{"title":"Effects of Breastfeeding on Stress Measured by Saliva Cortisol Level and Perceived Stress.","authors":"Kiyoko Mizuhata, Hatsumi Taniguchi, Mieko Shimada, Naoko Hikita, Seiichi Morokuma","doi":"10.31372/20200503.1100","DOIUrl":"https://doi.org/10.31372/20200503.1100","url":null,"abstract":"<p><p><b>Purpose:</b> The effects of breastfeeding on postpartum depression symptoms and stress using physiological measures require investigation. <b>Background:</b> Breastfeeding suppresses the secretion of cortisol. Oxytocin levels correlate negatively with symptoms of postpartum depression. <b>Aim:</b> To investigate the effects of breastfeeding on stress and postpartum depression. <b>Methods:</b> We examined 79 breastfeeding women using the Edinburgh Postnatal Depression Scale, the Perceived Stress Scale-10, and the Breastfeeding Self-Efficacy Scale, and measured the salivary cortisol levels before and after breastfeeding. <b>Findings:</b> There was a negative correlation between the duration of suckling and changes in salivary cortisol levels following breastfeeding (<i>r</i> <sub>s</sub> = -0.333, <i>p</i> < 0.05). Salivary cortisol levels immediately following breastfeeding were significantly lower compared to mothers who used mixed feeding methods (<i>p</i> < 0.001). Breastfeeding mothers had lower perceived stress than mothers using mixed feeding methods (β = -0.260, <i>p</i> < 0.05). There was no association between breastfeeding and postpartum depression; however, there was an association between postpartum depression and perceived stress (<i>β</i> = 0.526, <i>p</i> < 0.001). <b>Conclusion:</b> Salivary cortisol levels significantly decreased following breastfeeding, with longer suckling times correlating with lower cortisol levels. Breastfeeding reduced stress and increased breastfeeding self-efficacy.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"5 3","pages":"128-138"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7733634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38717067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Terminological Usage Related to Dyspnea by Nursing Staff: A Cross-Sectional Questionnaire Survey.","authors":"Yuko Nemoto, Sayuri Suzuki, Shinichiro Okauchi, Katsunori Kagohashi, Hiroaki Satoh","doi":"10.31372/20190404.1065","DOIUrl":"https://doi.org/10.31372/20190404.1065","url":null,"abstract":"<p><p>In recent years, additional expressions such as 'sensation of breathing discomfort' and 'discomfort of dyspnea' are being used in daily nursing care in Japan. To better understand the current status of the use of these terms by nurses, and to ascertain what the term 'dyspnea' may not express, we designed an original questionnaire and conducted a study with all nurses at our hospital. The questionnaire included questions to determine if nurses used these terms, and in what context. Of the 279 nurses in our hospital, 225 (80.6%) responded. Three-quarters of nurses indicated that they use these terms in clinical nursing practice. There was no difference in the usage of these terms between nurses who had or had not worked in a respiratory outpatients/ward. However, the percentage of nurses using these terms was higher amongst those with 10 years or less nursing experience compared with those with more than 10 years' experience. Open-ended questions revealed that these terms were used to communicate information between nurses and between nurses and patients' families. Our observations need to be verified in large-scale studies to determine if these terms are meaningful for nursing practice in that they describe something not expressed with 'dyspnea'. There is the possibility of confusion due to the use of inappropriate terms and a lack of education on the subject. Many nurses used these terms, and there may be things that the term 'dyspnea' could not express. The results of this study can be used to identify something that is lacking in communication about dyspnea between nurses, nurses and patients, and nurses and patients' families.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"4 4","pages":"144-150"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7014382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37640752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Validity of Infant Face Skin Assessment by Parents at Home.","authors":"Kaori Yonezawa, Megumi Haruna, Reiji Kojima","doi":"10.31372/20190404.1071","DOIUrl":"https://doi.org/10.31372/20190404.1071","url":null,"abstract":"<p><p>Parents had better to assess their infant's skin daily to prevent the development of any skin problems. However, there are no standard methods for assessing infant skin at home. This study aimed to validate the assessment of infant face skin conditions by parents as compared to using skin barrier function clinical tests. In addition, we evaluated the degree of agreement between parents and physicians/midwives when assessing an infant's skin. A cross-sectional study involving 184 infants aged 3 months was conducted. To evaluate the parents' infant skin assessment, we used the Neonatal Skin Condition Score (NSCS). On the same day, we evaluated the skin barrier function on the infant's forehead and cheek, including transepidermal water loss (TEWL), stratum corneum hydration, skin pH, and sebum secretion. Skin barrier function values were correlated with infant skin condition assessed by parents, especially in cases of TEWL of the cheek, for which a moderate positive correlation was found between parental assessment score (ρ = 0.448). In addition, infant with skin problems based on parental assessment had a significantly higher TEWL, lower SCH, and higher skin pH. However, there was weak agreement between parental and physician/midwife assessment. Thus, there was a relationship between parental assessment and skin barrier function; thus, parents can use at-home assessment to assist with infant skin care. In the future, research focused on developing methods of examining infant skin conditions should consider incorporate parental daily skin assessment.