Award type：Award from Japanese society, conference, symposium, etc. 

Language：English   Publisher：Japan Society of Nursing Research  

<p>This study aimed (1) to clarify the actual operation of death conferences in Japanese visiting nursing stations and (2) to clarify the relationship between death conferences and willingness and confidence for end-of-life care and the practice of grief care. We randomly selected 1522 facilities from 9557 visiting nursing stations nationwide registered as "providing 'end-of-life care' services" using the Long-Term Care Services Information Disclosure System. The number of selected facilities was determined according to the number of nursing stations visited in each prefecture. Request letters and survey forms were sent to the concerned facilities, and one nurse manager was asked to respond to these forms. Of the 1496 nursing stations that featured end-of-life care in Japan, we received responses from 247 individuals, making 220 valid responses. Of these, 113 facilities (51.4%) responded that they hold death conferences. Univariate analysis showed correlations between death conferences and willingness and confidence in end-of-life grief care practices. These results suggest that holding death conferences may increase nurses' confidence and willingness for end-of-life care and the practice of grief care.</p>

DOI： 10.53044/jinr.2023-0022

CiNii Research

Language：English   Publishing type：Research paper (scientific journal)   Publisher：Japan Society of Nursing Research  

<p><b>Objective: </b>Psychosocial interventions during nursing consultations emotionally support and inform patients undergoing cancer diagnosis. In Japan, certified nurse specialists (CNSs) and certified nurses (CNs) mainly provide nursing consultations. Using communication skills in therapeutic nurse-patient relationships is an effective advanced nursing practice when performed consciously. We developed a scale to measure the frequency of oncology nurses' intentional use of communication skills in the initial oncology nursing consultation after a cancer diagnosis. <b>Methods: </b>Based on a literature review, we identified nine initial dimensions and developed a 32-item questionnaire. After the focus group interviews and pilot study between January and March 2018, the final questionnaire was administered to CNSs and CNs who offered nursing consultations to patients with cancer in Japanese hospitals. The properties of all scales and subscales were assessed using item-to-item and mean item-to-item correlations. The reliability was evaluated using Cronbach's alpha. Construct validity was assessed using exploratory factor analysis, correlations between all scales and characteristics, and contrast group comparisons. <b>Results: </b>The communication skills scale comprised 29 items across six dimensions of communication skills: Exploring, Listening, Acceptance, Silence, Approval, and Empathy. The scale has good reliability and validity. <b>Conclusions: </b>This scale is a valid and reliable item for self-assessing nurses' communication skills in the initial oncology nursing consultation after a cancer diagnosis.</p>

DOI： 10.53044/jinr.2022-0041

CiNii Research

Language：English   Publishing type：Research paper (scientific journal)   Publisher：Nagoya Journal of Medical Science  

Family caregivers of terminally ill cancer patients prepare for a patient’s death. Nursing-care for preparedness is effective for their psychological health. This study aims to structuralize nursing-care for preparedness and extract related factors while presenting the implications for improved quality of care. Data from a cross-sectional survey of general ward and palliative care unit nurses in designated cancer care hospitals (n=561) was analyzed with exploratory factor analysis and multiple regression analyses. The results of the analysis, the structure was classified into “Nurse-centered support” and “Support through inter-professional work.” Both supports were practiced significantly more frequently in palliative care units than general wards. Related factors in general wards were; communication skills, cooperation with doctors, the existence of certified nurse/certified nurse specialists as consultants, attitudes toward care of the dying, frequency of death conferences, and cooperation with specialist cancer counselors. Therefore, the results can help improve the quality of family care in palliative care, especially in general wards.

DOI： 10.18999/nagjms.86.1.121

Web of Science

Scopus

PubMed

Language：English   Publisher：Nagoya Journal of Medical Science  

Patients with nonalcoholic fatty liver disease (NAFLD) have illness uncertainty. The purpose of this longitudinal study was to investigate the effect of the degree of illness uncertainty in patients with NAFLD on liver function values. We conducted a questionnaire survey and collected blood samples from outpatients with NAFLD. The items in the questionnaire were measured for illness uncertainty using the Japanese version of the Mishel Uncertainty in Illness Scale-Community (MUIS-C). Blood samples were collected at baseline and after 1 year. We divided the patients into two groups: one with high illness uncertainty and the other with low illness uncertainty. We then compared changes in alanine transaminase (ALT) and aspartate aminotransferase (AST) levels over time from baseline using multiple regression analysis. This study analyzed 148 patients with NAFLD; 75 were male and 73 were female, with a mean age of 58.4 ± 12.3 years. The group with higher illness uncertainty had significantly higher ALT and AST levels at 1 year (b =.185 and.183, respectively) than the group with lower illness uncertainty. High illness uncertainty in patients with NAFLD can lead to higher ALT and AST levels. Healthcare providers must focus on reducing illness uncertainty in patients with NAFLD.

DOI： 10.18999/nagjms.84.4.857

Web of Science

Scopus

PubMed

Language：Japanese   Publisher：American Journal of Hospice and Palliative Medicine  

End-of-life discussions are essential for patients with advanced cancer, but there is little evidence about whether these discussions affect general ward patients and family outcomes. We investigated the status of end-of-life discussions and associated factors and their effects on patients’ quality of death and their families’ mental health. Participants in this retrospective cross-sectional observational study were 119 bereaved family members. Data were collected through a survey that included questions on the timing of end-of-life discussions, quality of palliative care, quality of patient death, and depression and grief felt by the families. Approximately 64% of the bereaved family members participated in end-of-life discussions between the patient and the attending physician, and 55% of these discussions took place within a month before death. End-of-life discussions were associated with the patients’ prognostic perception as “incurable, though there is hope for a cure” and “patients’ experience with end-of-life discussions with family before cancer.” There was a small decrease in depression and grief for families of patients who had end-of-life discussions. Those who did not have end-of-life discussions reported lower quality of end-of-life care.

DOI： 10.1177/10499091211061713

Web of Science

Scopus

PubMed

Total pages：305   Language：Japanese Book type：Textbook, survey, introduction

Language：Japanese  

Language：Japanese   Publisher：インターナショナルNursing Care Research研究会  

本研究の目的は、某地域の中小規模病院に勤務する臨床看護師の研究力育成のために、研究者らが開発した『大学として取り組むことができる研究支援プログラム(導入期)』の効果を明らかにすることである。研究方法は、質問紙調査とグループインタビューにより評価した。その結果、集合プログラムは文献レビュー、研究動機・研究目的の明確化、倫理的配慮の必要性の理解に繋がった。しかし、集合プログラム直後は理解するが、個人プログラムで取り組んでみると理解が不十分になることを繰り返していた。また、個人プログラムは、研究対象者の業務の多忙さ、共同研究者のサポート不足、共同研究者の確保や共働の難しさ、担当教員とのやり取りの難しさ等があり、研究が進まず強い不安があった。個人プログラムにおいて、継続的かつ綿密な研究支援が必要になると示唆された。(著者抄録)

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Authorship：Lead author  

Event date： 2022.2

Language：Japanese  

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Event date： 2021.8

Language：Japanese  

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Event date： 2020.12

Language：Japanese  

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Event date： 2016.11

Language：English  

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