are able to move toward their goals,hopes and dreams, externalizing tasks, as they grow together through mutual caring. J. Med. Invest. 66 : 15-18, 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


Potential Legal Issues and Care Implications during Care-Prevention Gymnastic Exercises for the Elderly Using Pepper in Long Term Health Care Facilities


Humanoid Nurse Robots as Caring Entities: A Revolutionary Probability?


Elderly persons forward-looking and self-fulfilling life while living with chronic Illness


Efficacy and Safety in Intramuscular Injection Techniques Using Ultrasonographic Data


Evaluations of echogenicity in gluteal muscle in patients with schizophrenia treated with second generation long-acting injectable antipsychotics: risperidone or aripiprazole


Relationship among Health Related Quality of Life, Quality of Sleep, and Oral Health Condition


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 Relationship among Chronic Disease, Feeling-for-Their-Age, Sleep Quality, Health-Related Quality of Life and Activities of Daily Living of Community-Dwelling Persons over 55 Years of Age


Effects of Depth of Needle Insertion with Risperidone Long-Acting Injectable in Persons with Schizophrenia: A Randomized Double-Blind Study


Daily Activities and Sleep Durations of Patients with Ischemic Heart Disease Who Were Discharged to Their Homes after Elective Percutaneous Coronary Intervention


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.


Relationship among Sleep Quality Physical Health Conditions and Lifestyle Habits among Elementary School Students


Evaluations of muscle echogenicities in patients treated with second generation long acting injectable antipsychotics


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


Characteristics of a Transactive Phenomenon in Relationships among Older Adults with Dementia, Nurses as Intermediaries, and Communication Robot


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


精神科看護とケアリング 事例にもとづく患者理解の検討

精神科看護とケアリング 事例にもとづく患者理解の検討

The Japanese Journal of Psychiatric Nursing


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

International Journal of Nursing & Clinical Practices


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)©


Comparison of Gluteal Muscle Intramuscular Injection Sites of Japanese Healthy Subjects: Considerations for Optimal Insertion of Injection Needle Length


Relationship between sleep-wake rhythms and autonomic nerve activities of elementary school children through Actigraphy

小学校高学年児童の睡眠・覚醒リズムと自律神経活動の関係

The purpose of this study was to clarify the relationship between sleep-wake rhythms and autonomic nerve activities using actigraphy and heart rate variability(HRV)analysis. Subjects were comprised of six children who were in the fourth to sixth grade levels of elementary school(four boys and two girls). The study was conducted between January and December 2015. The data collection procedure was performed following the Private Information Protection Law, with approval from Tokushima University Hospital Ethics Board(approval number 2021). These subjects were evaluated in an Attentive-Care-Needed stress state based on the PSI(Public Health Research Foundation Type Stress Inventory)and PSQI-J(Pittsburgh Sleep Quality Index, Japanese Version). In analyzing their sleep-wake rhythms, autonomic nervous activities were determined using an actigraph and HRV through RR interval sequence electrocardiography. The results of actigraph data of sleep efficiency in Subject Number 6 was low(76.47%). Regardless, the subject experienced subjective sleep satisfaction. However, Subject Number 2, insisted that she could not easily wake up in the morning because of being sleepy. Low Frequency(LF)/High Frequency(HF)data indicated sympathetic nervous activity showing that all subjects had significantlyhigher LF/HF value during wakefulness than when asleep. HF data indicated parasympatheticactivity of five out of the six children showing significantly higher value during sleep than when awake. Subject number 3 expressed that he was sleepy and could not get up in the morning,and also had trouble going to and maintaining sleep. However, this subject's results of the PSQI-Jindicated that he had no problem expressing subjective sleep satisfaction. Furthermore, in the actigraph and HRV analysis, findings showed that subjects had good sleeping patterns. These findings strongly signify the importance of determining the sleep-wake rhythms of school children based on data from subjective and physiological evaluation methods.


Intramuscular Diffusion Status of Risperidone and Aripiprazole Long Acting Injectable (LAI) by Ultrasonography


Lived experience of caring for dying patients in emergency room.


Explanatory Variables as Evidence for Precision in Intramuscular Long-Acting Injections of Patients with Schizophrenia


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


Characteristic Autonomic Nervous Activity of Institutionalized Elders with Dementia


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.


