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Topaz M, Peltonen LM, Michalowski M, Stiglic G, Ronquillo C, Pruinelli L, Song J, O'Connor S, Miyagawa S, Fukahori H. The ChatGPT Effect: Nursing Education and Generative Artificial Intelligence. J Nurs Educ 2024:1-4. [PMID: 38302101 DOI: 10.3928/01484834-20240126-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2024]
Abstract
This article examines the potential of generative artificial intelligence (AI), such as ChatGPT (Chat Generative Pre-trained Transformer), in nursing education and the associated challenges and recommendations for their use. Generative AI offers potential benefits such as aiding students with assignments, providing realistic patient scenarios for practice, and enabling personalized, interactive learning experiences. However, integrating generative AI in nursing education also presents challenges, including academic integrity issues, the potential for plagiarism and copyright infringements, ethical implications, and the risk of producing misinformation. Clear institutional guidelines, comprehensive student education on generative AI, and tools to detect AI-generated content are recommended to navigate these challenges. The article concludes by urging nurse educators to harness generative AI's potential responsibly, highlighting the rewards of enhanced learning and increased efficiency. The careful navigation of these challenges and strategic implementation of AI is key to realizing the promise of AI in nursing education. [J Nurs Educ. 2024;63(X):XXX-XXX.].
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Anderson JG, Chesla CA, Fukahori H, Sakka M, Honda J, Ikeda M. Japanese and U.S. Cultural Exchange: Caring for Aging Family Members in the Community. J Fam Nurs 2024; 30:3-6. [PMID: 38160403 DOI: 10.1177/10748407231222687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2024]
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Hirooka K, Fukahori H, Ninomiya A, Fukui S, Takahashi K, Anzai T, Ishibashi T. Impact of family involvement and an advance directive to not hospitalize on hospital transfers of residents in long-term care facilities. Arch Gerontol Geriatr 2024; 117:105183. [PMID: 37690255 DOI: 10.1016/j.archger.2023.105183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Revised: 09/04/2023] [Accepted: 09/04/2023] [Indexed: 09/12/2023]
Abstract
OBJECTIVE With the rapidly aging population, the number of residents transferred to hospitals from long-term care facilities (LTCFs) is increasing globally. The objective of this study was to investigate the association between family involvement and an advance directive (AD) for not hospitalizing and hospital transfers among LTCF residents with dementia. METHOD Using the InterRAI assessment database from September 2014 to June 2019, we included 874 residents from 16 LTCFs in Japan. RESULTS Of the 874 participants, 19.0% had an AD for not hospitalizing, and 20.5% were transferred to hospitals. An AD for not hospitalizing decreased the likelihood of hospital transfers (p = 0.005). Multilevel logistic regression analysis showed that family involvement was not associated with hospital transfers (odds ratio [OR]: 1.18; 95% confidence interval [CI]: 0.77-1.80), while an AD for not hospitalizing was significantly associated with decreased hospital transfers (OR: 0.50; 95% CI: 0.28-0.89) among the LTCF residents. CONCLUSIONS Although ADs are not legally defined in Japan, we found that an AD for not hospitalizing decreased hospital transfers. Given that many older people tend to hesitate to express their wishes in clinical decision-making situations in Japan, regular discussions are necessary to help them express their care preferences while also documenting the discussions to ensure the residents receive high-quality care.
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Affiliation(s)
- Kayo Hirooka
- Department of Home Health and Palliative Care Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan; The Dia Foundation for Research on Ageing Societies, Tokyo, Japan.
| | - Hiroki Fukahori
- Division of Gerontological Nursing, Faculty of Nursing and Medical Care, Keio University, Kanagawa, Japan
| | - Ayako Ninomiya
- The Dia Foundation for Research on Ageing Societies, Tokyo, Japan; Division of Fundamental Nursing, Josai International University, Chiba, Japan
| | - Sakiko Fukui
- Department of Home Health and Palliative Care Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan; The Dia Foundation for Research on Ageing Societies, Tokyo, Japan
| | - Kunihiko Takahashi
- Department of Biostatistics, M&D Data Science Center, Tokyo Medical and Dental University, Tokyo, Japan
| | - Tatsuhiko Anzai
- Department of Biostatistics, M&D Data Science Center, Tokyo Medical and Dental University, Tokyo, Japan
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Nasu K, Miyashita M, Hirooka K, Endo T, Fukahori H. Ambulance use and emergency department visits among people with dementia: A cross-sectional survey. Nurs Health Sci 2023; 25:712-720. [PMID: 37987542 DOI: 10.1111/nhs.13066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Revised: 09/29/2023] [Accepted: 10/26/2023] [Indexed: 11/22/2023]
Abstract
This study aimed to explore factors associated with ambulance use and emergency department (ED) visits among people with dementia in the month before death. A web-based survey of bereaved family caregivers of people with dementia was conducted in March 2020. Multivariate logistic regression analyses were conducted with ambulance use and ED visits in the month before death as dependent variables. Age and gender of people with dementia and their family caregivers, home care use, decision-makers, comorbidities, degree of independence in daily living, and caregivers' preparedness for death were independent variables. Data were collected from 817 caregivers of people with dementia who had died at hospitals (52.4%), long-term care facilities (25.0%), or own homes (22.4%). Caregivers' lack of preparedness for death was significantly associated with ambulance use in the month before death. Comorbidites and males with dementia were significantly associated with ED visits in the month before death. Better death preparedness of family caregivers may reduce ambulance use for symptoms that can be more effectively addressed by palliative care than acute care for people with dementia.
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Affiliation(s)
- Katsumi Nasu
- Keio Research Institute at SFC, Fujisawa, Japan
- School of Nursing, Yasuda Women's University, Hiroshima, Japan
| | | | - Kayo Hirooka
- Graduate School of Health Care Science, Tokyo Medical and Dental University, Tokyo, Japan
| | - Takuro Endo
- International University of Health and Welfare Narita Hospital, Narita, Japan
| | - Hiroki Fukahori
- Faculty of Nursing and Medical Care, Keio University, Fujisawa, Japan
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Mashida Y, Fukahori H, Ikezaki S, Fukui S. Patterns of visiting nurse services for older adults in Japanese residential facilities: A latent class analysis. Geriatr Gerontol Int 2023; 23:326-333. [PMID: 36948890 DOI: 10.1111/ggi.14570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Revised: 02/15/2023] [Accepted: 02/21/2023] [Indexed: 03/24/2023]
Abstract
AIM To examine the patterns of the visiting nurse services provided to older adults in a type of residential facility in Japan and to identify associated factors. METHODS This secondary analysis used past survey data from visiting nurse service agencies providing services to older adults in residential facilities with few nurses, known as non-specified facilities in Japan. Approximately 515 cases were used to determine the patterns of visiting nurse services using latent class analysis. Multinomial logistic regression analysis examined the relationships between identified classes, residents' characteristics, facilities, and services provided by visiting nurses. RESULTS Three service patterns were identified as follows: Class 1, observational and follow-up care (37.1%); Class 2, chronic disease care (35.7%); and Class 3, end-of-life care (27.2%). Class 1 comprised fewer nursing services than the other classes and primarily involved the observation of medical conditions, whereas Classes 2 and 3 involved higher care-need levels and provided diverse nursing care support. Specifically, Class 3 was associated with the inclusion of family (odds ratio: 2.42) and a visiting nurse at the attached facility (odds ratio: 4.88). CONCLUSIONS The three identified classes describe the older residents' healthcare needs. Additionally, the factors associated with the end-of-life care class suggest that older residents with these factors may have difficulty accessing end-of-life care by visiting nurses. Geriatr Gerontol Int 2023; ••: ••-••.
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Affiliation(s)
- Yuriko Mashida
- Faculty of Nursing and Medical Care, Keio University, Fujisawa, Japan
| | - Hiroki Fukahori
- Faculty of Nursing and Medical Care, Keio University, Fujisawa, Japan
| | - Sumie Ikezaki
- Graduate School of Nursing, Chiba University, Chiba, Japan
| | - Sakiko Fukui
- Graduate School of Health Care Science, Tokyo Medical and Dental University, Tokyo, Japan
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Tomotaki A, Sakai I, Fukahori H, Tsuda Y, Okumura-Hiroshige A. Factors affecting the critical appraisal of research articles in Evidence-Based practices by advanced practice nurses: A descriptive qualitative study. Nurs Open 2023; 10:3719-3727. [PMID: 36698246 PMCID: PMC10170922 DOI: 10.1002/nop2.1628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2022] [Revised: 12/17/2022] [Accepted: 01/13/2023] [Indexed: 01/27/2023] Open
Abstract
AIM To describe factors affecting critical appraisal of research articles in evidence-based practice by certified nurse specialists who were advanced practice nurses in Japan. DESIGN A descriptive qualitative study. METHODS Fourteen certified nurse specialists with master's degree were included by a snowball sampling to maximize the variety of specialty fields for advanced practice nurses in Japan. Individual semi-structured interviews were conducted between November 2016 and March 2017. Interview guides included the experience of evidence-based practice and learning about critical appraisal. RESULTS The following four aspects were identified as factors affecting the critical appraisal of research articles in evidence-based practices-individual beliefs and attitude, learning status, organizational readiness and availability of research evidence. Each factor included both positive and negative aspects for critical appraisal in evidence-based practice. PATIENT OR PUBLIC CONTRIBUTION If advanced practice nurses acquire knowledge/skills of critical appraisal, they would be able to select more appropriate care. This will increase to improve the health-related outcome for patients or populations.
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Affiliation(s)
- Ai Tomotaki
- Faculty of Nursing, School of Medicine, Tokai University, Isehara-shi, Kanagawa, Japan
| | - Ikuko Sakai
- Department of Nursing Systems Management, Graduate School of Nursing, Chiba University, Chiba-shi, Chiba, Japan
| | - Hiroki Fukahori
- Faculty of Nursing and Medical Care, Keio University, Fujisawa-shi, Kanagawa, Japan
| | - Yasunobu Tsuda
- St. Marianna University Hospital, Kawasaki-shi, Kanagawa, Japan
| | - Akemi Okumura-Hiroshige
- Department of Nursing Science, Faculty of Health Sciences, Tokyo Metropolitan University, Arakawa-ku, Tokyo, Japan
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Tsuji M, Fukahori H, Sugiyama D, Doorenbos A, Nasu K, Mashida Y, Ogawara H. Factors related to liability for damages for adverse events occurring in long-term care facilities. PLoS One 2023; 18:e0283332. [PMID: 37205652 DOI: 10.1371/journal.pone.0283332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Accepted: 03/07/2023] [Indexed: 05/21/2023] Open
Abstract
Globally, residents of long-term care facilities (LTCFs) often experience adverse events (AEs) and corresponding lawsuits that result in suffering among the residents, their families, and the facilities. Hence, we conducted a study to clarify the factors related to the facilities' liabilities for damages for the AEs that occur at LTCFs in Japan. We analyzed 1,495 AE reports from LTCFs in one Japanese city. A binomial logistic regression analysis was conducted to identify factors associated with liability for damages. The independent variables were classified as: residents, organizations, and social factors. In total, 14% of AEs resulted in the facility being liable for damages. The predictors of liability for damages were as follows: for the resident factors, the increased need for care had an adjusted odds ratio (AOR) of 2.00 and care levels of 2-3; and AOR of 2.48 and care levels of 4-5. The types of injuries, such as bruises, wounds, and fractures, had AORs of 3.16, 2.62, and 2.50, respectively. Regarding the organization factors, the AE time, such as noon or evening, had an AOR of 1.85. If the AE occurred indoors, the AOR was 2.78, and if it occurred during staff care, the AOR was 2.11. For any follow-ups requiring consultation with a doctor, the AOR was 4.70, and for hospitalization, the AOR was 1.76. Regarding the type of LTCF providing medical care in addition to residential care, the AOR was 4.39. Regarding the social factors, the reports filed before 2017 had an AOR of 0.58. The results of the organization factors suggest that liability tends to arise in situations where the residents and their family expect high quality care. Therefore, it is imperative to strengthen organizational factors in such situations to avoid AEs and the resulting liability for damages.
