23ゴウ ショウレイ ケンキュウ シテイ ケンキュウ ホウコクショ

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No.21 designated research

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ネタキリ ヒケイコウ セッシュ コウレイシャ エ ノ コウクウ ケア プログラム ノ コウカ

日本赤十字九州国際看護大学博士（看護学）2022年度application/pd

チュウショウ キボ ビョウイン ノ ジッチ シドウシャ ノ タメ ノ キョウイク プログラム ノ カイハツ ト ヒョウカ : タシセツ ニ ヨル フクスウカイ ノ キョウドウ リフレクション オ ドウニュウ シテ

日本赤十字九州国際看護大学博士（看護学）2021年度application/pd

チュウケン カンゴシ ノ キャリア ハッタツ ニ オケル レジリエンス ノ ヨウソウ : イクジ ケイケン ノ アル ジョセイ カンゴシ ノ ライフ ヒストリー ノ ブンセキ カラ

日本赤十字九州国際看護大学博士（看護学）2021年度application/pd

Design of “Integrated practical training in nursing” as an online practicum course for 4th-year nursing students

application/pdfA大学は2020年度「看護の統合実習」を，臨地実習からオンライン実習へ変更した．本稿は「看護の統合実習」の企画とその評価を記述することを目的とする．A大学の「看護の統合実習」の目的は，病院や施設で，臨床に即した看護を経験する中で，専門職者として必要な知識・技術・態度を統合できる能力を獲得することである．学生は〈本物の患者を想像しながら事例に向き合えた〉ことや，〈記録物・ディスカッションに時間をかけることができた〉ことをオンライン実習の効果と捉えていた．一方，〈臨床と同様の臨場感が得られない〉こと，〈患者との双方向性のやり取りができない〉こと，〈学生や教員との意思疎通の不十分さ〉，〈自身の成長の手応えがない〉ことをオンライン実習の限界と捉えていた．以上のように，臨地実習からオンライン実習に変更し，学生はオンラインならではのメリットと限界を実感していた．本稿の結果から，オンラインによる実習の企画だけでなく，臨地実習前の講義・演習へのあり方についての示唆を得た．実践報告journal articl

No.19 designated research

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Type and timing of exercise during lunch breaks for suppressing postprandial increases in blood glucose levels in workers

application/pdfObjectives Suppression of postprandial hyperglycemia may aid in preventing lifestyle-related diseases in working people. The present study aimed to identify the types and timings of exercises that can be performed by working people during a 60-minute lunch break that are effective in attenuating postprandial increases in blood glucose levels. Methods Healthy working people aged 20 years and older were subjected to aerobic (AER) or resistance (RES) exercise before (Pre) and after (Post) lunch, assuming a 60-minute lunch break, with fixed 20-minute lunch and rest periods. These exercise sessions of 4 different patterns were performed by each participant. Serial measurements of blood glucose levels were obtained every 15 minute using a Flash Glucose Monitoring System. Results Data were analyzed for 11 participants who completed the protocol. Our incremental area under the curve (IAUC) analysis indicated that the AER-Post condition was associated with the most significant hypoglycemic effect, followed by the AER-Pre condition. Although the RES-Post showed no significant difference, a decrease in the IAUC comparison is apparent. However, the RES-Pre condition exerted no acute effect on blood glucose levels. Conclusions Workers may benefit from a 20-minute aerobic exercise period, following a 20-minute lunch and a 20-minute rest period, as this may help prevent progression to diabetes. Furthermore, performing 20-minute aerobic exercises prior to lunch may also attenuate postprandial increases in blood glucose levels. Therefore, if the lunch breaks are short, aerobic exercises are recommended before lunch.Original articlejournal articl

Ethical Issues Encountered by Forensic Psychiatric Nurses in Japan

application/pdfBackground Criminals in Japan with mental disorders face penal servitude in prison or treatment under the Medical Treatment and Supervision Act, depending on their ability to take responsibility for their criminal acts. Forensic psychiatric nurses caring for this group may face various ethical issues. Objective This study aimed to identify ethical issues forensic psychiatric nurses in Japan encountered. Method We used the Ethical Issues Scale to conduct a survey among forensic healthcare ward nurses and analyzed the data using descriptive statistics. We also conducted semistructured interviews with individual nurses who provided signed consent and responded to the initial survey on ethical issues they encountered. These data were analyzed using Berelson's content analysis. Results Of 175 nurses, 131 answered our survey. The most frequently encountered ethical issue was “protecting patients' rights and human dignity,” and the most disturbing ethical issue was “providing nursing care with possible health risks.” Seventy-seven percent of the nurses chose to discuss with peers when resolving the ethical issues. Seventeen nurses who were interviewed described these forensic psychiatric nursing-related ethical distresses and conflicts: difficulty in discharge management, prevention of violence and self-harm, compulsory treatment, patient care, and negative emotions toward patient. Conclusion Forensic psychiatric nurses in Japan face difficulties regarding respecting patients' rights. They strive to respect patients' rights by using their expertise as nurses while sharing their difficulties with colleagues. It is important to develop a support system for social reintegration to solve ethical issues.Original articlesjournal articl

For the record : 覚え書き的研究活動報告

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