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Trends and Future Forecast of Number of Applicants for Niigata Seiryo University Junior College
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Growing clinical practice roles among Japanese nurses : Performance of specialized nursing skills and the need for training
Get PDFapplication/pdfIn order to examine the growing roles of clinical practice for nurses, this study aimed to elucidate the performance of specialized nursing skills that are required to carry out prescribed medical therapies among Japanese nurses and the need for additional training to accomplish these complex tasks. An anonymous self-administered questionnaire that comprised 38 items was distributed to 637 nurses from 8 different facilities in prefecture A who had at least 5 years of clinical experience. Analysis of the data revealed that specialized nursing skills, such as administration of special drugs, were performed by more than 60% of nurses at 100-299-bed facilities. Five items were performed by more nurses at 100-299-bed facilities than nurses at 300-499-bed facilities. In terms of awareness of the need for specific training, at 100-299-bed facilities, about 20% of nurses believed that nurses who received specific training could perform specialized nursing skills. These findings suggest that proactive participation in specific training is needed in order for nurses to safely perform specific skills for complex procedures.本研究では、看護師の役割拡大について臨床現場の視点から検討するために、Ａ県内の医療施設に勤務する看護師の医行為の実態と特定行為研修に関する認識を明らかにすることを目的とした。Ａ県内の８医療施設に勤務する臨床経験５年以上の看護師637名を対象に無記名自記式質問紙調査を行い、分析の結果、以下のことが明らかとなった。
１．100～299床施設の看護師が実施している医行為については、臨時薬剤の投与の３項目が６割を超え、38項目のうち５項目については、300～499床施設の看護師よりも実施している割合が高かった。２．100～299床施設の看護師の特定行為研修に関する認識については、指定研修を受けた看護師が実施可能とする医行為は、最も割合が高い項目「急性血液浄化に係る透析・透析濾過装置の操作・管理」等も２割程度であった。今後、特定行為を安全に行うために特定行為研修の積極的な受講の必要性が示唆された。journal articl
Issues related to postmortem measures at medical facilities : Based on a survey on death care industry workers
Get PDFapplication/pdfThe objective of the present study was to elucidate issues related to postmortem measures at medical facilities based on the condition of corpses after they leave the hospital and the participation of family members in postmortem measures. A questionnaire survey on problems related to corpses, infection prevention conditions, and other factors was conducted on 680 death care industry workers, and a total of 232 valid responses were analyzed. The results indicated problems such as openings in the body and leakage of body fluids, and suggested the need for medical facilities to perform postmortem measures according to the condition of corpses. Because death care industry workers who believed that family participation led to grief care tended to verbally encourage families to participate in postmortem measures, and because problems such as bleeding and leakage of body fluids led to difficulties in handling among families, a review of postmortem measures, such as storage at lower temperatures of corpses at their medical facility and suturing of the sites where intravenous tubes had been removed, was considered necessary. Families were also given opportunities to participate in postmortem measures after corpses had been released from the hospital. Given that explanations that consider the possibility of infection for families, as with death care industry workers, are required, and that despite a great need, medical personnel provided little information on corpses such as the possibilities of infection and problems, investigation of approaches for cooperation between nurses and death care industry workers was considered necessary.本研究の目的は、退院後の遺体の状況や家族の処置への参加状況から、医療施設での死後の処置の課題を明らかにすることである。葬祭業従事者680名に遺体に関するトラブルや感染予防状況などの質問紙調査を実施し、232名の有効回答を分析した。結果、開口や体液漏れなどのトラブルがみられ、遺体の状況に応じた処置を医療施設から行う必要性が示唆された。葬祭業者の中で家族参加がグリーフケアにつながると考えているほうが参加の声かけを行い、出血や体液漏れなどのトラブルの際には家族の対応が困難になることから、医療施設からの冷却、太い点滴チューブ抜去後の縫合など処置の見直しが求められる。家族は退院後も処置に参加する機会があり、葬祭業者と同様に家族の感染の可能性も考慮した説明が必要である。医療者から感染やトラブルの可能性など遺体に関する情報提供が少なく、そのニーズも高いことから、看護師と葬祭業者間の連携のあり方を検討することが課題である。journal articl
The experiencing process of nursery school and kindergarten teachers in group work
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