7 research outputs found
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ãå€ãããšãæããã«ãªã£ã.Background Recently, the number of the graduate students of nursing who also work for full time jobs has been increasing as many new graduate schools of nursing have been established. However, many of them have been had to give up pursuing either their career or education, due to the lack of the understanding from their work places.Object When establishing a graduate school of nursing in our university, it is expected that many of the students will be working full time as it is seen in many other schools. Thus, we conducted a survey to the administrators of nursing institutions asking about their opinions for their workers to go on to graduate school education.Method Surveyed on 144 administrators of nursing institutions in Shiga prefecture, including the hospitals and institutions where our students train in, through questionnaires.Result 70 cases were collected (response rate: 48.61%). 51.42% have positive opinions forward the workers who have finished the master\u27s course of the field, 38.57% said they need them at their work places, and 42.85% said they do not know. However, only 25.71% of the institutions provided the system of supporting the workers for their further education and their main concern seems to be how the organizations and the workers can make mutual understanding for their career.Conclusion The survey showed that some of the administrators have positive opinions toward the workers who have finished the master\u27s degree course of nursing and that they feel the need for them at their work places as it was shown in previous studies. However, it has also been found that many of them do not have a clear picture of how those workers can be actively participated at their work places
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èŠãããããšã瀺åããã.Background Nurses\u27 awareness of preparation at general hospitals is lower than that of nurses at specialist pediatric clinics, which has impeded the spread of preparation being put into practice throughout Japan. Although many studies have investigated children undergoing blood collection, few have examined young subjects aged less than two years.Objective This study aimed to clarify the state of blood collections conducted on one-year-old patients and support offered to parents.Methods A questionnaire survey targeting 786 outpatient nurses who routinely collected blood from pediatric patients at 131 general hospital facilities nationwide was conducted. Free comments were analyzed and content was categorized.Results/Discussion Answers were received from 282 nurses (recovery rate: 35.8%). It was found that nurses\u27 awareness of preparation had increased from that reported in previous studies to 51.1%. However, 66.5% of nurses reported that parents did not accompany children during blood collection. Analysis of free comments revealed that although nurses were offering parents support in accordance with children\u27s developmental stage, few care models incorporating parental attendance during blood collection had been presented.Conclusions Opportunities to study the concepts of child rights and preparation need to be provided so that nurses can give support in accordance with the developmental stage of one-year-old children undergoing blood collection. Results also suggested that a care model incorporating parental attendance during blood collection needs to be presented
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åŸæã®åã©ãã¯, 家æãå¯ãæ·»ãããšã§å®å¿ãåŸãããšãã§ã, 調æŽèœåãçºæ®ã, åã©ãã¯èªåãªãã®æ¹æ³ã§ç«ã¡åããããšãã§ãã. ãŸãæ¡è¡äžã¯çã¿ãèŠçããã®å Žã§åãæ¢ããŠãããã家æã®ååšã«ãã, åã©ãã¯å°ããã€ç·åŒµããšãããšãã§ãã. ããã«å®¶æããã®ç§°è³ã«ããåã©ãã¯æºè¶³ãåŸãããšãã§ã, æ©æã«æ¥åžžã®å§¿ã«æ»ãããšãã§ãã.Background Japan ratified a treaty about the Child Rights in 1994, a general idea of preparation spread out as security of the rights of children in the child care region. For the infants that cognitive ability and verbal power of expression are immature, it is revealed that enforcement of preparation which accepted the understanding of children is important by testing and the treatment that physical pain is associated with. However, as for the scene constitution of testing and the treatment, there are many institutions excluding the attendant of the parent in the drawing blood scene because a medical person is the main constituent. Therefore the infants isolated from a parent cause a state having difficulty in admission to the dressing room by an increase of the anxiety. When a parent goes with drawing blood, it is uncertain what kind of response and behavior children take. Also, it is uncertain what kind of response and behavior children take when a parent goes with drawing blood.Purpose We determine coping behavior from the mutual relations of children and the family by shooting the drawing blood scene of the infants whom a family attends with a video camera.Methods We recorded behavior before undergoing drawing blood, and being discharged from the infants who underwent drawing blood with a family in pediatric outpatient department on a video .And had an interview to a family
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èŠãšããã.Objective The purpose of this research is to investigate the effects of the introductory education on improvement in communications skills, and acquisition of life skills for the nursing students. Methods Subjects were 71 first-year nursing students. The introductory education was evaluated by using an eight-point life skills scale (compatibility, leadership, planning ability, sensitivity, ability to grasp information, self-esteem, proactive thinking, and manners (and a written comment of their candid impressions.Results/Discussion The differences in life skills categories between before and after introductory educational program are not significant. However, nursing students pointed out the improvement in communications skills, and tackling study positively after introductory education.Conclusions In addition to introductory education, it is necessary to take in the education and instruction which aimed at improvement in leadership capability in a lesson or training based on this research