Long-acting injection(LAI)を行う際の殿部注射部位の皮下脂肪厚の推定式―体脂肪率とノギスで計測した皮下脂肪厚の計測値から―


The Effect of a Psycho-Educational Program on Psychiatric Symptoms, Drug Attitude and Treatment Satisfaction of Patients with Schizophrenia


The Effect of Intentional Communication, Recreation, and Rehabilitation on the Autonomic Nervous Activity of Elderly Persons with Dementia : A Case Study


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


Employment of Newly Graduated Nurses by Psychiatric Hospitals in Shikoku region

四国地方における精神科病院の新卒看護師採用に関する実態

It is important for psychiatric hospitals (PHs) to have experienced nurses who are interested in nursing patients with psychiatric/mental health problems. Recruitment of newly graduated nurses who share a passion for patients with these conditions is critical to both the profession and to the nurses. In doing so, it is critical that these nurses are nurtured and valued, who can show a high level of practical nursing ability. However, at present, it is difficult to employ experienced psychiatric nurses especially those newly graduated nurses. Therefore, an inquiry survey was conducted to determine the situation and condition concerning the employment of newly graduated nurses by PHs in Shikoku region. Participants were nurse administrators of PHs, institutions that are concerned with the psychiatric patient care within the Shikoku Region. There are 62 PHs that are members of the Japanese Psychiatric Hospitals Association in the Shikoku region. Administrators of 61 of these hospitals were provided with the survey forms, however, only 58 survey forms were returned. Results of the survey showed that twenty-four PHs (41．4%) have not hired any new nurses for more than several years now, and forty-six PHs (79．3%) have not hired any new nurses in 2014. The PHs that hired the most new nurses hired only one to two nurses. Regarding the employment of newly graduated nurses, findings revealed that nursing administrators wanted nurses to feel attracted to psychiatric nursing and that they wanted to nurture and retain them. However, they also believed that they were not positioned to accept newly graduated nurses and that they could only accept experienced nurses. Since it is believed that the present conditions, where hiring newly graduated nurses is difficult, will continue in the future, further efforts will be required to secure jobs for new nurses.


Reliability Verification and Practical Effectiveness Evaluation of the Nursing Administration Analysis Formulae Based on PSYCHOMS®


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


Changes of sleep conditions of patients with ischemic heart disease (IHD) who underwent elective percutaneous coronary intervention during hospitalization and after discharge from the hospital


Develop a Staff Assignments Support Program based upon the Nursing Administrator's demand function in Psychiatric Hospitals

Information : an International Interdisciplinary Journal


Sensitive Test for Screening for Autonomic Neuropathy of Type 2 Diabetes


Clarification of a Demand Function Required for A Staff Assignments Support Program for Nursing Administrator-use in Psychiatric Hospitals


The Challenges of the Nursing Administration for Staff Assignment Determination in Psychiatric Hospitals


Discussion of Nursing Robot's Capability and Ethical Issues


Measuring quality of sleep and autonomic nervous function in healthy Japanese women


Optimal needle insertion length for intramuscular injection of risperidone long-acting injectable (RLAI)


The relationship between sleep condition and autonomic nervous function in women in their 70s with type 2 diabetes mellitus


The relationship between body mass index, thickness of subcutaneous fat, and the gluteus muscle as the intramuscular injection site


Factors associated with discharge of long-term inpatients with schizophrenia in Japan: a retrospective study

Deinstitutionalization for people with mental disorders has only begun to be implemented in Japan. The purpose of this retrospective study was to examine factors associated with discharge for long-term patients with schizophrenia. Seventy patients were judged capable of discharge with psychiatric rehabilitation (special staff service). As a result of rehabilitation efforts, 37 patients were discharged and 33 patients remained in the hospital. Significant differences were found in age, level of family agreement about patient's disability, and length of the special staff service. These factors might be important to predict patients' potential for discharge.


