Pub Date : 2021-06-20DOI: 10.14442/generalist.44.101
Kenya Ie
{"title":"Getting Started in Academic Primary Care","authors":"Kenya Ie","doi":"10.14442/generalist.44.101","DOIUrl":"https://doi.org/10.14442/generalist.44.101","url":null,"abstract":"","PeriodicalId":211485,"journal":{"name":"An Official Journal of the Japan Primary Care Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121986059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-20DOI: 10.14442/generalist.44.89
Nobuko Katahira, Yumiko Uemura
Introduction: The aims of this study were to clarify the characteristics and examine measures for improving the nursing practice competencies of home health nurses. Methods : A narrative review was conducted to analyze the definitions of key elements that constitute the competencies in nursing practice of home health nurses in Japan. Results: The competencies of home healthcare nurses were based on professional attitudes, knowledge, and skills. The characteristics of these competencies were demonstrated in daily life in the practice of home health care. The following common elements were extracted from more than half of the seven articles reviewed: “support for users and their families with independence and individuality,” “utilization of the health care system, social resources, and inter-professional collaboration,” “basic professional attitude and demeanor as a home health nurse,” and “risk management for disaster and infection.” Conclusion: The development of these four elements of nursing practice in the training of home healthcare nurses should be prioritized. To improve the competencies of home healthcare nurses, on-the-job training that focuses on the individuality of users and opportunities for team management should be provided. In the training of newcomers, competencies should be achieved based on their attitude as professionals and risk management skills.
{"title":"A Narrative Review of Studies on Nursing Practice Competencies of Japanese Home Health Nurses","authors":"Nobuko Katahira, Yumiko Uemura","doi":"10.14442/generalist.44.89","DOIUrl":"https://doi.org/10.14442/generalist.44.89","url":null,"abstract":"Introduction: The aims of this study were to clarify the characteristics and examine measures for improving the nursing practice competencies of home health nurses. Methods : A narrative review was conducted to analyze the definitions of key elements that constitute the competencies in nursing practice of home health nurses in Japan. Results: The competencies of home healthcare nurses were based on professional attitudes, knowledge, and skills. The characteristics of these competencies were demonstrated in daily life in the practice of home health care. The following common elements were extracted from more than half of the seven articles reviewed: “support for users and their families with independence and individuality,” “utilization of the health care system, social resources, and inter-professional collaboration,” “basic professional attitude and demeanor as a home health nurse,” and “risk management for disaster and infection.” Conclusion: The development of these four elements of nursing practice in the training of home healthcare nurses should be prioritized. To improve the competencies of home healthcare nurses, on-the-job training that focuses on the individuality of users and opportunities for team management should be provided. In the training of newcomers, competencies should be achieved based on their attitude as professionals and risk management skills.","PeriodicalId":211485,"journal":{"name":"An Official Journal of the Japan Primary Care Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129208850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-20DOI: 10.14442/generalist.44.59
H. Takagi, Sachiko Ozone, A. Takayashiki
Introduction : The aim of this study was to clarify the process by which family physicians succeed their parents in their familyʼs clinic and issues that successors experience during this process. Methods : Subjects were certified family physicians in Japan who either succeeded their parents in their clinics or were working regularly at their familyʼs clinic and were planning to succeed their parents. Participants were recruited through a certified family physician mailing list or privately contacted, and participated in a semi-structured individual interview. The text of the interviews was thematically analyzed. Results : Twelve participants were interviewed. All were male. Seven participants succeeded their parents. Family physicians succeeding their parents in their clinics felt implicit expectations towards succession from their family members and communities, which made them think that succession was the goal. They realized that they had no ability to decide on the timing of succession, clinics have customs and continuity, predeces-sors have different ideas about professionalism, and family businesses are complex. They felt conflict, espe-cially about predecessors, in their emotions towards family members and ideas based on professionalism. Conclusion : We clarified the process of succession by family physicians in their familyʼs clinic, and the issues and conflicts they face during this process.
