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Practical Report on Maternal and Child Assessment Skills in the Revised Curriculum for Midwifery Education
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Aiming to provide midwifery care rooted in Okinawa’s culture of caring.
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Contents and Difficulties of Support for Workers with Cancer to Maintain a Work-Treatment Balance by Coworkers in the Workplace: A Literature Review
Full text link目的： がん就労者の治療と就労の両立支援について協働者の視点に着目して文献レビューを行い、協働者の支援と困難を明らかにすることを目的とする。
方法： 医学中央雑誌WebとCiNiiを用いて、 「がん」and「就労」and「支援」and「職場or企業」をキーワードに文献検索した。協働者によるがん就労者の両立支援に関する文献に限定し、がん以外の疾患を対象とした文献、就労に関連しない文献、就職活動に関する文献、著者が明記されていない文献を除外し、19件を分析対象とした。文献から抽出された協働者の支援内容および困難について、それぞれ質的帰納的に分析した。
結果： 協働者による両立支援の内容は、【受療や身体的負担軽減を考慮した業務調整】【疾患・治療に関する個人情報の保護】【専門職種との連携】等の８カテゴリーが抽出された。一方、支援の困難は、【業務負担軽減に対する同僚の理解と協力を得る】【体調を考慮した復職や業務の内容・ 量の判断】【専門職種との連携】等の７カテゴリーが抽出された。
結論： 協働者はがん就労者に対し多様な就労支援を行っていたが、業務調整を行ううえで病院の医療従事者との連携を必要としていた。したがって、事業場の協働者と病院の医療従事者が密に情報共有するためのシステム構築が必要であり、看護師はがん就労者のアドボケーターとなり、 事業場の協働者との連携を促進することが重要である。Purpose: The purpose of this study was to clarify the contents and difficulties of support for workers with cancer to maintain a work-treatment balance by coworkers in the workplace through a literature review.
Method: A literature search was conducted using the keywords “cancer”, “working”, “support”, and “workplace or company” on databases Ichushi-Web and CiNii. Nineteen literatures were analyzed. The data extracted from literature related to contents and difficulties of support by coworkers were each analyzed qualitatively and inductively.
Result: The contents of support by coworkers were divided into eight categories, such as “Operational coordination in consideration of receiving treatment and reducing physical burden”. On the other hand, the difficulties of support were divided into seven categories, such as “Determining the amount and content of work and the return to work in consideration of physical condition”.
Conclusion: Coworkers struggled to support worker with cancer due to a lack of cooperation with medical personnel at the hospital. Therefore, it is necessary to create a system to closely share information between coworkers at work and medical personnel at the hospital, and it is important for nurses to become an advocator of workers with cancer and to promote cooperation with coworkers at workplace. (199words)departmental bulletin pape
Longitudinal Study on the Process of Forming a Sense of Professional Mission among Nursing School Students（２）—— The Effect of Clinical Practice （Basic Nursing） Experience on a Sense of Professional Mission ——
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Research on Roadside Stations and University Cooperation in the Region A case study of a collaboration between Kyoda, a key roadside station in Okinawa, and Meio University
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A linkage of vocabulary instruction between elementary school 5th grade/6th grade and junior high school 1 year -focusing on analysis of authorized textbooks
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A study of view of death by aged men living alone who doing not participate in community activities in the northern part of Okinawa
Full text link本研究の目的は，地域活動に参加していない一人暮らし男性高齢者の死生観の構造を明らかにし，その人らしさを大切にしたエンドオブライフケアへの示唆を得ることである．
地域活動に参加していない一人暮らし男性高齢者７名に半構造化面接調査を実施し，質的統合法（KJ法）を用いて分析した．結果，【回避してきた関係性：周囲へ気兼ねして自ら選んだ孤立】，【生活苦を凌ぐ拠り所：ストレスを紛らわすささやかな楽しみ】，【独りで生きる覚悟：周りに迷惑をかけずに自立して生活したい】，【厭世的な思い：身近に死を感じる体験に伴う人生への憂い】，【つなぎとめている関係：苦しい生活を支えてくれる数少ないつながり】，【最期を迎える心構え：死（死後）を語ることによる安堵】の６つのシンボルマークが抽出された．一人暮らし男性高齢者は，【独りで生きる覚悟】を内在し生活しているが，死を身近に感じる体験から【厭世的な思い】も抱いていた．その一方で，【つなぎとめている関係】にある他者（友人・知人）に，死への不安や死後の対処を語ることで安堵し，【最期を迎える心構え】につながることが明らかになった．
地域活動に参加していない一人暮らし男性高齢者への支援として，死後の後始末を託せるつながりを保つことと，独りで死ぬことも含め，その人らしい死のあり様として受容できる看取りの文化を醸成していくことが，その人らしさを大切にしたエンドオブライフケアに繋がる．Purpose: This study examines the views of life and death of elderly men who had been living alone without participating in community activities, and explores possible end-of-life care options that value their human personality.