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Affiliation(s)
- Mayumi Tsuji
- Department of Health Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki-shi, Nagasaki, Japan
- Graduate School of Health Management, Faculty of Nursing and Medical Care, Keio University, Fujisawa-shi, Kanagawa, Japan
| | - Hiroki Fukahori
- Graduate School of Health Management, Faculty of Nursing and Medical Care, Keio University, Fujisawa-shi, Kanagawa, Japan
- Faculty of Nursing and Medical Care, Keio University, Fujisawa-shi, Kanagawa, Japan
| | - Daisuke Sugiyama
- Graduate School of Health Management, Faculty of Nursing and Medical Care, Keio University, Fujisawa-shi, Kanagawa, Japan
- Faculty of Nursing and Medical Care, Keio University, Fujisawa-shi, Kanagawa, Japan
| | - Ardith Doorenbos
- Department of Bio-behavioral Health Science, College of Nursing, University of Illinois, Illinois, Chicago, United States of America
| | - Katsumi Nasu
- Faculty of Nursing, Yasuda Women's University, Hiroshima-shi, Hiroshima, Japan
| | - Yuriko Mashida
- Faculty of Nursing and Medical Care, Keio University, Fujisawa-shi, Kanagawa, Japan
| | - Hirofumi Ogawara
- Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan
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Inoue M, Fukahori H, Matsubara M, Yoshinaga N, Tohira H. Latent Dirichlet allocation topic modeling of free-text responses exploring the negative impact of the early COVID-19 pandemic on research in nursing. Jpn J Nurs Sci 2022; 20:e12520. [PMID: 36448530 PMCID: PMC9877805 DOI: 10.1111/jjns.12520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Revised: 10/12/2022] [Accepted: 10/30/2022] [Indexed: 12/03/2022]
Abstract
AIM To derive latent topics from free-text responses on the negative impact of the pandemic on research activities and determine similarities and differences in the resulting themes between academic-based and clinical-based researchers. METHODS We performed a secondary analysis of free-text responses from a cross-sectional online survey conducted by the Japan Academy of Nursing Science of its members in early 2020. The participants were categorized into two groups by workplace (academic-based and clinical-based researchers). Latent Dirichlet allocation (LDA) topic modeling was used to extract latent topics statistically and list important keywords/text associated with the topics. After organizing similar topics by principal component analysis (PCA), we finally derived topic-associated themes by reading the keywords/texts and determining the similarity and differences of the themes between the two groups. RESULTS A total of 201 respondents (163 academic-based and 38 clinical-based researchers) provided free-text responses. LDA identified eight and three latent topics for the academic-based and clinical-based researchers, respectively. While PCA re-grouped the eight topics derived from the former group into four themes, no merging of the topics from the latter group was performed resulting in three themes. The only theme common to the two groups was "barriers to conducting research," with the remaining themes differing between the groups. CONCLUSIONS Using LDA topic modeling with PCA, we identified similarities and differences in the themes described in free-text responses about the negative impact of the pandemic between academic-based and clinical-based researchers. Measures to mitigate the negative impact of pandemics on nursing research may need to be tailored separately.
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Affiliation(s)
- Madoka Inoue
- University of MiyazakiMiyazakiJapan,Curtin UniversityBentleyWestern AustraliaAustralia
| | - Hiroki Fukahori
- Keio UniversityTokyoJapan,COVID‐19 Nursing Research Countermeasures CommitteeJapan Academy of Nursing ScienceTokyoJapan
| | | | - Naoki Yoshinaga
- University of MiyazakiMiyazakiJapan,COVID‐19 Nursing Research Countermeasures CommitteeJapan Academy of Nursing ScienceTokyoJapan
| | - Hideo Tohira
- University of MiyazakiMiyazakiJapan,Curtin UniversityBentleyWestern AustraliaAustralia,The University of Western AustraliaCrawleyWestern AustraliaAustralia
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Takeuchi A, Yokota S, Tomotaki A, Fukahori H, Shimpuku Y, Yoshinaga N. Relationship between research activities and individual factors among Japanese nursing researchers during the COVID-19 pandemic. PLoS One 2022; 17:e0271001. [PMID: 36001598 PMCID: PMC9401111 DOI: 10.1371/journal.pone.0271001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Accepted: 06/21/2022] [Indexed: 11/30/2022] Open
Abstract
Aim To explore the individual factors (such as gender, division of household labor, childcare and elder care) and their impact on research activities in the Japanese nursing research community during the early stage of the COVID-19 pandemic from April to June in 2020. Design Cross-sectional study. Methods An online survey with a self-reported questionnaire was conducted on Japan Academy of Nursing Science members to explore the impacts of individual factors among Japanese nursing researchers from April to June 2020. A multivariate logistic regression model was used for data analysis. Results A total of 1,273 participants (90.7% female, 85.8% university faculty) were included in the analysis. This survey showed that no evidence of a significant gender gap was found in research activities in Japanese nursing researchers during the COVID-19 pandemic. Research activities during the pandemic were associated with time and motivation.
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Affiliation(s)
- Ayano Takeuchi
- Department of Preventive Medicine and Public Health, School of Medicine, Keio University, Tokyo, Japan
- * E-mail:
| | | | - Ai Tomotaki
- Division of Informatics, Faculty of Nursing, National College of Nursing, Tokyo, Japan
| | - Hiroki Fukahori
- Division of Gerontological Nursing, Faculty of Nursing and Medical Care, Keio University, Tokyo, Japan
| | - Yoko Shimpuku
- Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Naoki Yoshinaga
- School of Nursing, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
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Hirooka K, Okumura Y, Matsumoto S, Fukahori H, Ogawa A. Quality of End-of-Life in Cancer Patients With Dementia: Using A Nationwide Inpatient Database. J Pain Symptom Manage 2022; 64:1-7. [PMID: 35367609 DOI: 10.1016/j.jpainsymman.2022.03.016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Revised: 03/22/2022] [Accepted: 03/24/2022] [Indexed: 12/27/2022]
Abstract
CONTEXT The growing number of older people significantly affects end-of-life care. However, few studies have assessed the quality of end-of-life care among cancer patients with dementia. OBJECTIVES To assess the quality of end-of-life care among non-small cell lung cancer patients with or without dementia using a nationwide inpatient database from Japan. METHODS This was a retrospective observational study that used a nationwide inpatient database of 366 acute care hospitals from April 2014 to November 2018. Poisson regression models were used where the quality indicator was the dependent variable, dementia status was the independent variable, and the age group and Charlson comorbidity index were covariates. Incidence proportion ratios (IPRs) and confidence intervals (CIs) were obtained from the model. RESULTS The study population included 16,758 patients, of whom 4507 (26.9%) had dementia. The incidence proportion of opioid use (61.8% vs. 70.8%; IPR: 0.87, 95% CI: 0.83-0.91), palliative care consultation (2.7% vs. 3.8%; IPR: 0.71, 95% CI: 0.58-0.88), mechanical ventilation (4.0% vs. 5.4%; IPR: 0.74, 95% CI: 0.62-0.87), and cardiopulmonary resuscitation (2.2% vs. 2.8%; IPR: 0.79, 95% CI: 0.63-0.99) was significantly lower in patients with dementia than in those without dementia. CONCLUSION Patients with dementia are less likely to receive end-of-life care. This study demonstrates the importance of providing high-quality end-of-life care regardless the cognitive status of patients with cancer.
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Affiliation(s)
- Kayo Hirooka
- Department of Home Care Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan (K.H.)
| | - Yasuyuki Okumura
- Initiative for Clinical Epidemiological Research, Tokyo, Japan (Y.O.).
| | - Sachiko Matsumoto
- Department of Gerontological Nursing, Japanese Red Cross College of Nursing, Faculty of Nursing at Saitama, Saitama, Japan (S.M.)
| | - Hiroki Fukahori
- Division of Gerontological Nursing, Faculty of Nursing and Medical Care, Keoi University, Kanagawa, Japan (H.F.)
| | - Asao Ogawa
- Psycho Oncology Division, Research Center for Innovative Oncology, National Cancer Center Hospital East, Kashiwa-shiChiba, Japan (A.O.)
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Shorey S, Ang E, Baridwan NS, Bonito SR, Dones LBP, Flores JLA, Freedman-Doan R, Fukahori H, Hirooka K, Koy V, Lee WL, Lin CC, Luk TT, Nantsupawat A, Nguyen ATH, Nurumal MS, Phanpaseuth S, Setiawan A, Shibuki T, Sumaiyah Jamaluddin TS, Tq H, Tun S, Wati NDNK, Xu X, Kunaviktikul W. Salutogenesis and COVID-19 pandemic impacting nursing education across SEANERN affiliated universities: A multi-national study. Nurse Educ Today 2022; 110:105277. [PMID: 35101809 PMCID: PMC8785336 DOI: 10.1016/j.nedt.2022.105277] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Revised: 12/29/2021] [Accepted: 01/19/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND The COVID-19 pandemic has disrupted the lives of many. Particularly, nursing students experience greater stress as their normal curriculum is interrupted and some of them face the risk of being infected as frontline workers. Nursing faculty members may face similar struggles, in addition to developing teaching materials for online learning. Thus, it is important to examine the faculty members' and students' views on their ability to adapt during the pandemic to obtain a holistic view of how learning and training has been affected. DESIGN The descriptive cross-sectional quantitative design was used. SETTINGS Data were collected from Southeast and East Asian Nursing Education and Research Network (SEANERN) affiliated nursing institutions from January 2021 to August 2021. PARTICIPANTS A total of 1897 nursing students and 395 faculty members from SEANERN-affiliated nursing institutions in Cambodia, Hong Kong, Indonesia, Japan, Laos, Malaysia, Philippines, Singapore, Thailand and Vietnam were recruited for this study. METHODS Quantitative surveys were used to explore the satisfaction levels in education modalities, confidence levels, psychosocial well-being, sense of coherence and stress levels of nursing students and faculty members during the COVID-19 pandemic. RESULTS Participants were mostly satisfied with the new education modalities, although most students felt that their education was compromised. Both groups showed positive levels of psychosocial well-being, despite scoring low to medium on the sense of coherence scale and experiencing great stress. The participants' sense of coherence was positively correlated with their psychosocial well-being and negatively correlated with stress levels. CONCLUSIONS While the COVID-19 pandemic had negatively impacted the lives of nursing students and faculty members, most of them had a healthy level of psychosocial well-being. Having a strong sense of coherence was associated with better psychosocial health and lower stress levels. As such, it may be helpful to develop interventions aimed at improving the sense of coherence of nursing students and staff to help them manage stressors better.
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Affiliation(s)
- Shefaly Shorey
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11, 10 Medical Drive, Singapore 117597
| | - Emily Ang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11, 10 Medical Drive, Singapore 117597
| | - Ns Syamikar Baridwan
- Department of Community Health Nursing, Faculty of Nursing, Universitas Indonesia, Indonesia
| | - Sheila R Bonito
- College of Nursing, University of the Philippines Manila, Philippines
| | | | - Jo Leah A Flores
- College of Nursing, University of the Philippines Manila, Philippines
| | | | | | - Kayo Hirooka
- Graduate School of Health Management, Keio University, Japan
| | - Virya Koy
- Faculty of Nursing, Chulalongkorn University, Thailand; Department of Hospital Services, Ministry of Health, Phnom Penh, Cambodia
| | - Wan Ling Lee
- Department of Nursing Sciences, Faculty of Medicine, University of Malaya, Malaysia
| | - Chia-Chin Lin
- Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong; Alice Ho Miu Ling Nethersole Charity Foundation, Hong Kong
| | - Tzu Tsun Luk
- Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong
| | | | | | - Mohd Said Nurumal
- Department of Critical Care Nursing, Kulliyyah of Nursing, International Islamic University Malaysia, Malaysia
| | | | - Agus Setiawan
- Department of Community Health Nursing, Faculty of Nursing, Universitas Indonesia, Indonesia
| | - Takuma Shibuki
- Keio University School of Medicine, Department of Preventive Medicine and Public Health, Japan
| | | | - Huy Tq
- Vietnam Nurses Association, Vietnam; Thang Long University, Vietnam
| | - Sreypeov Tun
- Faculty of Nursing and Midwifery, Puthisastra University, Cambodia
| | | | - Xinyi Xu
- Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong
| | - Wipada Kunaviktikul
- Faculty of Nursing, Chiang Mai University, Thailand; Panyapiwat Institute of Management. Thailand.
