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Students' perceptions of teaching factors that demotivate their learning in lectures and laboratory-based skills practice

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International Journal of Nursing Sciences 2019年第4期6卷 414-420页

作者： Miyuki Takase Mayumi Niitani takiko Imai Mari Okada School of Nursing Yasuda Women's University Japan Institute of Biomedical & Health Sciences Hiroshima University Japan School of Nursing Prefectural University of Hiroshima Japan

Objectives: The objective of this paper is to report students' perceptions of factors that demotivated their learning in lectures and laboratory-based skills practice ***: A total of 23 students were recruited from the Bachelor of Nursing courses at three Japanese universities,using purposive sampling.A semi-structured interview was conducted with each participant between November 2017 and January 2018 to elicit their perceptions about which aspects of the teaching context demotivated their engagement in *** results were analyzed using thematic ***: Three themes were generated: a restrictive environment,discouraging attitudes and discouraging teaching ***: To prevent students from experiencing demotivation,teachers in the nursing faculty need to manage learning resources more effectively,create a quiet and focused atmosphere to allow students to concentrate,and be enthusiastic about *** also need to add value to their classes,help students to follow lectures,and ensure that the workload they give their students is appropriate.

关键词： Curriculum Interview Motivation Nursing education research Nursing students Qualitative research

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护生操作练习积极性的激励因素分析

International Journal of Nursing Sciences 2021年第1期8卷 79-86,I0006页

作者： Yoko Nakayoshi Miyuki Takase Mayumi Niitani takiko Imai Mari Okada Kumiko Yamamoto Yuri Takei School of Nursing Yasuda Women’s UniversityJapan School of Nursing Prefectural University of HiroshimJapan Division of Health Science Graduate School of MedicineOsaka UniversityJapan

目的本研究旨在探讨激发护生在实验室中进行操作练习积极性的因素,并确定他们的激励类型和管理方式。方法采用半结构式访谈,于2017年11月至2018年1月对日本3所大学的23名护生进行面对面访谈。采用主题分析法提炼出护生在实验室进行操作... 详细信息

目的本研究旨在探讨激发护生在实验室中进行操作练习积极性的因素,并确定他们的激励类型和管理方式。方法采用半结构式访谈,于2017年11月至2018年1月对日本3所大学的23名护生进行面对面访谈。采用主题分析法提炼出护生在实验室进行操作练习主动性的激励因素。基于自我决定理论,确定护生的激励类型和管理方式。结果本研究确定了7个激励因素:其中3个因素为护生“希望掌握作为护士所需的操作技能”“提高操作技能水平以便为临床实习做准备”和感受到“作为护士对患者应有的义务”;“学习动力源于对自己和他人的客观评价”和“想通过操作技能考试”激发护生强化操作练习;“有利于护生学习的学习环境”和“教育者的支持性参与”促进他们主动学习。基于自我决定理论,研究发现护生通过4种方式接受外在激励,即整合、确认、融合和外部管理。结论护理教育者应了解学生的激励因素,通过帮助护生想象将来的护士职业、培养他们照顾患者的道德责任感,从而帮助他们引入自主性更强的激励方式。

关键词：实验室学习动力学生,护理临床工作能力

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日本两所医院护士职业满意度的现状调查

中华护理杂志 2009年第6期44卷 491-494页

作者：张晓春雨宫多喜子日本兵库县立大学护理学院 673-8588 日本佐久大学护理系

目的了解日本临床护士职业满意度的现状,明确影响日本护士职业满意的相关因素。方法对日本2所医院的237名临床护士进行了问卷调查。结果职业满意度各构成因素中以"职业地位"得分最高,"医护关系""护理业务"得分最低。年龄、婚姻状况、教... 详细信息

目的了解日本临床护士职业满意度的现状,明确影响日本护士职业满意的相关因素。方法对日本2所医院的237名临床护士进行了问卷调查。结果职业满意度各构成因素中以"职业地位"得分最高,"医护关系""护理业务"得分最低。年龄、婚姻状况、教育背景、专业科室、职位与职业满意度有关。日本护士对自身社会地位的认识影响其职业地位的满意程度,"专业自主权"的高低影响其设定未来的职业目标。结论提高护士对自身职业地位的认可,支持其实现自身的职业目标,减少和防止护理人才流失,让护理成为更有魅力的职业则是护理管理层今后的重要课题。

关键词：护士职业满意日本

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Prevalence of Chronic Pain, Especially Headache, and Relationship with Health-Related Quality of Life in Middle-Aged Japanese Residents

