start-ver=1.4
cd-journal=joma
no-vol=15
cd-vols=
no-issue=2
article-no=
start-page=1
end-page=54
dt-received=
dt-revised=
dt-accepted=
dt-pub-year=2005
dt-pub=20050331
dt-online=
en-article=
kn-article=
en-subject=
kn-subject=
en-title=Publications, Research Presentations and Training/Seminar Experiences
kn-title=教育研究業績目録 2004.1～2004.12
en-subtitle=
kn-subtitle=
en-abstract=
kn-abstract=
en-copyright=
kn-copyright=

en-aut-name=
en-aut-sei=
en-aut-mei=
kn-aut-name=岡山大学医学部保健学科
kn-aut-sei=岡山大学医学部保健学科
kn-aut-mei=
aut-affil-num=1
ORCID=

affil-num=1
en-affil=
kn-affil=
END

start-ver=1.4
cd-journal=joma
no-vol=15
cd-vols=
no-issue=2
article-no=
start-page=71
end-page=76
dt-received=
dt-revised=
dt-accepted=
dt-pub-year=2005
dt-pub=20050331
dt-online=
en-article=
kn-article=
en-subject=
kn-subject=
en-title=Investigation about the use of mental illness patients at visiting nursing stations in O prefecture
kn-title=O県の訪問看護ステーションにおける精神疾患患者の利用に関する実態調査
en-subtitle=
kn-subtitle=
en-abstract=The family which has a mental illness member is apt to worry about social appearance because of the stigma of the illness. Therefore. it is often difficult to introduce a. social resource to such families. The purpose of this study is to clarify the status of usage of illness patients at visiting nursing stations. and find the
problems of family care with such patients. The visiting nurses were surveyed about their experience that introducing social resources to families. Questionnaire survey were administered on the 126 visiting nursing stations of O prefecture, that had an experience to introduce social resources to such families. The valid answers from 64 visiting nursing stations (50.8% of surveyed) were obtained. As a result, 93.8% of visiting nursing stations were utilized by mental illness. The illnesses of patients were dementia, depression and schizophrenia, and had been accepted at 57, 28, and 17 facilities respectively. More than half of facilities had introduced social resources to mental illness patients at first of the service beginning. But some of them feel troublesome to care mental illness patient, and seek for information about psychiatric nursing.
kn-abstract=精神疾患患者への訪問看護における問題を検討する基礎資料とするため,O県の訪問看護ステーションにおける精神疾患患者の利用状況と訪問看護師の利用者への社会資源導入経験の有無を明らかにすることを目的として調査を実施した｡調査は2003年9月に質問紙郵送法により実施した｡対象とした126施設のうち,回答の得られた64施設(回収率50.8%)の1か月間の利用者総数は2,471人であり,そのうち精神疾患患者は743人(30.1%)で,精神疾患のうち痴呆の占める割合は488人(65.7%)であった｡施設単位では精神疾患患者の利用は60施設(93.8%)にあり,疾患の内訳は痴呆が57施設,うつ病が28施設,統合失調症が17施設等であった｡また,訪問看護ステーション開設時からの精神疾患患者への社会資源の導入経験は約半数の34施設(53.1%)にあった｡少数の訪問看護師からは,精神疾患患者への対応の困難さを感じていること,精神科看護に関する情報を求めていることなどの意見があった｡訪問看護における精神科看護のニーズは今後も高まることが予測され,専門的技術の向上や地域における専門施設との連携が求められる｡
en-copyright=
kn-copyright=

en-aut-name=WatanabeKumi
en-aut-sei=Watanabe
en-aut-mei=Kumi
kn-aut-name=渡邉久美
kn-aut-sei=渡邉
kn-aut-mei=久美
aut-affil-num=1
ORCID=

en-aut-name=SumiyoshiKazuko
en-aut-sei=Sumiyoshi
en-aut-mei=Kazuko
kn-aut-name=住吉和子
kn-aut-sei=住吉
kn-aut-mei=和子
aut-affil-num=2
ORCID=

en-aut-name=MorimotoMichiko
en-aut-sei=Morimoto
en-aut-mei=Michiko
kn-aut-name=森本美智子
kn-aut-sei=森本
kn-aut-mei=美智子
aut-affil-num=3
ORCID=

en-aut-name=OkanoHatsue
en-aut-sei=Okano
en-aut-mei=Hatsue
kn-aut-name=岡野初枝
kn-aut-sei=岡野
kn-aut-mei=初枝
aut-affil-num=4
ORCID=

