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Nurses' Practical Wisdom for the Support of Dementia Patients Among Hospital Outpatients
Get PDFapplication/pdfPurpose: To establish and understand nurses' practical wisdom and interventions of support for dementia and possible dementia patients at hospital outpatient wards.\nMethods: A qualitative design was used to collect data through semi-structured focus group interviews. The participants were 13 female nurses working at hospital outpatient wards.Data were analyzed using the KJ Method.\nResults: Seven themes symbolizing the properties of the final label were extracted as follows:‘Observation of patients with focused awareness, and are continuously engaged with their patients',‘Approach to the problems of the patients, and sensitively work to understand the worries of patients based on past cases of problems',‘Looking out for simple ways patients can look after themselves, implicitly and thoroughly, making the best use of the ways that patients are familiar with and which they are able to understand',‘Preparations for scheduled consultations by developing a network to assist with problem prevention and recording episodes about problems involving the patients',‘Requests for cooperation to continue treatment by choosing intermediaries/resources appropriately as based on the importance of the medical treatment',‘Responses that do not conflict with the feelings of the family by considering the possible reluctance of accepting that a family member has dementia', and‘Attitude not to blame matters on dementia by reflecting on how the environment and care ought to be'.’\nConclusion:Nurses' practical wisdom is a type of support provided for patients in a natural manner without being noticed as special or particular by the patients.journal articl
Common-sense knowledge and authorship within supported decision making
Get PDFapplication/pdfThis study discusses supported decision making in support centers for persons with disabilities and divides it into narrow and broad meanings. An analysis of the narrow meanings considers common-sense knowledge that enables supported decision making. An analysis of the broad meanings considers authorship in decision making. The data that are analyzed are from cases in which supported decision making was a problem that was reported by staff working at a facility that supported people intellectually disabled. The data are categorized for a logico-grammatical analysis, which is a method used in ethnomethodology, and the findings obtained from the analysis are discussed. In regards to narrow meanings of supported decision making, common-sense knowledge is suggested as the knowledge that there is a possibility one may make the decision making of an intellectually disabled person less visible. In regards to broad meanings of supported decision making, if it is not necessary to restrict decision-making authorship to a single person, the authors indicate that mainly clients and supporting persons make decisions.本研究では、障害者支援施設における意思決定支援職を狭義の意思決定支援と広義の意思決定支援に区別し、前者はとりわけ意思決定支援を可能にする常識的知識について、後者は意思決定におけるオーサーシップの問題について、それぞれ検討した。分析対象となったデータは、障害者支援施設で働く職員によって報告された「意思決定支援が問題となるケース」である。これらのデータをエスノメソドロジーの分析手法の１つである論理文法分析によって分析し、分析によって得られた知見について考察した。狭義の意思決定支援においてはある種の常識的知識が知的障害者の意思決定を見えにくくする可能性について示唆した。広義の意思決定支援においては、意思決定のオーサーを単一の人物に絞る必要がないならば、オーサーは主にクライエントと支援者の2人であることを示した。journal articl
The practice of independent free writing class using collaborative software : Aiming at lesson design based on the principles of learning
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Student’s Comprehension in “Introduction to Housing Studies” with Simple Experimental Equipment
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Case Study on Teacher’s Assistance for Junior Kindergarteners Activities in Free Indoor Play : An Ethnographic Report on the Education of Niigata Seiryo Kindergarten
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A Study on the Teaching Methods for the Physical Expressions of Infants (1) : Using Words in the “RITSUDOU“ of Kiku Ishihara
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The Tentative Estimates of Road-Areas for Japan before and after World War II
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Consideration On Roald Dahl’s ‘Genesis and Catastrophe : a true story’
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Research on care actions of care worker : The Present Condition and Challenges of Care Worker Training Training after Partial Exclusion of Medical Act
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