在宅療養環境をアセスメントするための視聴覚教材の創作とその教育効果

在宅療養環境の理解を促すために本学の教員が作成した、視聴覚教材(DVD)の教育効果について検討を行った。作成した視聴覚教材は「在宅療養環境をアセスメントする視点」を取り入れ、初学者がそうした視点に沿って学べるように工夫している。その教育効果を「療養環境をアセスメントする視点(地域と自宅)」、「個人の価値観」、「人間関係の構築」という3つの観点から評価した。その結果、すべての項目で教育効果が認められたが、住んでいる地域の社会資源や、実際の生活状況をイメージする効果については、今後検討の必要性があると考えられた

教員・保育士養成課程における音楽関連科目のカリキュラム調査報告

departmental bulletin pape

Development of a scale measuring home-visiting nurses’ attitudes toward patient safety: a cross-sectional study

博士(看護学)Doctor of Philosophy in Nursing広島大学Hiroshima Universit

Development of a scale measuring home-visiting nurses’ attitudes toward patient safety: a cross-sectional study

Abstract Background Home-visiting nurses are required to recognize risks in their work, ensure patient safety according to the characteristics of home-visiting nursing, and therefore, effectively support stability in patients’ lives. In this study, we created a scale measuring home-visiting nurses’ attitudes toward patient safety and examined its reliability and validity. Methods A total of 2,208 home-visiting nurses from Japan were randomly selected as participants. From the 490 responses collected (response rate: 22.2%), 421 responses with no missing values, other than those related to participants’ basic information (valid response rate: 19.0%), were analyzed. Participants were randomly divided into two groups: 210 for exploratory factor analysis (EFA) and 211 for confirmatory factor analysis (CFA). To examine the reliability of the home-visiting nurses attitude scale developed in this study, ceiling and floor effects, inter-item correlations, and item-total correlations were checked. Subsequently, EFA was performed to confirm the factor structure. CFA, composite reliability, average variance extracted, and Cronbach’s alpha for each factor were extracted to confirm the factor structure of the scale and the validity of the model. Results The home-visiting nurses’ attitudes toward patient safety were measured using 19 questionnaire items related to four factors: “Self-improvement for patient safety,” “Incident awareness,” “Counter measures based on incident experience,” and “Nursing care to protect the lives of patients.” Cronbach’s α coefficients were 0.867, 0.836, 0.773, and 0.792 for Factors 1–4, respectively. Model indicators were χ2 = 305.155, df = 146, p < 0.001, TLI = 0.886, CFI = 0.902, RMSEA = 0.072 (90% confidence interval 0.061–0.083). Conclusions From the results of the CFA, criterion-related validity, and Cronbach’s α coefficient, this scale is considered reliable and valid and thus, highly appropriate. Therefore, it may be effective at measuring home-visiting nurses’ attitudes toward patients’ medical safety from both behavioral and awareness aspects

Serological methods for detection of infection with shrew-borne hantaviruses : Thottapalayam, Seewis, Altai, and Asama viruses

The infectivity of shrew-borne hantaviruses to humans is still unclear because of the lack of a serodiagnosis method for these viruses. In this study, we prepared recombinant nucleocapsid (rN) proteins of Seewis orthohantavirus, Altai orthohantavirus (ALTV), Thottapalayam thottimvirus (TPMV), and Asama orthohantavirus. Using monospecific rabbit sera, no antigenic cross-reactivity was observed. In a serosurvey of 104 samples from renal patients and 271 samples from heathy controls from Sri Lanka, one patient serum and two healthy control sera reacted with rN proteins of ALTV and TPMV, respectively. The novel assays should be applied to investigate potential infectivity of shrew-borne hantaviruses to humans