affil-num=1
en-affil=
kn-affil=岡山大学医学部保健学科看護学専攻

affil-num=2
en-affil=
kn-affil=岡山大学医学部保健学科看護学専攻

affil-num=3
en-affil=
kn-affil=岡山大学医学部保健学科看護学専攻

affil-num=4
en-affil=
kn-affil=岡山大学医学部保健学科看護学専攻
en-keyword=社会資源 (Social resource)
kn-keyword=社会資源 (Social resource)
en-keyword=訪問看護 (Visiting nursing station)
kn-keyword=訪問看護 (Visiting nursing station)
en-keyword=精神疾患 (Mental illness)
kn-keyword=精神疾患 (Mental illness)
en-keyword=実態調査 (Survey)
kn-keyword=実態調査 (Survey)
END

start-ver=1.4
cd-journal=joma
no-vol=15
cd-vols=
no-issue=2
article-no=
start-page=63
end-page=69
dt-received=
dt-revised=
dt-accepted=
dt-pub-year=2005
dt-pub=20050331
dt-online=
en-article=
kn-article=
en-subject=
kn-subject=
en-title=Investigation of the tracheal suctioning-related microbialcolonization in home care patients with tracheotomy
kn-title=気管内吸引を必要とする在宅療養患者の感染管理の実態
en-subtitle=
kn-subtitle=
en-abstract=Microbial colonization related to tracheal toilet was investigated in three home care patients who had tracheotomy with or without mechanical ventilation. We focused on the manipulation of suctioning tube to develop a effective and low-cost guidline for infection control. Tracheal suctioning was doned by wife in all the patients. Catheters used for suctioning was generally wiped with alcohol, washed in deionized or boiled water, and stored in alcohol-wiped container or immersed in 0.05% gluconate chlorhexizine. Catheter was changed into new one every 1.5 to 7 days. Samples were obtained from catheter, water used for washing, container as well as patients and their caregivers, and cultured on agar culture plate for Staphylococcus aureus, or Escherichia coli. Colonization of gauze around tracheotomy and water used for washing was detected in two patinets. E. coli and S. aureus were common organism colonizing gauze around tracheotomy. Therefore, it was suggested that the manipulation of the tracheal suctioning in home care influence on microbial colonization.
kn-abstract=気管内吸引を必要とする在宅療養患者に対し,安全で経済的な感染管理方法を検討するため,在宅ケアにおける気管内吸引の実態と,吸引関連物品の細菌学的調査を実施した。対象は気管切開がされ,医療依存度の高い患者3名であり,気管内吸引は全て患者の妻が行っていた。吸引後のカテーテルは外側をアルコール綿で清拭し,内腔を洗浄水で洗浄していた。カテーテルは,0.05%グルコン酸クロルヘキシジンに浸漬あるいは,清潔な乾燥容器に保管されていた。カテーテルの交換時期は,1.5日から7日とばらつきがあった。カテーテル,洗浄水,浸潰液等の試料を,一般細菌,黄色ブドウ球菌,大腸菌群の寒天培地で培養したところ,各試料から一般細菌,黄色ブドウ球菌,大腸菌群が検出されたが,カテーテルの保管方法の違いによる細菌汚染に差は認められなかった｡また,気管切開部ガーゼからは,一般細菌,黄色ブドウ球菌,大腸菌群が検出された｡これらより,気管内吸引カテーテルおよび,洗浄水や浸溝用消毒液の清潔管理の必要性が示唆された｡
en-copyright=
kn-copyright=

en-aut-name=WatanabeKumi
en-aut-sei=Watanabe
en-aut-mei=Kumi
kn-aut-name=渡邉久美
kn-aut-sei=渡邉
kn-aut-mei=久美
aut-affil-num=1
ORCID=

en-aut-name=KanzakiHitomi
en-aut-sei=Kanzaki
en-aut-mei=Hitomi
kn-aut-name=菅崎仁美
kn-aut-sei=菅崎
kn-aut-mei=仁美
aut-affil-num=2
ORCID=

en-aut-name=SendaYoshiko
en-aut-sei=Senda
en-aut-mei=Yoshiko
kn-aut-name=千田好子
kn-aut-sei=千田
kn-aut-mei=好子
aut-affil-num=3
ORCID=

en-aut-name=OkamotoMotoi
en-aut-sei=Okamoto
en-aut-mei=Motoi
kn-aut-name=岡本基
kn-aut-sei=岡本
kn-aut-mei=基
aut-affil-num=4
ORCID=

affil-num=1
en-affil=
kn-affil=岡山大学医学部保健学科看護学専攻

affil-num=2
en-affil=
kn-affil=岡山訪問看護ステーション看護協会

affil-num=3
en-affil=
kn-affil=岡山大学医学部保健学科看護学専攻

affil-num=4
en-affil=
kn-affil=岡山大学医学部保健学科検査技術科学専攻
en-keyword=感染管理 (Infection control)
kn-keyword=感染管理 (Infection control)
en-keyword=気管内吸引 (tracheal suctioning)
kn-keyword=気管内吸引 (tracheal suctioning)
en-keyword=在宅ケア (home care)
kn-keyword=在宅ケア (home care)
en-keyword=介護者 (caregiver)
kn-keyword=介護者 (caregiver)
END

