Japan Journal of Nursing Science最新文献

{"title":"Psychiatric nurses' clinical decision-making for adults clinically judged to have childhood maltreatment-related attachment difficulties: A qualitative study employing the steps for coding and theorization method","authors":"Sho Nagai,&nbsp;Emiko Shinozaki","doi":"10.1111/jjns.70065","DOIUrl":"10.1111/jjns.70065","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To describe how experienced psychiatric nurses notice, interpret, and respond to adult inpatients whom they clinically judge to have childhood maltreatment-related attachment difficulties and to clarify the practical reasoning underlying these judgments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Eleven experienced psychiatric nurses from two private psychiatric hospitals in Japan were purposively sampled. Participant observation and semi-structured interviews focused on care of adults clinically understood to have childhood maltreatment-related attachment difficulties. Case identification relied on nurses' clinical judgment and routine team discussions or record information; no standardized attachment assessment or independent verification of childhood maltreatment history was used. Data were analyzed using the steps for coding and theorization (SCAT) method.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>SCAT generated 54 themes or concepts organized into 10 categories and 24 subcategories. Nurses noticed recurrent relational patterns, including distrust, checking behavior, dependency-aggression cycles, misinterpretation of staff intentions, self-harm, and distress around proximity, and adjusted their responses to stabilize the patient–nurse dyad, avoid re-traumatization, support emotional expression, and coordinate team care. Only a limited subset of subcategories was attachment-specific; many others reflected broader psychiatric nursing practices applied through an attachment-informed lens. A trauma-focused noticing process was visible in nurses' attention to nonverbal cues and early behavioral change.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings describe situated clinical reasoning rather than a new diagnostic technique or intervention model. Experienced psychiatric nurses adapted everyday psychiatric nursing practices to relational patterns they understood as childhood maltreatment-related and attachment-relevant. The model may inform education, supervision, and future patient-inclusive research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377722","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":"Phenomenological insights into disclosure and concealment decision-making among people with epilepsy experiencing generalized tonic-clonic seizures.","authors":"Young-Min Shon, Woo Joung Joung","doi":"10.1111/jjns.70055","DOIUrl":"10.1111/jjns.70055","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to elucidate the nature and structure of the decision-making experiences surrounding illness disclosure and concealment among people with epilepsy (PWE) who have experienced generalized tonic-clonic seizures (GTCS).</p><p><strong>Methods: </strong>Giorgi's descriptive phenomenological method was employed. Data were collected between March and May 2025. A total of eight participants were included in the study.</p><p><strong>Results: </strong>The decision-making experiences of PWE who experience GTCS comprised four essential common constituents: (1) building personal prejudices upon long-standing biases, (2) prioritization of concealing seizures and regaining physical control, (3) realization that unfamiliar realities coexist with ordinary life that must be lived, and (4) classification of relationships through disclosure decisions.</p><p><strong>Conclusions: </strong>This study offers a new perspective on illness disclosure decision-making among PWE with GTCS, highlighting its existential significance beyond information management. The findings indicate that disclosure or concealment is an ongoing, context-dependent process of relational classification through which participants seek to construct safe and protective social spaces. These decisions imposed a persistent psychological burden that often outweighed seizure symptoms and prompted reflection on identity and perceptions of epilepsy. Overall, the findings underscore the need for nursing care that extends beyond symptom management to support patients' identities, social roles, and disclosure-related decision-making.</p>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 3","pages":"e70055"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989930","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 process of overcoming challenges faced by midwives providing perinatal mental health care in obstetric facilities in Okinawa, Japan: A qualitative study.","authors":"Hisami Shimonaka, Matsuyo Inoue, Masaki Shinjo, Jun Kobayashi","doi":"10.1111/jjns.70053","DOIUrl":"10.1111/jjns.70053","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to clarify how midwives overcome challenges in providing perinatal mental health (PMH) care in clinical settings and to inform feasible, context-sensitive educational support.