Japan Journal of Nursing Science最新文献

{"title":"Evaluation of a patient decision aid for Japanese women with BRCA1/2 pathogenic variants: A preliminary study","authors":"Megumi Okawa,&nbsp;Naoko Arimori","doi":"10.1111/jjns.70017","DOIUrl":"https://doi.org/10.1111/jjns.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to evaluate a decision aid for Japanese women (J-DA) with <i>BRCA1/2</i> pathogenic variants for supporting breast and ovarian cancer management decisions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used a pre- and post-intervention design. The participants included Japanese women with <i>BRCA1/2</i> pathogenic variants who needed to make a decision regarding breast and ovarian cancer management options.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All 25 participants completed the pre- and posttests. There was a significant reduction in the decisional conflict scale and a significant increase in the knowledge score. Significant improvements were identified in the decisional conflict scale score (<i>g</i> = 0.60, <i>p</i> = .002) and knowledge score (<i>g</i> = −1.44, <i>p</i> &lt; .001). Four weeks post-intervention, 96% of the participants had made a decision regarding the management options for breast or ovarian care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings suggest that the decision aid (J-DA) positively supported the decision-making of the Japanese women with <i>BRCA1/2</i> pathogenic variants. As this study apparently represents the first evaluation of a decision aid for this population, subsequent studies are anticipated to further confirm its clinical applicability and utility.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144782727","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 evidence-based practice knowledge and skills and evidence-based practice implementation in subgroups of professional and work environment factors among hospital nurses: A cross-sectional study","authors":"Hideaki Furuki,&nbsp;Nao Sonoda,&nbsp;Akiko Morimoto","doi":"10.1111/jjns.70018","DOIUrl":"https://doi.org/10.1111/jjns.70018","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>While nurses' evidence-based practice (EBP) knowledge and skills are critical for its implementation, various factors may act as effect modifiers, potentially influencing the strength of the relationship between EBP knowledge and skills and EBP implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To quantitatively evaluate whether various professional and work environment factors modify the strength of the association between EBP knowledge and skills and EBP implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study was conducted between June and September 2022 among 2672 nurses in Japan. EBP knowledge and skills and EBP implementation were measured using the Japanese version of the EBP Questionnaire. Professional factors, such as years of experience and position, and work environment factors such as organizational attitude toward EBP were measured. Multiple regression analyses evaluated whether the association between EBP knowledge and skills and implementation varied across subgroups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seven hundred seventeen nurses (26.8%) were included in the final analysis. After adjusting for potential confounding factors, EBP knowledge and skills were positively associated with the EBP implementation. Among the seven factors tested, a statistically significant interaction effect on the relationship between EBP knowledge and skills and EBP implementation was observed only for organizational attitude toward EBP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings suggest that the association between EBP knowledge and skills and implementation may vary depending on the level of organizational support. It may be beneficial for nurse managers and educators to consider integrating EBP into education frameworks to enhance access to EBP learning opportunities. Promoting a workplace culture that prioritizes EBP may also help strengthen its implementation in clinical settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144773819","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":"Resilience, perceived control, and intention to receive additional vaccines for COVID-19 among healthcare university students: Mediating role of knowledge of vaccine and infection-preventive behaviors","authors":"Akiko Kondo,&nbsp;Renaguli Abuliezi,&nbsp;Erika Ota,&nbsp;Tomomi Oki,&nbsp;Kazuko Naruse","doi":"10.1111/jjns.70016","DOIUrl":"https://doi.org/10.1111/jjns.70016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>Psychological resilience is defined as an individual's ability to utilize strategies to cope with and grow because of stress or adversity; it is an individual's subjective belief about the amount of control he or she has over the environment or outcome. This study aimed to investigate the association between resilience, perceived control, and intention to receive additional COVID-19 vaccines among healthcare students, using the knowledge of the COVID-19 vaccine and infection-preventive behaviors as a mediating role.