Japan Journal of Nursing Science最新文献

{"title":"Development of a scale to measure nursing difficulties experienced by Chinese nurses: A cross-sectional study","authors":"Yanhua Wen,&nbsp;Hisae Nakatani,&nbsp;Xuxin Peng,&nbsp;Mayumi Kako,&nbsp;Naoko Hasunuma,&nbsp;Kazuaki Tanabe","doi":"10.1111/jjns.70020","DOIUrl":"https://doi.org/10.1111/jjns.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To clarify the nursing difficulties faced by Chinese migrant nurses, this study developed a scale to measure those experienced by nurses working in Japan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The questionnaire was developed and scaled based on the results of a literature review and interview survey. Participants were Chinese migrant nurses working in Japan. The initial 24 questionnaire items were refined through experts' evaluation and pretesting. Exploratory and confirmatory factor analyses were conducted to identify the underlying factors of the scale. Reliability was assessed using Cronbach's alpha, while criterion-related validity was evaluated using external measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A three-factor scale with 20 items was identified, comprising “language difficulties in daily nursing task,” “considerate of patients' feelings in nursing practice,” and “smooth relationships with colleagues.” Confirmatory factor analyses indicated an adequate model fit. Construct and criterion-related validity were confirmed, and Cronbach's alpha coefficients ranged from 0.84 to 0.88 for each factor.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The scale was confirmed to be valid and reliable; thereby making it suitable for measuring the nursing difficulties experienced by Chinese migrant nurses in Japan.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144897765","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 of family readiness instrument for caring of stroke patients at home: Application of transition theory","authors":"Muhammad Abu,&nbsp;Rosyidah Arafat,&nbsp;Syahrul Syahrul,&nbsp;Aulia Insani Latif","doi":"10.1111/jjns.70015","DOIUrl":"https://doi.org/10.1111/jjns.70015","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Lack of family readiness to care for stroke patients can negatively impact the health of family members who serve as primary caregivers, often leading to prolonged stress and depression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to develop a valid and reliable family readiness instrument based on a transition model to assess preparedness for caring for stroke patients at home.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A mixed-methods approach was employed in this research, consisting of four phases: Delphi Study, face validity, content validity, and testing for structural validity and reliability. A total of 153 participants were included in this study. In the first phase, a Delphi Study was conducted in three rounds to reach consensus on the instrument items, involving eight experts. The second phase involved 30 family members of stroke patients to test face validity. In the third phase, content validity was assessed by five experts using the “judgment by expert” method. The final phase involved testing structural validity and reliability with 110 families of caregivers of patients with stroke.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results of the exploratory factor analysis (EFA) identified three main factors: awareness (12 items), involvement (6 items), and changes in internal and external processes (2 items). The instrument demonstrated good reliability with a Cronbach's alpha value of .811.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Twenty items from the family readiness instrument based on the transition model were valid and reliable for the Indonesian family population, making it suitable for assessing family readiness in caring for stroke patients at home.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869914","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":"Proposal for an onboarding program for Chinese nurses in Japan","authors":"Tsubasa Mori,&nbsp;Xiujie Jiang","doi":"10.1111/jjns.70021","DOIUrl":"https://doi.org/10.1111/jjns.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Nurses immigrating to Japan from China are attracting attention as new talent in the Japanese healthcare environment. They are expected to easily adjust in Japan owing to cultural similarities, such as the written language. However, challenges include the differences in the culture of interpersonal behavior and nursing roles. It is important to prevent their reality shock and facilitate adjustment by providing support to overcome these challenges at an early stage of immigration. This paper proposes an onboarding program to support nurses and address these challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The objectives of the proposed onboarding program are based on the literature on the present situation of Chinese nurses in Japan, cross-cultural adjustment, Japanese social norms, and differences in nursing roles between Japan and China. Onboarding programs can be broadly divided into sedentary and active learning methods. Japanese communication is context-dependent, with words having different meanings based on the situation surrounding the scene. Such communication can be effectively addressed in role-playing and open discussions rather than lectures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Based on these objectives, we propose a combination of program content and appropriate support methods. Implementing and evaluating this onboarding program will be a future challenge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Capitalizing on the strengths of Chinese nurses, such as their kanji proficiency and respect for older adults, which they share with the Japanese, to support their adjustment will help them achieve self-fulfillment and improve Japanese healthcare services. Mutual understanding is the key to the success of cross-cultural collaboration.