Political Protest in Japan, Part II 戦間期日本の政治的抗議活動 (下）

Between 2002 and 2013, the Visualizing Cultures (VC) project at M.I.T. produced a number of “image-driven” online units addressing Japan and China in the modern world. Co-directed by John Dower and Shigeru Miyagawa, VC tapped a wide range of hitherto largely inaccessible visual resources of an historical nature. Each topical treatment—which can run from one to as many as four separate units—formats and analyzes these graphics in ways that, ideally, open new windows of understanding for scholars, teachers, and students. VC endorses the “creative commons” ideal, meaning that everything on the site, including all images, can be downloaded and reproduced for educational (but not commercial) uses. Funding and staffing for VC formally ended in 2013, with around eight topical treatments still in the pipes. These will eventually go online. Overall, including the treatments to come, the project includes a total of fifty-five individual units covering twenty-six different subjects. The China-Japan division will be roughly equitable when everything is in place. (There will also be a two-part treatment of the U.S. and the Philippines between 1898 and 1912.) The full VC menu can be accessed at visualizingcultures.mit.edu. VC is closing shop for the production of new units at a moment when it was just reaching a “critical mass” of subjects that invite crisscrossing among separate topical treatments. Western imperialist expansion beginning with the Canton trade system, first Opium War, and Commodore Matthew Perry’s “opening” of Japan is potentially one such subject; comparing and contrasting Japanese and Chinese engagements with “the West” is another. The VC units draw vivid attention to political, cultural, and technological transformation in East Asia between the mid-19th and mid-20th century. Many of them highlight graphic expressions of militarism, nationalism, racism, and anti-foreignism. Because the visual resources tapped for these units range from high art to popular culture, and are especially strong in the latter, it is now possible to tap the site to explore the emergence of consumer cultures and mass audiences in Japan and China. This, in turn, calls attention to popular cultures and grassroots activities in general. One example of the insights to be gained by approaching the VC menu with this comparative perspective in mind is the subject of popular protest in Japan. That is the common thrust of the four separate VC units introduced here. This is, of course, a pertinent subject today, when the mass media in the Anglophone world tends to portray Japan as a fundamentally homogeneous, consensual, harmonious, conflict-averse and risk-averse “culture” (a familiar rendering, for example, in the venerable New York Times). No serious historian of modern Japan would endorse these canards, which carry echoes of the “beautiful customs” nostrums of Japan’s own nationalistic ideologues. At the same time, however, it cannot be denied that the past four decades or so have seen nothing comparable in intensity or scale to the popular protests in prewar Japan, or the demonstrations and “citizens’ movements” (shimin undō) that took place in postwar Japan up to the early 1970s. How can we place all this in perspective? The image-driven VC explorations of protest in Japan begin in 1905 and end with the massive “Ampō” demonstrations against revision of the U.S.-Japan mutual security treaty in 1960. The four treatments that will be reproduced in The Asia-Pacific Journal beginning in this issue are as follows: 1. Social Protest in Imperial Japan: The Hibiya Riot of 1905, by Andrew Gordon. We reprint this article with this introduction. Other articles will follow in the coming months. 2. Political Protest in Interwar Japan: Posters & Handbills from the Ohara Collection (1920s~1930s), by Christopher Gerteis (in two units). See Part I here. 3. Protest Art in 1950s Japan: The Forgotten Reportage Painters, by Linda Hoaglund. 4. Tokyo 1960: Days of Rage & Grief: Hamaya Hiroshi’s Photos of the Anti-Security-Treaty Protests, by Justin Jesty. VC and the Asia-Pacific Journal are committed to bringing the highest quality visual images to the classroom. In establishing this partnership, we anticipate publishing the subsequent units on protest every two weeks. We hope to follow this up with new units in preparation and projected. John W. Dower is emeritus professor of history at the Massachusetts Institute of Technology. His books include Empire and Aftermath: Yoshida Shigeru and the Japanese Experience, 1878-1954 (1979); War Without Mercy: Race and Power in the Pacific War (1986); Embracing Defeat: Japan in the Wake of World War II (1999); Cultures of War: Pearl Harbor / Hiroshima / 9-11 / Iraq (2010); and two collections of essays: Japan in War and Peace: Selected Essays (1994), and Ways of Forgetting, Ways of Remembering: Japan in the Modern World (2012)

