Clinical verification of multi-circulatory disorders theory and its significance of early detection in stage 1 pressure injury

長野県看護大学博士令和6年度thesi

The effectiveness of foot-care education program based on MTM in diabetic patients at risk of foot ulceration

長野県看護大学博士令和6年度thesi

長野県看護大学大学院博士前期課程修了生の動向と教育評価

長野県看護大学大学院博士前期課程修了生173人のうち，連絡可能な110人を対象に，大学院修了後の動向や支援ニーズ把握を目的に質問紙調査を行った．回答数は35人（回収率31.8%）であった．博士前期課程修了時には看護師として働いていたものが最も多かったが，現在は看護師養成校で働いているものが最も多く，修士（看護学）取得後には臨床の場から教育・研究の場へとキャリアを変更する傾向があった．本学大学院で学んだことでキャリアに生かされていると思うこととして，「多様な考え方を理解できるようになった」「大学院で学びの基礎を作ったことで生涯学習につながっている」等の項目について過半数の支持を得た．在学時に受けた教育によって得たものとしては「専門職として研鑽し続ける能力が身についている」「課題解決に向けて主体的に学習する能力が身についている」等の項目で9割以上の支持があった他，多くの項目で肯定的な意見が得られた．本学の大学院は高度な看護実践や教育・研究を遂行できる人材の育成に貢献できていると考えられる．A questionnaire survey was conducted among contactable 110 out of 173 master’s program graduates at Nagano College of Nursing to understand their trends and support needs following graduation. The number of respondents was 35 (31.8% response rate). Many of the graduates were working as nurses when they completed their master’s program; however, a large number of them work in the educational field currently. Many changed their careers by shifting from clinical settings to educational or research settings. From the survey, we received a variety of responses to the question “What you learned at graduate school has helped you in your career?” including “I have become able to understand diverse ways of thinking” and “The foundation of my learning at graduate school has led to lifelong learning.” With regard to what the respondents gained from the education they received while attending graduate school, over 90% agreed with items such as “I have acquired the ability to continue to study as a professional” and “I have acquired the ability to learn independently to solve problems.” Furthermore, most other questions received a positive response. Therefore, we can say that our graduate school contributes to the development of human resources that can perform advanced nursing practice, research, and provide education.departmental bulletin pape

Conversations among college students during the COVID-19 pandemic

新型コロナウイルス感染症（COVID-19）の流行により，国内では近年マスクの着用や他者との物理 的距離をとることなどが推奨されていた．しかし，これらの対策は，他者とのコミュニケーションにおいて問題 を生じてさせてきた．本研究では，大学生を対象にCOVID-19の流行下における会話について実態を明らかにすることを目的とし，会話における問題に対してどのような試みができるかを検討した．調査１では，大学生を対象として，COVID-19流行下における他者との会話についてオンライン調査を実施した．その結果，会話の難しさが報告され，対面での会話は非常に重要と感じられていた．調査２では，国内で感染対策が幾つか緩和された状況で，同様に調べた．その結果，以前よりも対面での会話の頻度は増えたが，聞き取りづらさは続いている傾向が示された．これらの結果より，発話を明瞭にし，非言語的，言語的情報を増やすなど，会話において他者を意識することが望ましいと推察された．Recently, it has been suggested to that people should prevent the spread of COVID-19, by measures such as wearing a mask and keeping a distance from each other, but these precautions have caused difficulties in communication. In this study, we investigated conversations among college students in Japan during the COVID-19 pandemic and discussed ways of overcoming conversational difficulties. First, we administered an online survey to college students regarding conversations during the COVID-19 pandemic. They reported having difficulties in talking to others and felt that in-person conversation was very important to them. Second, after the relaxing of restrictions in some parts of Japan, we repeated the survey. The frequency of in-person conversations had increased from earlier, but they still found it difficult to understand what others said. Consequently, we should pay attention to others in conversations and speak to them clearly, using verbal and non-verbal means of communication.departmental bulletin pape

