看護とケアのジャーナル

The professional benefits and security issues for nurses using social networking tools are demonstrated and assessed in this article. The phenomena of web-based social networks offers the opportunity for nurses to educate and receive healthcare information faster than ever before, raise the public’s health awareness while maintaining security and confidentiality for themselves and their social network followers. Social networking websites, such as Facebook©, Twitter, Instagram, LinkedIn and Google+, are presented in the context of extending health information to consumers. By using keywords and hashtags, accessing information through social network websites is explained through a fictional scenario of how these mechanisms can effectively promote the discovery of quality health information without difficulty.

Adult foster care provides an alternative to nursing home care. Residents are cared for in a private home by a caregiver who provides 24 hour supervision. The caregiver receives payment for room and board and for the care services provided. States vary in their regulatory approach but are increasingly viewing this model of care favorably due to the lower costs and preference for this model of care among frail older adults and their families. Opportunities for nurses in this relatively new care environment are numerous ranging from case managementto direct care provision.

Introduction: The move towards evidence-based nursing practice requires active participation by nurses at all levels along the continuum of care. Despite this fact, nursing involvement in multicenter research is limited. This not only limits the generalizability of findings, but hinders collaborative and interdisciplinary research networking between hospitals. Reasons for single site nursing research barriers have been explored. Yet, knowledge of the barriers nurses face when they seek to engage in multicenter research activities is limited. Methods: A core group of experienced nurse researchers sought to initiate a multicenter observational research study of intracranial pressure monitoring. This article uses a case series approach to highlight the challenges encountered throughout the process. Results: Barriers to multicenter nursing research were identified and categorized by theme. Conclusions: Institutional changes are suggested to support the participation of clinical nurses in research and recommendations are made for future study.

Background: Diabetes self-management is defined as a set of skilled behaviors one engages in to manage one's own illness. The Transtheoretical Model (TTM, stage-based model) is one of the six most commonly cited behavior change models frequently assumed to be more effective than a control situation. Aim: This study was conducted in order to investigate the lifestyle behavior of mothers of diabetic children's before and after implementation of intervention strategies incorporating the Transtheoretical Model of Change. Setting: The study was conducted in the Diabetic center in EL Mogamaa EL Teby AL Shamal at Shebin El-kom that serves Menoufyia Governorate. Design: The experimental pre-post-test design was used in carrying out the study. Sample: The study used simple random sample of 100 mothers of diabetic children's who were enrolled in the computerized program for diabetic children registration. Instruments:-a) Trans-theoretical model of change for child questionnaire, b). Transtheoretical model of change for mother questionnaire. The main results: The experimental group, reported that 18.0% not having complications as a result of diabetes at the pre intervention phase, increased to 64.0% at the post intervention phase. Also the results of the studied mothers revealed that there was statistically significant difference between experimental and control groups within the baseline, the first and the second intervention regarding stages of change for dietary management, blood glucose monitoring by using the home device and preparation and insulin administration behaviors. Conclusion: the implementation of the Trans-theoretical Model of change- based behavioral intervention brought a positive change in stages of mothers' behaviors related to dietary management, blood glucose monitoring by using the home device and preparation and insulin administration.

According to the data released by the Ministry of Health of Indonesia in 2009 shown that stroke was reported as the first number cause of death in patients who’s hospitalized and it placed the eleventh rank of the most diseases in outpatient wards. Strokes often cause a lot of problems, especially interferes in the functioning of the body movement then prequently lead to disability, dependence on the other and inability to carry out daily activities. It is not only the healing process that takes time but also stroke treatment and rehabilitation does too gradually it leads to boredom and frustration. Furthermore, if the patient want to return to their productive phase they have to be confidence to have a self-control of their health problems (health locus of control) so that their level of independence in carrying out their daily activities can be improved. This study is aimed to determine the effect of strengthening health locus of control to the independence of post stroke patients in carrying out daily activities at home. The research method used a quasi-experimental with pre and post test without control design, and used the 31 poststroke patients who are undergoing treatment at the Polyclinic stroke of Al Islam Hospital Bandung, Indonesia, as sample. The samples were taken by purposive sampling technique. Data analysis consisted of univariate analysis using the mean score and standard deviation as well as bivariate analysis using t-test dependent. Based on the analysis obtained that the strengthening of the Health locus of control influence was highly effectively to increase the independence of post stroke patients in carrying out his daily activities, so the nurse suggested that the strengthening health locus of control should be continued to be implemented to the post- stroke patients to continue treatment at home in order to increase their independence.

As the practice of nursing continuously evolves, the registered nurses’ role has expanded from basic practice to advanced nursing practice over the last 100 years. Following the demands of healthcare organizations worldwide, Philippines adopted the Nursing Specialty Program that aims to promote presence of clinical nurse specialists in the country. Cognizant of this challenging role, this phenomenological inquiry has eidetically captured their collective experiences as clinical nurse specialists. A series of semi-structured, in-depth, one on one interview was conducted. Driven by the central question, “What describes the acceptance and utilization of CNS in the health care institution?” Field text were transcribed and subjected to phenomenological reduction via cool and warm analyses. Four clusters of themes delineated the participant’s collective experiences namely: (a) Inspired to perform a new role (b) Blinded acceptance of embodied role (c) Narrowed opportunities to practice area of specialization and (d) Divided to one’s own achievements. An experience of “professional ambivalence” greatly characterized the narrowed response of the community and healthcare professionals that led to the feelings of ambivalence to one’s own achievements, from being fulfilled to frustrated, dissatisfied and uncertain to practice confidently and independently. The Filipino clinical nurse specialists are initially motivated to improve one’s practice and the nation’s health but, unfortunately enjoy sparingly the eminence and appreciation as foreign nurse specialists do. To be able to empower more Filipino nurses to struggle for professional growth and for advanced nursing practice in the Philippines to continue to flourish, it is imperative that nursing leaders must begin to organize a unified vision of advanced nursing practice by amending the existing law, delineating the scope of their practice, reviewing the existing requirements for certification to meet global standards and making the healthcare community mindful of the existence and value of such professionals.