The Erotic and the Vulgar: Visual Culture and Organized Labor's Critique of U.S. Hegemony in Occupied Japan

This essay engages the colonial legacy of postwar Japan by arguing that the political cartoons produced as part of the postwar Japanese labor movement’s critique of U.S. cultural hegemony illustrate how gendered discourses underpinned, and sometimes undermined, the ideologies formally represented by visual artists and the organizations that funded them. A significant component of organized labor’s propaganda rested on a corpus of visual media that depicted women as icons of Japanese national culture. Japan’s most militant labor unions were propagating anti-imperialist discourses that invoked an engendered/endangered nation that accentuated the importance of union roles for men by subordinating, then eliminating, union roles for women

Healthcare professionals’ views on patient-centered care in hospitals

Background: Patient-centered care (PCC) is a main determinant of care quality. Research has shown that PCC is a multi-dimensional concept, and organizations that provide PCC well report better patient and organizational outcomes. However, little is known about the relative importance of PCC dimensions. The aim of this study was therefore to investigate the relative importance of the eight dimensions of PCC according to hospital-based healthcare professionals, and examine whether their viewpoints are determined by context. Methods: Thirty-four healthcare professionals (16 from the geriatrics department, 15 from a surgical intensive care unit, 3 quality employees) working at a large teaching hospital in New York City were interviewed using Q methodology. Participants were asked to rank 35 statements representing eight dimensions of PCC extracted from the literature: patient preferences, physical comfort, coordination of care, emotional support, acce

Assessment of Chronic Illness-Related Cognitive Fusion: Preliminary Development and Validation of a New Scale with an IBD Sample

Although research recognizes the advantages of creating specific content measures, no specific measure of chronic illness-related cognitive fusion had been developed to date. The current study presents the development and validation of the Cognitive Fusion Questionnaire-Chronic Illness (CFQ-CI) in a sample of inflammatory bowel disease (IBD) patients and the analysis of the role of this construct in the psychological health of those patients. Results indicated that the 7-item CFQ-CI was a unidimensional measure of cognitive fusion in patients with chronic illnesses, and that scores had adequate/good internal consistency and construct, convergent, and discriminant validity. This study also showed that chronic illness-related cognitive fusion as assessed by the CFQ-CI acted as a mediator in the association between both IBD-related symptoms and shame with quality of life. The development of the CFQ-CI may thus contribute to a better understanding of the mechanisms influencing functional outcomes in chronic illness

How do healthcare consumers process and evaluate comparative healthcare information? A qualitative study using cognitive interviews

Background: To date, online public healthcare reports have not been effectively used by consumers. Therefore, we qualitatively examined how healthcare consumers process and evaluate comparative healthcare information on the Internet. Methods: Using semi-structured cognitive interviews, interviewees (n = 20) were asked to think aloud and answer questions, as they were prompted with three Dutch web pages providing comparative healthcare information. Results: We identified twelve themes from consumers' thoughts and evaluations. These themes were categorized under four important areas of interest: (1) a response to the design; (2) a response to the information content; (3) the use of the information, and (4) the purpose of the information. Conclusion: Several barriers to an effective use of comparative healthcare information were identified, such as too much information and the ambiguity of terms presented on websites. Particularly important for future research is the question of how comparative healthcare information can be integrated with alternative information, such as patient reviews on the Internet. Furthermore, the readability of quality of care concepts is an issue that needs further attention, both from websites and communication experts.

High performing hospitals: a qualitative systematic review of associated factors and practical strategies for improvement.