{"title":"Process of Succession by Family Physicians in Their Family's Clinic: A Qualitative Study","authors":"H. Takagi, Sachiko Ozone, A. Takayashiki","doi":"10.14442/generalist.44.59","DOIUrl":"https://doi.org/10.14442/generalist.44.59","url":null,"abstract":"Introduction : The aim of this study was to clarify the process by which family physicians succeed their parents in their familyʼs clinic and issues that successors experience during this process. Methods : Subjects were certified family physicians in Japan who either succeeded their parents in their clinics or were working regularly at their familyʼs clinic and were planning to succeed their parents. Participants were recruited through a certified family physician mailing list or privately contacted, and participated in a semi-structured individual interview. The text of the interviews was thematically analyzed. Results : Twelve participants were interviewed. All were male. Seven participants succeeded their parents. Family physicians succeeding their parents in their clinics felt implicit expectations towards succession from their family members and communities, which made them think that succession was the goal. They realized that they had no ability to decide on the timing of succession, clinics have customs and continuity, predeces-sors have different ideas about professionalism, and family businesses are complex. They felt conflict, espe-cially about predecessors, in their emotions towards family members and ideas based on professionalism. Conclusion : We clarified the process of succession by family physicians in their familyʼs clinic, and the issues and conflicts they face during this process.","PeriodicalId":211485,"journal":{"name":"An Official Journal of the Japan Primary Care Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130108607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-20DOI: 10.14442/generalist.44.53
H. Yasuhara, A. Kawashima, Mikio Wada, Akiko Hanamoto, N. Kaku
Introduction : Tetanus is a highly fatal infection that causes tonic convulsions. Although magnesium sulfate may be effective as a treatment option for myopathic symptoms, there is little knowledge regarding its use. Therefore, this study assessed the use of magnesium sulfate for patients with tetanus requiring critical care management. Methods: Using multiple mailing lists of registered physicians in Japan, a questionnaire survey was conducted on the conditions during which magnesium sulfate was used for patients with tetanus requiring critical care management. An internet questionnaire form service was utilized. Results: The number of targets in this study was 24,266 and responses were received from 604 physicians, 252 of whom treated patients with tetanus requiring critical care management. In total, 126 of the above physicians used magnesium sulfate for tetanus. Conclusion: Magnesium sulfate was used for a substantial number of patients with tetanus requiring critical care management. To establish the utility of magnesium sulfate as a tetanus treatment option, further evidence is required.
{"title":"The Use of Magnesium Sulfate in Tetanus Treatment","authors":"H. Yasuhara, A. Kawashima, Mikio Wada, Akiko Hanamoto, N. Kaku","doi":"10.14442/generalist.44.53","DOIUrl":"https://doi.org/10.14442/generalist.44.53","url":null,"abstract":"Introduction : Tetanus is a highly fatal infection that causes tonic convulsions. Although magnesium sulfate may be effective as a treatment option for myopathic symptoms, there is little knowledge regarding its use. Therefore, this study assessed the use of magnesium sulfate for patients with tetanus requiring critical care management. Methods: Using multiple mailing lists of registered physicians in Japan, a questionnaire survey was conducted on the conditions during which magnesium sulfate was used for patients with tetanus requiring critical care management. An internet questionnaire form service was utilized. Results: The number of targets in this study was 24,266 and responses were received from 604 physicians, 252 of whom treated patients with tetanus requiring critical care management. In total, 126 of the above physicians used magnesium sulfate for tetanus. Conclusion: Magnesium sulfate was used for a substantial number of patients with tetanus requiring critical care management. To establish the utility of magnesium sulfate as a tetanus treatment option, further evidence is required.","PeriodicalId":211485,"journal":{"name":"An Official Journal of the Japan Primary Care Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126249953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-20DOI: 10.14442/generalist.44.38
Shiho Gohara
Introduction : The purpose of this study was to identify factors that affect the expression of opinions regarding choices in end-of-life medical services by community-dwelling elderly people. Methods : We mailed a self-administered questionnaire to 780 elderly people who participated in preventive care projects in two municipalities in the Kanto region. Results : Of the 368 respondents (response rate, 47.2%), we included 348 who provided valid responses (valid re-sponse rate, 94.6%) in the analysis. We performed logistic regression analysis to identify factors influencing the expression of opinions regarding choices in end-of-life medical services. As a result, the experience of being at someoneʼs deathbed was an influencing factor (p=0.046, OR=1.576). Conclusion : The factor affecting the expression of opinions regarding choice in end-of-life medical services was the experience of being at someoneʼs deathbed.