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a cross-sectional study through an online survey when the fourth wave of vaccinations started in Japan in 2022. The participants were nursing undergraduate and graduate students, and healthcare graduate students who had received at least one vaccine at four universities. Hayes' SPSS PROCESS and structured equation modeling were used for the analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The data of 1139 students were used for the analyses. Direct effect from resilience to intention to receive additional COVID-19 vaccines accounted for 67.3%, indirect effect via knowledge accounted for 19.4%, and preventive behaviors accounted for 12.2% of total effects. Direct effect from perceived control accounted for 43.5%, indirect effect via knowledge accounted for 4.8%, and preventive behaviors accounted for 51.6% of the total effect.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The resilience of healthcare students plays a significant role both directly and indirectly in increasing their intention to receive additional COVID-19 vaccines, by increasing knowledge of vaccines and increasing infection-preventive behaviors. Perceived control is also important in having higher preventive behaviors, which were associated with higher intention to receive additional COVID-19 vaccines.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144773820","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":"Translation, adaptation, and psychometric assessment of the Alberta Context Tool for use with nurses in adult acute care in Japan","authors":"Asako Futami,&nbsp;Maiko Noguchi-Watanabe,&nbsp;Matthias Hoben,&nbsp;Manami Takaoka,&nbsp;Carole A. Estabrooks,&nbsp;Noriko Yamamoto-Mitani","doi":"10.1111/jjns.70013","DOIUrl":"https://doi.org/10.1111/jjns.70013","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Currently, there is no Japanese tool to measure organizational context factors that influence nurses' implementation of evidence-based practices. This study aimed to translate, culturally adapt, and psychometrically evaluate the Alberta Context Tool (ACT) for nurses in Japan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We completed forward translations with reconciliation, expert discussions, back translations with reconciliation, back translation review by tool developers, and semi-structured cognitive interviews with verbal probing. A convenience sample of nurses from five hospitals completed the translated tool. Item descriptives (including missing data), internal structure (confirmatory factor analyses [CFA]), criterion validity (correlations with Team Climate Inventory [TCI] items “support for innovative ideas”), internal consistency reliability (Cronbach's alpha, item–concept correlations), and test–retest reliability (intraclass correlation) were examined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Cognitive debriefing with nine nurses led to modifying 10 ACT items. A total of 508 nurses completed the survey. CFA showed an acceptable model fit for the seven scale-based concepts (<span></span><math>\u0000 <semantics>\u0000 <mrow>\u0000 <msup>\u0000 <mi>x</mi>\u0000 <mn>2</mn>\u0000 </msup>\u0000 </mrow>\u0000 <annotation>$$ {x}^2 $$</annotation>\u0000 </semantics></math> = 1037.28, root mean square error of approximation = 0.054, Comparative Fit Index = 0.913, Tucker–Lewis Index = 0.902, standardized root mean square residual = 0.053). Correlations between the 10 ACT concepts and TCI ranged from .08 to .43, with nine statistically significant (<i>p</i> &lt; .05). Cronbach's alpha ranged from .22 to .91 (exceeding 0.70 for 8/10 concepts), and item–concept correlations ranged from .15 to .96 (exceeding 0.70 for 26/56 items). Retest reliability (<i>N</i> = 65) ranged from 0.45 to 0.81.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The ACT Japanese version demonstrated initial evidence of acceptable validity and reliability for most concepts and items, supporting its use in assessing organizational context.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144751403","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":"Care needs and factors reducing caregiver burden for children with special health care needs in out-of-home care in Japan: An observational study","authors":"Tomo Nonoyama,&nbsp;Koji Tamakoshi,&nbsp;Kazuteru Niinomi","doi":"10.1111/jjns.70012","DOIUrl":"https://doi.org/10.1111/jjns.70012","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study evaluated the special healthcare needs of children residing in infant homes, assessed the associated care burden, and identified factors influencing changes and reductions in care burden for these children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected from staff members responsible for each of the 213 infants and toddlers in infant homes. Statistical analyses included the chi-square test, Mann–Whitney <i>U</i> test, analysis of covariance, and Wilcoxon signed-rank test to evaluate changes in care needs, care time, and care burden. Logistic regression analysis was conducted to determine factors associated with reductions in care burden over a 6-month period for children with special healthcare needs who had been in care for at least 6 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among the 213 infants, 39.9% had special healthcare needs. The highest proportion of care time was allocated to feeding and lulling these children to sleep—activities requiring significantly more time than those for children without special needs. Over several months, the care burden for children with special needs tended to increase; however, it decreased for 19 (26.0%) of these children over a 6-month period. Multivariate analysis revealed that age (OR = 0.86) and total care hours 6 months earlier (OR = 1.13) were significantly associated with reductions in care burden.