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Self-rated health of foreign workers and factors related to occupational stress:The cross-sectional study of Indonesians in Okinawa, Japan
No full text本研究では、在沖インドネシア人労働者の主観的健康感について明証化すること、在沖インドネシア人の職場でのストレスは何と関連しているのか、その要因の可能性を検証することを目的とした。
対象者は沖縄県で「技能実習」「特定技能」「特定活動」の在留資格を有し働くインドネシア人とし、研究方法は、文献資料及び事前調査をもとに質問票を作成し、スノーボールサンプリング法にてアンケート調査を実施した。回収されたデータは、カイ二乗検定、ノンパラメトリック多重比較検定、KHCoderを用いて分析を実施した。
結果、対象者（n=154）の98％が現在自らを健康と感じており、インドネシアにいた頃よりも現在の方が健康と感じている者も98％であることが明らかとなった。また、自らを健康であると感じる理由として、「食」「清潔」「環境」「規則」といった生活環境に関する語彙で表現する傾向にあることが明らかとなった。一方、対象者の19％が沖縄での就業にストレスを感じていることが明らかとなり、
傾向として、現在の仕事に不満足な群（χ２=12.7；p<.01）、未婚の群（χ２=5.58；p<.05）、介護職に就いている群（χ２=16. ５；p<.01）等のストレスが統計学上有意に高かった。介護職については受け入れ施設によりストレス感が著しく異なることが明らかとなった。
本研究の今後の課題として、対象者の抽出方法の再検討、主観的健康感と客観的健康感（健康診断結果など）の比較探究、介護職の施設別就業状況などの考査が挙げられる。This study aims to inquire about the health condition of Indonesian workers in Okinawa and to examine potential factors related to occupational stress. Participants in the study were limited to Indonesians living in Okinawa with the employment status of Technical Stage, SpecifiedSkilled
Worker, or Designated Activities. The questionnaire was developed in accordance with the conventions of related research studies, and some of those results were included in this study whenever necessary. The participants were asked to complete a self-assessment questionnaire
that would provide a gauge of individual health, and this was followed with a selection of openended questions. The results were analyzed using Chi-square tests and a nonparametric multiple comparison. In addition, responses to open-ended questions in the survey were examined via the
KH Coder, a tool for quantitative content analysis. According to the results of the study, 98% of the participants （n=154） indicated that their health condition was favorable. Furthermore, 98% of the participants felt that living in Okinawa was healthier than living in Indonesia. In addition, this study showed that participants tended to express reasons for their health such as "food", "clean", "environment" and "rules". These words
are linked to their surroundings. However, in another question concerning work, 19% of the responses were negative. These unfavorable responses were shown to be statistically significant, according to the group, by Chi-square tests. Significant differences were observed among those
who were dissatisfied with their current job（χ２=12.7；p<.01）, those who were singles（χ２=5.58；p<.05）, and those who were engaged in care work（χ２=16.5；p<.01）. It was pointed out that health care workers' feelings of stress differed remarkably depending on the facilities they worked.departmental bulletin pape
Nurses' coping with violence from patients: A literature review
No full text医療現場での患者による暴力は看護師に精神障害を引き起こす重大な問題である。また、終末期がん患者は全人的な苦痛やせん妄を背景とした怒りの感情により暴力を振るうことがある。本研究の目的は、国内文献のレビューを行い患者から暴力を受けた看護師の対処を明らかにすることである。その上で、終末期がん患者から怒りの表出を受けた看護師に関する研究の方向性を検討した。医学中央雑誌Web版を用いた検索結果から10件を対象文献とした。対象文献からデータを抽出し質的帰納的に分析を行った。分析の結果、行動的対処として【否定的感情を抱き物理的・心理的に患者を避ける】【感情に左右されながら自己と患者の視点から振り返る】等の７カテゴリーが抽出され、認知的対処として【暴力を受けることは仕事の一つで感情を左右されない】【看護師としての成長に繋る体験】等の６カテゴリーが抽出された。これらの結果から、暴力体験を振り返ることが看護師の実践能力を高めることに繋がり、成長体験として捉えなおすことのできる重要な対処であると示唆された。しかし、がん看護領域においては、がんの進行による時間の制約のため暴力を受けた看護師が患者と再び関わり暴力体験を振り返ることは困難になると推察された。今後は、終末期がん患者から怒りの表出を受けた看護師の体験を明らかにする必要がある。