THz links for future mobile systems

2020 International Symposium on Antennas and Propagation 2021年1月27日(オンライン開催

Millimeter-wave and THz links under severe weather condition

2020 International Symposium on Antennas and Propagation 2021年1月28日(オンライン開催

Development of the Reflection and Self-Assessment scale for nursing student : study of its reliability and validity

本研究の目的は，看護学生用リフレクション自己評価尺度を開発し，その信頼性と妥当性を検討することである．Gibbs のExperiential Learning CycleのReflective cycleを理論的基盤として，「リフレクション自己評価尺度」原案を作成した．看護学生１５０人を対象に，臨地実習終了後，「リフレクティブジャーナル」を使用したリフレクションを実施後，「リフレクション自己評価尺度」原案の回答を求めた．探索的因子分析で尺度原案を修正し，８項目，「意識変容・行動計画」，「評価・分析」，「記述・表現」の３因子構造であることを確認した．共分散構造分析による検証的因子分析を行った結果，探索的因子分析で得られた仮説モデルの適合度が確認された（GFI＝０．９０３，AGFI＝０．７９５，CFI＝０．８９４）．尺度の信頼性については，▯係数が０．７７であり，項目分析から内的一貫性を確認した．妥当性については，因子がGibbsのReflective cycleと類似していることから内容的妥当性を，職業的アイデンティティ尺度と批判的思考態度尺度の相関から基準関連妥当性を確認した．「リフレクション自己評価尺度」はある程度の信頼性と妥当性を備えた尺度であり，リフレクションの自己評価のための測定ツールとして，有用な尺度であることが示唆された．The purposes of this study were to develop the Reflection and Self-Assessment （RSA） scale for basic nursing education in Japan, and to examine its reliability and validity. The original RSA scale was developed based on Gibbs's “Reflective Cycle of Experiential Learning Cycle”. Participants were １５０ nursing students. They were responding to the questionnaires original RSA scale after their clinical practice at hospitals. An exploratory factor analysis was conducted on a sample of these students, and original RSA scale was revised. The following three factors were finally extracted : Alteration of consciousness/action plan, evaluation/analysis, and description/expression. Confirmatory factor analysis was conducted by analyzing covariance structures and the hypothesized statistical model was found to fit the actual data （GFI＝０．９０３, AGFI＝０．７９５, CFI＝０．８９４）. The reliability of the scale was confirmed by a Cronbach's alpha of ０．７７ and internal consistency from an item analysis. The content validity was confirmed by the factors resembled with Gibbs's reflective cycle, and the criterion-related validity was confirmed by interventions using the professional identity scale and the critical thinking disposition scale. The hypothetical model supported from above results. The final８‐item scale demonstrated both reliability and validity. It was suggested that the revised RSA scale has a certain reliability and validity. The scale was useful for reflective self-assessment

Challenge of psychiatric rehabilitation for patients with long-term hospitalizations using the Nirje’s normalization principles as a valuation standard: two case studies

This research investigates the current care of hospitalized, chronically mentally ill persons to determine to what extent current hospitalization supports Nirje’ s principles of normalization. We propose that care-providers try to incorporate rehabilitation programs that help the patients acquire the pattern and rhythm of living necessary for them to live in the community in their daily hospital life rather than to fit the patients into hospital rules or schedule. Therefore, care-providers must look back on their own views of the humanity, disabled people, and support and may have to change them if necessary. It is important that care-providers do not give up having psychiatric patients not give up restoration of normal social living. To develop such individual attempts into rewarding activities, it is necessary to set goals in the hospital and to let an interdisciplinary team work to achieve them. Moreover, the situation is expected to change if efficient care management is implemented to support psychiatric patients in the community. High-quality care to realize independent living of patients in the community including collection and distribution of information, management of symptoms, assistance for self-care, and psychological education is provided at hospitals that maintain the idea of, and strong belief in, providing high-quality care for returning patients to the community. The findings of this study will provide insights into how to design better hospitalization and/or community care for the mentally ill.

フィリピンの看護大学および病院の視察報告

２１世紀のグローバル社会を生きる学生が国際的な視野を持つ事ができるよう，国際交流の場を提供することは看護教育における課題である．本稿の目的は，フィリピンの看護教育制度への関心を高めることにある．なぜならば，アジア地域との交流は今後ますます活発になる事が予測されるからである．そこで、フィリピン大学の看護学教育および隣接するPhilippines General Hospital の看護システムを視察した．また，University of the East Ramon Magsaysay Memorial Medical Center（UERM），College of Nursing（私学）も視察した．看護教育はすべて大学でなされ，大学の卒業生は高い実践能力を有する看護師であると考えていた．Philippines General Hospital は利用者の９０％が無収入か低所得者とのことで，１次医療から３次医療まで対応している国立の大規模な総合病院であった．病室の大半が総室で家族の付き添う姿も見られた．看護職の離職および不足においては日本と類似した問題を抱えていた．短時間の視察であったが，看護教育への示唆を得ることができた．It is an important theme in nursing education to offer an opportunity of an international exchange so that the nursing student living in global society of the 21 st century can have an international field of vision. A purpose of this report is to raise interest to a Philippine nursing education system and care system. Because we thought that the transaction with an Asian region is predicted to become more and more active in future. Therefore we inspected a nursing education of a Philippine university and a care system of Philippines General Hospital. In addition, we visited University of the East Ramon Magsaysay Memorial Medical Center（UERM）, College of Nursing（a private school）. All the nursing education in a Philippine nursing education was made at University/college, and the teacher thought that graduates of their university were nurses having ability for high practice. We had explanation that the Philippines General Hospital was the national major general hospital which provided from medical treatment to the third medical treatment and 90% of the patient who used there were no income or low-income people. Most of patient’s room was the room for the plurality of patients, and we saw that a family attended the patient there. We thought that there was a similar problem in quitting a job and a shortage of nurses. But we were able to have a suggestion to nursing education during short inspection

Illness experiences of patients with ischemic 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

Illness experiences of patients with ischemic 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