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Nasu K, Fukahori H, Miyashita M. Long-term care nurses' perceptions of a good death for people with dementia: A qualitative descriptive study. Int J Older People Nurs 2021; 17:e12443. [PMID: 34957680 DOI: 10.1111/opn.12443] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Revised: 11/26/2021] [Accepted: 12/04/2021] [Indexed: 11/30/2022]
Abstract
INTRODUCTION The number of people with dementia (PwD) dying in long-term care (LTC) settings is expected to increase. However, effective care strategies to promote a good death for PwD remain unclear. This study aimed to explore nurses' perceptions of a good death for PwD in LTC settings for older adults. METHODS Interviews were conducted with 19 nurses providing end-of-life care in LTC settings for older adults in Japan. The transcribed texts were analysed using inductive content analysis. RESULTS We identified two themes: (1) ambiguity and (2) preparedness. Participants perceived that there was ambiguity regarding a good death for PwD and emphasised the need for preparedness of those around PwD for a good death. Five categories represented preparedness: (a) reaffirming the original personality before dementia; (b) respecting that PwD change; (c) interpreting and fulfilling obscure desires, feelings, and sensations; (d) providing care consistent with an agreed-upon natural death process; and (e) maintaining relationships. CONCLUSION Long-term care nurses should encourage families and multidisciplinary team members, including the nurses themselves, to prepare for a good death of the PwD. Future research should focus on healthcare professionals' perspectives on advance care planning in the early stages of dementia, as well as the perceptions of PwD, their family members and other healthcare professionals regarding the natural death process.
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Affiliation(s)
- Katsumi Nasu
- Yasuda Women's University, Hiroshima, Japan.,Keio Research Institute at SFC, Kanagawa, Japan
| | - Hiroki Fukahori
- Faculty of Nursing and Medical Care, Keio University, Kanagawa, Japan
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Fukui S, Otsuki N, Ikezaki S, Fukahori H, Irie S. Provision and related factors of end-of-life care in elderly housing with care services in collaboration with home-visiting nurse agencies: a nationwide survey. BMC Palliat Care 2021; 20:151. [PMID: 34592966 PMCID: PMC8485561 DOI: 10.1186/s12904-021-00847-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Accepted: 09/16/2021] [Indexed: 12/03/2022] Open
Abstract
Background Japan has the largest population of older adults in the world; it is only growing as life expectancy increases worldwide. As such, solutions to potential obstacles must be studied to maintain healthy, productive lives for older adults. In 2011, the Japanese government has started a policy to increase “Elderly Housing with Care Services (EHCS)”, which is one of a private rental housing, as a place where safe and secure end-of-life care can be provided. The government expect for them to provide end-of-life care by collaborating with the Home-Visit Nursing Agencies (HVNA). The purpose of this study is to clarify the situation of the end-of-life care provision in EHCS in collaboration with HVNA and to examine the factors that associate with the provision of the end-of-life care in EHCS. Methods A two-stage nationwide survey (fax and mail surveys) were conducted. Of the 5,172 HVNA of the National Association for Visiting Nurse Services members, members from 359 agencies visited EHCS. Logistic regression analysis was conducted with the provision of end-of-life care to EHCS in 2017 as the dependent variable, and the following as independent variables: characteristics of HVNA and EHCS; characteristics of residents; collaborations between HVNA and EHCS; and the reasons for starting home-visit nursing. Results Of the 342 HVNA who responded to the collaborations with EHCS, 21.6% provided end-of-life care. The following factors were significantly associated with the provision of end-of-life care to inmates in elderly care facilities: being affiliated with a HVNA, admitting many residents using long-term care insurance, collaborating with each other for more than three years, and started visiting-nurse services after being requested by a resident’s physician. Conclusions This study clarified the situation of the provision of end-of-life care in EHCS in collaboration with HVNA and the related factors that help in providing end-of-life care in EHCS. Supplementary Information The online version contains supplementary material available at 10.1186/s12904-021-00847-7.
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Affiliation(s)
- Sakiko Fukui
- Department of Home Care nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Tokyo, 113-8519, Bunkyo-ku, Japan. .,Division of Health Sciences, Graduate School of Medicine, Osaka University, 1-7 Yamadaoka, Suita City, Osaka, 565-0871, Japan.
| | - Naoko Otsuki
- Department of Home Care nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Tokyo, 113-8519, Bunkyo-ku, Japan
| | - Sumie Ikezaki
- Division of Health Promotion Nursing, Graduate School of Nursing, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba City, Chiba, 260-8672, Japan
| | - Hiroki Fukahori
- Faculty of Nursing and Medical Care, Keio University, 4411 Endo, Fujisawa City, Kanagawa, 252-0883, Japan
| | - Saori Irie
- Division of Health Sciences, Graduate School of Medicine, Osaka University, 1-7 Yamadaoka, Suita City, Osaka, 565-0871, Japan
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14
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Yamagata C, Matsumoto S, Miyashita M, Kanno Y, Taguchi A, Sato K, Fukahori H. Preliminary Effect and Acceptability of an Intervention to Improve End-of-Life Care in Long-Term-Care Facilities: A Feasibility Study. Healthcare (Basel) 2021; 9:healthcare9091194. [PMID: 34574968 PMCID: PMC8469596 DOI: 10.3390/healthcare9091194] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Revised: 09/04/2021] [Accepted: 09/07/2021] [Indexed: 12/01/2022] Open
Abstract
The number of deaths of older adults in long-term care settings will increase with the aging population. Nurses and care workers in these settings face various challenges in providing end-of-life care, and interventions for quality end-of-life care may be useful. This feasibility study aims to explore the preliminary effect and acceptability of an intervention named the EOL Care Tool to improve end-of-life care in long-term-care facilities. We conducted a single-arm quasi-experimental study using mixed methods. This tool consisted of multiple components: professionalized lectures, newly developed structured documents, regular conferences regarding end-of-life care, and educational support from administrators. Twenty-four nurses and fifty-five care workers employed in a long-term care facility participated. For nurses, improvement in attitudes toward end-of-life care (p < 0.05) and interdisciplinary collaboration (p < 0.05) were shown quantitatively. Regarding acceptability, nurses and care workers evaluated the tool positively except for the difficulty of using the new documents. However, qualitative results showed that care workers felt the reluctance to address the work regarding end-of-life care. Therefore, a good preliminary effect and acceptability for nurses were indicated, while acceptability for care workers was only moderate. Revision to address the mentioned issues and evaluation of the revised tool with a more robust research design are required.
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Affiliation(s)
- Chihiro Yamagata
- Graduate School of Health Care Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan;
- School of Nursing, Tokyo Women’s Medical University, Tokyo 162-8666, Japan
- Correspondence: ; Tel.: +81-3-5803-5358
| | | | - Mitsunori Miyashita
- Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, Sendai 980-8575, Japan;
| | - Yusuke Kanno
- Nursing Course, School of Medicine, Yokohama City University, Kanagawa 236-0004, Japan;
| | - Atsuko Taguchi
- Faculty of Nursing and Medical Care, Keio University, Kanagawa 252-0883, Japan; (A.T.); (H.F.)
| | - Kana Sato
- Graduate School of Health Care Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan;
| | - Hiroki Fukahori
- Faculty of Nursing and Medical Care, Keio University, Kanagawa 252-0883, Japan; (A.T.); (H.F.)
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15
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Yoshinaga N, Nakagami G, Fukahori H, Shimpuku Y, Sanada H, Sugama J. Initial impact of the COVID-19 pandemic on time Japanese nursing faculty devote to research: Cross-sectional survey. Jpn J Nurs Sci 2021; 19:e12454. [PMID: 34498407 PMCID: PMC8646355 DOI: 10.1111/jjns.12454] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Revised: 07/14/2021] [Accepted: 08/07/2021] [Indexed: 12/03/2022]
Abstract
Aim To investigate how nursing faculties' perceived time devoted to research changed during the first wave of the pandemic in Japan (April–June 2020) compared to pre‐pandemic. Methods This cross‐sectional study was conducted online from July 1 to August 10, 2020 and involved 1,023 nursing faculties in Japan. Participants were asked to respond to a questionnaire based on their experiences from April to June 2020. We calculated descriptive statistics for several measures and examined associations between professional/personal demographic factors and declines in overall research time. Results Of the 1,023 participants, 71.1% were spending less time on overall research activity; 79.6% spent less time attending academic events/conferences, and 77.4% spent less time conducting experiments/surveys. In contrast, 81.2% spent more time teaching, a much greater proportion than the global scientific community in a previous survey. As for work time allocation during the pandemic, teaching was by far the one activity that participants spent the most time on. Logistic regression analysis revealed that declines in overall research time were associated with several professional demographic factors, such as type of university, current academic position, and acquisition status of Japan's major research grant (KAKENHI) (all p < .05). Conclusions Nursing faculties in Japan clearly spent less time on research, and more time on teaching during the first wave of the pandemic compared to pre‐pandemic. The initial impact of the pandemic on nursing faculties revealed through this study is an eye‐opener and a start for addressing the long‐term impact on the nursing scientific community.
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Affiliation(s)
- Naoki Yoshinaga
- School of Nursing, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.,COVID-19 Nursing Research Countermeasures Committee, Japan Academy of Nursing Science, Tokyo, Japan
| | - Gojiro Nakagami
- COVID-19 Nursing Research Countermeasures Committee, Japan Academy of Nursing Science, Tokyo, Japan.,Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.,Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Hiroki Fukahori
- COVID-19 Nursing Research Countermeasures Committee, Japan Academy of Nursing Science, Tokyo, Japan.,Faculty of Nursing and Medical Care, Keio University, Fujisawa, Japan
| | - Yoko Shimpuku
- COVID-19 Nursing Research Countermeasures Committee, Japan Academy of Nursing Science, Tokyo, Japan.,Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Hiromi Sanada
- Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.,Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.,Japan Academy of Nursing Science, Tokyo, Japan
| | - Junko Sugama
- COVID-19 Nursing Research Countermeasures Committee, Japan Academy of Nursing Science, Tokyo, Japan.,Innovative Integrated Bio-Research Core, Institute for Frontier Science, Kanazawa University, Kanazawa, Japan
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16
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Morita K, Fukahori H, Ogawara H, Iwagami M, Matsui H, Okura T, Itoh S, Fushimi K, Yasunaga H. Outcomes of a financial incentive scheme for dementia care by dementia specialist teams in acute-care hospitals: A difference-in-differences analysis of a nationwide retrospective cohort study in Japan. Int J Geriatr Psychiatry 2021; 36:1386-1397. [PMID: 33733528 DOI: 10.1002/gps.5537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Accepted: 03/12/2021] [Indexed: 11/11/2022]
Abstract
OBJECTIVES The quality of care for dementia in acute-care settings has been criticised. In 2016, the Japanese universal health insurance system introduced a financial incentive scheme for dementia care by dementia specialist teams in acute-care hospitals. This study aimed to investigate the effectiveness of this financial incentive scheme on short-term outcomes (in-hospital mortality and 30-day readmission). DESIGN AND METHODS Using a Japanese nationwide inpatient database, we identified older adult patients with moderate-to-severe dementia admitted for pneumonia, heart failure, cerebral infarction, urinary tract infection, intracranial injury or hip fracture from April 2014 to March 2018. We selected 180 propensity score-matched pairs of hospitals that adopted (n = 180 of 185) and that did not adopt (n = 180 of 744) the financial incentive scheme. We then conducted a patient-level difference-in-differences analysis. In a sensitivity analysis, we restricted the postintervention group to patients who actually received dementia care. RESULTS There was no association between a hospital's adoption of the incentive scheme and in-hospital mortality (adjusted odds ratio [aOR]: 0.97; 95% confidence interval [CI]: 0.88-1.06; p = 0.48) or 30-day readmission (aOR: 1.04; 95% CI: 0.95-1.14; p = 0.37). Only 29% of patients in hospitals adopting the scheme actually received dementia care. The sensitivity analysis showed that receiving dementia care was associated with decreased in-hospital mortality. CONCLUSIONS The financial incentive scheme to enhance dementia care by dementia specialist teams in Japan may not be working effectively, but the results do suggest that individual dementia care was associated with decreased in-hospital mortality.