A survey on career progress of nursing graduates from Nagano College of Nursing: Career development after graduation and the support needed

長野県看護大学（本学）の学部卒業生2037名を対象に，卒業後のキャリア形成状況と，キャリア形成支援に関する本学への期待を調査するために質問紙調査を行った．1998年度（第1期生）から2021年度（第24期生）までの全ての年度の卒業生171人から回答が得られた．卒業後に看護職としてキャリアアップや専門性能力向上のために取り組んだ者は31.6％であり，今後の進学希望者は16.7％であった．今後キャリアアップのためにリカレント教育を期待する者は62.0％であり，その内容として「臨地における技術・知識の向上に関する項目」が最も多かった．また，リカレント教育のために本学に期待することは，「図書館等の施設の利用」，「卒業後の研修などの学修機会の確保」が多かった．卒業後の年数によってリカレント教育のニーズが異なっており，それぞれの状況に応じた支援の必要性が示唆された．This study aimed to investigate career development of nursing students after graduation and their expectations from college regarding career development support. This study distributed a questionnaire to 2037 graduates of Nagano College of Nursing. A total of 171 graduates from 1998 to 2021 responded to the questionnaire. Of them, 31.6% had worked to improve their career and professional skills in nursing profession after graduation, 16.7% wished to continue their education, and 62.0% expected recurrent education to improve their careers, by the most commonly selecting the item “improvement of skills and knowledge in the field.” The most prominent expectations of the university for recurrent education were “access to facilities such as libraries” and “securing study opportunities such as training after graduation.” The need for recurrent education varied according to the number of years after graduation, indicating the need for support tailored to each situation.departmental bulletin pape

Development of a home-visiting nursing practice model for older patients living alone with terminal cancer

長野県看護大学博士令和5年度thesi

Consideration of research issues regarding support for single mothers by public health nurses : Reviewing research literature in Japan on pregnancy, childbirth, and childcare for single mothers

本研究は，シングルマザーの妊娠期から出産後1年の育児期に関する国内文献検討により，研究の動向とシングルマザーについて明らかになっていることを確認し，自治体保健師による支援に関する研究の方向性を検討することを目的とした．医学中央雑誌Web版Ver.5を用いて検索した分析対象文献26件を分析した結果， 周産期医療・看護領域による支援課題に着目した研究が多いことを確認した．シングルマザーについて明らかになっていることは≪社会経済的基盤≫，≪医療機関への継続受診≫，≪妊娠・出産・育児に対する受け止め≫等に分類され，分析対象文献では抱える可能性のある困難と前向きな姿勢が報告されていた．これらのことから， 身体的・精神的・社会的な側面からシングルマザーの健康を捉え，支援することが重要と考えられ，シングルマザーに着目した研究を蓄積するとともに，シングルマザーを中心に据えた保健師の支援に関する研究に取り組む必要性が示唆された．This study is aims to clarify research trends and knowledge regarding single mothers by reviewing Japanese literature on single mothers' pregnancy, childbirth, and the initial year of childcare. It also aims to examine research issues related to public health nurses' assistance to these single mothers. We searched the literature using the bibliographic online database, Japan Medical Abstract Society (Ver. 5), and identified 26 relevant papers. Upon analysis, it was evident that many studies focus on support-related topics within the perinatal medical and nursing domains. The knowledge obtained about single mothers was divided into categories such as “socioeconomic basis,” “continuous visits to medical institutions,” and “perceptions of pregnancy, childbirth, and childcare.” These categories showed the difficulties single mothers face and their positive attitude. Therefore, it is crucial to comprehend and support the holistic—physical, mental, and social—health of single mothers. Further, this study suggests that more research should be conducted on single mothers and their specific needs, especially concerning the support provided by public health nurses.departmental bulletin pape

Application of telenursing intervention based on the Kano model among empty-nest older people with chronic conditions

長野県看護大学博士令和5年度thesi

A survey on trends of nurses who completed a certified nurse course in Nagano College of Nursing and educational support from this college