Patient violence in health care settings is a serious problem that can cause mental disorders in nurses. Moreover, terminally ill cancer patients may be violent due to feelings of anger caused by total pain or delirium. The purpose of this study was to review some literatures to identify how nurses cope with violence from patients and to examine directions for future research on nurses who receive expressions of anger by terminally ill cancer patients. Ten articles were selected from the Web version of the Central Journal of Medicine as the target literature. Data were extracted from the literature and analyzed qualitatively and inductively. As a result of the analysis, 7 categories were extracted as behavioral coping, such as "avoiding the patient physically and psychologically with negative feelings" and "reflecting on his or her and the patient's point of view while being affected by feelings", and 6 categories were extracted as cognitive coping, such as "receiving violence is a part of work and nurses should not be affected by feelings" and "experiences leading to development as a nurse". These results suggest that reflecting on the experience of violence is an important coping strategy that can enhance the nurse's ability to practice and can be reinterpreted as an experience leading to development as a nurse. However, it was inferred that due to the time constraints imposed by the progression of cancer, it would be difficult for nurses who have experienced violence to be involve again with patients and reflect on their experiences. Future study is needed to clarify the experiences of nurses who receive
expressions of anger by terminally ill cancer patients.departmental bulletin pape
A Discussion on Peace Study and Human Rights Education in Caring Culture Practice Course Ⅰ
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Formation of mutual aid organzations and the social ascension of Okinawan immigrants in Peru: A focus on prefectural association, and regional associations.
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Commodore Perry’s 1perception of Ryukyu Regarding the U.S.-Ryukyu Compact
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Moral sensitivity of young nurses responsible for elderly care
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A Study of Nursing Skill Education Method by Utilization of Disaster
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An approach to community transition at two psychiatric hospitals in a large administration area : Cooperation with group homes from the viewpoint of the “institution”
Full text link目的：ネットワークづくりを見据えて広域行政圏の２精神科病院での地域連携の取組みと課題を明らかにする．
方法：２精神科病院で地域連携をよく知る看護師，一病院３～４名計７名を対象に，地域移行の取組みと課題について一人60分程度の半構造化面接を実施した．データは「制度精神療法」の「制度」の視点で作成した「連携モデル」に照らして分析した．
結果： C精神科病院の専門性は，これまでの治療の問い直しや，グループホーム（以下，GH）との連携に生かされず，地域移行は推進できていなかった．今後は，エリア限定のアウトリーチ強化へと注力され，E圏域は切り離される可能性がある．D精神科病院は，これまでを問い直し，地元性を生かし社会的入院の解消に向けて，１年未満の患者の地域移行を看護から推進していた．しかし，GHの不足から他圏域のGHへ患者を退院させるという方針を立てるに至っていた．
考察：E圏域ならではのケアネットワークの構築が喫緊の課題である．Objective: To clarify the approach to and issues of community cooperation with respect to future network creation at two psychiatric hospitals in a large administration area.
Methods: Semi-structured interviews （approximately 60 minutes each） regarding approaches to and issues of community cooperation were conducted at two psychiatric hospitals with seven nurses （three or four per hospital） who were well versed in community transition. The obtained data were analyzed by considering the “cooperation model” prepared from the viewpoint of the “institution” in “institutional psychotherapy.”
Results: C psychiatric hospital did not utilize its expertise for reexamination of past treatments or cooperation with group homes （GH）, and thus did not contribute to the promotion of community transition. In the future, this hospital may focus on strengthening area-limited
outreach, which may result in alienation of area E. D psychiatric hospital reexamined past experiences and, in an effort to eliminate social hospitalization, promoted community transition of patients with less than one year of hospitalization by using local networks. However, because of a lack of GHs, the hospital had to plan the discharge of the patients to GHs in another area.
Discussion: The creation of a care network specific to area E is an urgent issue.departmental bulletin pape