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Feasibility of Renal Blood Flow Measurement Using 64Cu-ATSM PET/MRI : A Quantitative PET and MRI Study
福井大学博士(医学)2023doctoral thesi
Inter-professional work competences and related factors of nurses who receive consultations from palliative care teams.
目的:緩和ケアチームのコンサルティとなる看護師の専門職連携を実践する能力の実態および関連要因を明らかにする。
方法:緩和ケアチーム活動のコンサルティとなる看護師 1230 名を対象とし,IPW コンピテンシー自己評価尺度,基本属性について無記名自記式質問紙調査を行った。
結果:812 名の当該看護師から有効回答を得た(有効回答率 66.0%)。専門職連携を実践する能力の合計点は平均 52.4±19.2 点であった。緩和ケア研修会,多職種研修会への参加経験がある看護師は,専門職連携を実践する能力が有意に高かった(p < 0.01)。また,コンサルティとなる頻度が「ほぼ毎日」群は「年に数回」群と「月に 1 回」群に比べて,専門職連携を実践する能力が有意に高かった(p < 0.01)。
考察:無記名自記式質問紙調査の結果から,緩和ケア分野における専門職連携を高めるための取り組みは効果的であることが示唆された。今後,積極的な緩和ケアチームとの協働を推奨することで,専門職連携を実践する能力の向上につながると考える。
Purpose: The objective of the present study was to investigate inter-professional work (IPW) competences and related factors of nurses who receive consultations from palliative care teams.
Method: The subjects were 1230 nurses who had received consultations (consultee nurses) from palliative care teams (PCT). A self-administered questionnaire was given, which included a self-rated IPW competency scale and basic attributes.
Results: 812 nurses responded to the survey (response rate 66.0%). The average point of the IPW competency was 52.4±19.2. Nurses who had participated in palliative care workshops and multi-professional workshops had significantly higher IPW competency (p < 0 .01). The “almost daily” consultee nurse group had significantly higher IPW competency than the “several times a year” and “once a month” groups (p < 0 .01).
Discussion: The results suggest that efforts such as workshops to enhance nurses’ IPW competency in the field of palliative care are effective. We believe that encouraging active collaboration with palliative care teams in the future will improve the ability to practice professional collaboration.departmental bulletin pape
The Matrix Reeve-Loaded II: A Comparative Analysis of Three European Folktales and Their Relationship to The Mylner of Abyngton and Chaucer’s Reeve’s Tale
This article is intended to be read as the continuation of a previous paper: “The Matrix Reeve-Loaded I: Dismantling Biases and Evaluating Diagrams of Relationships between Chaucer’s Reeve’s Tale, The Mylner of Abyngton, and Other Cradle-Trick Stories” (2016). Part I aimed to show how a combination of entrenched biases in literary criticism had combined to exclude The Mylner of Abyngton from consideration as an analogue of The Reeve’s Tale, but recent critical trends have challenged such biases and opened up new possibilities and perspectives. One such trend is to take a broader view of the relationships of texts to their sources and analogues: an intertextual approach.
Accordingly, Part I critiqued four diagrammatic representations of the relationships between cradletrick stories (ATU 1363) that essentially divide them into two separate strands: the “love plots” and the “miller plots.” Such rigid representations cannot convey the intersectionality and intertextuality between narratives, including those on supposedly-separate strands. Instead, the relationships should be reconceptualised as an intertextual matrix. Thus, this follow-up paper takes a deep dive into this matrix, focusing on a trio of “miller-plot” European folktales (Breton, Danish, and Irish), similar to The Mylner of Abyngton, to elucidate, through comparative analysis, the relationships of the three folktales to each other, to The Mylner, to Chaucer’s Reeve’s Tale, and to other cradle-trick stories.
The study identifies the distinguishing features of this subgenre of tales and highlights numerous connections between them and the more lauded narratives: the first study of these three folktales in English. The identified distinguishing features of this subgenre could help piece together what an older, similar version of the tale-type might have looked like and with which Chaucer might have been familiar as he was composing The Reeve’s Tale. Moreover, the connections identified between the three folktales (plus The Mylner) and other sources and analogues, especially those on the supposedly-separate “love-plot” strand, indicate far deeper intersectionality and intertextuality than the diagrams represent. They are not poles apart. The suggestion is that such folktales may have crosspollinated the established literary versions and therefore warrant greater consideration as mediating intertexts.departmental bulletin pape
An examination of risk factors and factors relating to disappearance and improvement of educational maltreatment by parents: A qualitative analysis on cases obtained by interview to specialists working in welfare, medical and educational field.
本研究では,福祉・医療・教育現場の専門家に対するインタビュー調査から得られた事例の質的分析を行い,保護者によるエデュケーショナル・マルトリートメント( Educational Maltreatment: EM )の生起・維持に関与すると考えられる危険因子(リスクファクター)と EM の消失・改善に関与すると考えられる要因ついて実証的に検討することを目的とした。 5 名の専門家から得られた 9 事例についてカテゴリー化を行い,( 1 )保護者の子どもとの関わりの特徴,( 2 )保護者による EM によって子どもに生じた身体・精神症状や不適応行動,( 3 )保護者による EM の生起・維持に関与すると考えられる危険因子,( 4 )保護者による EM の消失・改善に関与すると考えられる要因の 4 つの観点から整理を試みた。( 1 )保護者の子どもとの関わりの特徴と( 3 )保護者による EM の生起・維持に関与すると考えられる危険因子については先行研究の知見との対応関係についても検討を行った。departmental bulletin pape