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Development of analysis and coordination tools of clinical ethics in critical care medicine

Yamaguchi medical journal Volume 71 Issue 1

We have developed ACTce‑CCM̶ Analysis and Coordination Tools of Clinical Ethics in Critical Care Medicine. The preparation process was carried out in four stages:construct setting and prototype creation, application of prototype version to fictitious cases, clarification of the construct based on focus group interviews, and a fact-finding survey on ethical issues and ethical adjustment. The completed version of ACTce-CCM consists of information organization and assessment frameworks, problem analysis and integration, problem lists, goals, care practices, and ethical adjustment. There are six frameworks for information organization and assessment:pathology and treatment, QOL and QOD, patient intention, family psychosocial situation, medical team situation, and the surrounding situation. The problem lists include those related to the patient, the family, and the medical staff. Goals include those of the medical team and the expected outcomes for the patient/family. Care practices and ethical adjustment consist of three aspects: direct patient care, direct family care, and medical team adjustment.

Learning outcomes of public health nursing practice using online conducted under the influence of COVID-19

Yamaguchi medical journal Volume 71 Issue 1

This study aimed to clarify outcome of the public health nursing practice conducted under the influence of COVID-19. A self-administered anonymous questionnaire survey was performed for 4th grader students at University from 2018 through 2020. The investigation items consisted of basic attributes, impression of public health nurse activity, learning motivation and learning target items. We compared shortened clinical practice and online practice enforced in 2020 and before. For 217 effective answers,＂A public health nurse was involved in practice sufficiently＂ was significantly low. In top learning achievement scores of 2020 included many of the items from the the learning target＂Process of public health nursing activity＂ and ＂Role and function of public health center and municipalities. In 2018 and 2019, learning achievement degrees were over 80% in 94.3% of 53 items while on the other hand it was only 32.1% in 2020. Learning achievement degrees were less than 60% in no items in 2018 and 2019 while it was 15.1% in 2020. For the techniques of health service and health practice for which the learning achievement degree were low in 2020, it is necessary to support students so that they can acquire them as a public health nursing practice ability.

Creators : Isomura Satoko | Morita Takae | Saito Miyako | Murakami Yurika Publishers : Yamaguchi University medical association Date Issued : 2022-02-22

A study on the level of achievement of nursing competency of nursing students at university A in the COVID-19 pandemis : using a self-evaluation questionnaire

山口医学 Volume 70 Issue 4

Decision making support in end-of-life care for patients with non-cancer respiratory disease in Japan : a literature review

山口医学 Volume 70 Issue 3

Creators : Ishikawa Yoshiko | Ito Misae Publishers : 山口大学医学会 Date Issued : 2021-09-01

The process of assessment and intervention by nurses in the ＂concerns and true feelings＂ of terminal cancer patients in general wards

山口医学 Volume 70 Issue 3

Creators : Tanaka Aiko | Nagata Chizuru | Goth Miyuki Publishers : 山口大学医学会 Date Issued : 2021-09-01

A case of raspberry-like foveolar-type gastric adenocarcinoma resected by strip biopsy

山口医学 Volume 70 Issue 1

Interactions of community organization activities participation for healthy older adults living alone

山口医学 Volume 70 Issue 1

Creators : Kanamori Yumie | Morita Takae Publishers : 山口大学医学会 Date Issued : 2021-03-04

End-of-life care in community-based services at nursing multifunctional small group homes : supporting aging in place

山口医学 Volume 69 Issue 4

Creators : Nagata Chizuru | Kitamura Ikuko | Matsumoto Kayo | Kiyonaga Asako Publishers : 山口大学医学会 Date Issued : 2020-12-25

Assessment of a sensory evaluation test to select suitable chewy solid foods

山口医学 Volume 69 Issue 3

Creators : Kawamura Atsuko | Tsutsumi Masae | Nagata Chizuru | Nogaki Hiroshi | Yonemura Reiko Publishers : 山口大学医学会 Date Issued : 2020-09-25

Involvement of preceptors who support the experience and reflection of novice public health nurses

山口医学 Volume 69 Issue 3

Creators : Kijima Ayano | Morita Takae Publishers : 山口大学医学会 Date Issued : 2020-09-25

Learning effects of public health nursing practice and issues on them

山口医学 Volume 69 Issue 1

Creators : Isomura Satoko | Morita Takae | Saito Miyako | Kijima Ayano Publishers : 山口大学医学会 Date Issued : 2020-02-28

The progress and issues of community care conference in prefectures with the highest aging rate : factor analysis affecting outcome of community care conference

山口医学 Volume 69 Issue 1

Creators : Yokoyama Masahiro | Tsutsumi Masae Publishers : 山口大学医学会 Date Issued : 2020-02-28

Practical techniques for finding community health needs in public health nurses working for local governments activities

山口医学 Volume 69 Issue 1

Creators : Saito Miyako | Morita Takae Publishers : 山口大学医学会 Date Issued : 2020-02-28

Recurrence prevention activities by public health nurses for people with mental disorders of involuntary admission by the police operations

山口医学 Volume 69 Issue 1

Creators : Ito Etsuko | Morita Takae Publishers : 山口大学医学会 Date Issued : 2020-02-28

Perspective of doctors and nurses in a general hospital on end-of-life care at group homes for older people with dementia ; the standpoint of a healthcare professional and a family

山口医学 Volume 68 Issue 4

Creators : Nagata Chizuru | Tsutsumi Masae | Nogaki Hiroshi | Kiyonaga Asako Publishers : 山口大学医学会 Date Issued : 2019-12-11

Grief process and care needs of bereaved spouses : the period from diagnosis of disease to one year after the loss of the partner

山口医学 Volume 68 Issue 2-3

Creators : Eto Ayako | Azuma Reiko Publishers : 山口大学医学会 Date Issued : 2019-08-09

A pilot study on arousal levels in older individuals after sedated endoscopy using the bispectral index system

山口医学 Volume 67 Issue 4

Creators : Matsumoto Ryota | Tsutsumi Masae | Nogaki Hiroshi | Suenaga Hiromi Publishers : 山口大学医学会 Date Issued : 2018-12-28

Perinatal loss and providing care to fathers : educational needs of midwives

山口医学 Volume 67 Issue 2

Creators : Kawamoto Eri | Tanaka Mayumi Publishers : 山口大学医学会 Date Issued : 2018-05-09

Adaptation process of fathers after perinatal loss and their care needs

山口医学 Volume 67 Issue 2

Creators : Kawamoto Eri | Tanaka Mayumi Publishers : 山口大学医学会 Date Issued : 2018-05-09

Long-term outcomes of interstitial brachytherapy with the high dose rate iridium source for tongue cancer treatment

山口医学 Volume 66 Issue 4