</p><p><strong>Methods: </strong>We used an interpretivist-constructivist qualitative design with a sequential two-stage approach. Thirteen midwives working at five obstetric facilities in Okinawa, Japan, each with more than 2 years of PMH care experience, participated in one focus group discussion (FGD) and one in-depth interview (IDI). FGD transcripts were analyzed descriptively to clarify key challenges and concerns and to inform the development of IDI questions. IDI transcripts were analyzed using reflexive thematic analysis to explore how midwives navigated and overcame these challenges, thereby generating an interpretive account aligned with the study aim.</p><p><strong>Results: </strong>Five themes were generated, from which we constructed a dynamic thematic map illustrating how challenges were overcome: contextual challenges triggered action; team-based support, reflective practice, and feedback from clinical cases interacted recursively; and motivational substrates underpinned these processes and were reinforced through ongoing practice, sustaining midwives' involvement in PMH care under conditions of uncertainty. Reported barriers included limited opportunities for reflective dialogue within shift-based workflows and limited visibility of post-discharge outcomes.</p><p><strong>Conclusion: </strong>This study clarified the contextual challenges in PMH care and the key elements for overcoming them. These findings inform educational and organizational support combining flexible access to knowledge resources with interprofessional collaborative reflection grounded in psychological safety in emotionally and time-constrained obstetric settings, enabling midwives to sustain engagement in PMH care under conditions of uncertainty.</p>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 3","pages":"e70053"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13130151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787867","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":"The letter to editor regarding \"Sexual satisfaction and associated factors among patients with inflammatory bowel disease in Japan\".","authors":"Jiayi Chen","doi":"10.1111/jjns.70059","DOIUrl":"10.1111/jjns.70059","url":null,"abstract":"","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 3","pages":"e70059"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018820","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":"Identifying Japanese mothers of infants and toddlers at risk of parenting isolation: A validation study of cutoff scores and associated psychosocial measures","authors":"Hikaru Honda,&nbsp;Masahiro Ishii,&nbsp;Toshiko Kita,&nbsp;Montakarn Chuemchit","doi":"10.1111/jjns.70063","DOIUrl":"10.1111/jjns.70063","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To determine a cutoff score for the Social Connectivity of Mothers with People in the Community Scale (SCMPCS) and revalidate the scale using additional psychosocial indicators.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional analysis used baseline data from one arm of a randomized trial including 259 mothers with children under 3 years of age in Sapporo City, Japan. Reliability and structural validity were reassessed using Cronbach's alpha and confirmatory factor analysis. Parenting isolation was operationally defined as the absence of support from informal, community-based, and formal sources and used as the reference classification for ROC analysis. Predictive validity was examined using logistic regression adjusted for maternal age, educational attainment, daycare use, and perceived economic status. Criterion-related validity was evaluated using Mann–Whitney U tests.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The SCMPCS showed good internal consistency (α = 0.85) and acceptable model fit (CFI = 0.90, RMSEA = 0.073). ROC analysis identified a cutoff of 30 or lower with moderate discriminatory ability (AUC = 0.73; sensitivity = 0.92; specificity = 0.50). Mothers at or below the cutoff had higher odds of meeting the operational reference classification of parenting isolation (OR = 11.94, 95% CI: 2.74–52.03) and reported lower self-efficacy and capacity to receive support, greater loneliness, and poorer well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The SCMPCS demonstrated stable psychometric performance, and the validated cutoff may support broad preventive screening to identify mothers who may need further assessment and early follow-up. Rather than serving as a diagnostic threshold, this cutoff may help maternal and child health services provide timely preventive support.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303883","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":"Dignity in interactions from the viewpoint of staff in long-term care facilities: A qualitative study","authors":"Nanako Hasegawa,&nbsp;Chikako Ikegami,&nbsp;Yukari Niimi,&nbsp;Eriko Otake,&nbsp;Cynthia Jacelon","doi":"10.1111/jjns.70062","DOIUrl":"10.1111/jjns.70062","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore the elements of dignity in interaction and the residents' individual dignity from the viewpoint of staff in long-term care facilities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In-depth interviews were conducted twice with each participant using a hermeneutic phenomenological approach to understand staff experiences and clarify how they understood the meaning of dignity and dignified care. After theme generation, a panel of seven experts reviewed the themes. The previously established framework of the conceptual matrix derived from the residents' perspective was used to verify the applicability of the result.