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Age and total care hours 6 months earlier were associated with a reduced care burden. When transitioning these children to family care, assessing the type and intensity of care required rather than the duration of care is crucial. Early intensive care may reduce care burden.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144256137","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":"Effect of premature infant oral motor intervention (PIOMI) and pacifier intervention on the transition to oral feeding in preterm infants: A randomized controlled study","authors":"Merve Cakirli,&nbsp;Meral Bayat,&nbsp;Ayse Neslihan Tekin","doi":"10.1111/jjns.70009","DOIUrl":"https://doi.org/10.1111/jjns.70009","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to evaluate the effect of premature infant oral motor intervention (PIOMI) and pacifier intervention on the transition to full oral feeding in preterm infants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is a randomized controlled trial conducted between January 2021 and April 2023 in a neonatal intensive care unit in Eskişehir, Turkey. Preterm infants born between 29 and 34 weeks of gestation were included in the study. Infants were assigned to the groups by stratified randomization method. The study was completed with a total of 39 infants, 13 infants in each group (PIOMI, pacifier, and control). Data were collected using the “Preterm Infant Demographic Information Form,” “Feeding Monitor Form,” and “Early Feeding Skills Assessment Tool (EFS).” Statistical analysis used paired sample t-tests, ANOVA, Wilcoxon, Kruskal–Wallis H, and Pearson-χ² test methods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the research findings, it was determined that infants receiving PIOMI and pacifier intervention had a shorter length of stay, transition to full oral feeding compared to infants in the control group, and consumed a higher amount of feed in the first minute (<i>p</i> &lt; .05). The infants in the PIOMI group started full oral feeding on average 3 days earlier than the infants in the pacifier group and were discharged approximately 4 days earlier (<i>p</i> &gt; .05). It was determined that infants in the PIOMI group had significantly higher EFS-total compared to infants in the control group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>PIOMI intervention and pacifier intervention should be included in nursing care in neonatal intensive care units to improve the oral feeding skills of preterm infants and shorten their discharge time.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143861456","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":"Preoperative telenursing for hernioplasty and cholecystectomy patients","authors":"Tatiany Marques Bandeira,&nbsp;Rosimere Ferreira Santana,&nbsp;Greiciane da Silva Rocha,&nbsp;Thalita Gomes do Carmo","doi":"10.1111/jjns.70011","DOIUrl":"https://doi.org/10.1111/jjns.70011","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine the efficacy of telenursing interventions on the preoperative phase for patients undergoing hernioplasty or cholecystectomy procedures at a healthcare facility in Brazil.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A quasi-experimental study was conducted (July to December 2021) with 151 patients in the control group and 99 in the intervention group. The comparative analysis focused on anxiety, knowledge of preoperative care, postoperative complications, and institutional indicators (cancellation rate, delays, inadequate preparation, fasting, and examinations). The Zung Self-Rating Anxiety Scale measured anxiety, while structured forms collected demographic and knowledge-related data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The intervention group demonstrated superior outcomes compared to controls: knowledge (1.0% vs. 57.6% poor knowledge), anxiety (88.9% vs. 74.8% normal), postoperative complications (20.8% vs. 33.6%), incomplete exams (13.6% vs. 34.8%), and inadequate fasting (8.3% vs. 13.8%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Telenursing had a positive impact on anxiety, knowledge, postoperative complications, and institutional indicators.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143849145","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":"Abortion care process based on sexual and reproductive health and rights in Japan: A qualitative study","authors":"Yuka Sato,&nbsp;Akiko Haga,&nbsp;Chitaru Tokutake,&nbsp;Atsuko Samejima,&nbsp;Makoto Kanai,&nbsp;Satoko Nakagomi","doi":"10.1111/jjns.70010","DOIUrl":"https://doi.org/10.1111/jjns.70010","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to clarify the process of abortion care based on sexual and reproductive health and rights (SRHR) practiced by Japanese midwives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The participants were 44 midwives with experience in abortion care. Data were collected based on the framework developed by the World Health Organization's <i>Clinical Practice Handbook for Safe Abortion</i> and through detailed interview sessions. The modified grounded theory approach was used for data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The abortion care process was classified into five categories, 16 subcategories, and 49 concepts. The