Japan Journal of Nursing Science最新文献

{"title":"A program for accelerating lactogenesis II using a breast pump shortly after cesarean section in Japan: A feasibility mixed-methods study","authors":"Ai Miyauchi,&nbsp;Kaori Takahata,&nbsp;Yoko Idei,&nbsp;Takuya Shuo,&nbsp;Shigeko Horiuchi","doi":"10.1111/jjns.70026","DOIUrl":"10.1111/jjns.70026","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To evaluate the feasibility of a breast stimulation program using a breast pump shortly after cesarean section (CS) to enhance the onset of lactogenesis II.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used a convergent mixed-methods design. It provided an overall picture through quantitative results, which were complemented by qualitative findings. The results were presented using a joint display. Participants were full-term women who underwent CS at a regional perinatal hospital and nurse-midwives from January to March 2025. The program included: (1) providing information about breastfeeding after CS; and (2) providing breast pump–mediated nipple stimulation, starting within 6 h postpartum and continuing until day 2, at least four times daily under researcher supervision. Main outcomes focused on the feasibility of the program, including acceptability, practicality, and implementation. An eight-item questionnaire and open-ended questions were administered. Quantitative data were analyzed using descriptive statistics; qualitative data were analyzed using content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seven full-term women with planned CS and 29 nurse-midwives. Most used a breast pump four times within the first 24 h after CS. Women were satisfied with painless nipple stimulation and early milk expression. Both designs complemented each other, and the program was deemed acceptable based on early postpartum breast milk volume data. Identified challenges included pump operability, individual adaptation, and preparation time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The breast stimulation program initiated shortly after CS was feasible, well accepted, and aspects of breast milk volume. A future randomized controlled trial should consider individual differences and adjustments in the frequency of breast pump usage.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence and risk factors for nursing-related intraoperative incidents: A 5-year retrospective study at a Japanese tertiary care hospital","authors":"Kazuki Mochida,&nbsp;Tomohiro Chaki,&nbsp;Michiaki Yamakage","doi":"10.1111/jjns.70027","DOIUrl":"10.1111/jjns.70027","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Nursing-related intraoperative incidents, such as specimen loss and retained surgical items, pose serious risks to patient safety. These events may be influenced by surgical complexity, team structure, and nursing experience. However, data on the specific impact of these factors, particularly in Japan, remain limited. This study aimed to determine the incidence of nursing-related intraoperative incidents and identify clinical and procedural factors associated with their occurrence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a retrospective observational study of all surgeries performed at a tertiary care hospital between April 1, 2018, and March 31, 2023. Data were extracted from anesthetic records, perioperative nursing notes, and an electronic incident reporting system. The primary outcome was the incidence of nursing-related intraoperative incidents. Secondary outcomes included associations with surgical specialty, instrument delivery personnel (nurse vs. physician), duration of surgery (&lt;2 vs. ≥2 h), timing of surgery (daytime vs. night shift), surgical approach (endoscopic vs. non-endoscopic), and nurse experience (&lt;6 vs. ≥6 years). Logistic regression was used for statistical analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 37,265 surgical cases, 85 cases (0.23%) of nursing-related intraoperative incidents were identified. Incident rates were highest in neurosurgery and emergency department surgery. Univariate analysis identified instrument delivery personnel (nurse), longer duration of surgery, night shift surgery, and limited nursing experience as associated factors. In multivariate analysis, limited nursing experience (odds ratio: 1.810) and longer duration of surgery (odds ratio: 4.008) remained significant predictors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Nursing-related intraoperative incidents, though rare, were more likely to occur during longer surgeries and when performed by less experienced nurses.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence and root cause analysis of near-miss events in medical device use errors in intensive care units using Ishikawa diagram","authors":"Su Mi Seong,&nbsp;Hyeop Oh,&nbsp;Jae Suk Park,&nbsp;Su Hyun Bae,&nbsp;Ki Chang Nam,&nbsp;Sung Yun Park,&nbsp;Bum Sun Kwon,&nbsp;Bo Hae Kim","doi":"10.1111/jjns.70024","DOIUrl":"https://doi.org/10.1111/jjns.70024","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to investigate the incidence of near-miss events related to medical device use errors (MUEs) in intensive care units (ICUs) and to identify their root causes using the Ishikawa diagram.