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"4 4","pages":"128-134"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7014379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37640749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Efficacy of a Culturally and Linguistically Competent Community Health Coach Intervention for Chinese with Hypertension.","authors":"Wen-Wen Li, Donna Lew, Linda Quach","doi":"10.31372/20200503.1087","DOIUrl":"https://doi.org/10.31372/20200503.1087","url":null,"abstract":"<p><p><b>Purpose:</b> To develop and pilot test the efficacy of a culturally and linguistically sensitive, community health coach (CHC)-based intervention in Chinese immigrants in improving blood pressure control and medication adherence. <b>Design:</b> This study was conducted in 2017 with a cross-sectional design (<i>n</i> = 23). A CHC intervention was implemented using one 25-minute group educational presentation plus one 10-minute question and answer session at baseline, followed by four, 10-minute bi-weekly group question-and-answer sessions. <b>Findings:</b> There was a significant reduction in both systolic and diastolic blood pressure from baseline to week 8: Systolic BP -17.33 (±11.32) (<i>p</i> < 0.005) and diastolic BP -9.58 (±6.57) (<i>p</i> < 0.005). The mean score for medication adherence was 10.56 (±3.24) (possible range 3-15) at baseline and there was no significant change at week 8 (mean 10.89 ± 3.95) (<i>p</i> = 0.86). <b>Conclusion:</b> The CHC-based hypertension management program showed significant reductions in both systolic and diastolic blood pressures in Chinese immigrants. Since the proposed CHC-based hypertension management program is low cost and easy to establish, further investigation is recommended to generate more results for comparison. <b>Practice Implications:</b> There is potential for the CHC intervention to be implemented in clinical settings to help Chinese immigrants at large achieve optimal blood pressure control.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"5 3","pages":"111-119"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7733636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38717065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors Associated with Time Spent Performing Housework/Childcare by Fathers of Children Aged Under 12 Years: A Cross-Sectional Study in Japan.","authors":"Rina Matsubara, Naoko Hikita, Megumi Haruna, Emi Sasagawa, Kaori Yonezawa, Yumi Maeda, Yuka Ikeda","doi":"10.31372/20200503.1111","DOIUrl":"https://doi.org/10.31372/20200503.1111","url":null,"abstract":"<p><p><b>Objective:</b> The objective of this study is to determine the factors associated with time spent performing housework/childcare by fathers of children under 12 years of age (preschool and elementary school children) in Japan. <b>Methods:</b> An online survey of employees and employers was conducted in 2017. Of the 7,796 total responses to the survey, those of 621 fathers of children aged 0-12 years were analyzed. Participants were divided into two groups: fathers of children aged 0-6 years, and fathers of children aged 7-12 years. Multiple logistic regression analysis was performed on the items for which there was a significant intergroup difference, setting time spent performing housework as the dependent variable and the survey items as the independent variables. <b>Results:</b> For fathers of children aged 0-6 years, working 40 hours or less per week and commuting for one hour or less were associated with more time spent performing housework/childcare. For fathers of children aged 7-12 years, working less than 40 hours a week, working from home more than once a week, and having spouses with full-time jobs were associated with more time spent performing housework/childcare. <b>Conclusion:</b> This study revealed the factors associated with the time spent by fathers of children under 12 in performing housework/childcare. As several of these factors cannot be altered by the fathers' efforts alone, companies and society in general must endeavor to improve work styles to better suit the habits and preferences of fathers. This will promote work-life balance and create better family relationships.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"5 3","pages":"153-164"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7733631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38714531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Systematic Review of Racial and Ethnic Disparities in Maternal Health Outcomes among Asians/Pacific Islanders.","authors":"Janice Hata, Adam Burke","doi":"10.31372/20200503.1101","DOIUrl":"https://doi.org/10.31372/20200503.1101","url":null,"abstract":"<p><p>Efforts to improve women's health and to reduce maternal mortality worldwide have led to a notable reduction in the global maternal mortality ratio (MMR) over the past two decades. However, it is clear that maternal health outcomes are not equitable, especially when analyzing the scope of maternal health disparities across \"developed\" and \"underdeveloped\" nations. This study evaluates recent MMR scholarship with a particular focus on the racial and ethnic divisions that impact on maternal health outcomes. The study contributes to MMR research by analyzing the racial and ethnic disparities that exist in the US, especially among Asian and Pacific Islander (API) subgroups. The study applies exclusionary criteria to 710 articles and subsequently identified various maternal health issues that disproportionately affect API women living in the US. In applying PRISMA review guidelines, the study produced 22 peer-reviewed articles that met inclusionary and exclusionary criteria for this review. The data analysis identified several maternal health foci: obstetric outcomes, environmental exposure, obstetric care and quality measures, and pregnancy-related measures. Only eight of the 22 reviewed studies disaggregated API populations by focusing on specific subgroups of APIs, which signals a need to reconceptualize marginalized API communities' inclusion in health care systems, to promote their equitable access to care, and to dissolve health disparities among racial and ethnic divides. Several short- and long-term initiatives are recommended to develop and implement targeted health interventions for API groups, and thus provide the groundwork for future empirically driven research among specific API subgroups in the US.