category “supporting women in making their own choices in life and leading their lives in the future” emerged as a foundational attitude toward abortion care. Midwives accompany pregnant women in the decision-making process with a neutral standpoint. They perform procedures to ensure that women experience comfort and safety throughout the abortion process. After a medical procedure, midwives attend to issues associated with SRHR, such as contraception and future pregnancies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Abortion care based on SRHR is a care practice that respects women's bodily autonomy and supports women in a non-judgmental manner. Abortion care also aims to provide women with safe and comfortable medical treatment, thereby supporting them in progressing with hope to their post-abortion lives. The study results will help midwives reaffirm the significance of abortion care, improve care quality in clinical settings, and contribute to the advocacy of women's SRHR.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143836247","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":"Development and evaluation of a rapid skin taurine measurement device using skin blotting for the early detection of dehydration","authors":"Haruka Tsuchiya,&nbsp;Mari Abe,&nbsp;Sanai Tomida,&nbsp;Shiho Higashimura,&nbsp;Daijiro Haba,&nbsp;Takeo Minematsu,&nbsp;Hiromi Sanada,&nbsp;Gojiro Nakagami","doi":"10.1111/jjns.70007","DOIUrl":"https://doi.org/10.1111/jjns.70007","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Skin blotting is a noninvasive method to collect molecules like skin taurine, a dehydration indicator, by applying a membrane to the skin. However, quantifying skin taurine takes an hour due to the long process of staining and measurement. This study aimed to determine optimal staining conditions and assess the reliability and validity of spraying and light transmittance as new methods for skin blotting. Image analysis was used to evaluate the impact of these methods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study consisted of two parts. Study 1 focused on determining taurine staining conditions on the anion exchange membrane. Ethanol concentration for dissolving ninhydrin and spray time were optimized using a standard sample. Light transmittance and image analysis were used to quantify taurine. The relationship between taurine concentration and light transmittance or brightness (from image analysis) was evaluated. Study 2 confirmed the reliability and validity of the new methods using human samples. Reliability was assessed using the intraclass correlation coefficient (ICC), and validity was determined by correlation coefficients between taurine levels quantified by the conventional method with those quantified by light transmittance or image analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The optimal spray time and ethanol concentration were 0.5 s and 90%, respectively, reducing measurement time to 7 min (light transmittance) and 10 min (image analysis). The ICC was 0.48 for light transmittance and 0.81 for image analysis. The correlation coefficients were <i>r</i> = 0.530 for light transmittance and <i>r</i> = 0.609 for image analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Image analysis, which measures a wider area, showed better reliability and validity in quantifying skin taurine.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143749619","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":"Stigmatizing attitudes toward autistic students: A cross-sectional vignette survey among Japanese university students","authors":"Yasuko Fukushima,&nbsp;Yuki Yajima,&nbsp;Michiko Moriyama","doi":"10.1111/jjns.70008","DOIUrl":"https://doi.org/10.1111/jjns.70008","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Stigmatizing attitudes toward autistic students can negatively impact their mental health and social connections. This study examined Japanese university students' attitudes toward autistic students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional vignette study was conducted with 845 Japanese university students. Participants were presented with one of four vignettes depicting an autistic student in a university classroom, based on a 2 (behavior types: disruptive vs. withdrawn) × 2 (autism diagnosis disclosure: open vs. closed) design. Stigmatizing attitudes were measured using a social distance scale. Stigma levels were analyzed using analysis of covariance with multiple independent variables: behavior type, autism diagnosis disclosure, and their interaction terms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 845 participants (response rate: 55.5%), 626 completed the survey and were included in the analysis. Disruptive autism-related behaviors elicited significantly greater stigma than did withdrawn behaviors (<i>p</i> &lt; .01). Those exposed to open autism diagnosis disclosure exhibited greater social distance than did those exposed to closed vignettes (<i>p</i> &lt; .01). No significant interaction effect was observed. These associations remained significant even after controlling participants' knowledge of autism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This finding indicates that autism diagnosis disclosure could unintentionally strengthen negative stereotypes and increase stigma.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717297","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}