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between the certified nurse staffing in neonatal intensive care units and nursing quality","authors":"Mio Ozawa","doi":"10.1111/jjns.70022","DOIUrl":"https://doi.org/10.1111/jjns.70022","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study examines the relationship between the quality indicators of pain management (pain assessment rate during skin puncture and the implementation rate of non-pharmacological pain relief measures) and nurse staffing in neonatal intensive care units based on the Donabedian model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Datasets from 23 facilities, covering 101 assessments registered in the “Pain Care Improvement Database” (©Hiroshima University) between 2017 and 2023, were analyzed using a linear mixed model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The implementation rate of pain assessment correlates significantly and positively with growing care unit nurse staffing (r = 0.28, <i>p</i> = 0.0075) and the proportion of certified neonatal intensive care nurses (r = 0.32, <i>p</i> = 0.0011). The pain assessment rate during skin puncture was significantly associated with the nurse-to-bed ratio in growing care units and the implementation of a pain management system. The implementation rate of non-pharmacological pain relief measures was significantly associated with the proportion of certified nurses among ward staff and the establishment of a pain management system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings suggest that enhancing nurse staffing levels and establishing robust pain management systems may contribute to improving the quality of pain management, a critical aspect of nursing care quality.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869427","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":"Burnout related factors of infection control nurses in long-term care hospitals","authors":"Su-jin Lee,&nbsp;Seo-Hyeon Kim,&nbsp;Hye Young Min,&nbsp;Ju-Young Park","doi":"10.1111/jjns.70019","DOIUrl":"https://doi.org/10.1111/jjns.70019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to investigate the burnout and related factors of infection control nurses in long-term care hospitals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An anonymous, self-administered survey was conducted among 177 nursing home infection control nurses. The questionnaire included stress levels, self-efficacy, social support, and burnout. Data were analyzed using SPSS 25.0 to calculate descriptive statistics and multiple regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Stress (β = .70, <i>p</i> &lt; .001) and social support (β = −.18, <i>p</i> = .007) were found to have significant effects on emotional exhaustion, with an explanatory power of 57%. Stress (β = .62, <i>p</i> &lt; .001) and social support (β = −.20, <i>p</i> = .006) also significantly influenced depersonalization, with an explanatory power of 49%. Self-efficacy (β = −.61, <i>p</i> &lt; .001) significantly impacted reduced personal accomplishment, with an explanatory power of 53%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>To reduce burnout among infection control nurses in long-term care hospitals, there is a need for systematic and continuous mental health services tailored to individuals, the development and implementation of nursing interventions to enhance self-efficacy, and the establishment of a supportive organizational culture and system.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869869","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":"Evaluation of a patient decision aid for Japanese women with BRCA1/2 pathogenic variants: A preliminary study","authors":"Megumi Okawa,&nbsp;Naoko Arimori","doi":"10.1111/jjns.70017","DOIUrl":"https://doi.org/10.1111/jjns.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to evaluate a decision aid for Japanese women (J-DA) with <i>BRCA1/2</i> pathogenic variants for supporting breast and ovarian cancer management decisions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used a pre- and post-intervention design. The participants included Japanese women with <i>BRCA1/2</i> pathogenic variants who needed to make a decision regarding breast and ovarian cancer management options.