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This observational study was conducted in a referral hospital ICU in South Korea between August and September 2023, involving 60 nurses (29 MICU, 31 SICU) who completed anonymized questionnaires on near-miss events related to five commonly used medical devices. Root causes were analyzed with a modified Ishikawa diagram. Data were processed using SPSS software. Independent <i>t</i>-tests, ANOVA, and Pearson correlation were used for continuous variables, while chi-square and Fisher's exact tests were applied to categorical data. One-way ANOVA identified major contributing factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Each participant experienced an average of 2.11 ± 12.53 near-miss events per device per year, with the highest incidence in IV line sets. A positive correlation was found between near-miss frequency and years of work experience. Root cause analysis (RCA) showed that the most common contributing factors were work environment factors, especially high patient load. The main contributing factors included chronic fatigue (personal factors), frequent device malfunctions (medical device usability factors), and insufficient education programs (unit communication and culture/education factors).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study highlights the importance of improving working conditions, updating outdated equipment, and strengthening educational programs to reduce MUEs and improve patient safety in ICUs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145062619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors affecting the information and communication technology skills of nurses involved in home-visit nursing services","authors":"Shuko Maeda,&nbsp;Naomi Ran,&nbsp;Moriyoshi Fukuda,&nbsp;Manabu T. Moriyama","doi":"10.1111/jjns.70025","DOIUrl":"https://doi.org/10.1111/jjns.70025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to clarify the factors affecting the information and communication technology skills of nurses involved in home-visit nursing services based on their attributes, computer self-efficacy, and attitudes and perceptions regarding information security risks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A web-based survey was administered to 2000 visiting nursing stations. The survey items included nurses' information and communication technology skills acquisition status, basic attributes, computer self-efficacy, and attitudes and perceptions regarding information security. A multiple regression analysis (stepwise method) was performed with the dependent variable being information and communication technology skills acquisition status, and the independent variables being computer self-efficacy, as well as attitudes and perceptions regarding information security.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 205 responses were collected and analyzed. The factors affecting the acquisition status of information and communication technology skills were educational background, computer self-efficacy, and two scales regarding attitudes toward perceptions of information security risks (one scale regarding computer security education experience and another regarding perceived security cost).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results of this study suggest that to improve the information and communication technology skills of nurses involved in home-visit nursing services, security-related measures must be considered, such as improving self-efficacy with computers, providing opportunities for information security education, and ensuring appropriate management of passwords, which are often neglected. However, the conceptual structure of an important element, computer self-efficacy, has only been clarified for other occupations. Therefore, clarifying nurses' conceptual structure is necessary in developing teaching methods to improve information and communication technology skills.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145037787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of birth preparedness interventions on maternal and neonatal outcomes in low- and middle-income countries: A systematic review and meta-analysis","authors":"Phyu Phyu Tun,&nbsp;Nattasit Katchamat,&nbsp;Etsuko Nishimura,&nbsp;Edward Barroga,&nbsp;Erika Ota","doi":"10.1111/jjns.70023","DOIUrl":"10.1111/jjns.70023","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>We aimed to assess the impact of birth preparedness interventions among pregnant women on the improvement of their maternal and neonatal outcomes in low- and middle-income countries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Randomized controlled trials from 2007 to 2023 that assessed birth preparedness interventions for pregnant women living in such countries were reviewed after searching on PubMed, CENTRAL, Embase, and CINAHL databases. This systematic review followed the Preferred Reporting Items for the Systematic Reviews and Meta-Analysis standards. The database searches yielded 7405 articles. Nine trials were eligible for inclusion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The meta-analysis revealed a statistically significant variation in perinatal mortality (participants = 3573; studies = 2; risk ratio = 0.58; 95% confidence interval = [0.47, 0.73]; <i>I</i>² = 0%, moderate certainty of evidence) and a significant difference in the initiation of breastfeeding (participants = 8743; studies = 3; risk ratio = 1.89; 95% confidence interval [CI] = [1.50, 2.39]; <i>I</i>² = 96%, low certainty of evidence).