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Family empowerment and associated factors in Japanese families raising a child with severe motor and intellectual disabilities

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International Journal of Nursing Sciences 2018年第4期5卷 370-376页

作者： rie wakimizu Hiroshi Fujioka Kaori Nishigaki Akemi Matsuzawa Department of Child Healthcare Nursing Division of Health Innovation and NursingFaculty of MedicineUniversity of TsukubaIbarakiJapan Department of Nursing Faculty of Health SciencesIbaraki Prefectural University of Health SciencesIbarakiJapan Department of Child Health Nursing Graduate School of Nursing SciencesSt.Luke's International UniversityTokyoJapan Department of Nursing Ibaraki Christian UniversityIbarakiJapan

Objectives:Family caregivers raising children with severe motor and intellectual disabilities(SMID)experience the enormous burden of *** concept of family empowerment is one of the important assessment indexes of family nursing from the perspective of providing comprehensive support for these *** objective of this study was to identify the factors associated with the empowerment of families raising a child with SMID in ***:We conducted a nationwide questionnaire survey involving 1659 primary caregivers raising a child with SMID through 89 special *** assessed the main outcomes using the Family Empowerment Scale(FES).We then conducted a multiple linear regression analysis to reveal the factors associated with family ***:In total,1362 primary caregivers were included in our *** results show that factors contributing to high FES scores are higher age of the primary caregiver,higher education,greater recognition of regional support,lower childcare burden,higher utilization of home visit services,higher usage of a childcare institution,higher household income,and stronger family ***:Healthcare professionals should carefully assess the state of family empowerment of the primary caregivers who are younger and those who have low education,low household income,high childcare burden,and fragile bonding with the ***,they should encourage such families to use regional support resources for *** is,policy makers should consider ways to promote home visits and institutional services for the care of children with SMID,aiming especially for the provision of well-coordinated care and services.

关键词： Caregivers Child care Disabled children Family empowerment Home nursing Intellectual disability Japan Social supports

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Verbal Abuse, Physical Assault, and Harassment in Pediatric Medical Settings: A Nationwide Survey in Japan

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Health 2022年第2期14卷 177-193页

作者： rie wakimizu Hinako Kuwahara Department of Child Health and Developmental Nursing Faculty of Medicine University of Tsukuba Ibaraki Japan Department of Nursing Toranomon Hospital Tokyo Japan

Background: Verbal abuse, physical assault, and harassment of pediatric healthcare workers by patients and their families have become increasingly serious. These incidents lead to various problems, including the deterioration of staff members’ mental health and employee turnover. Methods: This study was conducted as the first Japanese nationwide survey to assess the abuse perpetrated by patients and families and experienced by medical staff in pediatric medical settings in 2018, countermeasures employed, and staff member evaluations of the countermeasures. Results: Responses from 526 facilities were received, clinics accounted for 79.8% of these facilities;88.1% of the respondents were females. Further, 10.5% of the facility staff reported having experienced verbal abuse, violence, or harassment from patients or family members. Of 1103 cases of victimizations, there were 719, 136, and 248 cases of verbal abuse, violence, and harassment, respectively. Manuals and guidelines had been created and training and drill performances were conducted as countermeasures in 10.7% and 9.0% of facilities, respectively;7.3% of staff members felt that the countermeasures were effective, corresponding to 45.6% of the affected staff. Conclusion: The findings suggest the necessity of thoroughly familiarizing staff with existing facility countermeasures as well as introducing new countermeasures such as victimization simulations.

关键词： Verbal Abuse Physical Assault Harassment Pediatric Medical Setting Countermeasures

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Work Engagement of Nursery School Nurses and Its Related Factors in Japan

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Open Journal of Nursing 2022年第7期12卷 481-495页

作者： Kozue Mochizuki rie wakimizu Graduate School University of Tsukuba Ibaraki Japan Tender Loving Nursery School Myogadani Tokyo Japan Department of Child Health and Development Nursing Faculty of Medicine University of Tsukuba Ibaraki Japan

