Muhammad Abu, Rosyidah Arafat, Syahrul Syahrul, Aulia Insani Latif
Background
Lack of family readiness to care for stroke patients can negatively impact the health of family members who serve as primary caregivers, often leading to prolonged stress and depression.
Aim
This study aimed to develop a valid and reliable family readiness instrument based on a transition model to assess preparedness for caring for stroke patients at home.
Methods
A mixed-methods approach was employed in this research, consisting of four phases: Delphi Study, face validity, content validity, and testing for structural validity and reliability. A total of 153 participants were included in this study. In the first phase, a Delphi Study was conducted in three rounds to reach consensus on the instrument items, involving eight experts. The second phase involved 30 family members of stroke patients to test face validity. In the third phase, content validity was assessed by five experts using the “judgment by expert” method. The final phase involved testing structural validity and reliability with 110 families of caregivers of patients with stroke.
Results
The results of the exploratory factor analysis (EFA) identified three main factors: awareness (12 items), involvement (6 items), and changes in internal and external processes (2 items). The instrument demonstrated good reliability with a Cronbach's alpha value of .811.
Conclusion
Twenty items from the family readiness instrument based on the transition model were valid and reliable for the Indonesian family population, making it suitable for assessing family readiness in caring for stroke patients at home.
{"title":"Development of family readiness instrument for caring of stroke patients at home: Application of transition theory","authors":"Muhammad Abu, Rosyidah Arafat, Syahrul Syahrul, Aulia Insani Latif","doi":"10.1111/jjns.70015","DOIUrl":"https://doi.org/10.1111/jjns.70015","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Lack of family readiness to care for stroke patients can negatively impact the health of family members who serve as primary caregivers, often leading to prolonged stress and depression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to develop a valid and reliable family readiness instrument based on a transition model to assess preparedness for caring for stroke patients at home.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A mixed-methods approach was employed in this research, consisting of four phases: Delphi Study, face validity, content validity, and testing for structural validity and reliability. A total of 153 participants were included in this study. In the first phase, a Delphi Study was conducted in three rounds to reach consensus on the instrument items, involving eight experts. The second phase involved 30 family members of stroke patients to test face validity. In the third phase, content validity was assessed by five experts using the “judgment by expert” method. The final phase involved testing structural validity and reliability with 110 families of caregivers of patients with stroke.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results of the exploratory factor analysis (EFA) identified three main factors: awareness (12 items), involvement (6 items), and changes in internal and external processes (2 items). The instrument demonstrated good reliability with a Cronbach's alpha value of .811.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Twenty items from the family readiness instrument based on the transition model were valid and reliable for the Indonesian family population, making it suitable for assessing family readiness in caring for stroke patients at home.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nurses immigrating to Japan from China are attracting attention as new talent in the Japanese healthcare environment. They are expected to easily adjust in Japan owing to cultural similarities, such as the written language. However, challenges include the differences in the culture of interpersonal behavior and nursing roles. It is important to prevent their reality shock and facilitate adjustment by providing support to overcome these challenges at an early stage of immigration. This paper proposes an onboarding program to support nurses and address these challenges.
Methods
The objectives of the proposed onboarding program are based on the literature on the present situation of Chinese nurses in Japan, cross-cultural adjustment, Japanese social norms, and differences in nursing roles between Japan and China. Onboarding programs can be broadly divided into sedentary and active learning methods. Japanese communication is context-dependent, with words having different meanings based on the situation surrounding the scene. Such communication can be effectively addressed in role-playing and open discussions rather than lectures.
Results
Based on these objectives, we propose a combination of program content and appropriate support methods. Implementing and evaluating this onboarding program will be a future challenge.
Conclusions
Capitalizing on the strengths of Chinese nurses, such as their kanji proficiency and respect for older adults, which they share with the Japanese, to support their adjustment will help them achieve self-fulfillment and improve Japanese healthcare services. Mutual understanding is the key to the success of cross-cultural collaboration.