長野県看護大学認定看護師教育課程の修了生264名を対象に，修了後の動向とともに，キャリア形成・キャリア発達にかかわる教育評価および支援ニーズを明らかにすることを目的とした無記名のwebアンケートを実施した．89人（33.7%）の回答者中，63人（70.8%）は認定看護師を更新し，54人（60.7%）は管理職や管理職補佐を担っていた．一方で，認定看護師としての勤務は，専従21.4%，専任20.2%と低かった．回答者はまた，大学院修士課程や他の認定看護師教育課程等への進学，各種免許や資格の取得等，看護師の専門性能力の向上のために研鑽を積み重ねていたが，大学や同窓生間等とのネットワークは十分に構築されていなかった．ICTの導 入・活用のさらなる促進に加え，修了生同士，修了生と大学とが積極的かつ有機的につながることができるように，本学在学中からの意図的・継続的なはたらきかけが必要不可欠である．A web-based anonymous questionnaire survey was conducted on 264 nurses who completed the Certified Nurse (CN) course in Nagano College of Nursing (NCN) to investigate the roles of nurses in their workplace, the educational evaluation for their career development and progress, and how NCN should assist education for the CN course or students who have completed the CN course. The number of respondents was 89 (33.7%) , of whom 63 (70.8%) continued to work as CN in their specialized fields, and 54 (60.7%) held managerial or managerial assistant roles. Meanwhile, the rate of working hours per day as a CN was still low: 21.4% were covered all of their working hours, 20.2% accounting for 80% or more of their working hours. The respondents also continued studying to strengthen their professional abilities, attending graduate schools or other CN courses, or acquiring various licenses and qualifications. However, they could not sufficiently establish networks with NCN or college alumni. In addition to further promoting the introduction and utilization of ICT, the deliberate and continuous engagement is absolutely imperative while students are in NCN’s CN course so that they can build connections proactively and organically.departmental bulletin pape

A survey on trends and educational evaluation of Nagano College of Nursing graduates: Research report for the college’s 28th year of operation

長野県看護大学看護学部卒業生2037名を対象に，卒業生の動向を把握するとともに，教育に対する評価を得ることを目的に質問紙調査を行った．回答数は171人であり，すべての卒業年度の卒業生から回答が得られた．大学卒業時の職種は，看護師69.6％，保健師19.9％，助産師8.2％，現在の職種は，看護師42.1％，保健師32.7％，助産師7.0％であった．転職や再就職，職種変更の割合は，卒業年度があがるにつれて高くなっていた． 転職のタイミングやきっかけは「自分自身による進路変更」が最も多く，次いで「結婚」，「職場の労働環境・条 件」であった．教育に対する評価として，大学在学中の生活で充実していたことは「友人関係」が最も多く，次いで「看護専門科目の学修」であった．また，長野県看護大学で学んだことにより，キャリア形成に影響したこ とや培われたと思うことは，「看護師，保健師の免許があることで看護職としての選択肢が広がった」，「目の前の事象に誠実に向き合っていくことを大切にしている」などの項目で肯定的な回答を得た．A questionnaire survey was administered to 2037 graduates of Nagano College of Nursing to understand the trend of graduates and determine their educational evaluation. A total of 171 individuals responded, among the graduates. Of them, 69.6% were nurses, 19.9% were public health nurses, and 8.2% were midwives after college graduation. Currently, 42.1% are nurses, 32.7% are public health nurses, and 7.0% are midwives. The most prominent reasons for changing jobs included “career change by myself,” followed by “marriage,” and “working environment/conditions at work.” In terms of their educational evaluation, “friendships” was the most fulfilling thing in their lives while at college, followed by “studying specialized nursing subjects.” When asked about how their studies at Nagano College of Nursing have influenced or fostered in their career development, the graduates provided positive responses for items such as “having a nursing or health professional license has broadened my options in the nursing profession,” and “I value facing the events in front of me with sincerity.departmental bulletin pape