Purpose: This study aimed to clarify nursery school nurses’ work engagement and their pertinent related factors. Method: We conducted a survey of 136 nursery school nurses using an anonymous, self-administered questionnaire. Questionnaires were distributed to 186 people at licensed daycare centers in Ibaraki Prefecture. The following conclusions were obtained by analyzing 136 participants, excluding deficiencies: A multiple regression analysis (forced entry method) was performed. Results: The survey results show that most of the nurses in the nursery school were female, about 90$ were married, and about 70$ had children. Work engagement was generally high compared with other occupations. Moreover, it was influenced by their work-self balance (positive), the meaning of their work, and the leadership of bosses. It was suggested that there is a need for an environment where nurses can maintain a work-life balance, a place where childcare health activities can be carried out, and opportunities to participate in training and liaison meetings for nursery nurses to further enhance work engagement. Conclusion: It was influenced by work self-balance (positive), the meaning of their work, and boss leadership. It is suggested that nursery nurses further enhance their work engagement, and they need an environment where they can maintain a work-life balance, a place where they can engage in health activities in childcare, and opportunities for training and liaison meetings.

关键词： Nursery School Nurse Work Engagement

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Nurses’ Perception of Privacy in the NICU and GCU: A Qualitative Descriptive Study

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Open Journal of Nursing 2023年第2期13卷 113-129页

作者： Mitsuki Yoshimoto rie wakimizu Master Program in Nursing Science Graduate School of Comprehensive Human Sciences University of Tsukuba Ibaraki Japan Department of Child Health Care Nursing Division of Health Innovation and Nursing Faculty of Medicine University of Tsukuba Ibaraki Japan

Purpose: The purpose of this study was to identify the perceptions that determine the nursing practices of nurses working in NICU and GCU to protect the privacy of the affected children and their families, and the perceptions that arise in relation to their practices. Further to obtain information on current issues and future suggestions for nursing practice. Method: Semi-structured interviews were conducted with six nurses of Clinical Ladder I or higher currently working in the NICU and GCU, and content analysis was conducted. Result: The study identified five categories, 16 subcategories, and 63 codes: “keeping in mind to act in accordance with the characteristics of the NICU and GCU”, “trying to secure a space only for the affected children and families depending on the situation”, “feeling the need for consideration for the affected children and families”, “feeling puzzled and frustrated through the relationship with families”, “having a dilemma between the environment they want to realize for the affected children and families and the fact that it cannot be realized”. Conclusion: In considering nursing care in NICU and GCU, including consideration for privacy, the need to reflect on daily nursing care and share it with other staff members was suggested.

关键词： Privacy Family Nursing Neonatal Intensive Care Unit Growing Care Unit Environment

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Parenting Stress of Chinese Mothers Living and Child-Rearing in Japan and Related Factors

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Open Journal of Nursing 2022年第2期12卷 181-198页

作者： rie wakimizu Tong Wang Department of Child Health Care Nursing Division of Health Innovation and Nursing Faculty of Medicine University of Tsukuba Ibaraki Japan Master Program in Nursing Science Graduate School of Comprehensive Human Sciences University of Tsukuba Ibaraki Japan

Background: Parenting stress causes physical and psychological problems for mothers during child-rearing and negatively impacts the growth and development of their children. We assumed that Chinese mothers living in Japan would experience particularly high levels of parenting stress and difficulty because they had to leave the environment in which they were born and raised in a different language and culture. Objective: The objective is to identify the actual situation and related factors of parenting stress among Chinese mothers in Japan. Methods: From July to October 2021, an online, anonymous, self-administered questionnaire was administered to the mothers of children aged 6 months to 5 years, and the data from 93 mothers were statistically analyzed. Results: Mothers in the study had one (45.2%) or two (45.2%) children in their care, and 23.7% of the mothers’ husbands were Japanese. The average score of total PSI-SF-15 of the mothers in this study was slightly higher than that of mothers raising children in China. Additionally, “I think it is a shame not to practice Chinese customs”, “I feel that Chinese customs are not respected”, “the number of children with diagnosed diseases”, “Social Support Rating Scale (SSRS) total score” and “father’s nationality” influenced the parenting stress of the mothers in this study. Conclusion: In order to reduce parenting stress among Chinese mothers in Japan, it is necessary to respect and support the practice of Chinese customs, create an environment in which it is easy to discuss children’s illnesses, and educate mothers to promote the use of social support.