{"title":"Factors That Influence the Expression of Opinions Regarding Choices in End-of-Life Medical Services by Community-dwelling Elderly People","authors":"Shiho Gohara","doi":"10.14442/generalist.44.38","DOIUrl":"https://doi.org/10.14442/generalist.44.38","url":null,"abstract":"Introduction : The purpose of this study was to identify factors that affect the expression of opinions regarding choices in end-of-life medical services by community-dwelling elderly people. Methods : We mailed a self-administered questionnaire to 780 elderly people who participated in preventive care projects in two municipalities in the Kanto region. Results : Of the 368 respondents (response rate, 47.2%), we included 348 who provided valid responses (valid re-sponse rate, 94.6%) in the analysis. We performed logistic regression analysis to identify factors influencing the expression of opinions regarding choices in end-of-life medical services. As a result, the experience of being at someoneʼs deathbed was an influencing factor (p=0.046, OR=1.576). Conclusion : The factor affecting the expression of opinions regarding choice in end-of-life medical services was the experience of being at someoneʼs deathbed.","PeriodicalId":211485,"journal":{"name":"An Official Journal of the Japan Primary Care Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114654872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-20DOI: 10.14442/GENERALIST.44.2
Nahoko Harada, M. Koda, Toshiaki Saito, Hisashi Yoshimoto, Atsushi Obata
Introduction: To visualize the damage to primary care facilities in Miyazaki prefecture caused by the Nankai Trough earthquake by collating GIS data and to propose feasible countermeasures based on the estimated damage. Methods: The merged data of the estimated tsunami damage downloaded from the service for numerical information on national land use created by the Ministry of Land, Infrastructure, Transport and Tourism were combined with the data of medical institutions collected from the regional medical information system of the Japan Medical Association. Results: Of the 721 clinics and 140 hospitals, 139 clinics and 31 hospitals were affected, with 521 and 4,713 beds, respectively. By medical area, regions in which more than 50% of the clinics and hospitals were affected included the northern region of Nobeoka Nishi-usuki (clinics, 58.7%; hospitals, 60.0%) and Hyuga Irigo (clinics, 84.2%; hospitals, 61.5%), revealing a disproportionate estimate of damage. Conclusion: To deal with long-term damage, joint operation among regional facilities in neighboring prefectures is essential for a community continuity plan. Care facilities can take initiatives for cooperative disaster risk reduction planning with residents. 1)宮崎大学医学部看護学科統合臨床看護科学講座精神看護領域 2)宮崎大学医学部臨床神経科学講座精神医学分野 3)気仙沼市立本吉病院 4)筑波大学医学医療系地域総合診療医学 5)みちのく総合診療医学センター 著者連絡先:原田奈穂子 宮崎大学医学部看護学科統合臨床看護科学講座精神看護領域[〒889-1692宮崎県宮崎市清武町木原 5200] email: nahoko-harada@umin.ac.jp (受付日:2020年 5月 12日,採用日:2020年 10月 21日) C2021日本プライマリ・ケア連合学会
{"title":"GIS Mapping Analysis of Damages and Countermeasures Against the Nankai Trough Earthquake among Primary Care Facilities in Miyazaki","authors":"Nahoko Harada, M. Koda, Toshiaki Saito, Hisashi Yoshimoto, Atsushi Obata","doi":"10.14442/GENERALIST.44.2","DOIUrl":"https://doi.org/10.14442/GENERALIST.44.2","url":null,"abstract":"Introduction: To visualize the damage to primary care facilities in Miyazaki prefecture caused by the Nankai Trough earthquake by collating GIS data and to propose feasible countermeasures based on the estimated damage. Methods: The merged data of the estimated tsunami damage downloaded from the service for numerical information on national land use created by the Ministry of Land, Infrastructure, Transport and Tourism were combined with the data of medical institutions collected from the regional medical information system of the Japan Medical Association. Results: Of the 721 clinics and 140 hospitals, 139 clinics and 31 hospitals were affected, with 521 and 4,713 beds, respectively. By medical area, regions in which more than 50% of the clinics and hospitals were affected included the northern region of Nobeoka Nishi-usuki (clinics, 58.7%; hospitals, 60.0%) and Hyuga Irigo (clinics, 84.2%; hospitals, 61.5%), revealing a disproportionate estimate of damage. Conclusion: To deal with long-term damage, joint operation among regional facilities in neighboring prefectures is essential for a community continuity plan. Care facilities can take initiatives for cooperative disaster risk reduction planning with residents. 1)宮崎大学医学部看護学科統合臨床看護科学講座精神看護領域 2)宮崎大学医学部臨床神経科学講座精神医学分野 3)気仙沼市立本吉病院 4)筑波大学医学医療系地域総合診療医学 5)みちのく総合診療医学センター 著者連絡先:原田奈穂子 宮崎大学医学部看護学科統合臨床看護科学講座精神看護領域[〒889-1692宮崎県宮崎市清武町木原 5200] email: nahoko-harada@umin.ac.jp (受付日:2020年 5月 12日,採用日:2020年 10月 21日) C2021日本プライマリ・ケア連合学会","PeriodicalId":211485,"journal":{"name":"An Official Journal of the Japan Primary Care Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129210399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-20DOI: 10.14442/GENERALIST.44.20
Yutaro Nakazawa, Maham Stanyon, Satoshi Kanke, Masako, R. Kassai
In 2019, a team composed of medical and health economics educators and a family medicine trainee from the Department of Community and Family Medicine, Fukushima Medical University, and the School of International and Public Policy, Hitotsubashi University, Japan, embarked on a study tour to Toronto, Canada, a leading country in family medicine education and training. During this tour, the team visited the Department of Family and Community Medicine at the University of Toronto and affiliated hospitals to observe family medicine training in practice, which included video review and feedback for trainee development. In addition, they visited a practice attached to a legal clinic, with subsequent learning about the medico-legal interface and responsibilities of Canadian family doctors. The team gained first-hand insight into family medicine training along with an understanding of a healthcare system that values primary care.
