Japan Journal of Nursing Science最新文献

{"title":"Effects of a Tanzanian prenatal group education program about preeclampsia/eclampsia: A quasi-experimental study","authors":"Sachiko Sakurai,&nbsp;Beatrice Mwilike,&nbsp;Shigeko Horiuchi,&nbsp;Stella E. Mushy","doi":"10.1111/jjns.12652","DOIUrl":"https://doi.org/10.1111/jjns.12652","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study examined the effects of a prenatal group education program in Tanzania which was focused on preeclampsia/eclampsia according to knowledge, behavioral intention, Pregnancy-Related Empowerment Scale, satisfaction, and the incidence of preeclampsia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study was conducted in two district hospitals in Tanzania and used a facility-based pre-post quasi-experimental design with concurrent control. The prenatal group education program was developed to focus on preeclampsia/eclampsia and consisted of lectures, discussions, and review sessions directed at participatory group education. The intervention group participated in a midwife-facilitated prenatal group education program, whereas the control group received routine care. Data were collected through questionnaires before the intervention and 1 month later. A descriptive analysis of the data was performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study analyzed 95 pregnant women within an intervention group (<i>n</i> = 48) and control group (<i>n</i> = 47). At the 1-month post-test, statistically significant differences were observed between the intervention and control groups in the knowledge score (<i>mean =</i> 3.8, SD = 3.6 vs. <i>mean =</i> −0.8, SD = 3.1, <i>p</i> &lt; .001) and satisfaction score (<i>mean =</i> 4.9 vs. <i>mean =</i> 4.6, <i>p</i> = .032). Between the two groups, there were no significant differences in the scores of behavioral intention, Pregnancy-Related Empowerment Scale, and the incidence of preeclampsia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The prenatal group education program increased the knowledge level regarding preeclampsia and gave higher satisfaction among pregnant women. Knowledge was retained for at least 1 month. Continuity in implementation of this program is recommended.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143404329","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":"Depressive symptoms and heart rate variability in perinatal women: A narrative review","authors":"Taeko Unno,&nbsp;Hisayo Okayama","doi":"10.1111/jjns.12650","DOIUrl":"10.1111/jjns.12650","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aims to review research on heart rate variability and psychiatric symptoms in perinatal women and explains how heart rate variability can be useful in preventing depressive symptoms in perinatal women.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected from PubMed, CINAHL, PsycINFO, and Google Scholar. The literature search encompassed articles published until July 2024, with the inclusion criteria targeting studies on women within 1 year postpartum, starting from the gestation period. Further, articles exploring this population that discussed the relationship between anxiety, depression, stress, and heart rate variability were selected. The exclusion criterion was studies that confirmed a correlation between stressors and heart rate variability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We identified 36 relevant articles. The results demonstrated that, since 2022, research has been conducted using smartwatches, smartphones, and so on. The effectiveness of using heart rate variability has been confirmed, particularly in studies linking it to depression. However, some studies lacked controls during measurements. Intervention studies demonstrated the effectiveness of heart rate variability biofeedback.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This is the first review to investigate the relationship between psychiatric symptoms and heart rate variability in perinatal women. Understanding and using the characteristics of heart rate variability may lead to the detection of psychiatric symptoms in perinatal women and to self-care among women.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054095","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":"Why work in another country? Japanese nurses' experience and their reasons for staying in Australia","authors":"Junko Nasu Dagba,&nbsp;Noriko Ichikawa,&nbsp;Makoto Fujii,&nbsp;Yuko Ohno,&nbsp;Kazuma Honda,&nbsp;Masayuki Endo","doi":"10.1111/jjns.12651","DOIUrl":"10.1111/jjns.12651","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Many Japanese nurses have moved to Australia, yet their experiences and perceived reasons for staying in Australia are understudied. This study identified why Japanese nurses who moved internationally to Australia continued to stay and work in Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with 15 Japanese nurses who hold Japanese nursing licenses and are registered as nurses in Australia. The transcripts were analyzed using thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five themes emerged: (1) capability to take leave and holidays without feeling guilty, (2) set shifts creates a better work–life balance, (3) incentives give motivation to work hard, (4) safe and protective workplace for nurses, and (5) positive environment for pursuing a career.