Background: Health-related quality of life is a frequently assessed patient-reported outcome in the current literature on patients living with atrial fibrillation. Originally, quality of life is an abstract, complex concept, and there is no consensus on a final definition of it. Considering overall quality of life to be assessable using a standardized tool may lead to the loss of valuable knowledge about the patients’ individual lived experiences.

Aim: To report how the concept of quality of life is being defined and which arguments are given for using the concept in scientific research papers on patients living with atrial fibrillation.

Method: Systematic literature study based on analysis of 53 scientific research papers on patients living with atrial fibrillation and inspired by Leif Becker Jensen’s suggestions on how to perform text analysis on a hermeneutical process described by Hans Georg Gadamar.

Findings: Three ways of defining the concept of quality of life and five preferred ways of giving reasons for using the concept were found. Thirteen of the papers offered no definition of the concept of quality of life, while 19 papers did not offer arguments for using the concept.

Conclusion: Quality of life is seen reduced into assessable parameters like health status. This might lead to the loss of valuable insight into the patients’ subjective perception of their lives. To avoid this reduction in future, it is important to call for clear definitions and arguments for

Background: The aim of this study was to describe the level of implementation of nursing process and associated factors among nurses working in DebreMarkos Referral Hospital and Finote Selam District Hospital, northwest Ethiopia, 2013. Materials and methods: A total of 124 nurses with one year and above working experience in the respective hospitals gave complete response out of 139 total nurses. Self-administered questionnaire from standardized and pre-tested tool were adopted to collect data. The data was entered using Epidata version3.1 and analyzed using SPSS software. In addition to descriptive statistics both bivariate and multivariate logistic regression model fitted to identify possible factors associated with nursing process implementation. Then those variables with P-value of <0.05 at 95% confidence interval (CI) was declared as statistically significant. Results: Among 124 total respondents 72 (58.2%) were female nurses, the ages of the respondents were between 20 and 62 years with median age of 29 years. They implemented nursing process at various degree of consistency 46 (37.1%) practice it very much, 62 (50%) practiced somewhat and the rest 16 (12.9%) not at all and not really practiced. Low knowledge negatively associate with nursing process implementation, Adjusted odds Ratio (AOR) 0.16, at 95% CI=0.07-0.39) and Presence of patients with uncomplicated case facilitate nursing process implementation (AOR=5.67, at 95% CI=2.52-12.73). Conclusion: The level of nursing process implementation is low among nurses. Factors associated with implementation of nursing process among nurses working in hospitals were; presence of patients with complicated case and low level of knowledge about nursing process. Nurses’ patient care knowledge in general and

Reflection has become an invaluable tool for nursing students to learn from Practice. This article presents some of the definitions of the concept of reflection and provides some of the reasons as to why nursing students are at times reluctant to engage with this process. It explores the origin of this concept and how it has become of an important part of professional practice. This process allows nursing students to disentangle the various components of professional practice and linking it to the underpinning theories, promoting better understanding and professional growth. This article explores how reflection can be used to facilitate this process and help the transformation of students into safe and competent professionals.

Background: Medication reconciliation problems are common among patients at hospital discharge and can lead to adverse events. The Electronic Nursing Discharge Summary (ENDS) has the potential of reducing discharge medication errors and ensuring the safe handover of care. Aim: The aim of this study is to describe how ENDS supports medication data exchange, cooperation and work practices as well as to clarify dependencies between medication data transmission, cooperation and working practices at patient discharge from special care to primary care. Methods: This cross-sectional study is part of a larger survey which aimed at clarifying how nursing professionals in primary care experience the flow of information at patient discharge from special care to primary care or homecare. The material was collected by e-mail survey with pre-tested questionnaire in 2012 in Finland. The data was analyzed by using descriptive statistical methods. Results: A total of 180 nursing professionals answered the survey, 56 of whom reported having received ENDS. Nursing discharge summaries did not accurately and completely reflect patient medication. For instance, only 22 percent of nursing professionals were “Well” aware of the medication taken on transfer day. Less than half of the respondents felt that the medical case summary showed current patient medication "Well" (37%). There were also duplications concerning the data content of patient care in medical case summaries and in nursing summaries, especially concerning medication. We found positive dependencies between medication data transmission, cooperation and working practices. Conclusion: The results show that medication recordkeeping should be developed in ENDS at the patient transfer phase from special care to primary care.

This paper explores the effects of stress on nurses, patients, and the healing environments. Through a synthesized review of the effects of stress on the psychoneuro-immunological system, this article provides strong evidence for why nurses must create and enact caring-healing processes from both a physiological and ethical perspective. The ethical call toward decreasing stress for the self, for our patients, and in our workplace environments is made.