Japan Journal of Nursing Science最新文献

{"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}

{"title":"Using voice recognition and machine learning techniques for detecting patient-reported outcomes from conversational voice in palliative care patients","authors":"Lei Dong,&nbsp;Hideyuki Hirayama,&nbsp;XueJiao Zheng,&nbsp;Kento Masukawa,&nbsp;Mitsunori Miyashita","doi":"10.1111/jjns.12644","DOIUrl":"10.1111/jjns.12644","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Patient-reported outcome measures (PROMs) are increasingly used in palliative care to evaluate patients' symptoms and conditions. Healthcare providers often collect PROMs through conversations. However, the manual entry of these data into electronic medical records can be burdensome for healthcare providers. Voice recognition technology has been explored as a potential solution for alleviating this burden. However, research on voice recognition technology for palliative care is lacking. This study aimed to verify the use of voice recognition and machine learning to automatically evaluate PROMs using clinical conversation voice data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We recruited 100 home-based palliative care patients from February to May 2023, conducted interviews using the Integrated Palliative Care Outcome Scale (IPOS), and transcribed their voice data using an existing voice recognition tool. We calculated the recognition rate and developed a machine learning model for symptom detection. Model performance was primarily evaluated using the F1 score, harmonic mean of the model's positive predictive value, and recall.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean age of the patients was 80.6 years (SD, 10.8 years), and 34.0% were men. Thirteen patients had cancer, and 87 did not. The patient voice recognition rate of 55.6% (SD, 12.1%) was significantly lower than the overall recognition rate of 76.1% (SD, 6.4%). The F1 scores for the five total symptoms ranged from 0.31 to 0.46.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Although further improvements are necessary to enhance our model's performance, this study provides valuable insights into voice recognition and machine learning in clinical settings. We expect our findings will reduce the burden of recording PROMs on healthcare providers, increasing the wider use of PROMs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958162","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":"How did home care nurses support COVID-19 patients in Japan? A qualitative study","authors":"Mana Shirouchi,&nbsp;Yuka Sumikawa,&nbsp;Kyoko Yoshioka-Maeda,&nbsp;Noriko Yamamoto-Mitani","doi":"10.1111/jjns.12646","DOIUrl":"10.1111/jjns.12646","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Home care nurses support patients with COVID-19 with mild to moderate symptoms at home due to the lack of community-based support. Little is known about how nurses initiated and maintained support for patients with COVID-19. This study explored the experiences of home care nurses in supporting patients with COVID-19 at home.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using snowball sampling, 21 home care nurses participated in semi-structured interviews conducted either in person or online between September 2021 and February 2023. A qualitative study using a grounded theory approach was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Home care nurses faced a situation where “suffering patients are overflowing” due to inadequate support from public health centers and designated hospitals. Despite their anxiety, they acted as a “flexible safety net by quickly compensating for uncertain support systems” for patients, families, and local health workers. They “built tentative support systems immediately” and “updated tentative support systems, own knowledge, skills, and mindset.” Home care nurses also “rushed to patient/family” to provide timely support and “avoided preventable death.”</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Home care nurses act as a flexible safety net, preventing patient deaths by quickly compensating for uncertain support systems before and after initiating care. Their efforts complemented the inadequacies of traditional infectious disease control systems, typically managed by public health centers. Strengthening secondary and tertiary prevention systems is essential for home care nurses to save lives while delivering individualized care during the COVID-19 pandemic.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958252","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":"Effects of a self-efficacy-centered self-management program on neurogenic bladder after spinal cord injury: A randomized controlled trial","authors":"Xiangxiang Tang,&nbsp;Qian Liu,&nbsp;Xiaoping Su,&nbsp;Zepeng Yu","doi":"10.1111/jjns.12642","DOIUrl":"10.1111/jjns.12642","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The present research aimed to investigate the effects of a self-efficacy-centered self-management program on persons with neurogenic bladder (NGB) after spinal cord injury (SCI).