{"title":"Proposal for an onboarding program for Chinese nurses in Japan","authors":"Tsubasa Mori, Xiujie Jiang","doi":"10.1111/jjns.70021","DOIUrl":"https://doi.org/10.1111/jjns.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Nurses immigrating to Japan from China are attracting attention as new talent in the Japanese healthcare environment. They are expected to easily adjust in Japan owing to cultural similarities, such as the written language. However, challenges include the differences in the culture of interpersonal behavior and nursing roles. It is important to prevent their reality shock and facilitate adjustment by providing support to overcome these challenges at an early stage of immigration. This paper proposes an onboarding program to support nurses and address these challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The objectives of the proposed onboarding program are based on the literature on the present situation of Chinese nurses in Japan, cross-cultural adjustment, Japanese social norms, and differences in nursing roles between Japan and China. Onboarding programs can be broadly divided into sedentary and active learning methods. Japanese communication is context-dependent, with words having different meanings based on the situation surrounding the scene. Such communication can be effectively addressed in role-playing and open discussions rather than lectures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Based on these objectives, we propose a combination of program content and appropriate support methods. Implementing and evaluating this onboarding program will be a future challenge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Capitalizing on the strengths of Chinese nurses, such as their kanji proficiency and respect for older adults, which they share with the Japanese, to support their adjustment will help them achieve self-fulfillment and improve Japanese healthcare services. Mutual understanding is the key to the success of cross-cultural collaboration.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study examines the relationship between the quality indicators of pain management (pain assessment rate during skin puncture and the implementation rate of non-pharmacological pain relief measures) and nurse staffing in neonatal intensive care units based on the Donabedian model.
The implementation rate of pain assessment correlates significantly and positively with growing care unit nurse staffing (r = 0.28, p = 0.0075) and the proportion of certified neonatal intensive care nurses (r = 0.32, p = 0.0011). The pain assessment rate during skin puncture was significantly associated with the nurse-to-bed ratio in growing care units and the implementation of a pain management system. The implementation rate of non-pharmacological pain relief measures was significantly associated with the proportion of certified nurses among ward staff and the establishment of a pain management system.
Conclusion
The findings suggest that enhancing nurse staffing levels and establishing robust pain management systems may contribute to improving the quality of pain management, a critical aspect of nursing care quality.
Su-jin Lee, Seo-Hyeon Kim, Hye Young Min, Ju-Young Park
Aim
This study aimed to investigate the burnout and related factors of infection control nurses in long-term care hospitals.
Methods
An anonymous, self-administered survey was conducted among 177 nursing home infection control nurses. The questionnaire included stress levels, self-efficacy, social support, and burnout. Data were analyzed using SPSS 25.0 to calculate descriptive statistics and multiple regression.
Results
Stress (β = .70, p < .001) and social support (β = −.18, p = .007) were found to have significant effects on emotional exhaustion, with an explanatory power of 57%. Stress (β = .62, p < .001) and social support (β = −.20, p = .006) also significantly influenced depersonalization, with an explanatory power of 49%. Self-efficacy (β = −.61, p < .001) significantly impacted reduced personal accomplishment, with an explanatory power of 53%.
Conclusion
To reduce burnout among infection control nurses in long-term care hospitals, there is a need for systematic and continuous mental health services tailored to individuals, the development and implementation of nursing interventions to enhance self-efficacy, and the establishment of a supportive organizational culture and system.
目的探讨长期护理医院感染控制护士的职业倦怠及相关因素。方法对177名养老院感染控制护士进行匿名、自我调查。调查问卷包括压力水平、自我效能、社会支持和倦怠。数据分析采用SPSS 25.0进行描述性统计和多元回归分析。结果应力(β =。70, p <；001)和社会支持(β =−。18、p =。007)对情绪耗竭有显著影响，解释力为57%。应力(β =。62, p <；001)和社会支持(β =−。20, p =。006)也显著影响人格解体，解释力为49%。自我效能感(β =−。p <；001)显著影响了个人成就感的降低，解释力为53%。结论降低长期护理医院感染控制护士的职业倦怠，需要有针对性地开展系统和持续的心理健康服务，制定和实施护理干预措施，提高自我效能感，建立支持性的组织文化和制度。
{"title":"Burnout related factors of infection control nurses in long-term care hospitals","authors":"Su-jin Lee, Seo-Hyeon Kim, Hye Young Min, Ju-Young Park","doi":"10.1111/jjns.70019","DOIUrl":"https://doi.org/10.1111/jjns.70019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to investigate the burnout and related factors of infection control nurses in long-term care hospitals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An anonymous, self-administered survey was conducted among 177 nursing home infection control nurses. The questionnaire included stress levels, self-efficacy, social support, and burnout. Data were analyzed using SPSS 25.0 to calculate descriptive statistics and multiple regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Stress (β = .70, <i>p</i> < .001) and social support (β = −.18, <i>p</i> = .007) were found to have significant effects on emotional exhaustion, with an explanatory power of 57%. Stress (β = .62, <i>p</i> < .001) and social support (β = −.20, <i>p</i> = .006) also significantly influenced depersonalization, with an explanatory power of 49%. Self-efficacy (β = −.61, <i>p</i> < .001) significantly impacted reduced personal accomplishment, with an explanatory power of 53%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>To reduce burnout among infection control nurses in long-term care hospitals, there is a need for systematic and continuous mental health services tailored to individuals, the development and implementation of nursing interventions to enhance self-efficacy, and the establishment of a supportive organizational culture and system.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aimed to evaluate a decision aid for Japanese women (J-DA) with BRCA1/2 pathogenic variants for supporting breast and ovarian cancer management decisions.
