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The lived experience of family caregivers caring for patients dependent on life-sustaining technologies

International Journal of Nursing Sciences 2018年第4期5卷 365-369页

作者： Waraporn Kongsuwan Pongpaka Borvornluck rozzano c.locsin Adult and Elderly Nursing Department Faculty of NursingPrince of Songkla UniversityHat YaiSongkhla90112Thailand Medical Equipment center Department of NursingSongklanagarind HospitalFaculty of MedicineHat YaiSongkhla90112Thailand Institute of Biomedical Sciences Tokushima University Graduate SchoolTokushimaJapan Florida Atlantic University Boca RatonFL33431USA

Purpose:The purpose of this study was to describe the meaning of the lived experience of family caregivers caring for their loved ones who were dependent upon life-sustaining technologies while in the ***:This study followed van Manen's hermeneutic phenomenological approach to generate and analyze data to describe the experience of ten family caregivers who met the following inclusion criteria:a family member who participated actively in caring for the loved one who was dependent upon technologies for human *** were collected using individual in-depth *** interview transcriptions were analyzed using van Manen's phenomenological approach,while Lincoln and Guba's criteria were used to establish trustworthiness of the ***:Four thematic categories structured the meaning of the experience:Being an invisible person;supporting patients'wholeness;struggling to trust technologies for human care;and living in *** thematic categories were reflective of Van Manen's four lived worlds of body,relation,space,and ***:Understanding the experience of family caregivers challenges nurses to express their technological competencies in caring more fully in their human ***'s theory of Technological competency as caring in Nursing was used to explain and describe the meaning of the experiences of family caregivers caring for patients who were dependent upon technologies for human care,and foster nursing practice as caring in nursing.

关键词： caring for Family caregivers Phenomenology Technological competency

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Artificial Intelligence and Autonomous Machines: Influences, consequences, and Dilemmas in Human care

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Health 2019年第7期11卷 932-949页

作者： Joseph Andrew Pepito Brian A. Vasquez rozzano c. locsin cebu Doctors’ University Mandaue Philippines Training and Data Management Manager University of the Visayas Cebu City Philippines college of Applied Medical Sciences Majmaah University Majmaah KSA Institute of Biomedical Sciences Tokushima University Graduate School Tokushima Japan Florida Atlantic University christine E. Lynn college of Nursing Boca Raton USA

In the field of robotics and in the health sciences, transitions have been occurring in the control of robots operating with predetermined logic and rules. Robotics in health care are influencing human caring dynamics in many ways such as enhancing dependency and surrender to machine technologies. Situations such as these are charged with possibilities of legal liabilities triggered by influences and consequences of advancing robotic technology dependency. The purpose of this paper is to identify, describe, and explain legal issues and/or dilemmas centered on robotics in healthcare while providing engaging opportunities to limit consequent legalities thus forming beneficial human health care outcomes. Laying bare these liabilities will provide critically informative data that can foster proactive encounters which can or may deter health care liabilities while ensuring quality healthcare outcomes. An attempt is made to re-conceptualize how to view agency, causality, liability responsibility, culpability, and autonomy for the new age of autonomous robots. While it is still not clear how this would turn out, a clear framing of the problem is the first step in the project.

关键词： Artificial Intelligence Autonomous Machines Dilemmas in Human care Nursing

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clarifying the Strengths-Oriented Attitude among Nurses in Psychiatric Hospitals in Japan

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Health 2015年第6期7卷 776-787页

作者： Mika Kataoka Kazuhiro Ozawa Tetsuya Tanioka rozzano locsin Department of Nursing Institute of Biomedical Sciences Tokushima University Graduate School Tokushima Japan Gifu college of Nursing Gifu Japan