Methods: Semi-structured interviews were held with aged men who live alone and do not participate in community activities in northern part of Okinawa. They were asked about their views on deaths and results were analyzed using the qualitative unification methods （KJ）.
Results and Considerations: They had【Prepared to live alone】. However, he harbored 【Pessimism】due to near-death experience. On the other hand, they had a view of life and death in which they wanted to 【Preparations for the final days】 by talking about their anxieties and life to their【Relationships that hold you together】, such as trusted friends and acquaintances. It is important to maintain a relationship with the person who will take care of the aftermath of death. And, creating a culture of end-of-life care that allows people to solitary death in their own way, including the possibility of dying alone, will lead to end-of-life care that values the individual’s personality.departmental bulletin pape
Ryukyu Customs Written by the Chinese Envoys in 1800 —— focusing on Chinese poetry by Zhao Wenkai and Li Dingyuan ——
Full text link冊封使の使録及び冊封使が残した漢詩において，当時の琉球の中国とは異なるさまざまな風俗は冊封使の記したものの中で必ず取りあげられているテーマのうちのひとつである．特に1800年に琉球国の世孫尚温を国王に冊封するため来琉した趙文楷と李鼎元はたくさんの関連作品を残し，使録に記されていない風俗を漢詩として詠んでいる．しかし，先行研究では，趙文楷と李鼎元の琉球の風俗を題材にした作品については，ほとんど論じられていない．
本稿では，琉球の風土と生活，信仰，文化の３つのカテゴリーから，趙文楷の「七月十五日」，「球俗」の３首と，李鼎元の「中山雜詩二十首」（其の一，三，五，七）及び「和寄塵竹枝詞十首并序」（其の七，十）の６首の作品の分析をする．それらを通して，1800年に冊封使として琉球を訪れた二人の眼に映った琉球の風俗の一端を明らかにしてみたい．また，現在の民俗研究と対照しながら，薩摩藩から琉球国への武具輸出の禁止や琉球士族の教養等が冊封使の記した琉球の風俗に与えた影響についても検討を試みることにする．Various customs of Ryukyu in 19th, which were different from those of China, are one of the themes that are always taken up in the records and the Chinese poetry left by Chinese envoys. In 1800,
Zhao Wenkai and Lee Dingyuan, who came to Ryukyu to confer the title of king on Sho On, left many related works, and even wrote about customs that were not in the records of Chinese envoys.
However, previous studies have hardly discussed the works of Zhao Wenkai and Lee Dingyuan thatdeal with customs of Ryukyu.
In this paper, I would like to analyze a total of 10 works by Zhao Wenkai and Lee Dingyuan from three perspectives: Ryukyu climate and lifestyle, beliefs, and culture.Through this, I would like to clarify a part of the customs of Ryukyu reflected in the eyes of the two who visited Ryukyu in 1800 as Chinese envoys. In addition, I will try to examine the background while comparing it with current folklore studies.departmental bulletin pape
Aspects of the experience and perception of pain in homecare cancer patients living in the community: a literature review
Full text link本研究は，在宅がん患者への教育的介入に関する理論的枠組み構築の示唆を得るため，在宅がん患者の痛みの認識と体験の様相を明らかにすることを目的とした．
国外論文はPubMed，CINAHLから“Cancer Pain”&“Patient OR Family OR Caregiver”&“Perception OR Experience OR Interpret”のキーワードで検索した．国内論文は医中誌Webを用いて，「在宅医療or在宅看護」「がん患者or家族」「がん性疼痛」「認識or体験」のキーワードで検索し，国内外で19件の論文を対象とした．在宅がん患者の痛みの体験には，【制御困難な耐え難い疼痛体験】【痛みと生活の折り合いをつけた対処行動】など６つのカテゴリーが抽出された．痛みの認識には，【過去の痛みと向き合った体験から得られる自己効力感】【痛みの増悪に伴う自律の喪失】【痛みと折り合いをつける肯定的な人生の再構築】など６つのカテゴリーが抽出された．
在宅がん患者の痛みの体験の様相は，複数の要因と多様な変化で制御困難ながん性疼痛特有の疼痛体験に対し，生活と折り合いをつけた対処行動を行っていた．痛みの認識の様相は，過去の痛みへの対処行動から得られた自己効力感が分岐点となり，人生の喪失というネガティブな認識と人生の再構築というポジティブな認識が生じていた．The purpose of this study was to identify aspects of homecare cancer patients' perceptions and experiences of pain in order to suggest the construction of a theoretical framework for educational interventions for homecare cancer patients.