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All 25 participants completed the pre- and posttests. There was a significant reduction in the decisional conflict scale and a significant increase in the knowledge score. Significant improvements were identified in the decisional conflict scale score (<i>g</i> = 0.60, <i>p</i> = .002) and knowledge score (<i>g</i> = −1.44, <i>p</i> &lt; .001). Four weeks post-intervention, 96% of the participants had made a decision regarding the management options for breast or ovarian care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings suggest that the decision aid (J-DA) positively supported the decision-making of the Japanese women with <i>BRCA1/2</i> pathogenic variants. As this study apparently represents the first evaluation of a decision aid for this population, subsequent studies are anticipated to further confirm its clinical applicability and utility.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144782727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between evidence-based practice knowledge and skills and evidence-based practice implementation in subgroups of professional and work environment factors among hospital nurses: A cross-sectional study","authors":"Hideaki Furuki,&nbsp;Nao Sonoda,&nbsp;Akiko Morimoto","doi":"10.1111/jjns.70018","DOIUrl":"https://doi.org/10.1111/jjns.70018","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>While nurses' evidence-based practice (EBP) knowledge and skills are critical for its implementation, various factors may act as effect modifiers, potentially influencing the strength of the relationship between EBP knowledge and skills and EBP implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To quantitatively evaluate whether various professional and work environment factors modify the strength of the association between EBP knowledge and skills and EBP implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study was conducted between June and September 2022 among 2672 nurses in Japan. EBP knowledge and skills and EBP implementation were measured using the Japanese version of the EBP Questionnaire. Professional factors, such as years of experience and position, and work environment factors such as organizational attitude toward EBP were measured. Multiple regression analyses evaluated whether the association between EBP knowledge and skills and implementation varied across subgroups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seven hundred seventeen nurses (26.8%) were included in the final analysis. After adjusting for potential confounding factors, EBP knowledge and skills were positively associated with the EBP implementation. Among the seven factors tested, a statistically significant interaction effect on the relationship between EBP knowledge and skills and EBP implementation was observed only for organizational attitude toward EBP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings suggest that the association between EBP knowledge and skills and implementation may vary depending on the level of organizational support. It may be beneficial for nurse managers and educators to consider integrating EBP into education frameworks to enhance access to EBP learning opportunities. Promoting a workplace culture that prioritizes EBP may also help strengthen its implementation in clinical settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144773819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resilience, perceived control, and intention to receive additional vaccines for COVID-19 among healthcare university students: Mediating role of knowledge of vaccine and infection-preventive behaviors","authors":"Akiko Kondo,&nbsp;Renaguli Abuliezi,&nbsp;Erika Ota,&nbsp;Tomomi Oki,&nbsp;Kazuko Naruse","doi":"10.1111/jjns.70016","DOIUrl":"https://doi.org/10.1111/jjns.70016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>Psychological resilience is defined as an individual's ability to utilize strategies to cope with and grow because of stress or adversity; it is an individual's subjective belief about the amount of control he or she has over the environment or outcome. This study aimed to investigate the association between resilience, perceived control, and intention to receive additional COVID-19 vaccines among healthcare students, using the knowledge of the COVID-19 vaccine and infection-preventive behaviors as a mediating role.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a cross-sectional study through an online survey when the fourth wave of vaccinations started in Japan in 2022. The participants were nursing undergraduate and graduate students, and healthcare graduate students who had received at least one vaccine at four universities. Hayes' SPSS PROCESS and structured equation modeling were used for the analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The data of 1139 students were used for the analyses. Direct effect from resilience to intention to receive additional COVID-19 vaccines accounted for 67.3%, indirect effect via knowledge accounted for 19.4%, and preventive behaviors accounted for 12.2% of total effects. Direct effect from perceived control accounted for 43.5%, indirect effect via knowledge accounted for 4.8%, and preventive behaviors accounted for 51.6% of the total effect.