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Affiliation(s)
- Kojiro Morita
- Department of Health Services Research, University of Tsukuba, Tsukuba, Ibaraki, Japan.,Department of Clinical Epidemiology and Health Economics, School of Public Health, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
| | - Hiroki Fukahori
- Division of Gerontological Nursing, Faculty of Nursing and Medical Care, Keio University, Fujisawa-shi, Kanagawa, Japan
| | - Hirofumi Ogawara
- Major in Nursing, Graduate School of Health Management, Keio University, Fujisawa-shi, Kanagawa, Japan
| | - Masao Iwagami
- Department of Health Services Research, University of Tsukuba, Tsukuba, Ibaraki, Japan
| | - Hiroki Matsui
- Department of Clinical Epidemiology and Health Economics, School of Public Health, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
| | - Toru Okura
- Yamato Homecare Clinic Osaki, Osaki-shi, Miyagi, Japan
| | - Sakiko Itoh
- Department of Gerontological Nursing and Care System Development, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - Kiyohide Fushimi
- Department of Health Policy and Informatics, Graduate School of Medicine, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - Hideo Yasunaga
- Department of Clinical Epidemiology and Health Economics, School of Public Health, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
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17
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Yamakawa M, Kanamori T, Fukahori H, Sakai I. Sustainable nurse-led care for people with dementia including mild cognitive impairment and their family in an ambulatory care setting: A scoping review. Int J Nurs Pract 2021; 28:e13008. [PMID: 34405921 DOI: 10.1111/ijn.13008] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Revised: 03/02/2021] [Accepted: 07/31/2021] [Indexed: 11/29/2022]
Abstract
AIMS This review aimed to determine the characteristics of a nurse-led intervention for people with dementia including mild cognitive impairment and their family in an ambulatory care setting. BACKGROUND Enhancing the role of nurses in a multidisciplinary team of ambulatory care follow-up after a diagnosis of dementia is thought to lead to successful dementia care. DESIGN This is a scoping review. DATA SOURCES MEDLINE, CINAHL, EMBASE, Cochrane, JBI, Japan Medical Abstracts Society, PsycINFO and Web of Science were searched on 14 March 2019. REVIEW METHODS This scoping review was conducted using the Joanna Briggs Institute methodology, followed the PRISMA-ScR checklist and considered studies that included interventions conducted by nurses and included outcomes regarding dementia symptoms or family care burden. RESULTS Eleven studies were included. Of these, all interventions were multifactorial and reported effective results. Educational interventions were most common, and the content of education included the characteristics of dementia and how to interact with patients with dementia. The roles of nurses included caregiver education, assessment, care plan creation for continuous monitoring and team building. CONCLUSION This scoping review suggested that effective nurse-led interventions in the ambulatory care of people with dementia are continuous patient and family supports, primarily caregiver education within multidisciplinary teams.
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Affiliation(s)
- Miyae Yamakawa
- Department of Evidence-Based Clinical Nursing, Division of Health Sciences, Graduate School of Medicine, Osaka University, Suita, Japan.,Gerontological Nursing Association Policy Review Committee, Japan Academy of Gerontological Nursing, Tokyo, Japan.,The Japan Centre for Evidence-Based Practice: An affiliated Centre of the Joanna Briggs Institute, Osaka, Japan
| | - Takuya Kanamori
- Gerontological Nursing Association Policy Review Committee, Japan Academy of Gerontological Nursing, Tokyo, Japan.,Faculty of Nursing, Hamamatsu University School of Medicine, Hamamatsu, Japan
| | - Hiroki Fukahori
- Gerontological Nursing Association Policy Review Committee, Japan Academy of Gerontological Nursing, Tokyo, Japan.,Faculty of Nursing and Medical Care, Keio University, Tokyo, Japan
| | - Ikuko Sakai
- Gerontological Nursing Association Policy Review Committee, Japan Academy of Gerontological Nursing, Tokyo, Japan.,Graduate School of Nursing, Long Term Care Facilities Nursing Systems Management, Chiba University, Chiba, Japan
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18
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Yamamoto-Kon A, Fukahori H, Ogata Y, Nagano M. Validity and reliability of Japanese version of the pressure ulcer knowledge assessment tool. J Tissue Viability 2021; 30:566-570. [PMID: 34407913 DOI: 10.1016/j.jtv.2021.08.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Revised: 08/04/2021] [Accepted: 08/12/2021] [Indexed: 11/16/2022]
Abstract
AIM To develop Japanese version of the pressure ulcer knowledge assessment tool, a tool for measuring nurses' pressure ulcer knowledge to effectively evaluate the efficacy of current educational programs, resulting in prevention and early treatment, and to verify its validity and reliability among Japanese nurses. MATERIALS AND METHODS A total of 1716 nurses across three university hospitals participated in this study. All had been employed for at least one year. Managers, part-timers, and those in the operating room and the outpatient ward were excluded from the study as it is limited to bedside preventive care. The original tool was translated into Japanese using the Brislin's translation model. A cross-sectional study was used to examine the reliability and validity of the measure within a Japanese sample. Assessment of the multiple-choice test items included analysis of the validity (item difficulty and discriminating index), construct validity, internal consistency, and stability (test-retest reliability). RESULTS The item difficulty indices ranged from 0.17 to 0.95, whereas values for item discrimination ranged from 0.15 to 0.45. Known group validity of the scale was confirmed; therefore, the higher-expertize group consisting of wound, ostomy, and continence nurses significantly outperformed nurses certified in other fields. The overall internal consistency reliability was 0.86 with a two-week test-retest intraclass correlation of 0.60. CONCLUSIONS The instrument may be applied as a reliable and valid measure to assess nurses' pressure ulcer knowledge in the fields of nursing education, research, and practice in Japan.
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Affiliation(s)
- Aya Yamamoto-Kon
- Division of Fundamental Nursing, Faculty of Nursing and Medical Care, Keio University, Kanagawa, Japan; Graduate School of Health Care Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
| | - Hiroki Fukahori
- Division of Gerontological Nursing, Faculty of Nursing and Medical Care, Keio University, Kanagawa, Japan.
| | - Yasuko Ogata
- Department of Gerontological Nursing and Care System Development, Graduate School of Health Care Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
| | - Midori Nagano
- Department of Adult Nursing, School of Nursing, The Jikei University, Tokyo, Japan.
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19
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Nishikawa Y, Fukahori H, Mizuno A, Kwong JSW. Cochrane corner: advance care planning for adults with heart failure. Heart 2021; 107:609-611. [PMID: 33568435 DOI: 10.1136/heartjnl-2020-318458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Yuri Nishikawa
- Department of Gerontological Nursing and Healthcare Systems Management, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - Hiroki Fukahori
- Faculty of Nursing and Medical Care, Keio University, Minato-ku, Fujisawa, Japan
| | - Atsushi Mizuno
- Department of Cardiovascular Medicine, St. Luke's International Hospital, Chuo-ku, Tokyo, Japan.,Penn Medicine Nudge Unit, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Joey Sum-Wing Kwong
- Global Health Nursing, Graduate School of Nursing Science, St Luke's International University, Chuo-ku, Tokyo, Japan .,Cochrane Taiwan, Taipei Medical University, Taipei, Taiwan
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20
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Takahashi Z, Yamakawa M, Nakanishi M, Fukahori H, Igarashi N, Aoyama M, Sato K, Sakai S, Nagae H, Miyashita M. Defining a good death for people with dementia: A scoping review. Jpn J Nurs Sci 2021; 18:e12402. [PMID: 33442939 DOI: 10.1111/jjns.12402] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Revised: 11/20/2020] [Accepted: 11/22/2020] [Indexed: 12/01/2022]
Abstract
AIM End-of-life care for people with dementia is becoming increasingly important as the global population ages. However, there is no agreed definition of a good death for people with dementia. The current review examined previous literature to establish the current state of knowledge on this issue. METHODS We conducted a scoping review using a standard methodological framework. Relevant studies were identified from four databases. Studies were included if they were in English, discussed palliative or end-of-life care for dementia, and defined or explained a good death. The definitions or explanations of a good death were categorized into subthemes, and grouped into broader themes. RESULTS We identified 11 articles discussing or explaining a good death in dementia, which were published between 2009 and 2017. Most of these studies drew on the views of healthcare professionals and/or family members of people with dementia, and only one considered the views of people with dementia themselves. Ten themes were identified, including pain-free status, peaceful/comfort, dignity, family presence, surrounded by familiar things and people, person-centered communication, spirituality, life completion, treatment preferences, and other. CONCLUSIONS The characteristics of a good death in dementia showed similarities with those identified more generally. However, there were some themes that were specific to end-of-life care in dementia, notably "surrounded by familiar things and people" and "person-centered communication". To obtain a fuller picture of the nature of a good death in dementia, researchers need to examine the views of people living with dementia.
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Affiliation(s)
- Zaiya Takahashi
- Department of Medical Education, Graduate School of Medicine, Chiba University, Chiba, Japan
| | - Miyae Yamakawa
- Division of Health Sciences, Department of Evidence-Based Clinical Nursing, Graduate School of Medicine, Osaka University, Suita, Japan
| | - Miharu Nakanishi
- Research Center for Social Science & Medicine, Tokyo Metropolitan Institute of Medical Science, Setagaya-ku, Japan
| | - Hiroki Fukahori
- Faculty of Nursing and Medical Care, Keio University, Minato-ku, Japan
| | - Naoko Igarashi
- Department of Palliative Nursing, Health Sciences, Graduate School of Medicine, Tohoku University, Sendai, Japan
| | - Maho Aoyama
- Department of Palliative Nursing, Health Sciences, Graduate School of Medicine, Tohoku University, Sendai, Japan
| | - Kazuki Sato
- Nursing for Advanced Practice, Division of Integrated Health Sciences, Graduate School of Medicine, Nagoya University, Nagoya, Japan
| | - Shima Sakai
- Faculty of Health Sciences, Kyorin University, Hachioji, Japan
| | - Hiroko Nagae
- Gerontological Nursing/End of Life Care in Nursing, School of Nursing, Tokyo Women's Medical University, Shinjuku-ku, Japan
| | - Mitsunori Miyashita
- Department of Palliative Nursing, Health Sciences, Graduate School of Medicine, Tohoku University, Sendai, Japan
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21
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Kodama Y, Fukahori H, Tse M, Yamamoto-Mitani N. Pain Prevalence, Pain Management, and the Need for Pain Education in Healthcare Undergraduates. Pain Manag Nurs 2020; 22:408-413. [PMID: 33132040 DOI: 10.1016/j.pmn.2020.09.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2019] [Revised: 08/31/2020] [Accepted: 09/15/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND Pain is a common health problem in undergraduate students. Pain prevalence, pain management strategies and knowledge among healthcare groups has not been revealed yet. AIM This study explored pain prevalence, intensity, pain management strategies, knowledge, and education in undergraduate students specializing in healthcare science. The findings will highlight the necessity for increasing pain management education in the university setting. DESIGN A questionnaire-based, cross-sectional study was conducted. SETTINGS/ PARTICIPANTS Data was collected from 1,490 university students in Tokyo between December 2015 and April 2016. A χ square test was performed to examine differences in pain status and management strategies according to gender. We compared medical knowledge scores among disciplines using one-way analysis of variance. RESULTS In total, 511 (79.2%) students had experienced bodily pain during the preceding 6 months. Pain prevalence differed by gender. More nursing students had used both pharmacological and nonpharmacological methods for pain management than had students from other disciplines (p = .011). Pain medication knowledge of students in other disciplines was low to moderate, with greater knowledge observed in medical students (p < .05). CONCLUSIONS Education regarding pain management should be developed that considers differences among disciplines. Additionally, poor pain management knowledge could affect the quality of care students provide to patients after graduation. Enhancing pain management knowledge by providing suitable pain management education in universities may contribute to better pain management for students, and this may translate to their work in clinical settings.