Changes before and after improvement of subjective sleep state of a man diagnosed with pre-diabetes and sleep disorder


Sleep conditions and quality of life among patients with ischemic heart disease after elective percutaneous coronary intervention


Optimal length of intramuscular injection needle and drug absorption by ultrasound evaluation

超音波診断装置による筋肉針の長さと薬液拡散状態

The administration of an intramuscular injection (IMI) is a basic nursing skill, primarily involving the gluteus and deltoid muscles. Nurses must determine the appropriate needle type, gauge, and depth of insertion for giving an IMI while avoiding injury to blood vessels and nerves. The primary purposes of this study were to determine the appropriate depth of injection for administering risperidone long-acting injectable (RLAI) and to evaluate the injected drug absorption using B-mode ultrasonography. In this study, the subjects were three patients with schizophrenia being treated with RLAI. The IMI procedures were monitored using B-mode ultrasonography during the injection of RLAI. One patient received an adequate injection in the gluteus medius muscle; however, the other two patients received inadequately positioned injections. Ultrasonography was useful for checking the absorption progress of the RLAI-loaded microspheres.


Use of a Dialogue System to Retrieve the Memories of Elderly Individuals with Dementia and Determine the Physiologically Effective Evaluation Indicators

International Journal of Advanced Intelligence (IJAI)


Required Function of the Caring Robot with Dialogue Ability for Patients with Dementia

AIA International Advanced Information Institute


Retrospective study of Japanese patients with schizophrenia treated with aripiprazole.

Aim. The purpose of this retrospective study was to evaluate changes in clinical indicators which influence the quality of life (QOL) of patients with schizophrenia treated by antipsychotic therapy before and after switching to aripiprazole. Methods. A retrospective chart review of 27 patients diagnosed with schizophrenia and who were switched from one antipsychotic to aripiprazole was performed. Clinical indicators about the daily dosage of antipsychotics and antiparkinsonian drugs, psychiatric condition, and glucose/lipid metabolism, clinical evaluation by nursing observation were used to measure the responsiveness of subjects to aripiprazole. Results. Of the 27 subjects, 14 responded to the switch to aripiprazole with significant improvement of the Brief Psychiatric Rating Scale (BPRS) score (P = 0.04), significant decrease in dosage of antipsychotics in 71% of patients (P = 0.03), and tendency toward reduction in dosage of antiparkinsonian drugs (P = 0.07) and body mass index (BMI) (P = 0.06). However, 8 of 27 subjects had a significant increase in lipid levels after switching to aripiprazole (P = 0.01). Conclusion. QOL for subjects who responded to the switch to aripiprazole improved as indicated by lower doses of antipsychotic and antiparkinson medications, improvement in BPRS score, and a decrease in BMI. Results indicate little influence on patient's QOL.


Nursing students' awareness about websites -comparison of frequency of website use for self-learning-

This survey is to study the difference in awareness of student nurses about websites depending on the frequency of website use for self-learning for a class on ``Health assessment''. The subjects were 127 freshmen at a nursing university. The questionnaire survey was carried out the last day of the class on ``Health Assessment'' in 2009 and 2010. The aim of the research was explained, and the submission was their free choice. The questionnaire consisted of questions asking how often websites or textbooks were used for self-learning and the 13 questions concerning ``Awareness of Websites''. The results showed that 38 students were ``Website users'', 17 students were ``Intermediate website users'', and 72 students were ``Non-website users''. Response points of ``website information is reliable''came from the website user group who had a significantly higher ratio than the non-website user group (p<0．05). Regarding the13questions concerning ``Awareness of Websites'', the factor analysis was performed. Three factors were extracted and interpreted as follows. The first factor was ``habitual websites use''; the second factor was ``convenience of the websites''; the third factor was ``trust to the websites''. We compared the factor scores according to the frequency of website use. The first factor score of ``Website users'' was significantly higher than that of ``Non-website users'' (p<0．05). There was no significant difference in the other factors. The results revealed that website use has already become a habit and is indispensable for the purpose of self-learning for the students who use it frequently. However, about 55% of the students used textbooks for their self-learning and they did not use websites for it. It was estimated that this difference might depend on the student confidence level in websites. It is certain that, in future, the majority of students will be using websites. Therefore, measures that ensure reliable websites for students to use for self-learning are required.