Japanese psychiatric mental health systems are being steadily improved. Psychiatric nurses’ attitude towards strengths of persons with mental disability is critical in order to promote de-institutionalization of patients. However, nurses’ attitudes, particularly their Strengths-Oriented Attitude (SOA) has not been well studied and explained. The purpose of this study was to clarify the SOA of nurses working in psychiatric hospitals in Japan. There were 1148 Psychiatric Registered Nurses (PRN) and Psychiatric Practical Nurses (PPN) employed at 17 psychiatric hospitals in Japan who consented to participate in the study. The self-administered questionnaire was mailed and returned between October 2013 and January 2014. The subjects’ SOA was evaluated using the Strengths-Oriented Attitude Inventory (SOAI) developed by the authors based on the work by Rapp and Goscha. The actual SOA and its relationship to individual characteristics were also analyzed to clarify the SOAI. Factor analysis revealed four components of the SOAI: Factor 1 = “Nursing practice based on the assessment which focused on social resources”;Factor 2 = “Nursing practice based on the holistic assessment of person with mental disability”;Factor 3 = “Support in community which respected the person’s way of living”;and Factor 4 = “Emphasize of the strengths of individual with mental disability.” Results indicated a high orientation toward Factors 2 and 4, but a low orientation toward Factors 1 and 3. There were no significant differences between age, years of psychiatric nursing experience, academic background, and subjects’ SOA. However, differences were observed in gender, current workplace, work position, type of license, and work experience. The subjects showed low orientation toward social resources and respected the patient’s way of life. Nurses working in psychiatric mental health institutions should receive continuing education courses designed to increase their orientation toward Factors 1 and 3.

关键词： De-Institutionalization Strengths-Oriented Attitude Psychiatric Nurses Japan

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can nurses remain relevant in a technologically advanced future?

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International Journal of Nursing Sciences 2019年第1期6卷 106-110页

作者： Joseph Andrew Pepito rozzano locsin Nursing Science Cebu Doctors'UniversityCebuPhilippines center for Research and Development University of the VisayasCebuPhilippines Institute of Biomedical Sciences Tokushima University Graduate SchoolTokushimaJapan Florida Atlantic University Christine E.Lynn College of NursingBoca RatonFLUSA

Technological breakthroughs occur at an ever-increasing rate thereby revolutionizing human health and wellness *** advancements have drastically changed the structure and organization of the healthcare *** Global Institute estimates that 800 million workers worldwide could be replaced by robots by the year *** is already a robotic revolution happening in healthcare wherein robots have made tasks and procedures more efficient and *** and Ito has addressed the threat to nursing practice with human nurses being replaced by humanoid *** nursing care dictated solely by prescribed procedures and accomplishment of nursing tasks would be best performed by *** the future practice of nursing in a technologically advanced future transcending the implementation of nursing actions to achieve predictable outcomes,how can human nurses remain relevant as practitioners of nursing?Nurses should be involved in deciding which aspects of their practice can be delegated to *** should oversee the introduction of automated technology and artificial intelligence ensuring their practice to be more about the universal aspects of human care continuing under a novel *** education and nursing research will change to encompass a differentiated demand for professional nursing practice with,and not for,robots in healthcare.

关键词： Artificial intelligence Education Nursing Nursing care Robotics

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Potential Legal Issues and care Implications during care-Prevention Gymnastic Exercises for the Elderly Using Pepper in Long Term Health care Facilities

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Intelligent control and Automation 2018年第3期9卷 85-93页

作者： Ryuichi Tanioka rozzano locsin Yuko Yasuhara Tetsuya Tanioka Graduate School of Policy Studies Student Tokushima Bunri University Tokushima Japan Department of Nursing Institute of Biomedical Sciences Tokushima University Tokushima Japan

In Japan, the shortage of personnel is a problem in long-term care nursing and rehabilitative care prevention. Nevertheless, Japan has taken measures to compensate for these shortages by promoting medical and nursing care activities using robotic technologies, and employing human resources from overseas. The purpose of this study was to determine potential legal issues and subsequent implications for care during prevention gymnastic exercises for the elderly using Pepper in long-term health facilities. The application program of care-Prevention Gymnastics Exercises for Pepper (Pepper with cPGE) was made by the Xing company Japan. currently, care workers become intermediaries for the safe use of Pepper with cPGE. However, it was realized that some legal issues may arise if Pepper with cPGE alone will carry out these preventive care programs for the elderly without the presence of care workers as intermediaries. In this situation, using Pepper with cPGE alone to conduct care prevention gymnastics will require safety measures to prevent these possible practice issues and anticipate implications for care. In this regard, determining detailed target levels of rehabilitation exercise demands and environmental setting safety become essential factors. The use of humanoid robots in healthcare is expected to influence more practice protocols in contemporary and futurist rehabilitative human care. The identification of possible safety issues in performance and environmental situations, and implications for care are critical to ensure safe and valuable rehabilitative health care practices for the elderly population.