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Affiliation(s)
- Yoshimi Kodama
- Department of Nursing, Nursing and Rehabilitation Science, Showa University, Yokohama, Japan.
| | - Hiroki Fukahori
- Division of Gerontological Nursing, Faculty of Nursing and Medical Care, KEIO University, Tokyo, Japan
| | - Mimi Tse
- School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China
| | - Noriko Yamamoto-Mitani
- Department of Gerontological Homecare and Long-term Care Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
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22
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Higuchi A, Yoshii A, Takita M, Tsubokura M, Fukahori H, Igarashi R. Nurses' perceptions of medical procedures and nursing practices for older patients with non-cancer long-term illness and do-not-attempt-resuscitation orders: A vignette study. Nurs Open 2020; 7:1179-1186. [PMID: 32587738 PMCID: PMC7308706 DOI: 10.1002/nop2.495] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2019] [Revised: 02/19/2020] [Accepted: 03/09/2020] [Indexed: 11/09/2022] Open
Abstract
Aim To elucidate influence of a do-not-attempt-resuscitation (DNAR) order on nurses' perceptions of the medical procedures and nursing practices for non-cancer older patients. Design A vignette-based questionnaire study. Methods A questionnaire survey asking nurses their perceptions of clinical practices for the following three vignettes was performed in a community hospital in Japan (N = 120): the control vignettes with an older patient with repeated heart failure who was living alone and the other two with either an absence of relatives or a diagnosis of dementia. We also prepared additions to each vignette describing a DNAR order. Results Nurses' perception on cardiopulmonary resuscitation, defibrillation, blood tests and intravenous nutrition showed statistically significant and minimally important declines after the DNAR order compared with before for all three vignettes (p < .001). DNAR orders can influence nurses' perceptions of clinical practices for non-cancer older patients with chronic heart failure.
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Affiliation(s)
- Asaka Higuchi
- Department of Home Care Nursing in Nursing Graduate School of Health Care SciencesTokyo Medical and Dental UniversityTokyoJapan
- Medical Governance Research InstituteTokyoJapan
| | - Azusa Yoshii
- Department of nursingMinamisoma Municipal General HospitalMinamisomaJapan
| | - Morihito Takita
- Medical Governance Research InstituteTokyoJapan
- Department of Internal MedicineJyoban Hospital of Tokiwa FoundationIwakiJapan
| | - Masaharu Tsubokura
- Department of Public HealthSchool of MedicineFukushima Medical UniversityFukushimaJapan
- Research Center for Community HealthMinamisoma Municipal General HospitalMinamisomaJapan
| | - Hiroki Fukahori
- Faculty of Nursing and Medical CareKeio UniversityKanagawaJapan
| | - Rika Igarashi
- Department of nursingMinamisoma Municipal General HospitalMinamisomaJapan
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23
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Okumura-Hiroshige A, Fukahori H, Yoshioka S, Nishiyama M, Takamichi K, Kuwata M. Effect of an end-of-life gerontological nursing education programme on the attitudes and knowledge of clinical nurses: A non-randomised controlled trial. Int J Older People Nurs 2020; 15:e12309. [PMID: 32103640 DOI: 10.1111/opn.12309] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Revised: 01/08/2020] [Accepted: 01/18/2020] [Indexed: 11/27/2022]
Abstract
AIMS To evaluate how a structured interactive two-day education programme for clinical nurses on end-of-life (EOL) care for older people affects nurses' attitudes and knowledge. DESIGN Non-randomised controlled trial. METHODS Nurses were recruited separately for intervention and control groups. The intervention group assisted older patients with EOL care and recruited patients for the programme. To prevent sampling bias, control group nurses were recruited from a facility with numerous EOL care opportunities. The intervention was a two-day educational programme. Using valid and reliable scales, we evaluated the attitudes (total score range: 26-130) and knowledge (total score range: 0-51) of the intervention group four times (pretraining, post-training, 3 months, 6 months) and the control group three times (baseline, 3 months, 6 months) between January 2016 and April 2017. Analysis of covariance examined both groups' score changes at 3 and 6 months while adjusting for confounding factors. RESULTS Participants were 338 nurses caring primarily for older people (intervention group: 164; control group: 174); 142 responded at all measurement points. The change in mean value of the attitude scale from baseline to 3 months (differences in the groups' attitude scores = 7.33; 95% CI = 2.43-12.24; p = .004) and 6 months (differences in groups' attitude scores = 5.77; 95% CI = 0.17-11.37; p = .044) was greater in the intervention group. Moreover, the mean knowledge scale score change from baseline to 3 months was greater in the intervention group (differences in groups' knowledge scores = 5.74; 95% CI = 4.07 to 7.39; p < .001). There was no evidence of a change in this score between baseline and 6 months. CONCLUSION The programme improved nurses' medium- to long-term attitudes and knowledge. Thus, it may help nurses enhance the quality of care they provide. IMPLICATIONS FOR PRACTICE A two-day educational program improves nurses' medium- to long-term attitudes and knowledge on end-oflife care. For quality end-of-life care for older people, a structured and evidence-based educational program should be provided to nursing staff.
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Affiliation(s)
- Akemi Okumura-Hiroshige
- Department of System Management in Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Japan
| | - Hiroki Fukahori
- Division of Gerontological Nursing, Faculty of Nursing and Medical Care, KEIO University, Kanagawa, Japan
| | | | | | - Kaori Takamichi
- National Hospital Organization Iou Hospital, Kanazawa, Japan
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Abstract
BACKGROUND People with heart failure report various symptoms and show a trajectory of periodic exacerbations and recoveries, where each exacerbation event may lead to death. Current clinical practice guidelines indicate the importance of discussing future care strategies with people with heart failure. Advance care planning (ACP) is the process of discussing an individual's future care plan according to their values and preferences, and involves the person with heart failure, their family members or surrogate decision-makers, and healthcare providers. Although it is shown that ACP may improve discussion about end-of-life care and documentation of an individual's preferences, the effects of ACP for people with heart failure are uncertain. OBJECTIVES To assess the effects of advance care planning (ACP) in people with heart failure compared to usual care strategies that do not have any components promoting ACP. SEARCH METHODS We searched CENTRAL, MEDLINE, Embase, CINAHL, Social Work Abstracts, and two clinical trials registers in October 2019. We checked the reference lists of included studies. There were no restrictions on language or publication status. SELECTION CRITERIA We included randomised controlled trials (RCTs) that compared ACP with usual care in people with heart failure. Trials could have parallel group, cluster-randomised, or cross-over designs. We included interventions that implemented ACP, such as discussing and considering values, wishes, life goals, and preferences for future medical care. The study participants comprised adults (18 years of age or older) with heart failure. DATA COLLECTION AND ANALYSIS Two review authors independently extracted outcome data from the included studies, and assessed their risk of bias. We contacted trial authors when we needed to obtain missing information. MAIN RESULTS We included nine RCTs (1242 participants and 426 surrogate decision-makers) in this review. The meta-analysis included seven studies (876 participants). Participants' mean ages ranged from 62 to 82 years, and 53% to 100% of the studies' participants were men. All included studies took place in the US or the UK. Only one study reported concordance between participants' preferences and end-of-life care, and it enrolled people with heart failure or renal disease. Owing to one study with small sample size, the effects of ACP on concordance between participants' preferences and end-of-life care were uncertain (risk ratio (RR) 1.19, 95% confidence interval (CI) 0.91 to 1.55; participants = 110; studies = 1; very low-quality evidence). It corresponded to an assumed risk of 625 per 1000 participants receiving usual care and a corresponding risk of 744 per 1000 (95% CI 569 to 969) for ACP. There was no evidence of a difference in quality of life between groups (standardised mean difference (SMD) 0.06, 95% CI -0.26 to 0.38; participants = 156; studies = 3; low-quality evidence). However, one study, which was not included in the meta-analysis, showed that the quality of life score improved by 14.86 points in the ACP group compared with 11.80 points in the usual care group. Completion of documentation by medical staff regarding discussions with participants about ACP processes may have increased (RR 1.68. 95% CI 1.23 to 2.29; participants = 92; studies = 2; low-quality evidence). This corresponded to an assumed risk of 489 per 1000 participants with usual care and a corresponding risk of 822 per 1000 (95% CI 602 to 1000) for ACP. One study, which was not included in the meta-analysis, also showed that ACP helped to improve documentation of the ACP process (hazard ratio (HR) 2.87, 95% CI 1.09 to 7.59; participants = 232). Three studies reported that implementation of ACP led to an improvement of participants' depression (SMD -0.58, 95% CI -0.82 to -0.34; participants = 278; studies = 3; low-quality evidence). We were uncertain about the effects of ACP on the quality of communication when compared to the usual care group (MD -0.40, 95% CI -1.61 to 0.81; participants = 9; studies = 1; very low-quality evidence). We also noted an increase in all-cause mortality in the ACP group (RR 1.32, 95% CI 1.04 to 1.67; participants = 795; studies = 5). The studies did not report participants' satisfaction with care/treatment and caregivers' satisfaction with care/treatment. AUTHORS' CONCLUSIONS ACP may help to increase documentation by medical staff regarding discussions with participants about ACP processes, and may improve an individual's depression. However, the quality of the evidence about these outcomes was low. The quality of the evidence for each outcome was low to very low due to the small number of studies and participants included in this review. Additionally, the follow-up periods and types of ACP intervention were varied. Therefore, further studies are needed to explore the effects of ACP that consider these differences carefully.
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Affiliation(s)
- Yuri Nishikawa
- Tokyo Medical and Dental UniversityDepartment of System Management in Nursing Graduate School of Health Care SciencesTokyoJapan
| | - Natsuko Hiroyama
- Tokyo Medical and Dental UniversityDepartment of System Management in Nursing Graduate School of Health Care SciencesTokyoJapan
| | - Hiroki Fukahori
- Tokyo Medical and Dental UniversityDepartment of System Management in Nursing Graduate School of Health Care SciencesTokyoJapan
- Keio UniversityFaculty of Nursing and Medical CareFujisawaJapan
| | - Erika Ota
- St. Luke's International UniversityGlobal Health Nursing, Graduate School of Nursing Science10‐1 Akashi‐choChuo‐KuTokyoMSJapan104‐0044
| | | | - Mitsunori Miyashita
- Tohoku University Graduate School of MedicineDepartment of Palliative Nursing, Health SciencesSendaiJapan
| | - Daisuke Yoneoka
- St. Luke’s International UniversityDivision of Biostatistics and Bioinformatics, Graduate School of Public HealthSt. Luke’s Center for Clinical Academia, 5th Floor 3‐6‐2 Tsukiji, Chuo‐KuTokyoJapan1040045
| | - Joey SW Kwong
- St. Luke's International UniversityGlobal Health Nursing, Graduate School of Nursing Science10‐1 Akashi‐choChuo‐KuTokyoMSJapan104‐0044
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Higuchi A, Takita M, Yoshii A, Akiyama T, Nemoto T, Nakahira R, Nakajima T, Fukahori H, Tsubokura M, Igarashi R. Absence of Relatives Impairs the Approach of Nurses to Cardiopulmonary Resuscitation in Non-Cancer Elderly Patients without a Do-Not-Attempt-Resuscitation Order: A Vignette-Based Questionnaire Study. TOHOKU J EXP MED 2020; 250:71-78. [PMID: 32009025 DOI: 10.1620/tjem.250.71] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
A Do-Not-Attempt-Resuscitation (DNAR) order solely precludes performing cardiopulmonary resuscitation (CPR) following cardiopulmonary arrest. A patient's personal status is known to influence a range of clinical practices, not only CPR, when a DNAR order is given. We assessed whether the absence of supporting relatives or a diagnosis of dementia can influence nurses' perceptions of clinical practices for elderly patients with non-malignant and chronic diseases. A vignette-based questionnaire was used to evaluate nurses' beliefs both before and after issuance of a DNAR order. Three vignettes were developed: the control vignette described an 85-year-old woman with repeated heart failure, the second and third incorporated a lack of relatives and a dementia diagnosis, respectively. The survey assessed the approach of nurses to 10 routine medical procedures, including CPR, clinical laboratory testing and nursing care, using a 5-base Likert-scale, for six vignette scenarios. A questionnaire was completed by 186 nurses (64% response). The pre-DNAR non-relative vignette showed significantly lower scores for CPR, indicating a deterioration in willingness to perform CPR, compared to the pre-DNAR control (median [interquartile]; 3 [2-4] and 4 [3-4] in the non-relative and control vignettes, respectively, p < 0.001). No significant differences were observed between the dementia and control vignettes. Absence of contactable relatives and resultant lack of communication can diminish the perception of nurses regarding the provision of CPR, even when a DNAR does not exist. This result suggests a necessity for comprehensive training all medical staff about issuance of DNAR orders and what care should be provided thereafter.