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Japanese nurses were satisfied with the Australian work environment where their profession is well-protected and highly respected, with more chances of career advancements. It suggests the need for a better working environment for nurses in Japan.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054097","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":"Contributing factors to the length of stay and discharge destination of home health care patients: 10-year electronic health record analysis using the Donabedian model","authors":"Hana Lee,&nbsp;Aeri Kim,&nbsp;Hyeyoun Lee,&nbsp;Kyungmi Woo","doi":"10.1111/jjns.12647","DOIUrl":"10.1111/jjns.12647","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To identify the factors affecting the length of stay (LOS) and discharge destination (DD) of home health care (HHC) patients in South Korea.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective cross-sectional study was conducted using the electronic health records of 1769 patients from a hospital in South Korea. Data were collected from January 2013 to December 2022. We categorized the independent variables into patient context, structure, and process factors following a modification of Donabedian's model. Hierarchical and multinomial logistic regression analyses were used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean length of stay was 26.41 days. Patients were discharged to the following locations: 35.0% continued HHC, 21.0% died, 19% were discharged to their homes, 17.0% were admitted, and 8.0% were sent to other locations. Patients' sex, type of insurance coverage, and primary caregiver as well as the number of nurse visits, HHC admission route, and type of nursing service were predictors of their LOS. Operation history, a high Charlson comorbidity index, the type of insurance coverage, HHC admission route, and certain nursing care services were associated with admission and death as the DD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Process variables (e.g., number of nurse visits, HHC admission route, type of nursing services) have a considerable influence on determining the LOS and DD of HHC patients. This result provides new insights into the use of HHC services and care transitions out of the hospital for patients living in their home, offering evidence to reduce unnecessary readmissions and ensure more effective and efficient HHC.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015264","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":"Loneliness-associated factors among older adults: Focus on friendship type and number of friends","authors":"Yuriko Inoue,&nbsp;Hironobu Hamada,&nbsp;Hisae Nakatani,&nbsp;Ichie Ono","doi":"10.1111/jjns.12649","DOIUrl":"10.1111/jjns.12649","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Loneliness among older people is prevalent. Few studies have examined the association of loneliness with the type of friendship and number of friends. This study aimed to clarify the loneliness-related factors among older adults by gender focusing on the type of friendship and number of friends.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An anonymous, self-administered questionnaire survey was conducted on 1610 older adults in Japan. The questionnaire included basic characteristics, health status used by the self-administered dementia checklist, type of friendship and number of friends evaluated by the Lubben Social Network Scale, and loneliness evaluated using the University of California, Los Angeles Loneliness Scale. Univariate analysis was performed with loneliness as the dependent variable, and multiple logistic regression analysis was also performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 1082 older adults were included for analysis. The loneliness rate was 16.8%. Regarding the type of friendship and number of friends, having &lt;3 close friends to call on for help (tangible aid) was most associated with loneliness (men odds ratio [OR]: 2.88, women OR: 3.10). Higher awareness of the participants of subjective symptoms of dementia was proportionally related to loneliness (men, OR: 3.06; women, OR: 2.40). Among women, economic insecurity (OR: 1.68), subjective health (OR: 2.12), having &lt;3 friends with whom they feel easy to talk about private matters (emotional support) were related to loneliness (OR: 2.38).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results suggested that the type of friendship and number of friends, economic insecurity, and health status might be associated with loneliness among older adults. Several factors related to loneliness might differ by gender.