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·äœçã«ç€ºã,æ¯èŠªãèªä¿¡ããã£ãŠæ¡è¡ã«èšããããæ¯æŽããããšãéèŠã§ãã.Background Mothers are the persons who are often the most trusted individual by their children and their presence is important when preparing children for medical treatment that can be invasive,painful or generally frightening.This concept is often referred to as "preparation" and is at the heart of caring for the parent and child; as both go through the procedure,one as the patient the other as comforter and safe trusted presence for the child.In Japan,however,few hospitals agree with the concept of preparation that believing mothers may become increasingly anxious as they see their children crying and children may mistrust their mothers for failing to help.This paper seeks to examine stress levels of mothers who are participating in a preparation procedure of drawing blood. Method 27 mothers of children aged 1-3 years who were present when blood samples were taken from their children,agreed to participate in the research project.Informed consent was given for this research by the participants A sample of saliva was taken pre and post procedure and examined for salivary amylase(AMY) levels which are stress indicators.An increase would indicate higher stress and a decrease would indicate lower stress.A State-Trait Anxiety Interview (STAI)was also performed per and post procedure a high score would indicate high anxiety.A low score would indicate low score. Findings Salivary AMY levels and STAI scores decreased significantly 10 min after the blood sampling compared with before,STAI scores before blood sampling were normal,and mothers also felt reassured if they were present while the blood was being drawn. Discussion Mothers felt reassured when they were present while the blood was being drawn.Even if children cried due to anxiety or fear,mothers considered this reaction predictable because of the child\u27s age and their own experience; because the mothers were prepared for it as a result,they were able to tolerate the crying remaining calm and giving reassurance to the child.These findings go against the widespread belief among medical professionals that mothers become more anxious if they are present during treatment.However,mothers also found it difficult to hold their children during the blood drawing,so in addition to recommending that they be present,physicians must assist mothers in facing blood sampling with confidence,by teaching them how to hold the child still in a safe manner and showing them effective ways of distracting infants
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·äœçãªå¯ŸåŠè¡åã瀺ãããšã§èŠéããåŸãããšãã§ãã.ãŸãæ¯èŠªããã®è³è³ã¯,åã©ãã®æ¡è¡ã«å¯Ÿããç·åŒµæãæ©æã«è§£ãããšãã§ãã.Background In the "Convention on the Rights of the Child," it is prohibited to separate the child from his/her parent,but the reality is that there are few facilities where the parent is in attendance when a child\u27s blood is being sampled.Children whose parents are in attendance and who receive support from their parent are able to feel secure and endure the blood sampling in their own way.However,this usually applies to children in late infancy, and there are few studies regarding early infancy where the parent\u27s presence is of great significance. Objective The objective was to clarify the coping behavior of children in early infancy when the mother was in attendance during blood sampling. Methods We recorded video footage of children in early infancy whose mothers were in attendance during blood sampling and then held semi-structured interviews with the mothers. Results/Discussion Before blood sampling,6 categories including [increase in tension],[checking surroundings],[resisting],[following instructions],[desiring security],[being prepared] in addition to 10 subcategories were extracted.During blood sampling,6 categories including [continued tension],[expressing pain],[following instructions],[anticipating completion],[desiring comfort],[checking progress] in addition to 11 subcategories were extracted.After blood sampling 3 categories including [verifying completion],[relief of tension],[feeling satisfied] in addition to 7 subcategories were extracted. Conclusions In the coping behavior of children in early infancy whose mother is in attendance,the mother can proactively maintain physical contact and offer the child an outlook by demonstrating specific coping behavior because the child cannot picture the blood sample process.Further,praise from the mother can relieve the child\u27s tension at an early stage
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ã§ãã.Background With the aging of society and the advances in medical care technologies, it is increasingly important and necessary for nursing students to be able to use their nursing knowledge and skills in a practical setting. Educational institutions are therefore urged to provide the students with such training.Purpose The purpose of this paper is to clarify what skills are actually necessary and useful for students to become effective in their practice as nurses, and what training should be given at the new nursing department in order to enhance the practical nursing skills of students.Methods First, scholars and representatives of nursing-related fields formed a committee where skills required for achieving the purpose stated above were redefined in accordance with the university\u27s educational objectives. In revising the existing skills items, published information was also used as a reference. How each of the skills is learned, either in lectures, classroom training, or practical training, was confirmed by the committee.Results The nursing skills identified by the committee were classified into 19 skills of major importance, 131 skills of medium importance and 160 skills of less importance. The committee summarized them as a list of nursing skills.Conclusion The list can be used as teaching materials in the class, and can be used not only by teachers and advisors in the training but also by students. Students would refer to the list when learning nursing skills. Such use of the list may reinforce students\u27 ability to apply the obtained skills in their nursing performance