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Affiliation(s)
| | | | - Azusa Yoshii
- Department of Nursing, Minamisoma Municipal General Hospital
| | | | | | | | | | | | - Masaharu Tsubokura
- Department of Public Health, School of Medicine, Fukushima Medical University.,Research Center for Community Health, Minamisoma Municipal General Hospital
| | - Rika Igarashi
- Department of Nursing, Minamisoma Municipal General Hospital
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Hirooka K, Nakanishi M, Fukahori H, Nishida A. Impact of dementia on quality of death among cancer patients: An observational study of home palliative care users. Geriatr Gerontol Int 2020; 20:354-359. [DOI: 10.1111/ggi.13860] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2019] [Revised: 11/19/2019] [Accepted: 12/10/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Kayo Hirooka
- Graduate School of Health ManagementKeio University Kanagawa Japan
| | - Miharu Nakanishi
- Mental Health and Nursing Research TeamTokyo Metropolitan Institute of Medical Science Tokyo Japan
| | - Hiroki Fukahori
- Faculty of Nursing and Medical CareKeio University Kanagawa Japan
| | - Atsushi Nishida
- Mental Health Promotion ProjectTokyo Metropolitan Institute of Medical Science Tokyo Japan
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Nasu K, Sato K, Fukahori H. Rebuilding and guiding a care community: A grounded theory of end-of-life nursing care practice in long-term care settings. J Adv Nurs 2020; 76:1009-1018. [PMID: 31845377 DOI: 10.1111/jan.14294] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2019] [Revised: 10/26/2019] [Accepted: 12/03/2019] [Indexed: 11/30/2022]
Abstract
AIMS To investigate the end-of-life (EOL) nursing care practice process in long-term care (LTC) settings for older adults in Japan. DESIGN A qualitative study based on grounded theory developed by Corbin and Strauss. METHODS Sampling, interviewing, and analysis were performed cyclically, with results for each stage used as the basis for data collection and next-stage analysis decisions. Semi-structured interviews were conducted from March 2015-March 2019 with 22 nurses from eight LTC settings. Analysis was performed using coding, constant comparison, and emerging categories. RESULTS The core category, "guiding the rebuilt care community to assist the dying resident" comprised five categories: "assessing the resident's stage," "harmonizing care with the dying process," "rebuilding a care community," "helping community members care for the resident," and "encouraging community members to give meaning." The participants were described as "traditional village elders" who were the integral members of the care community, as well as guides who helped and encouraged the community. CONCLUSION Results revealed the holistic process of EOL nursing-care practice in Japan. Nurses aimed to allow LTC residents to die as social human beings, surrounded by people, and not just responding physical and psychological distress. Such practice requires nursing expertise, healthcare skills, and leadership qualities to build and serve care communities. Nurses must also consider residents' uncertainties and vulnerabilities as well as their cultural backgrounds. IMPACT This study showed that the nurses hold unique roles in providing dying people with care from a community. These findings can potentially be applied for developing a universal model for LTC nurses in many aging populations, to modify their EOL care practice, educate new LTC nurses, and collaborate with other healthcare professionals.
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Affiliation(s)
- Katsumi Nasu
- Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Kana Sato
- Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Hiroki Fukahori
- Faculty of Nursing and Medical Care, Keio University, Fujisawa, Kanagawa, Japan
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Nasu K, Konno R, Fukahori H. End-of-life nursing care practice in long-term care settings for older adults: A qualitative systematic review. Int J Nurs Pract 2019; 26:e12771. [PMID: 31364244 DOI: 10.1111/ijn.12771] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Revised: 02/03/2019] [Accepted: 06/15/2019] [Indexed: 12/19/2022]
Abstract
AIM To synthesize qualitative evidence on nurses' end-of-life care practices in long-term care settings for older adults. BACKGROUND Qualitative evidence on how nurses describe their own end-of-life care practice has not been reviewed systematically. DESIGN Qualitative systematic review. DATA SOURCES Databases MEDLINE, CINAHL, PsycINFO, EMBASE, Mednar, Google Scholar, and Ichushi were searched for published and unpublished studies in English or Japanese. METHODS The review followed the Joanna Briggs Institute approach to qualitative systematic reviews. Each study was assessed by two independent reviewers for methodological quality. The qualitative findings were pooled to produce categories and synthesized through meta-aggregation. RESULTS Twenty studies met all inclusion criteria. Their 137 findings were grouped into 10 categories and then aggregated into three synthesized findings: playing multidimensional roles to help residents die with dignity, needing resources and support for professional commitment, and feeling mismatch between responsibilities and power, affecting multidisciplinary teamwork. CONCLUSION Nurses play multidimensional roles as the health care professionals most versed in residents' complex needs. Managers and policymakers should empower nurses to resolve the mismatch and help nurses obtain needed resources for end-of-life care that ensures residents die with dignity.
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Affiliation(s)
- Katsumi Nasu
- Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Rie Konno
- School of Nursing, Hyogo University of Health Sciences, Hyogo, Japan
| | - Hiroki Fukahori
- Faculty of Nursing and Medical Care, Keio University, Kanagawa, Japan
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Tomotaki A, Fukahori H, Sakai I. Exploring sociodemographic factors related to practice, attitude, knowledge, and skills concerning evidence-based practice in clinical nursing. Jpn J Nurs Sci 2019; 17:e12260. [PMID: 31173465 DOI: 10.1111/jjns.12260] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2018] [Revised: 11/19/2018] [Accepted: 01/07/2019] [Indexed: 11/28/2022]
Abstract
AIM This study aimed to explore sociodemographic factors related to evidence-based practice (EBP) competency in Japanese nurses in university hospitals. METHODS In March 2016, a survey was distributed to 843 clinical nurses who directly provide nursing care at two university hospitals in Japan. Multiple regression analyses were conducted on data received from 472 nurses using the Evidence-Based Practice Questionnaire (Japanese version). RESULTS Sociodemographic factors related to EBP competency were experience with conducting nursing research as a part of continuing education, education about EBP, advanced practice certification (certified nurse specialists/certified nurses), and years of experience in clinical nursing. These factors differed across the four subscales of the questionnaire: Practice, Attitude, Knowledge of Research and Practice, and Skills of Research and Practice. Specifically, experience with two or more nursing research activities was significantly positively associated with Attitude and Knowledge/Skills Concerning Research and Practice of EBP, but not related to the implementation of EBP itself. Advanced practice certification was significantly positively associated with Practice and Attitude of EBP. CONCLUSIONS Our study quantitatively identified sociodemographic factors including experience with conducting nursing research and advanced practice certification status that were found to be related to EBP competency and these factors were differently associated with the four subscales of the Evidence-Based Practice Questionnaire (Japanese version). EBP education should depend on nurses' levels of EBP competency, and nursing educators and managers need to be cognizant of their nurses' sociodemographic factors when providing EBP education.
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Affiliation(s)
- Ai Tomotaki
- Informatics, National College of Nursing, Japan, Tokyo, Japan
| | - Hiroki Fukahori
- Department of System Management in Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan.,Faculty of Nursing and Medical Care, Keio University, Tokyo, Japan
| | - Ikuko Sakai
- Long-term Care Facilities Nursing Systems Management, Department of Nursing Systems Management, Graduate School of Nursing, Chiba University, Chiba, Japan
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Doi M, Fukahori H, Oyama Y, Morita K. Factors associated with depressive symptoms in patients with acute coronary syndrome undergoing percutaneous coronary intervention: A prospective cohort study. Nurs Open 2018; 5:583-592. [PMID: 30338104 PMCID: PMC6178357 DOI: 10.1002/nop2.171] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2017] [Revised: 04/24/2018] [Accepted: 05/21/2018] [Indexed: 01/22/2023] Open
Abstract
AIM To identify the association between possible factors and depression among post-percutaneous coronary intervention patients with acute coronary syndrome. DESIGN Prospective cohort study. METHODS Sixty-eight post-percutaneous coronary intervention patients with acute coronary syndrome were enrolled between January 2016 - June 2017. The Hospital Anxiety and Depression Scale scores at 1-3 months after discharge were regressed onto uncertainty in illness and other clinical factors based on the Roy Adaptation Model. RESULTS Thirty-six patients were included in the final analysis. Higher baseline depression scores, higher changes in uncertainty in illness and feeling annoyed by troublesome tasks after discharge were associated with higher depressive scores at 1 month after discharge. Careful observation and support of patients' ineffective responses in self-concept mode may be effective in preventing depression.
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Affiliation(s)
- Mana Doi
- Graduate School of Health Care SciencesTokyo Medical and Dental UniversityTokyoJapan
- Nursing Course, School of MedicineYokohama City UniversityYokohamaJapan
| | - Hiroki Fukahori
- Graduate School of Health Care SciencesTokyo Medical and Dental UniversityTokyoJapan
- Faculty of Nursing and Medical CareKeio UniversityKanagawaJapan
| | - Yumiko Oyama
- Nursing Course, School of MedicineYokohama City UniversityYokohamaJapan
| | - Kumiko Morita
- Graduate School of Health Care SciencesTokyo Medical and Dental UniversityTokyoJapan
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Hirooka K, Fukahori H, Taku K, Izawa S, Ogawa A. Posttraumatic growth in bereaved family members of patients with cancer: a qualitative analysis. Support Care Cancer 2018; 27:1417-1424. [DOI: 10.1007/s00520-018-4440-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2018] [Accepted: 08/23/2018] [Indexed: 10/28/2022]
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Affiliation(s)
- Yuri Nishikawa
- Tokyo Medical and Dental University; Department of System Management in Nursing Graduate School of Health Care Sciences; Tokyo Japan
| | - Hiroki Fukahori
- Tokyo Medical and Dental University; Department of System Management in Nursing Graduate School of Health Care Sciences; Tokyo Japan
- Keio University; Faculty of Nursing and Medical Care; Fujisawa Japan
| | - Erika Ota
- St. Luke's International University, Graduate School of Nursing Sciences; Global Health Nursing; 10-1 Akashi-cho Chuo-Ku Tokyo Japan 104-0044
| | - Atsushi Mizuno
- St. Luke’s International Hospital; Cardiology; Tokyo Japan
| | - Natsuko Hiroyama
- Tokyo Medical and Dental University; Department of System Management in Nursing Graduate School of Health Care Sciences; Tokyo Japan
| | - Mitsunori Miyashita
- Tohoku University Graduate School of Medicine; Department of Palliative Nursing, Health Sciences; Sendai Japan
| | - Daisuke Yoneoka
- St. Jude Children's Research Hospital; Department of Epidemiology and Cancer Control; 262 Danny Thomas Place Memphis Tennessee USA 38105
| | - Joey SW Kwong
- Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong; Department of Epidemiology and Biostatistics; Prince of Wales Hospital Shatin N.T. Hong Kong
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Tomotaki A, Fukahori H, Sakai I, Kurokohchi K. The development and validation of the Evidence-Based Practice Questionnaire: Japanese version. Int J Nurs Pract 2018; 24:e12617. [PMID: 29341348 DOI: 10.1111/ijn.12617] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2017] [Revised: 10/18/2017] [Accepted: 10/26/2017] [Indexed: 11/27/2022]
Abstract
AIM To develop and test the validity and reliability of a Japanese version of the Evidence-Based Practice Questionnaire. METHODS The Evidence-Based Practice Questionnaire was translated into Japanese, and a back-translation was performed. In March 2016, the survey was conducted among 843 nurses in 2 university hospitals in Japan. After 2 weeks, the same questionnaire for test-retest reliability was distributed to 197 nurses. We evaluated construct validity by factor analysis: convergent, discriminant, criterion-based and known-group validity, and reliability (internal consistency via Cronbach' alpha and test-retest reliability). RESULTS A total of 533 (66%) of nurses who agreed to our study returned the completed questionnaire, and 108 nurses (55%) agreed to the test-retest. Factor analysis confirmed that the original model of the Evidence-Based Practices Questionnaire was not statistically appropriate for Japanese nurses. Therefore, the final version of the Japanese version adopted 18 items and 4 subscales including practice, attitudes, and knowledge/skills related to research and practice. In the final version, the validity and reliability were moderate (Cronbach alpha = .90). CONCLUSION The Japanese version of the Evidence-Based Practices Questionnaire is a reliable and valid tool and can be used to assess evidence-based practice, attitudes, and research knowledge/skills in Japan.