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A randomized controlled trial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>Eighty-two individuals with NGB after spinal cord injury (SCI) were randomized into either the control or intervention group. The control group received standard admission and discharge education and follow-up. The intervention group received the self-efficacy-centered self-management program. Self-efficacy was assessed at preintervention, 4, 8, and 12 weeks post-intervention. Self-management ability, the incidence of urinary tract infection (UTI), residual urine volume, bladder safety capacity, and quality of life were assessed at 12 weeks post-intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 82 recruited participants, only 79 participants (control group: <i>n</i> = 39, 67% males, intervention group: <i>n</i> = 40, 58% males) received the full intervention. A significant difference was observed in self-efficacy score between the control and intervention groups (2.54 ± .247 versus 2.71 ± .218, mean difference = .174, 95% confidential interval: .070–.278, <i>p</i> = .001) at 12 weeks post-intervention. The intervention group demonstrated significantly better outcomes than the control group at 12 weeks post-intervention in self-management ability, urinary tract infection (UTI) incidence, residual urine volume and bladder safety capacity. There were significant differences in quality of life (vitality [VT] and mental health [MH] subscales) between the two groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The self-efficacy-centered self-management program developed in this study can significantly increase participants' self-efficacy and bladder self-management ability, thereby improving their bladder functional status and quality of life.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11695107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923845","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":"Observational study of the third delay in emergency obstetric triage at the referral national hospital in Tanzania: Baseline survey","authors":"Mugara Joseph Mahungururo,&nbsp;Shigeko Horiuchi,&nbsp;Eri Shishido","doi":"10.1111/jjns.12639","DOIUrl":"10.1111/jjns.12639","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to grasp the third delay using an observational method of actual nurses/midwives' practice overtime during care provision to emergency obstetric patients in a tertiary referral national hospital.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A prospective quantitative design was employed to observe the 24-h obstetric triage process from February 4 to March 7, 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This study involved observations of 120 obstetric patients with mean maternal age of 29.1 years (SD = 5.5); 81.6% were between 20 and 35 years, 14.2% were over 35 years, and 4.2% were under 20 years. There were 99 (82.5%) pregnant women: 67.7% were preterm, 29.3% term, and 3% postdate, and there were 21 (17.5%) postpartum women. Initial diagnoses were postpartum hemorrhage, 9 (7.5%), antepartum hemorrhage, 15 (12.5%), eclampsia, 13 (10.8), severe preeclampsia, 19 (15.9), preeclampsia, 12 (10%), obstructed labor, 3 (2.5%), previous scar, 13 (10.8%), and others, 36 (30%). Waiting time was within 15 minutes for 30.8% of the observations. Median waiting time from registration to consultation was 9 min. Interquartile range (IQR) for postpartum hemorrhage was 3.5–23.5 min, and IQR for eclampsia was 11.5–117.5. There were no maternal deaths during the 24-h observation of each obstetric patient.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The obstetric triage process requires additional training for triaging time-sensitive obstetric complications; the wide IQR of waiting time indicated management misalignments thus causing the third delay. The clinical priority of obstetric patients with leading risk factors for morbidity and mortality, such as hypertensive disorders of pregnancy and hemorrhage, needs to be approached within a continuum of care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903969","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":"Perceptions and attitudes about advance care planning among healthcare professionals of cardiac care: A Q methodology study","authors":"Hana Ko,&nbsp;Yoon Young Hwang,&nbsp;Seongkum Heo,&nbsp;KyungAh Cho,&nbsp;Mi-Seung Shin,&nbsp;Mi Yeong Kim,&nbsp;JinShil Kim","doi":"10.1111/jjns.12641","DOIUrl":"https://doi.org/10.1111/jjns.12641","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Healthcare professionals' perspectives on advance care planning (ACP) remain unclear, particularly among those who care for cardiac patients. Therefore, this study aimed to explore perspectives on ACP among healthcare professionals who provide care to patients with cardiovascular diseases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Using Q methodology, 40-Q sample statements were derived from an extensive literature review and an in-depth qualitative interview. The P-sample (Q sorters) comprised 10 physicians and 14 nurses. The P-sample filled each grid with a statement on the Q-sorting table. The data were analyzed using the PQMethod.