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015388","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":"Knowledge development of empowerment in nursing research: A bibliometric analysis using reference publication year spectroscopy","authors":"Hande Yesilbas,&nbsp;Filiz Kantek,&nbsp;Tangul Aytur Ozen","doi":"10.1111/jjns.12640","DOIUrl":"10.1111/jjns.12640","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This bibliometric study aims to provide a comprehensive analysis of the history of empowerment in nursing using Reference Publication Year Spectroscopy (RPYS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Descriptive and bibliometric analyses were conducted. The study is based on 762 publications from 1983 to 2024, with 14,582 cited references in the Web of Science. The reference publication period was divided into three sub-periods, with a total of 17 peaks identified: four from the first period (earliest to 1980), six from the second (1981–2000), and seven from the last period (2001–2024). Data analysis was performed using RPYS with the CRExplorer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Ten significant historical root publications, dating back to 1859, were identified, focusing on leadership, professionalism, social psychology, and philosophy of education. The earliest roots are linked to Florence Nightingale. In the recent period, there was a greater number of nursing-based root publications cited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study is the first to identify the origins of influential nursing empowerment publications using RPYS. The earliest publications referenced in nursing empowerment literature originate from nursing. The RPYS proved to be a valuable approach for analyzing the historical roots of knowledge in nursing empowerment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015266","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":"Path analysis of factors influencing registered nurses' safety behavior in China: A mediation effect model","authors":"Lili Yao,&nbsp;Qinghua Zhao,&nbsp;Dingqun Bai,&nbsp;Shan He,&nbsp;Yuerong Li,&nbsp;Mingzhao Xiao,&nbsp;Yetao Luo,&nbsp;Ling Liu","doi":"10.1111/jjns.12638","DOIUrl":"10.1111/jjns.12638","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aims to examine the current state, influencing factors, and pathways of safety behavior among registered nurses in China, thereby providing a theoretical framework for enhancing safety behavior levels among registered nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The research involved the recruitment of registered nurses in Chongqing, China, utilizing the snowball sampling technique from July 2022 to May 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 3244 registered nurses from 115 hospitals in Chongqing participated in the study. The mediation effect model demonstrated a good fit, with all variables accounting for 35% of the variance in safety behavior. The most significant influencing variables identified were perceived organizational support, patient safety competency, satisfaction with information systems, and patient safety training, with total effects of .44, .15, .12, and .12, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The mediation effect model revealed that perceived organizational support has a direct impact on safety behavior and can also influence safety behavior indirectly through patient safety competency. It is crucial to continuously enhance the patient safety competency of registered nurses, cultivate a supportive and compassionate organizational culture, encourage the implementation of safety behavior among nursing personnel, and ultimately ensure patient safety.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015391","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":"Association between self-stigma and self-compassion in patients with schizophrenia: A longitudinal study from hospital admission to first follow-up after discharge","authors":"Keita Toshi,&nbsp;Miharu Nakanishi,&nbsp;Mai Sakai,&nbsp;Hatsumi Yoshii","doi":"10.1111/jjns.12648","DOIUrl":"10.1111/jjns.12648","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Self-stigma is a major factor preventing the recovery of individuals with schizophrenia. Psychosocial interventions can reduce self-stigma, and mental health nurses may play a crucial role in leading them, but little is known about the modifiable factors that should be targeted. We aimed to investigate the association between self-stigma and self-compassion in patients with schizophrenia from admission to the first follow-up after discharge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Twenty-three patients with schizophrenia were recruited from an acute psychiatric ward in a private psychiatric hospital in Japan. Participants filled out the Japanese versions of the Internalized Stigma of Mental Illness (ISMI) scale, the Self-Compassion Scale (SCS), and the Positive and Negative Syndrome Scale (PANSS) at the following three time points: 1 month after admission, discharge, and first follow-up after discharge at outpatient care. We used a linear mixed model to examine the association between self-stigma, self-compassion, and the symptoms. In the first model, we used self-stigma as a dependent variable and included time of assessment and positive and negative symptoms as independent variables. In the second model, we added self-compassion to the independent variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Self-stigma