看護とケアのジャーナル

The purpose of this study was to develop and test a standardized primary health assessment instrument (SPHAI) that can be used to assess the health problems and care needs of home-bound clients at the primary level. For this, the preeminent experts in the field were identified and, after an intensive literature review, a preliminary instrument was established. The 25 panelists then participated in a three-round Delphi survey method to identify those items that had a content validity index of 0.8 and over. This led to an instrument composed of 5domains, 19 components, and 43items. This instrument was then reviewed from 316 homecare nurses working for three types of home health care programs in Korea. The nurses assessed the tool in terms of item variation and redundancy, and to determine its internal consistency and reliability. The responses suggested that the SPHAI is suitable for use in all three programs in terms of identifying homebound clients, developing guidelines for evidence-based care, and improving documentation. However, the present study should be regarded as an exploratory study: the feasibility of the SPHAI should be tested by nation-wide empirical studies that are funded by the Korean government.

Objective: The purpose of this study is to investigate the relationship between schools and families of children with chronic diseases.

Design: The study conducted was designed as a descriptive and relational study.

Methods: The population of the study comprised of the teachers and parents of primary school children attending 28 primary schools in Central AÄŸrı, who also have a chronic disease. Two thirds (2/3) of these schools was selected using a simple random sampling method. The study was conducted with 98 parents and 100 teachers that accepted to participate in the study. Descriptive information of the parents and teachers, and two different subject-related questionnaires were used to gather data between 15 March and 30 April 2008 for this study. Data were evaluated by using percentages and chi-squares.

Results: Results of study concluded that 83.9% of mothers and 73.8% of fathers shared their child’s disease with their teachers; 43.6% of mothers and 63.9% of fathers had never met their child’s teacher prior to her/his illness; and 76.9% of mothers and 61.1% of fathers met with their child’s teacher from parents’ meeting to parents’ meeting after their child became ill. In terms of illness and adaptation to school, half the mothers and 54.8% of fathers collaborated with their child’s teacher; 61.9% of mothers and 66.7% of fathers collaborated with their child’s teacher regarding diet, medication, and activity.

Conclusions: Results of study concluded that the parent-school relationship of children with chronic diseases was inadequate. It is recommended that parent-teacher and healthcare personnel collaboration is improved so that children with chronic diseases can continue their school life in the same way as their peers, they can cope with the difficulties they experience due to their disease, and succeed academically.

Abstract This article seeks to analyze the effects of changes in the organization of work performed by nurses on long-term care wards in a residential and long-term care facility (centre d’hébergement et de soins de longue durée, CHSLD) in Quebec. The changes involved are 1) the introduction of a modular care system, a “living environment” approach and a computerized client-information system specifically for residential and long-term care centres (SICHELD).

Problem: The changes have been implemented in most of Quebec’s CHSLDs but have not been evaluated. Theoretical Framework: The theoretical approach used here is that of the psychodynamics of work, which was developed in France by C. Dejours and adopted in Quebec by M-C. Carpentier-Roy and others.

Method: The investigative methodology of the psychodynamics of work is fundamental to the examination. Study groups formed of nurses who volunteered to participate comprised 26 (out of a possible 76) nurses representing all the wards and all the shifts in the CHSLD.

Results: Major sources of suffering take the form of paradoxes and undermine the meaning of work. The suffering the participants experience is evidenced by their resorting to a wide range of defensive strategies.

Implications: Various considerations related to the structure and organization of work raise important questions about the nurses’ role. The discussion expands on the issues of role conflict, the ambiguous exercise of power and a broad search for identity; the situation is marked by an identity crisis and an impasse in action

The purpose of this study was to develop and test a standardized primary health assessment instrument (SPHAI) that can be used to assess the health problems and care needs of home-bound clients at the primary level. For this, the preeminent experts in the field were identified and, after an intensive literature review, a preliminary instrument was established. The 25 panelists then participated in a three-round Delphi survey method to identify those items that had a content validity index of 0.8 and over. This led to an instrument composed of 5domains, 19 components, and 43items. This instrument was then reviewed from 316 homecare nurses working for three types of home health care programs in Korea. The nurses assessed the tool in terms of item variation and redundancy, and to determine its internal consistency and reliability. The responses suggested that the SPHAI is suitable for use in all three programs in terms of identifying homebound clients, developing guidelines for evidence-based care, and improving documentation. However, the present study should be regarded as an exploratory study: the feasibility of the SPHAI should be tested by nation-wide empirical studies that are funded by the Korean government.