Methods
This study used a pre- and post-intervention design. The participants included Japanese women with BRCA1/2 pathogenic variants who needed to make a decision regarding breast and ovarian cancer management options.
Results
All 25 participants completed the pre- and posttests. There was a significant reduction in the decisional conflict scale and a significant increase in the knowledge score. Significant improvements were identified in the decisional conflict scale score (g = 0.60, p = .002) and knowledge score (g = −1.44, p < .001). Four weeks post-intervention, 96% of the participants had made a decision regarding the management options for breast or ovarian care.
Conclusions
The findings suggest that the decision aid (J-DA) positively supported the decision-making of the Japanese women with BRCA1/2 pathogenic variants. As this study apparently represents the first evaluation of a decision aid for this population, subsequent studies are anticipated to further confirm its clinical applicability and utility.
目的：本研究旨在评估BRCA1/2致病变异的日本女性（J-DA）的决策辅助工具，以支持乳腺癌和卵巢癌的管理决策。方法采用干预前后设计。参与者包括患有BRCA1/2致病变异的日本妇女，她们需要决定乳腺癌和卵巢癌的治疗方案。结果25名受试者均完成了前、后测试。在决策冲突量表上有显著的减少，在知识得分上有显著的增加。决策冲突量表得分（g = 0.60, p = 0.002）和知识得分（g = - 1.44, p < 0.001）均有显著改善。干预4周后，96%的参与者对乳房或卵巢护理的管理选择做出了决定。结论决策辅助（J-DA）对日本BRCA1/2致病变异女性的决策具有积极的支持作用。由于这项研究显然代表了对这一人群的决策辅助的首次评估，预计后续研究将进一步证实其临床适用性和实用性。
{"title":"Evaluation of a patient decision aid for Japanese women with BRCA1/2 pathogenic variants: A preliminary study","authors":"Megumi Okawa, Naoko Arimori","doi":"10.1111/jjns.70017","DOIUrl":"https://doi.org/10.1111/jjns.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to evaluate a decision aid for Japanese women (J-DA) with <i>BRCA1/2</i> pathogenic variants for supporting breast and ovarian cancer management decisions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used a pre- and post-intervention design. The participants included Japanese women with <i>BRCA1/2</i> pathogenic variants who needed to make a decision regarding breast and ovarian cancer management options.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All 25 participants completed the pre- and posttests. There was a significant reduction in the decisional conflict scale and a significant increase in the knowledge score. Significant improvements were identified in the decisional conflict scale score (<i>g</i> = 0.60, <i>p</i> = .002) and knowledge score (<i>g</i> = −1.44, <i>p</i> < .001). Four weeks post-intervention, 96% of the participants had made a decision regarding the management options for breast or ovarian care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings suggest that the decision aid (J-DA) positively supported the decision-making of the Japanese women with <i>BRCA1/2</i> pathogenic variants. As this study apparently represents the first evaluation of a decision aid for this population, subsequent studies are anticipated to further confirm its clinical applicability and utility.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144782727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
While nurses' evidence-based practice (EBP) knowledge and skills are critical for its implementation, various factors may act as effect modifiers, potentially influencing the strength of the relationship between EBP knowledge and skills and EBP implementation.