did not change over time. Regarding the linear mixed model, the first model showed that participants with more positive symptoms tended to report worse self-stigma (<i>p</i> = .052). The second model showed a significant association between increasing self-stigma and higher over-identification (<i>p</i> = .001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our results suggest that interventions focusing on over-identification can reduce self-stigma. Nurse-led intervention programs with a focus on over-identification should be further developed for effectiveness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985319","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":"Effectiveness of breast pumps in early postpartum breastfeeding for women after cesarean section: A systematic review","authors":"Ai Miyauchi,&nbsp;Mayumi Uchimura,&nbsp;Myori Takahashi,&nbsp;Shigeko Horiuchi,&nbsp;Erika Ota","doi":"10.1111/jjns.12643","DOIUrl":"10.1111/jjns.12643","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>We sought to assess the effectiveness of using a breast pump for nipple stimulation to promote breastfeeding in the early postpartum period after c-section in women with full-term infants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Selection criteria were individual and cluster randomized control trials and quasi-randomized control trials that compared using a breast pump combined with standard care to promote breastfeeding in the early postpartum period after c-section with standard care. In this systematic review, guided by the Cochrane Handbook, we conducted comprehensive searches across databases such as Medline, Embase, CINAHL, Cochrane Library, and PsycINFO (Search: April 22, 2024). We used the PRISMA flowchart for data extraction. Three review authors independently assessed trials for inclusion and risk of bias, outcome synthesis for Review Manager, and evidence quality evaluation for GRADE.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We included four trials with 318 women and their infants. The trials took place in four countries. Women using a breast pump for nipple stimulation from the early postpartum period had an earlier onset of lactation of 19.57 h than women in standard care (mean difference [MD] −19.57 h, 95% confidential interval [CI] −26.18 to −12.96; participants = 143; studies = two; <i>I</i>² = 20%; GRADE: <i>moderate certainty of evidence</i>).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Evidence supports the use of a breast pump to promote breastfeeding in the early postpartum period after c-section because it is effective in accelerating the timing of onset of lactation. Studies with large sample sizes focusing on feasibility and implementation in clinical practice are necessary to determine the ways of promoting breastfeeding after c-section.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958065","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":"The transition process of perceptions of hygiene care practices among nurses in acute-care wards: A grounded theory study","authors":"Kotone Nishiya,&nbsp;Risa Takashima,&nbsp;Rika Yano","doi":"10.1111/jjns.12645","DOIUrl":"10.1111/jjns.12645","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore how perceptions of hygiene care practices among nurses in acute-care wards change over their clinical experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Based on symbolic interactionism, we employed a grounded theory methodology to explore interrelationships of meaning arising from actors' perceptions and interactions. Thirty-three nurses working in acute-care wards for &gt;3 years were selected by purposive snowball and theoretical sampling; semi-structured individual interviews were conducted from October 2023 to February 2024. Data were analyzed for 32 participants who provided consent.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The core category was “adjusting care channels”; seven other categories also emerged. Care channels refer to options for hygiene care practices. When nurses are first assigned to a ward, they regard hygiene care as the “bare task under organization rules.” However, through repeated processes of “emerging caring with patient resonance” and “internalizing the meaning of care,” they can “form care channels.” Subsequently, nurses become practitioners who can transform practices of hygiene care into “care to be restricted” or “wealth of ‘life behind the curtain’” by “adjusting care channels” according to the patient and ward organization situation. In contrast, if nurses fail to internalize the meaning of care, they end up performing “pro forma activities.”</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our findings highlight the importance of nurses to improve their ability to “adjust care channels,” which would allow them to provide hygiene care in a manner appropriate to the patient and organizational context. These results contribute to the development of educational strategies that foster nurses' values of hygiene care and support strategies by nursing managers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958253","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}