关键词： Potential Legal Issues care-Prevention Gymnastic Exercises Elderly Pepper Long-Term Health Facilities Application Program

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caring for Older Persons in a Technologically Advanced Nursing Future

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Health 2019年第5期11卷 439-463页

作者： Joseph Andrew Pepito rozzano c. locsin Rose E. constantino cebu Doctors’ University Cebu City Philippines University of the Visayas Cebu City Philippines Tokushima University Tokushima Japan Florida Atlantic University Boca Raton FL USA Department of Health and community Systems School of Nursing University of Pittsburgh Pittsburgh USA

As people live longer, a larger percentage will live with multiple chronic conditions and functional impairments such as difficulties with activities of daily living, mobility, and the management of one’s household. The purpose of this paper is to examine the care of older persons in a technologically advanced nursing future by discussing roles and responsibilities of nurses who practice gerontological nursing, and explaining how a technologically advanced future would change the delivery of home health care for older persons in the community. The theory of Technological competency as caring in Nursing grounds 3 processes of nursing as knowing persons as caring, wholeness is oneness, and caring as a multi-dimensional process. Harnessing technology for the health of older persons would enable them to live independently, socially engaged, and safely. A technologically advanced nursing future leads to concomitant sustainable disruptive and frugal innovations in healthcare. Nurses in practice must take advantage of these disruptions and consider frugal innovations as the futures of nursing education, practice, and research are here.

关键词： Big Data competency Gerontology Nursing Older Persons Technologically Advanced Nursing Future

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Intelligent control and Automation 2017年第2期8卷 96-110页

作者： Tetsuya Tanioka Kyoko Osaka rozzano locsin Yuko Yasuhara Hirokazu Ito Department of Nursing Institute of Biomedical Sciences Tokushima University Tokushima Japan

The purpose of this article is to describe recommendations towards the design and direction of development for Humanoid Nursing Robots (HNRs) from the standpoint of researchers of nursing care practice. Efforts to introduce robot technologies in nursing practice and to use them in elderly and high-tech healthcare environments have begun in developed countries like Japan. companies are developing various types of robots, although their types and functionalities continue to require a clear identification and definition. Regardless, robot developments for health care purposes are progressing well to meet universal technological demands. While human caring has been a human-to-human relationship, in a nonhuman-to-human relationship in the case of HNRs, it is essential to consider ethical concerns and human safety. If HNRs are to support patients directly, they must be required to have the same level of comprehensive judgment ability and responsiveness as that of human nurses. This includes abilities to genuinely observe, judge, rapidly respond, and conduct human caring practice emphasizing individuality. If HNRs support patients independently, abilities which are much like those of humans will be required of them in addition to the appropriate intelligence and skillfulness to do so. A low level robot nurse exerts work that should be called non-nursing or as a medical aid assistant no matter who thinks and what these technologies can do. Similarly, a higher level HNR with higher level artificial intelligence is expected to exceed the capabilities of human beings. As such, current discourse and debate also include the concern that HNRs may now become one’s superior or rather that the HNR is a subordinate thereby requiring human management.

关键词： Autonomous Robots Healthcare Robots (HRs) Humanoid Nurse Robots (HNRs) Nursing caring

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Development of the Emerging Theory of Encountering Nursing in a Nurse-Nursed Dyadic Relationship (ThENNDyR)

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Open Journal of Nursing 2020年第9期10卷 777-809页

作者： Jose Mari Louis Alforque Raza crecia Meneses Miralou Sorronda rozzano c. locsin college of Nursing Cebu Normal University Cebu Philippines Visayas State University Baybay Philippines Jose Rizal Memorial State University Katipunan Campus Katipunan Philippines Tokushima University Graduate School of Biomedical Sciences Tokushima Japan

Encounters are celebrated experiences between persons with connectedness in human situations as expectation. While being in a human dynamic and rhythmic interaction, nursing encounters are dyadic relationships illuminated as patterns of an interconnected relationship moving between the nurse and the nursed, and reflecting person-and-otherness events. The purpose of this paper is to describe the theory of Encountering Nursing in a Nurse-Nursed Dyadic Relationship (ThENNDyR) and to illuminate the four nursing practice processes on which the theory is founded: Knowing as appreciating relational moments;Reflecting as engaging moments;Realizing as patterns of living moments;and Transcending as celebrating moments. Nursing practice occurs in moments in which dyadic relationships transpire as nursing encounters. As fleeting as moments are, the four processes of nursing simultaneously take place as understanding conditions that the who and what of the person warrants persons. “Encountering nursing” is a momentary co-existence of persons in a person-and-otherness situation communicating connectedness-interconnectedness in distinct patterning. Interactions in nursing exist as persons remain wholes and complete in the moment.