Aim
To quantitatively evaluate whether various professional and work environment factors modify the strength of the association between EBP knowledge and skills and EBP implementation.
Methods
This cross-sectional study was conducted between June and September 2022 among 2672 nurses in Japan. EBP knowledge and skills and EBP implementation were measured using the Japanese version of the EBP Questionnaire. Professional factors, such as years of experience and position, and work environment factors such as organizational attitude toward EBP were measured. Multiple regression analyses evaluated whether the association between EBP knowledge and skills and implementation varied across subgroups.
Results
Seven hundred seventeen nurses (26.8%) were included in the final analysis. After adjusting for potential confounding factors, EBP knowledge and skills were positively associated with the EBP implementation. Among the seven factors tested, a statistically significant interaction effect on the relationship between EBP knowledge and skills and EBP implementation was observed only for organizational attitude toward EBP.
Conclusions
The findings suggest that the association between EBP knowledge and skills and implementation may vary depending on the level of organizational support. It may be beneficial for nurse managers and educators to consider integrating EBP into education frameworks to enhance access to EBP learning opportunities. Promoting a workplace culture that prioritizes EBP may also help strengthen its implementation in clinical settings.
{"title":"Relationship between evidence-based practice knowledge and skills and evidence-based practice implementation in subgroups of professional and work environment factors among hospital nurses: A cross-sectional study","authors":"Hideaki Furuki, Nao Sonoda, Akiko Morimoto","doi":"10.1111/jjns.70018","DOIUrl":"https://doi.org/10.1111/jjns.70018","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>While nurses' evidence-based practice (EBP) knowledge and skills are critical for its implementation, various factors may act as effect modifiers, potentially influencing the strength of the relationship between EBP knowledge and skills and EBP implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To quantitatively evaluate whether various professional and work environment factors modify the strength of the association between EBP knowledge and skills and EBP implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study was conducted between June and September 2022 among 2672 nurses in Japan. EBP knowledge and skills and EBP implementation were measured using the Japanese version of the EBP Questionnaire. Professional factors, such as years of experience and position, and work environment factors such as organizational attitude toward EBP were measured. Multiple regression analyses evaluated whether the association between EBP knowledge and skills and implementation varied across subgroups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seven hundred seventeen nurses (26.8%) were included in the final analysis. After adjusting for potential confounding factors, EBP knowledge and skills were positively associated with the EBP implementation. Among the seven factors tested, a statistically significant interaction effect on the relationship between EBP knowledge and skills and EBP implementation was observed only for organizational attitude toward EBP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings suggest that the association between EBP knowledge and skills and implementation may vary depending on the level of organizational support. It may be beneficial for nurse managers and educators to consider integrating EBP into education frameworks to enhance access to EBP learning opportunities. Promoting a workplace culture that prioritizes EBP may also help strengthen its implementation in clinical settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144773819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychological resilience is defined as an individual's ability to utilize strategies to cope with and grow because of stress or adversity; it is an individual's subjective belief about the amount of control he or she has over the environment or outcome. This study aimed to investigate the association between resilience, perceived control, and intention to receive additional COVID-19 vaccines among healthcare students, using the knowledge of the COVID-19 vaccine and infection-preventive behaviors as a mediating role.
Methods
We conducted a cross-sectional study through an online survey when the fourth wave of vaccinations started in Japan in 2022. The participants were nursing undergraduate and graduate students, and healthcare graduate students who had received at least one vaccine at four universities. Hayes' SPSS PROCESS and structured equation modeling were used for the analyses.
Results
The data of 1139 students were used for the analyses. Direct effect from resilience to intention to receive additional COVID-19 vaccines accounted for 67.3%, indirect effect via knowledge accounted for 19.4%, and preventive behaviors accounted for 12.2% of total effects. Direct effect from perceived control accounted for 43.5%, indirect effect via knowledge accounted for 4.8%, and preventive behaviors accounted for 51.6% of the total effect.
Conclusion
The resilience of healthcare students plays a significant role both directly and indirectly in increasing their intention to receive additional COVID-19 vaccines, by increasing knowledge of vaccines and increasing infection-preventive behaviors. Perceived control is also important in having higher preventive behaviors, which were associated with higher intention to receive additional COVID-19 vaccines.