{"title":"Reflections on Canadian Family Doctor Training: Observation of Postgraduate Family Medicine Education with a Focus on Digital Review for Trainee Development","authors":"Yutaro Nakazawa, Maham Stanyon, Satoshi Kanke, Masako, R. Kassai","doi":"10.14442/GENERALIST.44.20","DOIUrl":"https://doi.org/10.14442/GENERALIST.44.20","url":null,"abstract":"In 2019, a team composed of medical and health economics educators and a family medicine trainee from the Department of Community and Family Medicine, Fukushima Medical University, and the School of International and Public Policy, Hitotsubashi University, Japan, embarked on a study tour to Toronto, Canada, a leading country in family medicine education and training. During this tour, the team visited the Department of Family and Community Medicine at the University of Toronto and affiliated hospitals to observe family medicine training in practice, which included video review and feedback for trainee development. In addition, they visited a practice attached to a legal clinic, with subsequent learning about the medico-legal interface and responsibilities of Canadian family doctors. The team gained first-hand insight into family medicine training along with an understanding of a healthcare system that values primary care.","PeriodicalId":211485,"journal":{"name":"An Official Journal of the Japan Primary Care Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125651043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Creation of a Home-based Exercise Video for Community-dwelling Older Adults Affected by the Spread of COVID-19","authors":"R. Matsugaki, K. Muramatsu, S. Saeki, S. Matsuda","doi":"10.14442/GENERALIST.44.30","DOIUrl":"https://doi.org/10.14442/GENERALIST.44.30","url":null,"abstract":"はじめに 新型コロナウイルス感染症(以下,COVID-19)拡大 に伴い,2020年 4月 7日から先行 7都府県(東京都, 神奈川県,千葉県,埼玉県,大阪府,兵庫県,福岡県) で改正新型インフルエンザ等特別措置法に基づく緊急 事態宣言が発令され,同年 4月 16日には全都道府県に その範囲が拡大された. 感染拡大防止の観点から不要不急の外出,密閉空 間・密集場所・密接場面を避けることが喚起され,同 年 4月 20日時点で全国の通所系・短期入所系施設の うち 1.13%(858/75,327件),先行して緊急事態宣言が 発令された 7都府県においては 1.69%(449/26,469件) が感染防止のために休業していたことが明らかとなっ た.それに加え,医療機関における外来リハビリテー ションの中止・制限,自主的な利用自粛も生じており, 地域在住高齢者に対するリハビリテーション提供量の 減少が懸念される状況であった.感染拡大防止の観点 からはそのような状況は止むを得ないが,それに伴う 身体活動量低下による廃用症候群の発生が危惧され た. 上記状況を鑑みて,我々は地域在住高齢者に向けて 自宅でも簡単に実施できる運動方法を紹介する動画を 作成したのでその活動内容,活動を通して得られた課 題を報告する.","PeriodicalId":211485,"journal":{"name":"An Official Journal of the Japan Primary Care Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131155404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-20DOI: 10.14442/generalist.43.151
Naoto Ishimaru
{"title":"Learning from Clinical Research Experience in a Community Hospital -How to Continue Clinical Research in a Community Hospital","authors":"Naoto Ishimaru","doi":"10.14442/generalist.43.151","DOIUrl":"https://doi.org/10.14442/generalist.43.151","url":null,"abstract":"","PeriodicalId":211485,"journal":{"name":"An Official Journal of the Japan Primary Care Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130567750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-20DOI: 10.14442/generalist.43.167
{"title":"日本プライマリ・ケア連合学会誌 第43巻 総目次","authors":"","doi":"10.14442/generalist.43.167","DOIUrl":"https://doi.org/10.14442/generalist.43.167","url":null,"abstract":"","PeriodicalId":211485,"journal":{"name":"An Official Journal of the Japan Primary Care Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132442980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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