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 18 in-depth interviews were conducted with nine staff who worked at long-term care facilities. Mean age of participants was 36.8 years (SD = 5.9; range: 25–43); six were female (66.7%). A total of 944 codes were extracted from the interviews, and four themes were generated: “dignity in relation to family members, friends, society, and other residents”; “dignified direct care”; “dignified care by nursing care facilities and the nursing care system”; and “(residents') dignity developed over the life course.”</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Dignity in interaction and the residents' individual dignity are perceived to be important to care staff. Comparing the elements of dignity extracted from interviews of care staff and those of residents, dignified care is defined by staff with more specific behaviors, responsibilities, and relationships. In long-term care, “dignity developed over the life course” is a subjective and unique dignity that is not easily influenced by others or the environment and is the background of dignity in interaction.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213180","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":"Facilitators and barriers to home eating behaviors in patients with heart failure: A qualitative descriptive study comparing patient and healthcare expert perspectives","authors":"Daisaku Kashiwakura,&nbsp;Hiromu Honma,&nbsp;Akiko Hiyama,&nbsp;Masumi Muramatsu,&nbsp;Atsuko Hinotsu","doi":"10.1111/jjns.70061","DOIUrl":"10.1111/jjns.70061","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To identify facilitators and barriers to home eating behaviors related to dietary management in patients with heart failure (HF) by comparing patient narratives and healthcare expert (HCE) perspectives against a patient-derived thematic framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a qualitative descriptive study using semi-structured interviews with patients with HF living at home (or planned discharge home) and HCEs involved in HF/dietary support. Data were collected at two collaborating hospitals in Japan (August 30, 2023 to May 2, 2024). Patient-derived themes/subthemes were developed first, and HCE narratives were then compared and coded against this structure to identify similarities and divergences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seven patients with HF and six HCEs participated. Qualitative analysis yielded two domains (facilitators and barriers), five themes, and 23 subthemes. Facilitators included “External Support” and “Personal Capability and Internal Motivation” (e.g., family involvement/support, healthcare-provider guidance, and health-aligned home cooking). Barriers clustered into “Intrapersonal Factors,” “Interpersonal and Social Factors,” and “Contextual and Physical Limitations,” capturing psychological burden and preferences, family/social situations, and socioeconomic constraints, and disruptions such as weather/seasonal patterns and fatigue-related limitations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The comparison revealed that while patients focused on practical habituation, physical effort, and maintaining interpersonal harmony, experts prioritized nutritional knowledge and broader socioeconomic or clinical risks. To bridge these differing perspectives, future research should focus on developing a brief self-assessment tool that encompasses both patients' lived experiences and expert-identified risks, enabling personalized dietary management tailored to patients' daily realities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of the community development competency scale (ComDe-scale) for public health nurses in Japanese community general support centers: A Nationwide study","authors":"Yuko Tanaka,&nbsp;Ayuka Yokoyama,&nbsp;Jun Kameno,&nbsp;Etsuko Tadaka","doi":"10.1111/jjns.70060","DOIUrl":"10.1111/jjns.70060","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to develop and validate the Community Development Competency Scale (ComDe-Scale) for public health nurses (PHNs) working in Community General Support Centers (CGSCs) in Japan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A nationwide cross-sectional survey was conducted with all 5495 CGSCs, yielding 1562 valid responses (28.4%). Item analysis, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA) were performed to examine the factor structure, internal consistency, and construct validity. Hypothesis testing included correlations with the Network Establishment Practices Scale (NEPS) and subgroup comparisons by CGSC experience and managerial status. Convergent and discriminant validity were assessed using average variance extracted (AVE), composite reliability (CR), and the Fornell–Larcker criterion. Measurement invariance across management types (direct vs. outsourced) was evaluated through multigroup CFA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The ComDe-Scale demonstrated a three-factor, 20-item structure: (1) Strategic Management for Driving Community Health, (2) Empowerment for Interprofessional and Organizational Collaboration, and (3) Community-Rooted Outreach for Building Networks. Model fit indices indicated a good fit (CFI = 0.955, RMSEA = 0.060). Internal consistency was high (Cronbach's α = 0.845–0.946). All hypotheses for construct validity were supported (<i>p</i> &lt; .001). Convergent validity (AVE = 0.569–0.589, CR = 0.842–0.941) and discriminant validity (√AVE &gt; inter-factor correlations) were confirmed. Partial measurement invariance was observed across management types.