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Affiliation(s)
- Ai Tomotaki
- Informatics, National College of Nursing, Tokyo, Japan
| | - Hiroki Fukahori
- Department of System Management in Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Ikuko Sakai
- Long-term Care Facilities Nursing Systems Management, Department of Nursing Systems Management, Graduate School of Nursing, Chiba University, Chiba, Japan
| | - Kana Kurokohchi
- Long-term Care Facilities Nursing Systems Management, Department of Nursing Systems Management, Graduate School of Nursing, Chiba University, Chiba, Japan
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Hirooka K, Nakanishi M, Fukahori H, Nishida A. Hospital death in dementia patients and regional provision of palliative and end-of-life care: National patient data analysis. Cogent Medicine 2018. [DOI: 10.1080/2331205x.2018.1483097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022] Open
Affiliation(s)
- Kayo Hirooka
- Mental Health Promotion Project, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan
| | - Miharu Nakanishi
- Mental Health and Nursing Research Team, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan
| | - Hiroki Fukahori
- Faculty of Nursing and Medical Care, Keio University, Kanagawa, Japan
| | - Atsushi Nishida
- Mental Health Promotion Project, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan
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Hirooka K, Otani H, Morita T, Miura T, Fukahori H, Aoyama M, Kizawa Y, Shima Y, Tsuneto S, Miyashita M. End-of-life experiences of family caregivers of deceased patients with cancer: A nation-wide survey. Psychooncology 2017; 27:272-278. [DOI: 10.1002/pon.4504] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2017] [Revised: 06/26/2017] [Accepted: 07/17/2017] [Indexed: 11/06/2022]
Affiliation(s)
- Kayo Hirooka
- Department of System Management in Nursing, Graduate School of Health Care Sciences; Tokyo Medical and Dental University; Tokyo Japan
| | - Hiroyuki Otani
- Palliative Care Team, Department of Palliative and Supportive Care; National Kyushu Cancer Center; Fukuoka Japan
| | - Tatsuya Morita
- Department of Palliative and Supportive Care, Palliative Care Team; Seirei Mikatahara General Hospital; Hamamatsu-shi Japan
| | - Tomofumi Miura
- Department of Palliative Medicine; National Cancer Center Hospital East; Kashiwa Japan
| | - Hiroki Fukahori
- Department of System Management in Nursing, Graduate School of Health Care Sciences; Tokyo Medical and Dental University; Tokyo Japan
| | - Maho Aoyama
- Department of Community Health, School of Health Sciences; Tohoku University Graduate School of Medicine; Miyagi Japan
| | - Yoshiyuki Kizawa
- Department of Palliative Medicine; Kobe University Graduate School of Medicine; Kobe Japan
| | - Yasuo Shima
- Tsukuba Medical Center Hospital, Department of Palliative Medicine; Tsukuba Medical Center Foundation; Tsukuba Japan
| | - Satoru Tsuneto
- Department of Human Health Sciences, Graduate School of Medicine; Kyoto University; Kyoto Japan
| | - Mitsunori Miyashita
- Department of Palliative Nursing, Department of Health Sciences; Tohoku University Graduate School of Medicine; Miyagi Japan
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Kodama Y, Fukahori H. Nurse managers' attributes to promote change in their wards: a qualitative study. Nurs Open 2017; 4:209-217. [PMID: 29085647 PMCID: PMC5653397 DOI: 10.1002/nop2.87] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2016] [Accepted: 04/28/2017] [Indexed: 12/03/2022] Open
Abstract
Aim The aim of this study was to explore the processes that nurse managers use to promote change in their wards. Design Qualitative research. Methods A grounded theory approach was used. Participants were 23 nurse managers and 17 nurses in Japan. Interviews were conducted between March 2014 – December 2015. Mainly, nurse managers’ data was analysed. Results The change process led by the nurse managers was depicted as a four‐phased process of “having beliefs and empathizing with staff nurses to achieve goals explored by self.” Four attributes of nurse managers, “having both micro and macro perspectives,” “respecting own beliefs and external standards,” “being proactive,” and “having empathy for staff nurses,” were identified as indispensable factors promoting change in their wards. Nursing administrators should support the cultivation of nurse managers’ attributes for successful change.
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Affiliation(s)
- Yoshimi Kodama
- Department of System Management in Nursing Graduate School of Health Care Sciences Tokyo Medical and Dental University 1-5-45, Yushima Bunkyo-ku Tokyo 113-8519 Japan
| | - Hiroki Fukahori
- Department of System Management in Nursing Graduate School of Health Care Sciences Tokyo Medical and Dental University 1-5-45, Yushima Bunkyo-ku Tokyo 113-8519 Japan
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Kodama Y, Fukahori H, Yamamoto-Mitani N, Ishii A, Tse M. IMPROVING FUTURE INTERDISCIPLINARY PAIN MANAGEMENT FOR OLDER ADULTS FROM STUDENTS’ PERSPECTIVE. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Y. Kodama
- Graduate School of Health Care Science,Tokyo Medical and Dental University, Tokyo, Japan,
- School of Nursing and Rehabilitation Sciences, Showa University, Yokohama, Japan
| | - H. Fukahori
- Graduate School of Health Care Science,Tokyo Medical and Dental University, Tokyo, Japan,
| | - N. Yamamoto-Mitani
- School of Integrated Health Sciences, Faculty of Medicine, Tokyo University, Tokyo, Japan,
| | - A. Ishii
- School of Nursing,The Hong Kong Polytechnic University, Kowloon, Hong Kong,
| | - M. Tse
- School of Nursing,The Hong Kong Polytechnic University, Kowloon, Hong Kong,
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Hirooka K, Fukahori H, Taku K, Togari T, Ogawa A. Quality of death, rumination, and posttraumatic growth among bereaved family members of cancer patients in home palliative care. Psychooncology 2017; 26:2168-2174. [DOI: 10.1002/pon.4446] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2016] [Revised: 04/17/2017] [Accepted: 04/19/2017] [Indexed: 11/08/2022]
Affiliation(s)
- Kayo Hirooka
- Department of System Management in Nursing, Graduate School of Health Care Sciences; Tokyo Medical and Dental University; Tokyo Japan
| | - Hiroki Fukahori
- Department of System Management in Nursing, Graduate School of Health Care Sciences; Tokyo Medical and Dental University; Tokyo Japan
| | - Kanako Taku
- Department of Psychology; Oakland University; Rochester MI USA
| | - Taisuke Togari
- Faculty of Liberal Arts; The Open University of Japan; Chiba Japan
| | - Asao Ogawa
- Division of Psycho-Oncology, Research Center for Innovative Oncology; National Cancer Center Hospital East; Chiba Japan
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Yamamoto-Mitani N, Noguchi-Watanabe M, Fukahori H. Caring for Clients and Families With Anxiety: Home Care Nurses' Practice Narratives. Glob Qual Nurs Res 2017; 3:2333393616665503. [PMID: 28508017 PMCID: PMC5415282 DOI: 10.1177/2333393616665503] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2016] [Revised: 07/18/2016] [Accepted: 07/26/2016] [Indexed: 11/16/2022] Open
Abstract
This study elucidated Japanese home care nurses’ experiences of supporting clients and families with anxiety. We interviewed 10 registered nurses working in home care agencies and analyzed the data using grounded theory to derive categories pertaining to the nurses’ experiences of providing care. We conceptualized nurses’ approaches to caring for anxiety into three categories: First, they attempted to reach out for anxiety even when the client/family did not make it explicit; second, they tried to alter the outlook of the situation; and third, they created comfort in the lives of the client/family. The conceptualizations of nurses’ strategies to alleviate client/family anxiety may reflect Japanese/Eastern cultural characteristics in communication and their view of the person and social care system, but these conceptualizations may also inform the practice of Western nurses by increasing awareness of skills they may also have and use.
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Doi-Kanno M, Fukahori H. Predictors of Depression in Patients Diagnosed with Myocardial Infarction after Undergoing Percutaneous Coronary Intervention: A literature review. J Med Dent Sci 2017; 63:37-43. [PMID: 27773911 DOI: 10.11480/jmds.630301] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
AIM This study identified the factors associated with depression in patients diagnosed with myocardial infarction (MI) who underwent percutaneous coronary intervention (PCI). METHODS We searched the literature using PubMed and CINAHL from their inception in 1946 to December 2014. The search terms were "myocardial infarction," "depression," and "percutaneous coronary intervention." Studies which investigated factors associated with depression in patients diagnosed with MI who underwent typical medical procedures were searched. RESULTS Eleven studies met our inclusion criteria. None of these limited their samples to patients with MI who underwent PCI. Twenty-one factors were identified as possible risk factors for depression in patients who were diagnosed with MI and underwent PCI: gender; negative illness beliefs; neuroticism; autonomy; baseline depression scores; previous diagnosis of depression, anxiety, or stress; smoking; marital status; Type D personality; procedure; length of hospital stay; fat intake; functional disability; time engaged in physical activity; social support; and a history of angina, MI, coronary artery bypass graft surgery, PCI, diabetes mellitus, and stroke. CONCLUSIONS This review suggests that these 21 factors should be considered in future studies as possible independent variables or covariates of depression among MI patients who have undergone PCI.
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Affiliation(s)
- Mana Doi-Kanno
- Department of System Management in Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University
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Hirooka K, Fukahori H, Taku K, Togari T, Ogawa A. Examining Posttraumatic Growth Among Bereaved Family Members of Patients With Cancer Who Received Palliative Care at Home. Am J Hosp Palliat Care 2017; 35:211-217. [PMID: 28393544 DOI: 10.1177/1049909117703358] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE The present study examines the factor structure of the Japanese version of the Posttraumatic Growth Inventory (PTGI-J) among bereaved family members who lost loved ones to cancer after home-based palliative care in Japan. It evaluates the relationships between total score, each PTGI-J domain, and participants' having a religious belief, gender, age, relationship to the patient, and time since patient death. PROCEDURE Bereaved family members (n = 849) completed the PTGI-J and a demographic questionnaire. The factor structure was tested using confirmatory factor analysis (CFA), and univariate analysis was used to test hypotheses. RESULTS Confirmatory factor analysis showed that the current sample moderately fitted to both 4-factor and 5-factor models. Univariate analysis revealed that having a religious belief and gender were associated with all domains and total PTGI-J score. Age, time since patient death, and relationship to the patient showed significant differences with the domains of PTGI-J. CONCLUSION Clinicians may be able to adjust the support they provide based on patients' personal characteristics. Future research should look at the mechanisms of PTG by examining the role of rumination, social support, and emotional distress among bereaved family members of patients with cancer.