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Health 2016年第1期8卷 116-124页

作者： Junko Mitoma Masami Kitaoka Hiroki Asakura Enoch Olando Anyenda Daisuke Hori Nguyen Thi Thu Tao Toshio Hamagishi Koichiro Hayashi Fumihiko Suzuki Yukari Shimizu Hiromasa Tsujiguchi Yasuhiro Kambayashi Yuri Hibino Tadashi Konoshita takiko Sagara Aki Shibata Hiroyuki Nakamura Department of Environmental and Preventive Medicine Graduate School of Medical Science Kanazawa University Ishikawa Japan Third Department of Internal Medicine Fukui University School of Medicine Fukui Japan

The aim of this study was to evaluate the prevalence of chronic pain (CP) and the relationship between CP, especially headache adjusted for CP at other sites, and health-related quality of life (HRQoL) in middle-aged Japanese residents. We examined the prevalence of CP (defined as pain persisting for 3 months or more) and HRQoL (SF-36) in 1117 middle-aged residents of Japan. We assessed the eight dimensions of health status and the 3 component SF-36 summary score to evaluate HRQoL. The prevalence of CP was 15.3% among men and 15.1% among women. Multiple linear regression analysis demonstrated that lumbar pain (p β = -0.132), knee pain (p β = -0.115), foot pain (p = 0.042, β = -0.065), and age (p β = -0.154) were independently correlated with a lower physical component score (PCS). Older age (ppβ = -0.096), knee pain (p β = -0.109), upper limb pain (p β = -0.098), and lumbar pain (p = 0.022, β = -0.077) all showed a significant negative correlation with MCS. The presence of chronic headache (p = 0.011, β = -0.082) was the only factor significantly correlated with a lower role component score (RCS). We identified a negative correlation between chronic headache and RCS, unlike the relation between musculoskeletal pain and PCS or MCS, suggesting that RCS was an independently influenced by CP differently from PCS or MCS in Japanese residents.

关键词： Quality of Life Chronic Pain Headache SF-36 Pain

Sex- and Age-Specific Associations of Social Status and Health-Related Behaviors with Health Check Attendance: Findings from the Cross-Sectional Kanazawa Study

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Health 2017年第9期9卷 1285-1300页

作者： Hiromasa Tsujiguchi Daisuke Hori Yasuhiro Kambayashi Toshio Hamagishi Hiroki Asakura Junko Mitoma Masami Kitaoka Anyenda Enoch Olando Nguyen Thi Thu Thao Yohei Yamada Koichiro Hayashi Tadashi Konoshita takiko Sagara Aki Shibata Hiroyuki Nakamura Department of Environmental and Preventive Medicine Graduate School of Medical Sciences Kanazawa University Kanazawa Japan Third Department of Internal Medicine Fukui University School of Medicine Eiheiji Japan

Health checks are key features of primary and secondary disease prevention. The aim of this study was to examine the sex- and age-specific association of social status and health-related behaviors with health check attendance in eligible persons. Data were derived from the Kanazawa Study 2011 (n = 12,781), a cross-sectional study which investigated all the residents in model areas of Kanazawa City, Ishikawa Prefecture, Japan. We selected participants aged 23 years or older with National Health Insurance (n = 4920). Attendance at health checks was the outcome. We used social status and health-related behaviors as predictor variables. We analyzed them by sex and applied stratified analyses by age groups for each sex. The bivariate analyses were conducted by means of cross-tabs. We calculated health check attendance rates by each variable. We used Pearson’s χ2-test to examine statistically significant differences. We fitted logistic regression models to estimate adjusted odds ratios (ORs) of attendance in the past one year. We computed ORs in a logistic regression model containing all variables described above. Workingmen and women aged 23 to 39 years and aged 40 to 64 years had significantly increased ORs for health check attendance compared with non-working persons. Men, men aged 23 to 39 years and men aged 65 years or older with more physical activity had significantly increased ORs for health check attendance. Male ex-smokers, female ex- and non-smokers, male ex-smokers aged 65 years or older, and female non-smokers aged 40 to 64 years had significantly increased ORs. The findings suggest that population groups with lower social status or increased risks of adverse health effects are less likely to attend health checks than those with higher social status or decreased risks in particular sex and age groups. It indicates that diverse approaches are required to realize the full benefit of health checks.

