Japan Journal of Nursing Science最新文献

{"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}

{"title":"Knowledge and dietary habits regarding anemia of pregnancy in the Republic of Gabon","authors":"Yuri Sugino,&nbsp;Shigeko Horiuchi","doi":"10.1111/jjns.12634","DOIUrl":"https://doi.org/10.1111/jjns.12634","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study contributes to clarifying the anemia status of pregnant women living in Gabon, knowledge of anemia, and its association with dietary habits. Thereby, we can provide educational approaches such as health guidance and nutritional counseling for pregnant women in the future.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study used a questionnaire, and the study participants were pregnant women who are in Libreville. The inclusion criteria were as follows: 20 years age or older, a single pregnancy with no history of hematopoietic disease, at least at the second antenatal care and have blood test results, and can read and write French. The survey included basic information, knowledge of anemia, eating habits, and dietary diversity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 121 questionnaires were analyzed, of which 75 (62.0%) indicated anemia; the mean hemoglobin level was 10.6 g/dL (SD ± 1.25) (range 7.0–14.3 g/dL). The mean number of correct answers out of seven statements about knowledge of anemia was 2.55 (SD ± 1.59). More than half of the respondents understood that anemia also affects the baby, but less than half understood that it affects the mother after childbirth, revealing a lack of knowledge. The group that consumed dark green leafy vegetables was significantly less anemic than the group that did not consume those. (<i>χ</i>² = 6.563, <i>p</i> = .038).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The maternal anemia rate was 62% in this study. There was little knowledge about anemia, including its effects on the mother's body, premature birth, and anemia without symptoms. And we suggest that dark green leafy vegetables are effective foods for anemia; therefore, healthcare providers can introduce these into their foods and recipes for improving anemia in the health education.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764324","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":"Validation of a model for continued employment for general workers with mental illness: A covariance analysis based on evidence from Japan","authors":"Yoshitomo Fukuura,&nbsp;Yukako Shigematsu,&nbsp;Yumi Mizuochi","doi":"10.1111/jjns.12635","DOIUrl":"10.1111/jjns.12635","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To clarify the relationship and structure of the factors that influence the outcomes of continuous employment for people with mental illness and examine the necessary support for this.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The hypothesis was developed based on previous concept analysis results. To test it, a questionnaire was used comprising 21 items on the ability to continue working, 24 items on basic competencies for independent living, 21 items on workplace environment, and 27 items on outcomes of continuous employment. The study randomly selected 200 organizations in Japan serving as consultation centers for people with mental illness to recruit participants aged 20–59 years old registered at these entities as of April 1, 2022. Goodness of fit was evaluated between the models and the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Responses were received from 296 individuals. The direct effect on the outcome of continuous employment from the basic competencies for independent living was 0.48 and that from the ability to continue working was 0.29, indicating that basic competencies for independent living had a stronger influence on the outcome of continuous employment. Combining the ability to continue working and basic competencies for independent living showed a high path coefficient of 0.56 with workplace environment, indicating a strong influence on the workplace.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>People with mental illnesses, workplace staff, and professionals should work together to foster a supportive workplace environment. Professionals should also keep in mind the potential positive impact that people with mental illnesses can have on workplace dynamics.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741138","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":"Advance care planning for patient with chronic obstructive pulmonary disease: An evolutionary concept analysis","authors":"Kotoko Minami,&nbsp;Tomoko Kamei","doi":"10.1111/jjns.12633","DOIUrl":"10.1111/jjns.12633","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to analyze the concept of advance care planning (ACP) for patients with chronic obstructive pulmonary disease (COPD), by systematically clarifying the attributes, antecedents, consequences, surrogate terms, related concepts, and historical transition of the concept.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Following Rodgers' method of concept analysis, the academic development of concepts related to ACP for patients with COPD, as well as changes in the concept over time, is comprehensively organized and described. A search formula for relevant literature was created using the two keywords “chronic obstructive pulmonary disease” and “advance care planning”. The databases of CENTRAL, PubMed, CINAHL Plus with Full Text, Embase, and PsycInfo were searched without limitation by the year of publication and restricted to English and Japanese languages.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 3433 retrieved articles, 30 peer-reviewed articles were included in the analysis. Data extraction was conducted to identify concepts relevant to ACP for patients with COPD, resulting in the identification of four antecedents (COPD progression, decline in QOL, attitude toward facing death and dying, and interdisciplinary team approach); four attributes (discussion process, documentation, support for facing death, and dying, holistic approach); and four consequences (dialogical process, improved support of decision-making, physical impacts, and psychological impacts).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This conceptual framework, identified through this analysis, shows an evolution from a medical perspective to encompassing humanistic perspectives in addressing patient needs and emphasizes the importance of nursing practices. The elucidated concept characteristics may enhance its application, practice promotion, and interdisciplinary understanding across healthcare professions in the end-of-life field.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717529","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}