JNI : The Journal of Nursing Investigation


Using ultrasonography in evaluating the intramuscular injection techniques used for administering drug treatment to schizophrenic patients in japan

This study was conducted with six patients with schizophrenia, four of whom received the atypical antipsychotic risperidone long-acting injectable (RLAI), and two patients receiving the typical depot injection (TDI). The purpose of this study was to determine the location (gluteus medius or maximus; deltoid muscles) and diffusion of typical and atypical antipsychotic medications administered intramuscularly using ultrasonography. When using the standardized depth of needle insertion, in some cases, the drug was injected into the gluteus maximus instead of the gluteus medius. Similarly, in some cases the TDI was not visible in the ultrasonographic images until sixteen days after the injection. This verifies how hard the injection site becomes when microspheres of RLAI is injected as compared to other muscle areas. These results confirmed that the gluteus muscle structure was the ideal muscle for depot injection as evidenced by the injection solution being dispersed and rendered not visible immediately after intramuscular injection (IM). With the use of ultrasonography, injection sites and drug dispersions were evaluated under a direct visual guidance, suggesting that ultrasonography is a useful method for establishing evidence for determining correct insertion of IM injection, diffusion of medications, and the effective administration of IM injections.

The Journal of Medical Investigation : JMI


PSYCHOMS:COMPUTER MANAGED NURSING-CARE PLANNING SYSTEM AND COMPUTERIZED QUALITY MANAGEMENT OF NURSING OUTCOME


The relationship between emotional empathy, self-acceptance and interest in disaster nursing of the nursing students who recently-enrolled in the university

The purpose of this survey was to clarify relationship between emotional empathy, self-acceptance and interest in disaster nursing of the nursing students who recently-enrolled in the university. The participants were the first year students at the nursing university, and questionnaire survey was conducted in June, 2009. There were 60 response rate, 80．0% of the nursing students responded that they were interested in disaster nursing. Those students of 22．9% knew the meaning of ``triage'', and 50．0% of them knew the posttraumatic stress disorder. The students who answered that they have desire to participate in the disaster rescue and nursing positively when becoming registered nurse in the future were46(76．7%). Therefore, it was suggested that the necessity for educating basic principle of disaster nursing at the earliest time after entering university. Moreover, there was significant differences in students who had answered that want to participate in the disaster nursing and others who had not answered so (59．98±5．98 vs. 55．57±6．60; P＝0．03)in the emotional-warmth. There was also a significant difference in the emotional-coolness(22．00±7．64 vs. 30．14± 10．55; P＝0．01). Also, there tended to be a difference in self-acceptance(SA)of the students who interested in disaster nursing, and the students who was not so (19．27±4．14 vs. 16．25±5．26; P＝ 0．07). Consequently, it was considered to contribute to helping students, and to improve level of SA to increase student's awareness of the disaster nursing.


リスパダールコンスタ専用針を用いた筋肉注射手技の正確性 中臀筋への確実な筋肉注射に必要な注射針の検討

The Japanese Journal of Psychiatric Nursing


Clarification of Caring Actions of Patients with Dementia:Necessry for the Development of a Caring-Robot with the Ability to Dialogue

Proceedings of 2010 International Conference on Advanced Intelligence


Illness experiences of patients with iscemic heart disease during their transitional phase from hospitalization to discharge in Japan

The purpose of this study was to explore the experience of patients with ischemic heart disease (IHD) during the transitional phase from hospitalization to discharge. Twenty-four patients who experienced IHD for the first time comprised the sample of the study. Semi-structured interviews were conducted during the transitional phase. The results of the qualitative inductive analysis showed two categories of illness experience: (i) the connection of heart attack experience with the self, and (ii) the instability of the self as a patient with heart disease. The participants were found to vacillate between the self as patient with a heart disease and the typical self before the disease onset. The transitional phase is the time when patients experience changes in their symptoms and physical conditions rather than a condition of stability signifying recovery. Patients are expected to manage the symptoms of their heart disease by themselves; however the participants showed signs and symptoms of confusion and anxiety about facilitating their own care. These findings suggest the importance of outpatient nursing practice focusing on the support and emphasis on nursing interventions for patient anxiety and alleviation of confusion through the management of symptoms of heart disease after discharge.


Clinical pathway focused on team care of the behavioral and psychological symptoms of dementia BPSD and family support

認知症に伴う行動障害と精神症状(BPSD)の改善および家族支援に焦点をあてた認知症のためのクリニカルパスの検討

Japanese Journal of Geriatric Psychiatry


Relation between Electronic Nursing Staffs Daily Records and Nurses Workload in the A Psychiatric Hospital

Information : an International Interdisciplinary Journal


Questionnaire survey on the use and the introduction of nursing management system in the psychiatric hospitals

Proceedings of the Fifth International Conference on Information


Potential legal/ethical issues from nurses perspective on healthcare conversation robot using in hospital setting