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"5 3","pages":"139-152"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7733630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38714530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introduction to Special Abstract Section on Disseminating New Knowledge and Practices for Asian and Pacific Islanders.","authors":"","doi":"10.31372/20200503.1112","DOIUrl":"https://doi.org/10.31372/20200503.1112","url":null,"abstract":"We are very pleased to publish our first special section of student and community abstracts and brief reports. Students of all disciplines and community\u0000members interested in disseminating new knowledge and practices submitted their papers. By accepting abstracts as well as short papers, a new opportunity\u0000was afforded for students, faculty, and community members to share their scholarship relative to the health of Asian/Pacific Islanders. The Asian/Pacific Island Nursing Journal is pleased to support and promote their scholarly endeavors particularly from\u0000those of Asian/Pacific Islander background.\u0000Congratulations to S. Robert Spence Jr., a DNP-FNP student at Washington State University, who was awarded the first student scholarship for publication in the APIN student/community papers special issue. He is the first author for the abstract\u0000“Gaining Entrée into a Micronesian Islander-Based Community Organization Through Culturally Responsive Team Building and Reflection.”","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"5 3","pages":"165"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7733638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38714532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aholoa Lāna'i!","authors":"May K Kealoha","doi":"10.31372/20200503.1093","DOIUrl":"https://doi.org/10.31372/20200503.1093","url":null,"abstract":"Asthma is a major public health concern for\u0000the state of Hawai‘i, where 10% of adults reported\u0000current asthma status in 2016 (Centers for Disease\u0000Control and Prevention, 2018). Each county reported\u0000high prevalence rates: Hawai‘i, 19.6%; Honolulu,\u000017.3%; Kaua‘i, 15.4%; Maui, 17.2% (Hawai‘i Health\u0000Data Warehouse, 2016). Lāna‘i is the smallest island\u0000in the State consisting of 141 square miles and a\u0000population of 3,102 (U.S. Census Bureau, 2018).\u0000Although robust asthma data exist for metropolitan\u0000Honolulu, statistics are unavailable for Lāna‘i. If data\u0000were to be extrapolated using whole ethnic populations\u0000and adult asthma rates (Hawai‘i Health Data\u0000Warehouse, 2016), 184 (13%) Filipinos and 200\u0000(28.4%) part-Hawaiian and other Pacific Islanders\u0000may be affected by the condition.","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"5 3","pages":"185-187"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7733635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38714538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Lera, Kiriaki Taxtsoglou, Christos Iliadis, Aikaterini Frantzana, Lambrini Kourkouta
{"title":"Nurses' Attitudes Toward Lifelong Learning via New Technologies.","authors":"Maria Lera, Kiriaki Taxtsoglou, Christos Iliadis, Aikaterini Frantzana, Lambrini Kourkouta","doi":"10.31372/20200502.1088","DOIUrl":"https://doi.org/10.31372/20200502.1088","url":null,"abstract":"<p><p><b>Introduction:</b> Lifelong professional education is considered as a qualitative indicator in the health discipline, as it can improve health professionals' knowledge and skills, as well as nursing care. <b>Purpose:</b> The purpose of this original research is to examine and record the attitudes and behavior of nurses working in state-run hospitals in the Municipality of Thessaloniki regarding lifelong education through new technologies. Identification of nurses' motivations for lifelong distance education, recording of nurses' perception of the need for continuing nursing education, and determining how nurses pursue lifelong learning are the objectives of this study. <b>Methodology:</b> The study was conducted between January and March 2019. The sample of the study consisted of 124 nurses (<i>n</i> = 124) from three state hospitals of the Municipality of Thessaloniki. A questionnaire consisting of 5 parts was used as a research tool. SPSS 23 statistical software platform was used for statistical analysis. <b>Results:</b> The sample consisted of 124 participants, 12 were men and 112 were women. The mean age of the participants was 42.37 years and the mean experience in the field was 16.78 years. Two main reasons for continuing education were attributed to the upgrade of the nursing profession and the need to improve the quality of care provided. <b>Conclusions:</b> Nurses believe that continuing education is essential and their professional knowledge must periodically be enriched and renewed.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"5 2","pages":"89-102"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7544016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38477679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}