心理弹性被定义为个体利用策略应对压力或逆境并从中成长的能力；它是一个人对他或她对环境或结果的控制程度的主观信念。本研究旨在利用COVID-19疫苗知识和感染预防行为作为中介作用，探讨卫生保健专业学生的恢复力、感知控制和接受额外COVID-19疫苗意愿之间的关系。我们在2022年日本开始第四波疫苗接种时通过在线调查进行了横断面研究。参与者是护理本科生和研究生，以及在四所大学至少接种过一种疫苗的医疗保健研究生。采用Hayes' s SPSS PROCESS和结构化方程模型进行分析。结果采用1139名学生的数据进行分析。复原力对额外接种COVID-19疫苗意愿的直接影响占67.3%，通过知识产生的间接影响占19.4%，预防行为占12.2%。知觉控制的直接效应占43.5%，知识的间接效应占4.8%，预防行为占51.6%。结论卫生专业学生的应变能力通过提高疫苗知识和加强感染预防行为，直接和间接地提高了他们补充接种COVID-19疫苗的意愿。感知控制对于较高的预防行为也很重要，这与接受额外COVID-19疫苗的较高意愿相关。
{"title":"Resilience, perceived control, and intention to receive additional vaccines for COVID-19 among healthcare university students: Mediating role of knowledge of vaccine and infection-preventive behaviors","authors":"Akiko Kondo, Renaguli Abuliezi, Erika Ota, Tomomi Oki, Kazuko Naruse","doi":"10.1111/jjns.70016","DOIUrl":"https://doi.org/10.1111/jjns.70016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>Psychological resilience is defined as an individual's ability to utilize strategies to cope with and grow because of stress or adversity; it is an individual's subjective belief about the amount of control he or she has over the environment or outcome. This study aimed to investigate the association between resilience, perceived control, and intention to receive additional COVID-19 vaccines among healthcare students, using the knowledge of the COVID-19 vaccine and infection-preventive behaviors as a mediating role.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a cross-sectional study through an online survey when the fourth wave of vaccinations started in Japan in 2022. The participants were nursing undergraduate and graduate students, and healthcare graduate students who had received at least one vaccine at four universities. Hayes' SPSS PROCESS and structured equation modeling were used for the analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The data of 1139 students were used for the analyses. Direct effect from resilience to intention to receive additional COVID-19 vaccines accounted for 67.3%, indirect effect via knowledge accounted for 19.4%, and preventive behaviors accounted for 12.2% of total effects. Direct effect from perceived control accounted for 43.5%, indirect effect via knowledge accounted for 4.8%, and preventive behaviors accounted for 51.6% of the total effect.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The resilience of healthcare students plays a significant role both directly and indirectly in increasing their intention to receive additional COVID-19 vaccines, by increasing knowledge of vaccines and increasing infection-preventive behaviors. Perceived control is also important in having higher preventive behaviors, which were associated with higher intention to receive additional COVID-19 vaccines.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144773820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Currently, there is no Japanese tool to measure organizational context factors that influence nurses' implementation of evidence-based practices. This study aimed to translate, culturally adapt, and psychometrically evaluate the Alberta Context Tool (ACT) for nurses in Japan.
Methods
We completed forward translations with reconciliation, expert discussions, back translations with reconciliation, back translation review by tool developers, and semi-structured cognitive interviews with verbal probing. A convenience sample of nurses from five hospitals completed the translated tool. Item descriptives (including missing data), internal structure (confirmatory factor analyses [CFA]), criterion validity (correlations with Team Climate Inventory [TCI] items “support for innovative ideas”), internal consistency reliability (Cronbach's alpha, item–concept correlations), and test–retest reliability (intraclass correlation) were examined.
Results
Cognitive debriefing with nine nurses led to modifying 10 ACT items. A total of 508 nurses completed the survey. CFA showed an acceptable model fit for the seven scale-based concepts ( = 1037.28, root mean square error of approximation = 0.054, Comparative Fit Index = 0.913, Tucker–Lewis Index = 0.902, standardized root mean square residual = 0.053). Correlations between the 10 ACT concepts and TCI ranged from .08 to .43, with nine statistically significant (p < .05). Cronbach's alpha ranged from .22 to .91 (exceeding 0.70 for 8/10 concepts), and item–concept correlations ranged from .15 to .96 (exceeding 0.70 for 26/56 items). Retest reliability (N = 65) ranged from 0.45 to 0.81.