The international articles were from PubMed, CINAHL, “Cancer Pain” & “Patient OR Family OR Caregiver” & “ Perception OR Experience OR Interpret”. Domestic articles were searched using the Ichushi Web with the keywords “home health care OR home nursing,” “cancer patient OR family,”“cancer pain,” and “perception OR experience,” and 19 domestic and foreign articles were included.
Six categories were extracted for the experience of pain with homecare cancer patients, including［experience of unbearable pain that is difficult to control］ and ［coping behaviors to come to terms with pain and life］. Six categories of pain perception were extracted, including ［self-efficacy from the experience of dealing with past pain］, ［loss of autonomy associated with worsening pain］, and ［positive life restructuring to come to terms with pain］.
Aspects of the pain experiences of the homecare cancer patients were coping behaviors that reconciled their lives with the unique experience of cancer pain, which was difficult to control due to multiple factors and various changes. Aspects of pain perception were based on the sense of selfefficacy gained from past pain coping behaviors, which became a turning point, resulting in negative perceptions of loss of life and positive perceptions of rebuilding life.departmental bulletin pape
Barriers of decision-making to the treatment and lives of elderly cancer patients：A Literature review
Full text link【目 的】文献レビューを通して高齢がん患者の治療や療養にかかわる意思決定の阻害要因を明らかに することを目的とする．
【方 法】医学中央雑誌の検索エンジンを用いて，キーワードを「意思決定」「高齢」「がん」とし文献 検索を行った．分析対象文献は選定基準を設け，文献を選定した．中島らの意思決定の定義を参 考に，高齢がん患者の意思決定を阻害している要因について記述されている文脈を抽出し，得ら れたデータは質的帰納的に分析した．
【結 果】検索の結果279文献が抽出され，選定基準を満たす13文献を対象文献とした．研究対象の年代 は2003年～2019年で，研究種類は，質的研究９件，量的研究２件，事例・症例報告２件であった． 高齢がん患者の意思決定の阻害要因について31コードが抽出され，10のサブカテゴリ，７カテゴ リに分類された．高齢がん患者の治療や療養にかかわる意思決定を阻害する要因は【認知機能低下 による理解困難】，【高齢者に対する偏見】，【病状や病名の未告知】，【家族や医師に対する気兼ね】，【本人と家族の意向の相違】，【疾患を受けとめられない】，【治療に対する不安】の７つであった．
【結 論】高齢がん患者に特徴的な意思決定の阻害要因は【認知機能低下による理解困難】，【高齢者に 対する偏見】，【家族や医師に対する気兼ね】の３つであった．これらの要因は，高齢がん患者の 意思決定支援システム構築の基礎資料になると考える．Purpose：The purpose of this study was to clarify the barriers of decision-making related to treatment and lives of elderly cancer patients through
literature review .
Methods：A literature search was performed using a search engine of Japan medical abstracts society. Furthermore, Data were extracted for the
barriers of decision-making related to treatment and recuperation of elderly cancer patients from contexts. The data were analyzed via
qualitative inductive analysis.
Results：The keywords were searched for “decision making”, “elderly”, and “cancer”. As a result, 13 references were selected. A total 31 codes were
extracted for the barriers of decision-making related to treatment and lives of elderly cancer patients, and these were classified into 7
categories, which included “Difficult to understand due to cognitive decline”.departmental bulletin pape