看護者からみた対話ロボット導入における倫理的問題・法的問題

日本機械学会 2020 年度年次大会 講演論文集

日本機械学会 2020 年度年次大会 講演論文集


精神科単科の病院に新卒看護師を獲得するための 魅力ある職場環境

精神科単科の病院に新卒看護師を獲得するための 魅力ある職場環境

第49回(平成30年度)日本看護学会論文集 精神看護

第49回(平成30年度)日本看護学会論文集 精神看護


看護管理者が求める精神科看護に必要な技術力

看護管理者が求める精神科看護に必要な技術力

第49回(平成30年度)日本看護学会論文集 精神看護

第49回(平成30年度)日本看護学会論文集 精神看護


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.


精神科における持効性注射剤の安全な筋肉注射の方法 超音波診断によるエビデンスにもとづいた安全な投与部位と注射針の刺入深度


Development of the Psychiatric Outcome Management System (PSYCHOMSTM),A Staff Assignment Support Program Based Upon the Thought Process of Nursing Administrators Over Staff Assignment in Psychiatric Hospitals

Proceedings of the Sixth International Conference on Information(Info13)


Future Tasks for Introducing the Electronic Management System in Psychiatric Nursing


Relationship between Type 2 Diabetes and Autonomic Neuropathy


Relationship between Body Mass Index and Assessment Variables of Intramuscular Injection part of a Gluteal Region


Clarification of a staff assignment process based upon the thought process of nursing administrators in psychiatric hospitals

精神科病院における卓越した看護管理者の人員配置に関する思考過程の明確化

Assignment of appropriate staff is a very important role of the as nursing administrator. The purpose of this research was to clarify a staff assignment process based upon the thought process of distinguished nursing administrators in psychiatric hospitals in order to create a computerized system towards improving patient care outcomes. Participants were seven nursing administrators in psychiatric hospitals which have psychiatric acute care unit and dementia care unit etc. in Japan. A semi-structured interview procedure was using to determine the requirements necessary for systematizing process of designing the staff assignment, and survey contents were ``method of information gathering required for staff assignment determination'', ``what information required for decision-making'', and ``how to evaluate from the collected information''. This study used the qualitative analysis of narratives from participants. As a result, the daily record for unit management, interview, personnel information and patient information through the work schedule were collected, and nursing administrator had determined quantitative and qualitative number of staff assignment through the process of three steps of assessment. As a one important issue for staff assignment, it became clear a lot of nursing administrator's precious time was spent in gathering, organizing and analyzing information for staff assignment determination.


7対1看護体制導入後の急性期病院一般病床における看護師の人員配置に対する評価

7対1看護体制導入後の急性期病院一般病床における看護師の人員配置に対する評価

It has been5years since an introduction of the nursing system of one nurse for every seveninpatients. The aim of this study was to determine whether this nursing system leads to meet thedemands of the inpatients and to clarify improvement factors in adequate personnel distribution.Participants were196head nurses of28acute hospitals in the Chugoku and Shikoku regions inJapan. As a result of analysis, the numbers of nurses have been increased by the introduction ofthis system. However, the employing of a large number of new nurses with almost no experience,it caused shortage of personnel, and reduction in nursing service quality. Also, as inclined allocationof personnel was not conducted according to the degree of nursing care need, imbalanced personnelallocation was observed in survey data. Furthermore, there was no significant correlationbetween bed occupancy rate and the number of nurses ; therefore it was thought that there is notstaff placement depending on busyness of nurse. For the adequate personnel allocation and carefulnursing system, it was thought that calculation of the number of nurse placement based on appropriatemeasurement of nursing care need and evaluation of nurses' competence was necessary.


療養病床における看護職と介護職の業務負担と連携における課題

療養病床における看護職と介護職の業務負担と連携における課題

本調査の目的は，療養病床における看護職と介護職の業務負担の実態を明らかにし，業務負担を軽減するための看護及び介護職員の連携の課題を明らかにすることである


Uses of the Electronic Nursing Management System, PSYCHOMS® , in Psychiatric Hospitals : Process, Current State, and Future Development