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four factors with 18 Q sorters emerged and explained 71% of the variance, each contributing 5%–53%. Four factors were labeled: healthcare professional-led, communication-focused ACP (<i>n</i> = 5); early application-weighted, burden-reducing ACP (<i>n</i> = 5); prognostic uncertainty-based, negotiation-focused ACP (<i>n</i> = 5); and patient-value-based, comprehensiveness-focused ACP (<i>n</i> = 3); six Q sorters fell into either confounded or nonsignificant categories. Common perspectives on ACP across all factors emerged, including the conceptual definition of ACP, early employment of ACP as the right time, and needs for educational support and training.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Unique perspectives and common perspectives on ACP across factors emerged among Korean healthcare professionals of cardiac patients. The findings of this study provide initial information on perceptions of and attitudes toward ACP among Korean healthcare providers. Healthcare providers can use these findings to provide educational support and training.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143120561","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 social support from workplace supervisors and symptoms of post-traumatic stress disorder among Japanese midwives who experienced trauma during perinatal care","authors":"Chizuru Higashi,&nbsp;Shigemi Iriyama,&nbsp;Yu Mon Saw","doi":"10.1111/jjns.12636","DOIUrl":"10.1111/jjns.12636","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study examined the association between workplace supervisors' perceptions of social support and the post-traumatic stress disorder (PTSD) symptoms among Japanese midwives who experienced trauma while providing perinatal care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We employed a descriptive cross-sectional design and collected data using a self-reported questionnaire. Participants were 144 Japanese midwives working in hospitals. Data were analyzed using descriptive statistics, Spearman's correlation analysis, chi-square tests, and a binomial logistic regression analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Ninety-one midwives had experienced at least one traumatic event in the workplace within the past 12 months. Midwives in the high-PTSD-risk group (Impact of Event Scale–Revised [IES-R] score ≥25) comprised 11% of the sample. The total score of perceived social support from the supervisor was negatively associated with the IES-R total score (<i>r</i> = −0.213, <i>p</i> = .043). Social support from workplace supervisors was not associated with PTSD symptoms when adjusted for midwives experiencing verbal abuse or intimidating behavior from the mother or her family. Although not significant, midwives who had experienced verbal abuse or intimidation from mothers or their families were four times more likely to meet the criteria for the high-PTSD-risk group (odds ratio = 4.188, <i>p</i> = .07).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Perceived social support from workplace supervisors could reduce midwives' PTSD symptoms, but it was not effective for midwives traumatized by verbal abuse or intimidated from expectant mothers or their family members. It is important to establish an organizational and educational system that allows midwives to receive ongoing support from supervisors in the workplace.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807715","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":"Factors affecting turnover intention of nurses in Japanese nursing homes for older adults—A cross-sectional study","authors":"Kaoru Baba,&nbsp;Mana Doi,&nbsp;Azusa Arimoto,&nbsp;Akiko Kaneda,&nbsp;Yuka Kanoya","doi":"10.1111/jjns.12637","DOIUrl":"10.1111/jjns.12637","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to clarify factors that affect turnover intention of nurses in Japanese nursing homes (NHs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Cross-sectional nationwide self-administered anonymous questionnaire survey was conducted among 2000 nurses and 1000 directors from 1000 NHs. Data were collected between December 2019 and January 2020. The questionnaire contained NH nurses' turnover intention，organizational factors such as work conditions, and so on; individual factors such as self-evaluation of nursing practice and so on. Responses were obtained from 267 nurses and 163 directors (response rates: 13.4% and 16.3%, respectively). This analysis included 196 responses from both nurses and directors from NHs. Univariate analysis and logistic regression analyses were performed to examine factors affecting nurses' turnover intentions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Regarding the NH nurses' turnover intention, 49.5% responded “no intention to leave,” 50.5% responded “intention to leave.” Of these “intention to leave,” 41.4% responded “I wanted to work in a medical facility.” A stronger burden of on-call shift (OR [odds ratio] = 1.54, 95% CI [confidence interval]: 1.10–2.16) and a lower affective organizational commitment (OR = 0.71, 95% CI: 0.62–0.80) indicated a higher turnover intention of NH nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Retention of NH nurses may be increased by reducing the burden of on-call shifts and enhancing affective organizational commitment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807725","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}