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our systematic review showed that birth preparedness interventions significantly reduced perinatal mortality and increased breastfeeding initiation, as well as produced a positive impact on infant birth weight (grams) and age of gestation at birth (weeks). Future randomized controlled trials on birth preparedness interventions should be conducted and effectively promoted to enhance the health of mothers and neonates in low- and middle-income countries.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a scale to measure nursing difficulties experienced by Chinese nurses: A cross-sectional study","authors":"Yanhua Wen,&nbsp;Hisae Nakatani,&nbsp;Xuxin Peng,&nbsp;Mayumi Kako,&nbsp;Naoko Hasunuma,&nbsp;Kazuaki Tanabe","doi":"10.1111/jjns.70020","DOIUrl":"https://doi.org/10.1111/jjns.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To clarify the nursing difficulties faced by Chinese migrant nurses, this study developed a scale to measure those experienced by nurses working in Japan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The questionnaire was developed and scaled based on the results of a literature review and interview survey. Participants were Chinese migrant nurses working in Japan. The initial 24 questionnaire items were refined through experts' evaluation and pretesting. Exploratory and confirmatory factor analyses were conducted to identify the underlying factors of the scale. Reliability was assessed using Cronbach's alpha, while criterion-related validity was evaluated using external measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A three-factor scale with 20 items was identified, comprising “language difficulties in daily nursing task,” “considerate of patients' feelings in nursing practice,” and “smooth relationships with colleagues.” Confirmatory factor analyses indicated an adequate model fit. Construct and criterion-related validity were confirmed, and Cronbach's alpha coefficients ranged from 0.84 to 0.88 for each factor.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The scale was confirmed to be valid and reliable; thereby making it suitable for measuring the nursing difficulties experienced by Chinese migrant nurses in Japan.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144897765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of family readiness instrument for caring of stroke patients at home: Application of transition theory","authors":"Muhammad Abu,&nbsp;Rosyidah Arafat,&nbsp;Syahrul Syahrul,&nbsp;Aulia Insani Latif","doi":"10.1111/jjns.70015","DOIUrl":"https://doi.org/10.1111/jjns.70015","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Lack of family readiness to care for stroke patients can negatively impact the health of family members who serve as primary caregivers, often leading to prolonged stress and depression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to develop a valid and reliable family readiness instrument based on a transition model to assess preparedness for caring for stroke patients at home.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A mixed-methods approach was employed in this research, consisting of four phases: Delphi Study, face validity, content validity, and testing for structural validity and reliability. A total of 153 participants were included in this study. In the first phase, a Delphi Study was conducted in three rounds to reach consensus on the instrument items, involving eight experts. The second phase involved 30 family members of stroke patients to test face validity. In the third phase, content validity was assessed by five experts using the “judgment by expert” method. The final phase involved testing structural validity and reliability with 110 families of caregivers of patients with stroke.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results of the exploratory factor analysis (EFA) identified three main factors: awareness (12 items), involvement (6 items), and changes in internal and external processes (2 items). The instrument demonstrated good reliability with a Cronbach's alpha value of .811.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Twenty items from the family readiness instrument based on the transition model were valid and reliable for the Indonesian family population, making it suitable for assessing family readiness in caring for stroke patients at home.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proposal for an onboarding program for Chinese nurses in Japan","authors":"Tsubasa Mori,&nbsp;Xiujie Jiang","doi":"10.1111/jjns.70021","DOIUrl":"https://doi.org/10.1111/jjns.