精神科アウトカム管理システム:PSYCHOMSの開発とその課題

The purpose of this article is to introduce the development process, mechanism, and functions of the PSYCHOMS® (Psychiatric Outcome Management System). Also, it reports on agenda for commercialization of research achievement of the PSYCHOMS®(regis-tered trademark, Takasaka et al.). Our team has been developing the PSYCHOMS® since 2006. This system has four major components: (1) clinical pathway and variance analyzing system, (2) nursing manager and staff's daily recording system, (3) nursing care planning system, and (4) nursing management support system. Also, any interdisciplinary team member can access the patient's information using this system. Therefore, each interdisciplinary team member's expertise can be utilized maximally for the patient's benefit and for improved total outcomes. It was then necessary to conduct a survey on what standard items were common in these hospitals for data base of the PSYCHOMS®. As future research problem using PSYCHOMS®, in order to improve psychiatry service, it is necessary to develop the database common to each psychiatric hospital.

2006 年よりコンピュータによる看護管理システム:Psychiatric Outcome Management System(PSYCHOMS®，登録 商標，高坂要一郎ほか)を開発し，クリニカルパス(以下，CP)に基づくチームケアの成果(アウトカム)管理を行う ことで，看護管理者の役割の一部を支援する研究を続けてきた．本システムは現在，A 県 B 精神科病院で臨床試用され ている．コンピュータを用いた CP のアウトカム管理を行うためには，多職種のケア内容をコンピュータに入力し，自動的に管 理し，各職種が使いやすく作成することが重要となる．本システムは多職種が使用し，院内での患者アウトカムの統一が でき，情報共有が容易になる．特徴として，①コンピュータによる CP の管理，②多職種による患者アウトカムの管理， ③バリアンスの蓄積や解析，④看護日誌システム，看護計画システムと看護管理支援システム(看護管理に必要な情報の 分析)の装備，の 4 点があげられる．今後の課題として，(1)PSYCHOMS® に具備する機能の標準化ための全国調査，(2) 標準化された PSYCHOMS® の開発および商品化のための継続研究がある．それにより，他の精神科病院で本システムの 使用が可能になると考えられる．


地域で生活する虚血性心疾患患者のQOLの変化―待機的PCI患者と緊急PCI患者，性別での比較―

日本看護学術集会―地域看護―

日本看護学術集会―地域看護―


対話による認知症高齢者の自律神経系への影響

対話による認知症高齢者の自律神経系への影響

認知症高齢者と健常者が対話を行う際に，話しの受け手である認知症高齢者の自律神経系にどのような影響があるのかを評価することが目的である．調査協力者はA 介護老人保健施設に入所している認知症高齢者14 名(平均年齢89.43 ± 3.98 才，男性2 名女性12 名，長谷川式簡易知能評価スケールの平均得点は11.79 ± 4.37 点)である．調査協力者と研究者が対話を行い，対話前後の収縮期血圧，拡張期血圧，脈拍，唾液アミラーゼ活性値，体温，SpO2 を測定した．心電図は実験開始とともに記録を開始し，実験終了まで継続して記録した．全ての指標で有意差はみられなかった．しかし，対話前後で唾液アミラーゼ活性値が9 名で低下していた．交感神経機能の指標であるLF/HF は4 名で対話中に上昇し，対話後に低下していた．副交感神経機能の指標であるHF は5 名で対話中に減少していた．認知症高齢者との対話の効果を評価するための生理評価指標として，唾液アミラーゼ活性値，LF/HF が挙げられる資料を得たと考えられた．また日中に効果的な対話を行うことは，認知症高齢者の自律神経活動を，日中は交感神経活動が優位で夜間は副交感神経活動が優位に働くという健常者に類似した自律神経活動に誘導する一助となる資料を得たと考えられた．

香川大学医学部看護学科紀要

香川大学医学部看護学科紀要


女性の急性心筋梗塞患者と待機的経皮的冠動脈インターベンション患者の退院前後の活動リズム変化ー2症例の考察ー

経皮的冠動脈インターベンション(PCI)治療をうけた女性の急性心筋梗塞(AMI)患者と待機的PCI 患者の症例から，退院前後の活動リズムの違いについて検討した．対象者は，60 歳代の病状が安定した患者各1 名とした．調査方法は，入院中から退院後7 日間，腕時計型加速度センサー(アクチグラフ)を用いて，生活リズムを測定した．アクチグラフ装着中は生活日誌も記入してもらった．活動区間(Up Interval)から時間，平均身体活動数，体動活動指数，体動加速指数を専用のソフトで解析し，入院中と退院後の平均値を比較した．また，退院前3 日間を基準値としたその後の変化率を比較した．その結果，AMI 患者は，入院中よりも退院後全ての期間で平均身体活動数は低下し，時間の経過とともに平均身体活動数は増加した．また，体動加速度指数も入院中よりも低下し，退院後ゆっくりとした活動をしていた．一方，待機的PCI 患者の平均身体活動数は，退院後全ての期間で増加し，入院中から連続的な活動をしていた．症例のAMI 患者と待機的PCI 患者では退院前後の活動リズムが異なることが推察された．