start-ver=1.4
cd-journal=joma
no-vol=15
cd-vols=
no-issue=2
article-no=
start-page=51
end-page=62
dt-received=
dt-revised=
dt-accepted=
dt-pub-year=2005
dt-pub=20050331
dt-online=
en-article=
kn-article=
en-subject=
kn-subject=
en-title=Interprofessional education and training for collaborative work by nurses and care-workers in a special nursing home with small-scale care units
kn-title=ユニットケアに取り組む特別養護老人ホームの看護職と介護職の協働と教育
en-subtitle=
kn-subtitle=
en-abstract=The purpose of this study was to identify the interprofessional education and training necessary to achieve teamwork between nurses and care-workers in small-scale care units within special nursing homes. The study design employed an inductive qualitative method. Data were collected from two nurses and three care-workers through personal interviews. Qualitative inductive analysis was used to obtain results. The present situation regarding care in small-scale care units by the two occupational categories was clarified as followed: 1) Despite attempts to work as a team, there were persistent differences in understanding the role of each worker and approach between the two occupational categories, leaving gaps in care. and 2) the care providers in both categories were willing to receive education and training to improve their professional skills and knowledge in order to play their expected roles. For future education, the following training programs were considered to be necessary to achieve cooperation among the two groups in performing the work: 1) a program that helps nurses master practical problemsolving skills, as expertise in problem-solving is expected of nurses in special nursing homes, 2) a program that helps care-workers to enhance their abilities for
self-directed study at their level and according to their needs, so that people with various educational backgrounds and needs can obtain knowledge, skills, and ability
to practice care. and 3) a program in which both nurses and care-workers can develop mutual respect for the expertise required by each occupation and that will
produce synergistic effects on overall care.
kn-abstract=本研究の目的は,ユニットケアに取り組む特別養護老人ホームにおいて,看護職と介護職の協働の状況を明らかにし,協働していく上で両職種が必要とする教育の方向性の示唆を得ることである｡看護職2名,介護職3名を対象に自由回答法による半構成的･個別面接を実施した｡その結果,協働の状況は, 1)両職種のユニットケアのとらえかたや取り組みは相違し,協働に向けた工夫を行っていたものの,協働関係は成立しにくい状況であった｡2)両職種は期待されている役割を担うために教育･研修を受け専門能力を高めたいと考えていた｡両職種が協働していく上で必要とする教育の方向性として,以下の示唆を得た｡1)利用者や介護職から期待される福祉施設における看護の役割と専門性を高めるために看護職が現実的な課題を解決する力の修得を目指す｡2)様々な教育背景と教育ニーズを持つ介護職が知識,技術,ケアの実践力を習得するためには,個人の学習状況とニーズに応じて学習科目を自己管理し自発的な力を高めていく｡3)両職種がお互いの専門性を認め,向上を図ることができるようにともに課題を解決し相互作用が継続できる共同研修プログラムによる研修を実施する｡
en-copyright=
kn-copyright=

en-aut-name=TsuboiKeiko
en-aut-sei=Tsuboi
en-aut-mei=Keiko
kn-aut-name=坪井桂子
kn-aut-sei=坪井
kn-aut-mei=桂子
aut-affil-num=1
ORCID=

en-aut-name=NishidaMasumi
en-aut-sei=Nishida
en-aut-mei=Masumi
kn-aut-name=西田真寿美
kn-aut-sei=西田
kn-aut-mei=真寿美
aut-affil-num=2
ORCID=

en-aut-name=NarikiyoYoshiharu
en-aut-sei=Narikiyo
en-aut-mei=Yoshiharu
kn-aut-name=成清美治
kn-aut-sei=成清
kn-aut-mei=美治
aut-affil-num=3
ORCID=

affil-num=1
en-affil=
kn-affil=岡山大学医学部保健学科看護学専攻

affil-num=2
en-affil=
kn-affil=岡山大学医学部保健学科看護学専攻

affil-num=3
en-affil=
kn-affil=福井県立大学看護福祉学部社会福祉学科
en-keyword=看護職 (Nurse)
kn-keyword=看護職 (Nurse)
en-keyword=介護職 (Care-Worker)
kn-keyword=介護職 (Care-Worker)
en-keyword=教育 (Education)
kn-keyword=教育 (Education)
en-keyword=協働 (Collaboration)
kn-keyword=協働 (Collaboration)
en-keyword=ユニットケア (Small Scale Care Units)
kn-keyword=ユニットケア (Small Scale Care Units)
END