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Nurses immigrating to Japan from China are attracting attention as new talent in the Japanese healthcare environment. They are expected to easily adjust in Japan owing to cultural similarities, such as the written language. However, challenges include the differences in the culture of interpersonal behavior and nursing roles. It is important to prevent their reality shock and facilitate adjustment by providing support to overcome these challenges at an early stage of immigration. This paper proposes an onboarding program to support nurses and address these challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The objectives of the proposed onboarding program are based on the literature on the present situation of Chinese nurses in Japan, cross-cultural adjustment, Japanese social norms, and differences in nursing roles between Japan and China. Onboarding programs can be broadly divided into sedentary and active learning methods. Japanese communication is context-dependent, with words having different meanings based on the situation surrounding the scene. Such communication can be effectively addressed in role-playing and open discussions rather than lectures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Based on these objectives, we propose a combination of program content and appropriate support methods. Implementing and evaluating this onboarding program will be a future challenge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Capitalizing on the strengths of Chinese nurses, such as their kanji proficiency and respect for older adults, which they share with the Japanese, to support their adjustment will help them achieve self-fulfillment and improve Japanese healthcare services. Mutual understanding is the key to the success of cross-cultural collaboration.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between the certified nurse staffing in neonatal intensive care units and nursing quality","authors":"Mio Ozawa","doi":"10.1111/jjns.70022","DOIUrl":"https://doi.org/10.1111/jjns.70022","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study examines the relationship between the quality indicators of pain management (pain assessment rate during skin puncture and the implementation rate of non-pharmacological pain relief measures) and nurse staffing in neonatal intensive care units based on the Donabedian model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Datasets from 23 facilities, covering 101 assessments registered in the “Pain Care Improvement Database” (©Hiroshima University) between 2017 and 2023, were analyzed using a linear mixed model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The implementation rate of pain assessment correlates significantly and positively with growing care unit nurse staffing (r = 0.28, <i>p</i> = 0.0075) and the proportion of certified neonatal intensive care nurses (r = 0.32, <i>p</i> = 0.0011). The pain assessment rate during skin puncture was significantly associated with the nurse-to-bed ratio in growing care units and the implementation of a pain management system. The implementation rate of non-pharmacological pain relief measures was significantly associated with the proportion of certified nurses among ward staff and the establishment of a pain management system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings suggest that enhancing nurse staffing levels and establishing robust pain management systems may contribute to improving the quality of pain management, a critical aspect of nursing care quality.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burnout related factors of infection control nurses in long-term care hospitals","authors":"Su-jin Lee,&nbsp;Seo-Hyeon Kim,&nbsp;Hye Young Min,&nbsp;Ju-Young Park","doi":"10.1111/jjns.70019","DOIUrl":"https://doi.org/10.1111/jjns.70019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to investigate the burnout and related factors of infection control nurses in long-term care hospitals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An anonymous, self-administered survey was conducted among 177 nursing home infection control nurses. The questionnaire included stress levels, self-efficacy, social support, and burnout. Data were analyzed using SPSS 25.0 to calculate descriptive statistics and multiple regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Stress (β = .70, <i>p</i> &lt; .001) and social support (β = −.18, <i>p</i> = .007) were found to have significant effects on emotional exhaustion, with an explanatory power of 57%. Stress (β = .62, <i>p</i> &lt; .001) and social support (β = −.20, <i>p</i> = .006) also significantly influenced depersonalization, with an explanatory power of 49%. Self-efficacy (β = −.61, <i>p</i> &lt; .001) significantly impacted reduced personal accomplishment, with an explanatory power of 53%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>To reduce burnout among infection control nurses in long-term care hospitals, there is a need for systematic and continuous mental health services tailored to individuals, the development and implementation of nursing interventions to enhance self-efficacy, and the establishment of a supportive organizational culture and system.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}