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Affiliation(s)
- Kayo Hirooka
- 1 Department of System Management in Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Hiroki Fukahori
- 1 Department of System Management in Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Kanako Taku
- 2 Department of Psychology, Oakland University, Rochester, MI, USA
| | - Taisuke Togari
- 3 Faculty of Liberal Arts, The Open University of Japan, Chiba, Japan
| | - Asao Ogawa
- 4 Psycho Oncology Division, Research Center for Innovative Oncology, National Cancer Center Hospital East, Chiba, Japan
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Hirooka K, Fukahori H, Ozawa M, Akita Y. Differences in posttraumatic growth and grief reactions among adolescents by relationship with the deceased. J Adv Nurs 2016; 73:955-965. [DOI: 10.1111/jan.13196] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/19/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Kayo Hirooka
- Graduate School of Health Care Sciences; Tokyo Medical and Dental University; Bunkyo-ku Tokyo Japan
| | - Hiroki Fukahori
- Graduate School of Health Care Sciences; Tokyo Medical and Dental University; Bunkyo-ku Tokyo Japan
| | - Miwa Ozawa
- Department of Pediatrics; St Luke's International Hospital; Chuo-ku Japan
| | - Yumi Akita
- Graduate School of Human Health Sciences; Tokyo Metropolitan University; Tokyo Japan
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Kodama Y, Fukahori H, Sato K, Nishida T. Is nurse managers’ leadership style related to Japanese staff nurses’ affective commitment to their hospital? J Nurs Manag 2016; 24:884-892. [DOI: 10.1111/jonm.12392] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/20/2016] [Indexed: 11/30/2022]
Affiliation(s)
- Yoshimi Kodama
- Department of System Management in Nursing; Graduate School of Health Care Sciences; Tokyo Medical and Dental University; Tokyo Japan
| | - Hiroki Fukahori
- Department of System Management in Nursing; Graduate School of Health Care Sciences; Tokyo Medical and Dental University; Tokyo Japan
| | - Kana Sato
- Graduate School of Nursing; Miyagi University; Sendai Japan
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Hirooka K, Fukahori H, Akita Y, Ozawa M. Posttraumatic Growth Among Japanese Parentally Bereaved Adolescents: A Web-Based Survey. Am J Hosp Palliat Care 2016; 34:442-448. [DOI: 10.1177/1049909115627776] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Objective: The aim of this study was to explore the factors associated with posttraumatic growth (PTG) among adolescents bereaved owing to parental cancer in Japan. Methods: An anonymous cross-sectional Web-based survey was conducted, enrolling adolescents bereaved because of parental cancer in the previous 5 years. Posttraumatic growth, number of social support members, support from medical staff, and behaviors after bereavement were measured. Multiple linear regression was performed to explore the association between total PTG score and possible related factors. Results: We assessed 57 participants in this study. Mean age was 19.3 (standard deviation [SD] = 2.0) years, and most participants were female (75.4%). Mean total score of the Japanese version of the PTG inventory was 43.0 (SD = 25.6). Participants’ mean number of social support members was 2.1 (SD = 1.3), and these support members were the surviving parent (66.7%), friends (38.6%), and siblings (36.8%). The multiple linear regression model explained 45% of the variance in PTG. In this model, the following 3 behaviors after bereavement were associated with PTG: “putting palms together in front of a parent’s picture or an altar” (β = .36, P = .006), “visiting a parent’s grave” (β = .29, P = .03), and “having fun with friends” (β = .25, P = .04). Conclusion: Parentally bereaved adolescents in Japan experience PTG. Specific behaviors after bereavements might be recommended for PTG among Japanese adolescents bereaved because of parental cancer.
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Affiliation(s)
- Kayo Hirooka
- Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Japan
| | - Hiroki Fukahori
- Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Japan
| | - Yumi Akita
- Pediatric Nursing, School of Nursing, Tokyo Medical University, Shinjuku-ku, Japan
| | - Miwa Ozawa
- Department of Pediatrics, St Luke’s International Hospital, Chuo-ku, Japan
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Sakai S, Yamamoto-Mitani N, Takai Y, Fukahori H, Ogata Y. Developing an instrument to self-evaluate the Discharge Planning of Ward Nurses. Nurs Open 2015; 3:30-40. [PMID: 27708813 PMCID: PMC5047325 DOI: 10.1002/nop2.31] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2014] [Accepted: 08/24/2015] [Indexed: 11/14/2022] Open
Abstract
Aims To develop the Discharge Planning of Ward Nurses (DPWN), a Japanese self‐evaluation instrument for ward nurses' discharge planning practices. Design Cross‐sectional survey. Methods Participants were 624 ward nurses from six hospitals in Japan with a discharge planning department. Items about discharge planning practices were collected from literature and interviews with nurses and researchers. Construct validity, concurrent validity, internal consistency and test–retest reliability were tested. Results Initially, 55 items were collected. Examination of the floor effect, item‐total, good–poor analyses and exploratory factor analysis yielded a four‐factor model with 24 items (‘teaching home‐care skills with community/hospital professionals,’ ‘identifying clients’ potential needs early in the discharge process,’ ‘introducing social resources’ and ‘identifying client/family wishes and building consensus for discharge’). The four‐factor structure was supported by confirmatory factor analysis. The DPWN correlated with scales ascertaining similar concepts, supporting concurrent validity. Internal consistency and test–retest reliability were generally satisfactory.
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Affiliation(s)
- Shima Sakai
- Department of Gerontological Nursing School of Nursing Tokyo Women's Medical University 8-1 Kawada-cho Shinjyuku-ward Tokyo 162-8666 Japan
| | - Noriko Yamamoto-Mitani
- Department of Adult Nursing/Palliative Care Nursing Division of Health Sciences and Nursing Graduate School of Medicine the University of Tokyo 7-3-1 Hongo Bunkyo-Ku Tokyo 113-0033 Japan
| | - Yukari Takai
- Department of Adult Nursing/Palliative Care Nursing Division of Health Sciences and Nursing Graduate School of Medicine the University of Tokyo 7-3-1 Hongo Bunkyo-Ku Tokyo 113-0033 Japan
| | - Hiroki Fukahori
- Department of Nursing Care Management Graduate School of Health Care Sciences Tokyo Medical and Dental University 1-5-45, Yushima Bunkyo-Ku Tokyo 113-8591 Japan
| | - Yasuko Ogata
- Department of Gerontological Nursing and Care System Development Graduate School of Health Care Sciences Tokyo Medical and Dental University 1-5-45, Yushima Bunkyo-Ku Tokyo 113-8591 Japan
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Sato K, Yumoto Y, Fukahori H. How nurse managers in Japanese hospital wards manage patient violence toward their staff. J Nurs Manag 2014; 24:164-73. [PMID: 25545669 DOI: 10.1111/jonm.12281] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/24/2014] [Indexed: 01/10/2023]
Abstract
AIM This study explores nurse managers' experiences in dealing with patient/family violence toward their staff. BACKGROUND Studies and guidelines have emphasised the responsibility of nurse managers to manage violence directed at their staff. Although studies on nursing staff have highlighted the ineffectiveness of strategies used by nurse managers, few have explored their perspectives on dealing with violence. METHODS This qualitative study adopted a grounded theory approach to explore the experiences of 26 Japanese nurse managers. RESULTS The nurse managers made decisions using internalised ethical values, which included maintaining organisational functioning, keeping staff safe, advocating for the patient/family and avoiding moral transgressions. They resolved internal conflicts among their ethical values by repeating a holistic assessment and simultaneous approach consisting of damage control and dialogue. They facilitated the involved persons' understanding, acceptance and sensemaking of the incident, which contributed to a resolution of the internal conflicts among their ethical values. CONCLUSIONS Nurse managers adhere to their ethical values when dealing with patient violence toward nurses. Their ethical decision-making process should be acknowledged as an effective strategy to manage violence. IMPLICATIONS FOR NURSING MANAGEMENT Organisational strategies that support and incorporate managers' ethical decision-making are needed to prevent and manage violence toward nurses.
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Affiliation(s)
- Kana Sato
- Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Yoshie Yumoto
- Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Hiroki Fukahori
- Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan
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Oyama Y, Fukahori H, Miyashita M, Narama M, Kono A, Atogami F, Kashiwagi M, Okaya K, Takamizawa E, Yoshizawa T. Cross-sectional online survey of research productivity in young Japanese nursing faculty. Jpn J Nurs Sci 2014; 12:198-207. [PMID: 25277224 DOI: 10.1111/jjns.12060] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2013] [Accepted: 07/08/2014] [Indexed: 11/30/2022]
Abstract
AIM To investigate the factors affecting the research productivity of young nursing faculty in Japan. METHODS An online survey targeting young nursing scholars (aged ≤ 39 years) who were members of the Japan Academy of Nursing Science was conducted from October to November 2012. Of 1634 potential respondents, 648 completed the survey (39.7%), and 400 full-time faculty of a baccalaureate degree program were selected for the analysis. The numbers of English-language and Japanese publications in the past 3 years were regressed onto personal characteristics, such as academic degree and type of university. RESULTS The mean numbers of publications in English and Japanese in the past 3 years were 0.41 and 1.63, respectively. Holding a doctoral degree was significantly related to a higher number of publications in English and Japanese (e(β) = 5.78 and e(β) = 1.89, respectively). Working at a national university (e(β) = 2.15), having a research assistant (e(β) = 2.05), and the ability to read research articles in English (e(β) = 2.27) were significantly related to more English-language publications. Having the confidence to conduct quantitative research (e(β) = 1.67) was related to a larger number of Japanese publications. The lack of mentoring (e(β) = 0.97) and university workload (e(β) = 0.96) were associated with a lesser number of Japanese publications. CONCLUSION The research productivity of young nursing faculty appeared to be quite low. Strategies to enhance research productivity in young nursing faculty, such as encouraging the achievement of a doctoral degree or enrichment of research resources, should be undertaken.
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Affiliation(s)
- Yumiko Oyama
- Department of System Management in Nursing, Graduate School of Healthcare Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Hiroki Fukahori
- Department of System Management in Nursing, Graduate School of Healthcare Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Mitsunori Miyashita
- Division of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, Miyagi, Japan
| | - Miho Narama
- Department of Nursing, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Ayumi Kono
- School of Nursing, Osaka City University, Osaka, Japan
| | - Fumi Atogami
- Women's Health Nursing, Tohoku University Graduate School of Medicine, Miyagi, Japan
| | | | - Keiko Okaya
- School of Medicine, Tokyo Medical University, Tokyo, Japan
| | | | - Toyoko Yoshizawa
- Women's Health Nursing, Tohoku University Graduate School of Medicine, Miyagi, Japan
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Oyama Y, Yonekura Y, Fukahori H. Nurse health-related quality of life: associations with patient and ward characteristics in Japanese general acute care wards. J Nurs Manag 2014; 23:775-83. [DOI: 10.1111/jonm.12207] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/22/2013] [Indexed: 11/29/2022]
Affiliation(s)
- Yumiko Oyama
- Department of System Management in Nursing; Graduate School of Health Care Sciences; Tokyo Medical and Dental University; Tokyo Japan
| | - Yuki Yonekura
- Center for Social Research and Data Archives; Institute of Social Science; The University of Tokyo; Tokyo Japan
| | - Hiroki Fukahori
- Department of System Management in Nursing; Graduate School of Health Care Sciences; Tokyo Medical and Dental University; Tokyo Japan
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Oyama Y, Fukahori H. A literature review of factors related to hospital nurses' health-related quality of life. J Nurs Manag 2013; 23:661-73. [DOI: 10.1111/jonm.12194] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/24/2013] [Indexed: 11/30/2022]
Affiliation(s)
- Yumiko Oyama
- Doctoral Program in Comprehensive Health Nursing Science; Graduate School of Health Care Sciences; Tokyo Medical and Dental University; Tokyo Japan
| | - Hiroki Fukahori
- Department of System Management in Nursing; Graduate School of Health Care Sciences; Tokyo Medical and Dental University; Tokyo Japan
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Sato K, Wakabayashi T, Kiyoshi-Teo H, Fukahori H. Factors associated with nurses’ reporting of patients’ aggressive behavior: A cross-sectional survey. Int J Nurs Stud 2013; 50:1368-76. [DOI: 10.1016/j.ijnurstu.2012.12.011] [Citation(s) in RCA: 47] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2012] [Revised: 12/14/2012] [Accepted: 12/16/2012] [Indexed: 10/27/2022]
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