关键词： Parenting Stress Chinese Mothers in Japan

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Experiences and Countermeasures of a Perinatal Ward Nursing Manager Dealing with Family Members’ Problematic Behaviors

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Open Journal of Nursing 2021年第11期11卷 981-1001页

作者： rie wakimizu Yumiko Saito Makoto Saito Department of Child Health Care Nursing Division of Health Innovation and Nursing Faculty of Medicine University of Tsukuba Ibaraki Japan Doctoral Program in Nursing Science Graduate School of Comprehensive Human Sciences University of Tsukuba Ibaraki Japan Department of Child Health Faculty of Medicine University of Tsukuba Ibaraki Japan

Background: When family members and/or patients behave in a problematic way, this hinders the provision of safe and secure medical care. During the perinatal period, a family’s relationships and functions change significantly, and each family member is prone to experiencing stress. As such, conflict arises easily between family members and medical staff. Aims: Therefore, we conducted this study to shed light on the following phenomena: 1) family members’ problematic behaviors;2) the concerns of a perinatal ward nurse manager (hereafter referred to as the manager) and ward nurses;and 3) countermeasures carried out by the manager, together with the ward nurses, based on the manager’s experiences. Methods: We conducted an 80-minute, semi-structured interview with the manager, following which we analyzed the content of her narrated accounts. Results: According to the findings, 1) family members’ problematic actions include verbal abuse;arrogance, unreasonableness, and selfish behaviors;and violent conduct;2) the manager’s and ward nurses’ fears and worries about family members’ problematic behaviors;responses to gradually becoming involved with family members;and resistance to staying involved with family members following patient discharge. In addition, we examined 3) countermeasures carried out by the manager together with the ward nurses: resolute and consistent responses to family members’ problematic behaviors;attempted enforcement measures taken to deal with family members who exhibit problematic behaviors;engagement while trying to avoid conflict with family members;preparation that anticipates the occurrence of problematic conduct;cooperation with the medical team;cooperation with the hospital organization;cooperation with social resources outside the hospital;and patient protection. Conclusions: With awareness of cooperation with the medical team toward family members who engag

关键词： Perinatal Care Nursing Family Violence Countermeasures

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Roles and Hopes of Family Members Living with SMID Children in Japan

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Health 2016年第9期8卷 787-799页

作者： rie wakimizu Keiko Yamaguchi Hiroshi Fujioka Department of Child Health Care Nursing Division of Health Innovation and Nursing Faculty of Medicine Uni-versity of Tsukuba Tsukuba City Japan Department of Nursing Science Graduate school of Comprehensive Human Sciences University of Tsukuba Tsukuba City Japan Department of Nursing Faculty of Health Sciences Tsukuba International University Tsuchiura City Japan

The number of children with Severe Motor and Intellectual Disabilities (SMID) receiving medical treatment/recovering at home is rising yearly. Although benefits of this care are emphasized, the stress and duties of family members in the household are extremely great, especially because Japan is becoming a society of nuclear families. In this study, we described the lifestyles of nuclear families providing in-home medical care for children with SMID, focusing on family members’ roles. Roles of mothers, fathers, and siblings of children with SMID were summarized from semi-structured inter-views. As a result, for “the roles of each family member living with a child with SMID”, mothers had five roles, fathers seven, and siblings five. For “the hopes of each family member living with a child with SMID”, parents desired the whole family collaboration in care for children with SMID, and as caregivers, parents’ common thoughts included wanting siblings in order to help care for the child with SMID and wanting siblings to treasure their own lives. Siblings wanted their mother to have some time for rest and expected their fathers to have two main roles. They also expected their grandparents and other siblings to fulfill roles.

关键词： Children with Severe Motor and Intellectual Disabilities (SMID) Family Life Interfamilial Roles Family Empowerment Japan

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Development of a Training Textbook for Countermeasures to “Verbal Abuse, Physical Assault, and Harassment in Pediatric Medical Settings”

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Health 2022年第1期14卷 63-69页

作者： rie wakimizu Hinako Kuwahara Yumiko Saito Makoto Saito Department of Child Health and Developmental Nursing Faculty of Medicine University of Tsukuba Ibaraki Japan Department of Nursing Toranomon Hospital Tokyo Japan Doctoral Program in Nursing Science Graduate School of Comprehensive Human Sciences University of Tsukuba Ibaraki Japan Department of Child Health Faculty of Medicine University of Tsukuba Ibaraki Japan