Conclusions
The ACT Japanese version demonstrated initial evidence of acceptable validity and reliability for most concepts and items, supporting its use in assessing organizational context.
{"title":"Translation, adaptation, and psychometric assessment of the Alberta Context Tool for use with nurses in adult acute care in Japan","authors":"Asako Futami, Maiko Noguchi-Watanabe, Matthias Hoben, Manami Takaoka, Carole A. Estabrooks, Noriko Yamamoto-Mitani","doi":"10.1111/jjns.70013","DOIUrl":"https://doi.org/10.1111/jjns.70013","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Currently, there is no Japanese tool to measure organizational context factors that influence nurses' implementation of evidence-based practices. This study aimed to translate, culturally adapt, and psychometrically evaluate the Alberta Context Tool (ACT) for nurses in Japan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We completed forward translations with reconciliation, expert discussions, back translations with reconciliation, back translation review by tool developers, and semi-structured cognitive interviews with verbal probing. A convenience sample of nurses from five hospitals completed the translated tool. Item descriptives (including missing data), internal structure (confirmatory factor analyses [CFA]), criterion validity (correlations with Team Climate Inventory [TCI] items “support for innovative ideas”), internal consistency reliability (Cronbach's alpha, item–concept correlations), and test–retest reliability (intraclass correlation) were examined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Cognitive debriefing with nine nurses led to modifying 10 ACT items. A total of 508 nurses completed the survey. CFA showed an acceptable model fit for the seven scale-based concepts (<span></span><math>\u0000 <semantics>\u0000 <mrow>\u0000 <msup>\u0000 <mi>x</mi>\u0000 <mn>2</mn>\u0000 </msup>\u0000 </mrow>\u0000 <annotation>$$ {x}^2 $$</annotation>\u0000 </semantics></math> = 1037.28, root mean square error of approximation = 0.054, Comparative Fit Index = 0.913, Tucker–Lewis Index = 0.902, standardized root mean square residual = 0.053). Correlations between the 10 ACT concepts and TCI ranged from .08 to .43, with nine statistically significant (<i>p</i> < .05). Cronbach's alpha ranged from .22 to .91 (exceeding 0.70 for 8/10 concepts), and item–concept correlations ranged from .15 to .96 (exceeding 0.70 for 26/56 items). Retest reliability (<i>N</i> = 65) ranged from 0.45 to 0.81.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The ACT Japanese version demonstrated initial evidence of acceptable validity and reliability for most concepts and items, supporting its use in assessing organizational context.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144751403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study evaluated the special healthcare needs of children residing in infant homes, assessed the associated care burden, and identified factors influencing changes and reductions in care burden for these children.
Methods
Data were collected from staff members responsible for each of the 213 infants and toddlers in infant homes. Statistical analyses included the chi-square test, Mann–Whitney U test, analysis of covariance, and Wilcoxon signed-rank test to evaluate changes in care needs, care time, and care burden. Logistic regression analysis was conducted to determine factors associated with reductions in care burden over a 6-month period for children with special healthcare needs who had been in care for at least 6 months.
Results
Among the 213 infants, 39.9% had special healthcare needs. The highest proportion of care time was allocated to feeding and lulling these children to sleep—activities requiring significantly more time than those for children without special needs. Over several months, the care burden for children with special needs tended to increase; however, it decreased for 19 (26.0%) of these children over a 6-month period. Multivariate analysis revealed that age (OR = 0.86) and total care hours 6 months earlier (OR = 1.13) were significantly associated with reductions in care burden.
Conclusions
Age and total care hours 6 months earlier were associated with a reduced care burden. When transitioning these children to family care, assessing the type and intensity of care required rather than the duration of care is crucial. Early intensive care may reduce care burden.