关键词： Dyadic Relationship Knowing Nursing Encounter Reflecting Transcending Nursing Theory Nursing Practice

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comparison of Gluteal Muscle Intramuscular Injection Sites of Japanese Healthy Subjects: considerations for Optimal Insertion of Injection Needle Length

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Open Journal of Psychiatry 2016年第2期6卷 203-212页

作者： Shigeaki Masuda Yuko Yasuhara Tetsuya Tanioka Asumi Atsuta Kazushi Motoki Kensaku Takase rozzano c. locsin Faculty of Nursing School of Medicine Nara Medical University Nara Japan Department of Nursing Tokushima University Graduate School of Health Sciences Tokushima Japan Departmentof Nursing Institute of Biomedical Sciences Tokushima University Graduate School Tokushima Japan Department of clinical Laboratory Medical Technology Division Tokushima Prefectural Kaifu Hospital Tokushima Japan Department of Neurosurgery Tokushima Prefectural Central Hospital Tokushima Japan

Long Acting Injectable (LAI) medications for patients with schizophrenia is commonly administered to relieve their symptoms. Through shared decision-making and clinical evidence-based, psychiatrists should systematically offer LAIs to all patients requiring long-term antipsychotic treatment as a first-line treatment. Gluteal intramuscular (IM) injection requires accurate insertion of needles into the specific muscle area, often the outer upper quadrant of the buttocks, in order to achieve the required blood concentration. The purposes of this study were to compare the “Distance from the Epidermis to the Under-Fascia (DEUF)” and “Distance from the Epidermis to the Iliac Bone (DEB)” of the buttocks IM injection sites at the dorsogluteal and ventrogluteal sites among healthy Japanese volunteer subjects, and to identify the optimal insertion injection needle length. The DEUF and DEB at the gluteal regions were measured by ultrasonography. Welch’s one-way analysis of variance was used to compare the DEUF and the DEB at the gluteal IM injection regions. There was no statistically significant difference observed between the right and left mean values of DEUF for Hochstetter and clark’s point at the ventrogluteal sites, and the Four and Three-way split or Double cross point at the dorsogluteal sites. However in the DEB, the Hochstetter’s point (P clark’s point (P cantly shorter than the Double cross point at dorsogluteal sites (F = 4.38). The left buttocks Hochstetter’s point was significantly shorter than the Double cross point (F = 4.38, P cally significant difference in the DEUF among injection sites. It was considered that the difference in the DEB depended on muscle volume and thickness in the gluteal injection sites.

关键词： Intramuscular Injection Dorsogluteal Ventrogluteal Ultrasonography Distance from the Epidermis to the Under-Fascia Distance from the Epidermis to the Iliac Bone Optimal Insertion Injection Needle Length

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Daily Activities and Sleep Durations of Patients with Ischemic Heart Disease Who Were Discharged to Their Homes after Elective Percutaneous coronary Intervention

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Open Journal of Psychiatry 2017年第4期7卷 318-328页

作者： Yuko Yasuhara Tetsuya Tanioka rozzano locsin Waraporn Kongsuwan Beth King Haruo Kobayashi Department of Nursing Institute of Biomedical Sciences Tokushima University Graduate School Tokushima Japan Department of Medical Nursing Faculty of Nursing Prince of Songkla University Songkhla Thailand christine E. Lynn college of Nursing Florida Atlantic University Boca Raton FL USA Kyushu University of Health and Welfare Fukuoka Japan

The purpose of this study was to examine the relationship between daily activities and sleep durations for patients following elective percutaneous coronary intervention (ePcI) and diagnosed with ischemic heart disease (IHD) after discharge to their homes. The actigraph data were used to collect data from twenty five patients. The duration of night-time sleep (minutes from the start to end of night-time) and actual night-time sleep duration (total sleep duration excluding wake-up durations of night-time) on the seventh day after discharge were divided into three groups;less than 360, 360 to 480, and more than 480 minutes (short, optimal and long respectively). Subsequently, among the three groups of patients, the data were analyzed by Kruskal Wallis H-test with multiple comparison procedures using the Scheffé-test in order to compare differences in daytime activity items at seven days after discharge from the hospital. Total daytime nap duration (p p p p ctivity did not significantly differ. If actual night-time sleep duration is improved from 360 to 480 minutes, daytime nap could potentially be decreased. Determining objective sleep conditions for patients and treating sleep disorders may improve overall patient health, facilitating appropriate sleep and wake rhythms.

关键词： Actigraphy Elective Percutaneous coronary Intervention Actual Night-Time Sleep Duration Daily Activity

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