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The resilience of healthcare students plays a significant role both directly and indirectly in increasing their intention to receive additional COVID-19 vaccines, by increasing knowledge of vaccines and increasing infection-preventive behaviors. Perceived control is also important in having higher preventive behaviors, which were associated with higher intention to receive additional COVID-19 vaccines.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144773820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation, adaptation, and psychometric assessment of the Alberta Context Tool for use with nurses in adult acute care in Japan","authors":"Asako Futami,&nbsp;Maiko Noguchi-Watanabe,&nbsp;Matthias Hoben,&nbsp;Manami Takaoka,&nbsp;Carole A. Estabrooks,&nbsp;Noriko Yamamoto-Mitani","doi":"10.1111/jjns.70013","DOIUrl":"https://doi.org/10.1111/jjns.70013","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Currently, there is no Japanese tool to measure organizational context factors that influence nurses' implementation of evidence-based practices. This study aimed to translate, culturally adapt, and psychometrically evaluate the Alberta Context Tool (ACT) for nurses in Japan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We completed forward translations with reconciliation, expert discussions, back translations with reconciliation, back translation review by tool developers, and semi-structured cognitive interviews with verbal probing. A convenience sample of nurses from five hospitals completed the translated tool. Item descriptives (including missing data), internal structure (confirmatory factor analyses [CFA]), criterion validity (correlations with Team Climate Inventory [TCI] items “support for innovative ideas”), internal consistency reliability (Cronbach's alpha, item–concept correlations), and test–retest reliability (intraclass correlation) were examined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Cognitive debriefing with nine nurses led to modifying 10 ACT items. A total of 508 nurses completed the survey. CFA showed an acceptable model fit for the seven scale-based concepts (<span></span><math>\u0000 <semantics>\u0000 <mrow>\u0000 <msup>\u0000 <mi>x</mi>\u0000 <mn>2</mn>\u0000 </msup>\u0000 </mrow>\u0000 <annotation>$$ {x}^2 $$</annotation>\u0000 </semantics></math> = 1037.28, root mean square error of approximation = 0.054, Comparative Fit Index = 0.913, Tucker–Lewis Index = 0.902, standardized root mean square residual = 0.053). Correlations between the 10 ACT concepts and TCI ranged from .08 to .43, with nine statistically significant (<i>p</i> &lt; .05). Cronbach's alpha ranged from .22 to .91 (exceeding 0.70 for 8/10 concepts), and item–concept correlations ranged from .15 to .96 (exceeding 0.70 for 26/56 items). Retest reliability (<i>N</i> = 65) ranged from 0.45 to 0.81.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The ACT Japanese version demonstrated initial evidence of acceptable validity and reliability for most concepts and items, supporting its use in assessing organizational context.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144751403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Care needs and factors reducing caregiver burden for children with special health care needs in out-of-home care in Japan: An observational study","authors":"Tomo Nonoyama,&nbsp;Koji Tamakoshi,&nbsp;Kazuteru Niinomi","doi":"10.1111/jjns.70012","DOIUrl":"https://doi.org/10.1111/jjns.70012","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study evaluated the special healthcare needs of children residing in infant homes, assessed the associated care burden, and identified factors influencing changes and reductions in care burden for these children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected from staff members responsible for each of the 213 infants and toddlers in infant homes. Statistical analyses included the chi-square test, Mann–Whitney <i>U</i> test, analysis of covariance, and Wilcoxon signed-rank test to evaluate changes in care needs, care time, and care burden. Logistic regression analysis was conducted to determine factors associated with reductions in care burden over a 6-month period for children with special healthcare needs who had been in care for at least 6 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among the 213 infants, 39.9% had special healthcare needs. The highest proportion of care time was allocated to feeding and lulling these children to sleep—activities requiring significantly more time than those for children without special needs. Over several months, the care burden for children with special needs tended to increase; however, it decreased for 19 (26.0%) of these children over a 6-month period. Multivariate analysis revealed that age (OR = 0.86) and total care hours 6 months earlier (OR = 1.13) were significantly associated with reductions in care burden.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Age and total care hours 6 months earlier were associated with a reduced care burden. When transitioning these children to family care, assessing the type and intensity of care required rather than the duration of care is crucial. Early intensive care may reduce care burden.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144256137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}