{"title":"Care needs and factors reducing caregiver burden for children with special health care needs in out-of-home care in Japan: An observational study","authors":"Tomo Nonoyama, Koji Tamakoshi, Kazuteru Niinomi","doi":"10.1111/jjns.70012","DOIUrl":"https://doi.org/10.1111/jjns.70012","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study evaluated the special healthcare needs of children residing in infant homes, assessed the associated care burden, and identified factors influencing changes and reductions in care burden for these children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected from staff members responsible for each of the 213 infants and toddlers in infant homes. Statistical analyses included the chi-square test, Mann–Whitney <i>U</i> test, analysis of covariance, and Wilcoxon signed-rank test to evaluate changes in care needs, care time, and care burden. Logistic regression analysis was conducted to determine factors associated with reductions in care burden over a 6-month period for children with special healthcare needs who had been in care for at least 6 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among the 213 infants, 39.9% had special healthcare needs. The highest proportion of care time was allocated to feeding and lulling these children to sleep—activities requiring significantly more time than those for children without special needs. Over several months, the care burden for children with special needs tended to increase; however, it decreased for 19 (26.0%) of these children over a 6-month period. Multivariate analysis revealed that age (OR = 0.86) and total care hours 6 months earlier (OR = 1.13) were significantly associated with reductions in care burden.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Age and total care hours 6 months earlier were associated with a reduced care burden. When transitioning these children to family care, assessing the type and intensity of care required rather than the duration of care is crucial. Early intensive care may reduce care burden.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144256137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aimed to evaluate the effect of premature infant oral motor intervention (PIOMI) and pacifier intervention on the transition to full oral feeding in preterm infants.
Methods
This is a randomized controlled trial conducted between January 2021 and April 2023 in a neonatal intensive care unit in Eskişehir, Turkey. Preterm infants born between 29 and 34 weeks of gestation were included in the study. Infants were assigned to the groups by stratified randomization method. The study was completed with a total of 39 infants, 13 infants in each group (PIOMI, pacifier, and control). Data were collected using the “Preterm Infant Demographic Information Form,” “Feeding Monitor Form,” and “Early Feeding Skills Assessment Tool (EFS).” Statistical analysis used paired sample t-tests, ANOVA, Wilcoxon, Kruskal–Wallis H, and Pearson-χ2 test methods.
Results
In the research findings, it was determined that infants receiving PIOMI and pacifier intervention had a shorter length of stay, transition to full oral feeding compared to infants in the control group, and consumed a higher amount of feed in the first minute (p < .05). The infants in the PIOMI group started full oral feeding on average 3 days earlier than the infants in the pacifier group and were discharged approximately 4 days earlier (p > .05). It was determined that infants in the PIOMI group had significantly higher EFS-total compared to infants in the control group.
Conclusions
PIOMI intervention and pacifier intervention should be included in nursing care in neonatal intensive care units to improve the oral feeding skills of preterm infants and shorten their discharge time.
{"title":"Effect of premature infant oral motor intervention (PIOMI) and pacifier intervention on the transition to oral feeding in preterm infants: A randomized controlled study","authors":"Merve Cakirli, Meral Bayat, Ayse Neslihan Tekin","doi":"10.1111/jjns.70009","DOIUrl":"https://doi.org/10.1111/jjns.70009","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to evaluate the effect of premature infant oral motor intervention (PIOMI) and pacifier intervention on the transition to full oral feeding in preterm infants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is a randomized controlled trial conducted between January 2021 and April 2023 in a neonatal intensive care unit in Eskişehir, Turkey. Preterm infants born between 29 and 34 weeks of gestation were included in the study. Infants were assigned to the groups by stratified randomization method. The study was completed with a total of 39 infants, 13 infants in each group (PIOMI, pacifier, and control). Data were collected using the “Preterm Infant Demographic Information Form,” “Feeding Monitor Form,” and “Early Feeding Skills Assessment Tool (EFS).” Statistical analysis used paired sample t-tests, ANOVA, Wilcoxon, Kruskal–Wallis H, and Pearson-χ<sup>2</sup> test methods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the research findings, it was determined that infants receiving PIOMI and pacifier intervention had a shorter length of stay, transition to full oral feeding compared to infants in the control group, and consumed a higher amount of feed in the first minute (<i>p</i> < .05). The infants in the PIOMI group started full oral feeding on average 3 days earlier than the infants in the pacifier group and were discharged approximately 4 days earlier (<i>p</i> > .05). It was determined that infants in the PIOMI group had significantly higher EFS-total compared to infants in the control group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>PIOMI intervention and pacifier intervention should be included in nursing care in neonatal intensive care units to improve the oral feeding skills of preterm infants and shorten their discharge time.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143861456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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