BACKGROUND: High performing hospitals attain excellence across multiple measures of performance and multiple departments. Studying high performing hospitals can be valuable if factors associated with high performance can be identified and applied. Factors leading to high performance are complex and an exclusive quantitative approach may fail to identify richly descriptive or relevant contextual factors. The objective of this study was to undertake a systematic review of qualitative literature to identify methods used to identify high performing hospitals, the factors associated with high performers, and practical strategies for improvement. METHODS: Methods used to collect and summarise the evidence contributing to this review followed the 'enhancing transparency in reporting the synthesis of qualitative research' protocol. Peer reviewed studies were identified through Medline, Embase and Cinahl (Jan 2000-Feb 2014) using specified key words, subject terms, and medical subject headings. Eligible studies required the use of a quantitative method to identify high performing hospitals, and qualitative methods or tools to identify factors associated with high performing hospitals or hospital departments. Title, abstract, and full text screening was undertaken by four reviewers, and inter-rater reliability statistics were calculated for each review phase. Risk of bias was assessed. Following data extraction, thematic syntheses identified contextual factors important for explaining success. Practical strategies for achieving high performance were then mapped against the identified themes. RESULTS: A total of 19 studies from a possible 11,428 were included in the review. A range of process, output, outcome and other indicators were used to identify high performing hospitals. Seven themes representing factors associated with high performance (and 25 sub-themes) emerged from the thematic syntheses: positive organisational culture, senior management support, effective performance monitoring, building and maintaining a proficient workforce, effective leaders across the organisation, expertise-driven practice, and interdisciplinary teamwork. Fifty six practical strategies for achieving high performance were catalogued. CONCLUSIONS: This review provides insights into methods used to identify high performing hospitals, and yields ideas about the factors important for success. It highlights the need to advance approaches for understanding what constitutes high performance and how to harness factors associated with high performance

Resident and family perceptions of the nurse practitioner role in long term care settings: a qualitative descriptive study

BackgroundResearch evidence supports the positive impact on resident outcomes of nurse practitioners (NPs) working in long term care (LTC) homes. There are few studies that report the perceptions of residents and family members about the role of the NP in these settings. The purpose of this study was to explore the perceptions of residents and family members regarding the role of the NP in LTC homes.MethodsThe study applied a qualitative descriptive approach. In-depth individual and focus group interviews were conducted with 35 residents and family members from four LTC settings that employed a NP. Conventional content analysis was used to identify themes and sub-themes.ResultsTwo major themes were identified: NPs were seen as providing resident and family-centred care and as providing enhanced quality of care. NPs established caring relationships with residents and families, providing both informational and emotional support, as well as facilitating their participation in decision making. Residents and families perceived the NP as improving availability and timeliness of care and helping to prevent unnecessary hospitalization.ConclusionsThe perceptions of residents and family members of the NP role in LTC are consistent with the concepts of person-centred and relationship-centred care. The relationships NPs develop with residents and families are a central means through which enhanced quality of care occurs. Given the limited use of NPs in LTC settings, there is an opportunity for health care policy and decision makers to address service inadequacies through strategic deployment of NPs in LTC settings. NPs can use their expert knowledge and skill to assist residents and families to make informed choices regarding their health care and maintain a positive care experience

Measuring empathy in pediatrics: validation of the Visual CARE measure

Background: Empathy is a key element of “Patient and Family Centered Care”, a clinical approach recommended by the American Academy of Pediatrics. However, there is a lack of validated tools to evaluate paediatrician empathy. This study aimed to validate the Visual CARE Measure, a patient rated questionnaire measuring physician empathy, in the setting of a Pediatric Emergency Department (ED). Methods: The empathy of physicians working in the Pediatric ED of the University Hospital of Udine, Italy, was assessed using an Italian translation of the Visual Care Measure. This test has three versions suited to different age groups: the 5Q questionnaire was administered to children aged 7–11, the 10Q version to those older than 11, and the 10Q–Parent questionnaire to parents of children younger than 7. The internal reliability, homogeneity and construct validity of the 5Q and 10Q/10Q–Parent versions of the Visual Care Measure, were separately assessed. The influence of family background on the rating of physician empathy and satisfaction with the clinical encounter was also evaluated. Results: Seven physicians and 416 children and their parents were included in the study. Internal consistency measured by Cronbach’s alpha was 0.95 for the 10Q/10Q–Parent versions and 0.88 for the 5Q version. The item-total correlation was > 0.75 for each item. An exploratory factor analysis showed that all the items load onto the first factor. Physicians’ empathy scores correlated with patients’ satisfaction for both the 10Q and 10Q–Parent questionnaires (Spearman’s rho = 0.7189; p < 0.001) and for the 5Q questionnaire (Spearman’s rho = 0.5968; p < 0,001). Trust in the consulting physician was lower among immigrant parents (OR 0.43. 95% CI 0.20–0.93). Conclusions: The Visual Care Measure is a reliable second-person test of physician empathy in the setting of a Pediatric Emergency Room. More studies are needed to evaluate the reliability of this instrument in other pediatric settings distinct from the Emergency Room and to further evaluate its utility in measuring the impact of communication and empathy training programmes for healthcare professionals working in pediatrics