关键词： Health Check Social Status Health-Related Behaviors Secondary Prevention Health Care

The Association between Activity of Daily Living and the Combination of Alzheimer’s Disease and Cataract in Elderly Requiring Nursing Care

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Health 2016年第10期8卷 994-1003页

作者： Toshio Hamagishi Toshimitsu Inagawa Yasuhiro Kambayashi Hiromasa Tsujiguchi Masami Kitaoka Junko Mitoma Hiroki Asakura Fumihiko Suzuki Daisuke Hori Enoch Olando Anyenda Nguyen Thi Thu Thao Yuri Hibino Koichi Hayashi Aki Shibata takiko Sagara Jiro Okochi Kiyoshi Takamoku Kotaro Hatta Tadashi Konoshita Hiroyuki Nakamura Department of Environmental and Preventive Medicine Graduate School of Medical Science Kanazawa University Ishikawa Japan Department of Food Sciences and Nutrition School of Human Environmental Sciences Mukogawa Women’s University Hyogo Japan Department of Lifestyle Studies Kobe Shoin Women’s University Hyogo Japan Department of Nutritional Sciences for Well-Being Kansai University of Welfare Sciences Osaka Japan Japan Association of Geriatric Health Service Facilities Tokyo Japan Department of Psychiatry Juntendo University Nerima Hospital Tokyo Japan Third Department of Internal Medicine Fukui University School of Medicine Fukui Japan

Some clinical and epidemiological studies have suggested that Alzheimer’s Disease (AD) and cataract, may share common pathogenetic mechanisms, subsequently a positive association between the prevalence of AD and cataract, although other studies found no significant relationship between dementia and visual impairment including cataract in the elderly. Little is known about the association between Activity of Daily Living (ADL) and the combination of AD and cataract. To examine the association between ADL and the combination of AD and cataract, we performed a national survey in nursing care institutions in Japan, examining the decreased ADL in elderly with and without AD and cataract for 453 elderly aged 85.0 ± 8.13 years. The proportion, 43.5% of AD in subjects without cataract was significantly higher than that, 23.5% with cataract. Almost all ADL in AD with cataract was significantly lower than that without cataract, although all ADL in cataract patients receiving surgery in AD was significantly (all p < 0.002) higher than that in cataract patients without surgery in AD, as was confirmed by the multiple regression analysis incorporating into the relevant factors as independent variables. These results showed that ADL scores including cognitive functions decreased by cataract were increased by the surgery in the patients with AD. A significantly negative association between AD and cataract seen in our data, which was inconsistent with the previous result, might lead to the necessities of the clinical diagnosis for slight severity of cataract for patients with AD.

关键词： Alzheimer’s Disease Cataract Elderly Activity of Daily Living Cognitive Function

The Association of Autism Spectrum Disorders and Symptoms of Asthma, Allergic Rhinoconjunctivitis and Eczema among Japanese Children Aged 3 - 6 Years

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Health 2017年第8期9卷 1235-1250页

作者： Daisuke Hori Hiromasa Tsujiguchi Yasuhiro Kambayashi Toshio Hamagishi Masami Kitaoka Junko Mitoma Hiroki Asakura Fumihiko Suzuki Enoch Olando Anyenda Nguyen Thi Thu Thao Yohei Yamada Satoko Tamai Koichiro Hayashi Yuri Hibino Aki Shibata takiko Sagara Shinichiro Sasahara Ichiyo Matsuzaki Hiroyuki Nakamura Department of Environmental and Preventive Medicine Graduate School of Medical Science Kanazawa University Kanazawa Japan Faculty of Medicine University of Tsukuba Tsukuba Japan International Institute for Integrative Sleep Medicine University of Tsukuba Tsukuba Japan

There is insufficient epidemiological evidence on the relationship between autism spectrum disorder (ASD) and allergic diseases. We performed a cross-sectional survey to elucidate the associations between them using validated screening tools. The participants were children aged 3 - 6 years attending kindergarten or nursery school in Shika Town, Japan (n = 417;valid response rate = 80.4%). Autism spectrum features were scored on the Social Communication Questionnaire (SCQ). Allergic symptoms (asthma, allergic rhinoconjunctivitis, and eczema) were determined according to the criteria of the International Study of Asthma and Allergies in Childhood. A total of 15 children (4.5%) had an SCQ score of 11 points or higher. The prevalence of symptoms was 14.7% for asthma, and 5.3% for allergic rhinoconjunctivitis, and 11.4% for eczema. Logistic regression indicated that symptoms of eczema were significantly associated with SCQ scores of 11 points or higher [odds ratio (OR), 4.38;95% confidence interval (CI), 1.41 - 13.59]. The association persisted after adjustment for age, sex, and BMI (OR, 3.84;95% CI, 1.20 - 12.24). Moreover, asthmatic symptoms were significantly associated with male sex (OR, 2.09;95% CI, 1.12 - 3.92) and overweight status (OR, 2.45;95% CI, 1.03 - 5.83). This suggests that higher SCQ scores, which imply more autism spectrum features, are associated with higher prevalence of eczema symptoms. While no causal relationships can be made, ASD might be associated with eczema.

关键词： Asthma Autism Spectrum Disorder Eczema Early Screening Social Communication Questionnaire