Background: Recently, abuse, assault, and harassment in pediatric medical settings have become more serious. We extracted typical problems from a nationwide simultaneous survey on abuse in the pediatric medical field and developed a training textbook to simulate or discuss these issues with colleagues. This study aimed to confirm the validity and usability of the contents of this training textbook. Methods: The textbook was mailed to the heads of 51 medical institutions affiliated with the Society of Ambulatory and General Pediatrics of Japan (SAGPJ) and the participants of the SAGPJ online workshop, who were asked to evaluate the textbook using a three-point scale to answer the following questions and provide opinions and impressions about the textbook. Q1. Do you think the whole content and structure of this textbook are useful? Q2. Would you use this textbook as a training textbook for all staff at your facility? A simple tabulation was performed on the evaluation using a three-point scale, while content analysis was performed on the opinions and impressions of the participants. Results: In response to Q1 and Q2, all 63 staff members from 55 facilities answered “3: Yes.” Opinions and impressions on the training textbook included “I think it can be used for workplace training” and “it is useful for exchanging various opinions among staff members and gaining a common opinion.” Conclusion: We developed a training textbook on abuse, assault, and harassment in pediatric medical settings based on a nationwide survey and confirmed the validity and usability of its contents.

关键词： Pediatric Safety Management Textbook Validation Study Workplace Violence

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Family empowerment and quality of life of parents raising children with Developmental Disabilities in 78 Japanese families

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International Journal of Nursing Sciences 2017年第1期4卷 38-45页

作者： rie wakimizu Keiko Yamaguchi Hiroshi Fujioka Department of Child Health Care Nursing Division of Health Innovation and NursingFaculty of MedicineUniversity of Tsukuba1-1-1 TennodaiTsukuba CityIbaraki 305-8575Japan Department of Nursing Science Doctor's Program Graduate School of Comprehensive Human SciencesUniversity of Tsukuba1-1-1 TennodaiTsukuba CityIbaraki 305-8575Japan Department of Nursing Tsukuba International University6-8-33 ManabeTsuchiura CityIbaraki 300-0051Japan

Objectives: The families of these children experience distress both at the time of diagnosis and afterward.A top priority is to understand family empowerment,family function,and family members' quality of life (QoL) and to effectively support these families in *** objective of this study was to assess the actual conditions of families living with children having DDs and to explore the factors associated with family empowerment and parents' ***: We surveyed ninety-three parents (78 mothers,15 fathers) from 78 families which lived with children with DDs in the capital region of *** assessed two main outcomes using the Japanese versions of the following instruments: Family Empowerment Scale (FES),World Health Organization Quality of Life 26 (WHOQOL26),and other six *** and multiple regression analyses were ***: No medication,cooperation with child rearing,assistance from a developmental support center,solved problems related to child rearing,and higher scores in Problem Solving contributed to higher FES *** WHOQOL26 scores were related to being a full-time housewife,higher self-esteem,no developmental support,a broad emotional support network,higher scores in Problem Solving and Role Function,and lower scores in Affective Reaction and General ***: We revealed that family empowerment and QoL of parents rearing children with DDs in Japan were affected by various subscales of family function and other family *** interventions for improving family empowerment and QoL should be researched in the future.

关键词： Developmental disabilities Family empowerment Japan Multiple regression analysis Quality of life Social support

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Literature Review on Support for Children and Families Experiencing Parental Bereavement

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Open Journal of Nursing 2024年第4期14卷 139-163页

作者： Rurie Namiki Keita Sasaki Iku Taniguchi rie wakimizu Department of Nursing Science Graduate School of Comprehensive Human Sciences University of Tsukuba Ibaraki Japan Department of Child Health Care Nursing Division of Health Innovation and Nursing Faculty of Medicine University of Tsukuba Ibaraki Japan

Purpose: This study aimed to understand the actual nursing support in a wide perspective by reviewing overseas literature on support for children who have experienced parental bereavement and their families. The goal was to identify future challenges in nursing support in clinical practice in Japan. Method: Literature searchable as of May 2023 was retrieved using PubMed, resulting in 11 relevant articles. Result: The results revealed the following: 1) For support provided to children, 13 codes were condensed into 5 subcategories and 4 categories. 2) For support provided to families, 36 codes were condensed into 11 subcategories and 4 categories. Conclusion: Open communication was found to be essential for supporting children and their families who have experienced parental bereavement. Moreover, involvement of multiple professions facilitated the provision of specialized support to address diverse needs of children and families, playing a crucial role in overcoming grief. Additionally, the effectiveness of support systems for bereaved families highlighted the need for nursing professionals in Japan to gain knowledge through learning opportunities and to establish a multi-disciplinary approach to support, thus indicating future challenges in nursing support.

关键词： Terminal Care Family Support Child Parental Death Palliative Care

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