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The ComDe-Scale demonstrated satisfactory reliability and validity and can serve as a practical tool for evaluating and strengthening the competencies of PHNs engaged in community development at CGSCs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200577","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":"Outcomes of community health development/capacity building in community health by the nursing profession for public health: A scoping review","authors":"Yuko Tanaka,&nbsp;Ayuka Yokoyama,&nbsp;Yuka Iwata,&nbsp;Yasuyuki Kurasawa,&nbsp;Takashi Kitagawa,&nbsp;Kisaki Kobayashi,&nbsp;Moe Nemoto,&nbsp;Jun Kameno,&nbsp;Etsuko Tadaka","doi":"10.1111/jjns.70058","DOIUrl":"10.1111/jjns.70058","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This scoping review aimed to map the characteristics of outcomes arising from Community Health Development and Capacity Building in Community Health (CHD/CCH) conducted by public health-related nursing professionals and to identify the types of evidence that inform public health research and practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Following Joanna Briggs Institute methodology and Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines, we systematically searched PubMed, CINAHL, Web of Science Core Collection, and the Cochrane Library. Eligibility was based on the Population–Concept–Context framework: (a) community-dwelling individuals and communities, (b) CHD/CCH activities involving collaborative engagement with residents and stakeholders, and (c) nursing professionals engaged in public health practice. Quantitative, qualitative, mixed-methods studies, and gray literature were included without restrictions on language or publication year. Outcomes were synthesized according to follow-up period (short, mid, long term) and ecological level (micro, meso, macro).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty studies published between 1990 and 2024 were included. Of them, 14 used qualitative designs, 13 mixed methods, and 3 quantitative methodologies. Short-term evaluations primarily reported individual and organizational changes, whereas mid- and long-term studies demonstrated more complex, multilevel outcomes such as policy development, strengthened community networks, and enhancements to health and social service systems. Across ecological levels, 14 domains of community capacity were identified.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Public health-related nursing practice contributes to multilayered community capacity building through CHD/CCH. However, gaps remain in quantitative evaluation and standardized outcome measures, underscoring the need for methodological advancement to reinforce the evidence base for community development in public health nursing.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145404","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":"Working mechanisms of the self-compassion-based childbirth and parenting preparation program: A realist evaluation","authors":"Miyuki Muramoto,&nbsp;Mari Ikeda","doi":"10.1111/jjns.70057","DOIUrl":"10.1111/jjns.70057","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The Self-Compassion-Based Childbirth and Parenting Preparation Program (SCPPP) for newly expecting couples is designed to activate self-compassion at challenging moments, induce calm, and enhance co-parenting motivation during the perinatal period. However, how the program affects participants' learning processes remains unknown. This study aimed to clarify the working mechanisms of the SCPPP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Between 2022 and 2023, a total of 18 participants (9 couples) were recruited in Japan through obstetric checkups and snowball sampling. They attended 5-week prenatal and 1-day postnatal online programs, wherein they learned about self-compassion and discussed its use with their partners and group members. Their narratives, psychological measurements, and observational data obtained from the online sessions were qualitatively and quantitatively analyzed using a realist evaluation approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five prenatal mechanisms were identified: (1) Acknowledge the comfort of learning in a group; (2) Start self-talk; (3) Slow down practices by recalling the safety guidelines; (4) Explore the meaning of learning self-compassion; and (5) Expand self-focused perspectives by listening to partner and group members. Additionally, four postnatal mechanisms were identified: (1) Recall one's trajectory; (2) Incorporate one's learning with the new life through time spent experiencing mutual support within the group; (3) Try to shift the viewpoint from a single-minded focus on childcare; and (4) Make meaning of one's learning experiences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings suggest that the SCPPP may work under mechanisms that follow adult learning and attachment theories, and that these mechanisms may be essential in a self-compassion-based program for expecting couples transitioning to parenthood.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Registration</h3>\u0000 \u0000 <p>This study has been registered in the Japan Registry of Clinical Trials (jRCT1030220453).</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"23 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70057","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058049","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}