香川大学医学部看護学科紀要

香川大学医学部看護学科紀要


Research of the intramusucular injection technique to gulterus medius muscule using an ultrasonograph

14th East Asian Forum of Nursing Scholars (EAFONS)


The role of nurse administrators and managers in quality psychiatric care

Psychiatric healthcare services in Japan demand continuous improvement to ensure quality care. Psychiatric nurse administrators and managers greatly influence the quality of services. To improve treatment, the following are considered necessary: clarification of service goal, proper assessment of treatment outcome, shortening of hospitalization, patient-centered care, establishment of trust relationships based on open communication with patients, and effective interdisciplinary teamwork. Additionally, administrators and managers must evaluate the clinical competence of individual nurses and appropriately assign them, especially when personnel shortage is an issue. Furthermore, in collaboration with other healthcare professionals, nurse managers must provide optimal care by setting goals of psychiatric services for patients in acute, sub-acute, or convalescent phases. This article presents the roles of nurse administrators and managers in improving the quality of Japanese psychiatric healthcare services.

The Journal of Medical Investigation : JMI


精神科におけるクリニカルパスとコンピュータによる看護管理システム(PSYCHOMS)によるアウトカムの管理

日本病院・地域精神医学会総会プログラム・抄録集

日本病院・地域精神医学会総会プログラム・抄録集


退院支援施設入所後1年が経過した精神障害者の生活能力

退院支援施設入所後1年が経過した精神障害者の生活能力

研究目的は，退院促進支援により退院し，退院支援施設で生活した精神障害者の生活能力を明らかにし，看護のあり方を検討することである．調査対象者は，施設入所後1年が経過した長期入院であった精神障害者17名(男性12名，女性5名)で，平均年齢は，52．5歳，平均入院期間は11．3年であった．データ収集は，調査対象者一人ずつに約20分程度の半構成的面接を行った．その結果，逐語録から255のラベルが得られ，11のサブカテゴリーに分類された．これらから「自分自身のペースに合わせた生活リズムの獲得」，「病気を悪化させないための自己管理」，「施設退所後の生活のための心の準備」，「良好な対人関係の構築」という4つのカテゴリーが抽出された．これらの結果から，施設利用者は自分なりのペースで社会復帰に向けての準備をしながら，着実に生活能力を身につけていることが示唆された．

JNI : The Journal of Nursing Investigation


Fundamental study for the clarification of gender differences of actigraphic assessments of life rhythms in healthy adults

Information : an International Interdisciplinary Journal


虚血性心疾患患者の退院直後の病の体験―女性患者に焦点を当てて―

虚血性心疾患患者の退院直後の病の体験―女性患者に焦点を当てて―

日本看護学会学術集会―成人看護Ⅰ―

日本看護学会学術集会―成人看護Ⅰ―


高齢者を対象者とした介護実習の学びが基礎看護学実習へ及ぼす影響

高齢者を対象者とした介護実習の学びが基礎看護学実習へ及ぼす影響

日本看護学会論文集老年看護

日本看護学会論文集老年看護


「ヘルスケアアセスメント」に対する看護学生の授業満足度に影響を与える要因

「ヘルスケアアセスメント」に対する看護学生の授業満足度に影響を与える要因

日本看護学会論文集: 看護教育

日本看護学会論文集: 看護教育


虚血性心疾患患者の退院直後の病い体験-女性患者に焦点を当てて-

虚血性心疾患患者の退院直後の病い体験-女性患者に焦点を当てて-

日本看護学会論文集-成人Ⅰ-

日本看護学会論文集-成人Ⅰ-


退院を控えた虚血性心疾患患者にとっての発作体験

退院を控えた虚血性心疾患患者にとっての発作体験

日本看護学論文集 成人看護Ⅰ

日本看護学論文集 成人看護Ⅰ