Japan Journal of Nursing Science最新文献

Aim

To determine the effect of maternal egg consumption during lactation on the development of egg allergies in 12-month-old infants. We hypothesized that infants whose mothers consume larger amounts of eggs during the early lactation period acquire oral immune tolerance and are less likely to develop egg allergies at 12 months.

Methods

This study was a part of the Japan Pregnancy Eating and Activity Cohort Study. Mothers answered questionnaires on egg consumption, breastfeeding rates at 1 month, infants' eczema at 6 months, and the development of egg allergies among infants at 12 months. In order to assess the actual impact of maternal egg consumption on infants' egg allergy development, breastfeeding-dependent egg consumption was calculated at 1 month by multiplying maternal egg consumption at 1 month with the breastfeeding rates at the same time. Logistic regression analysis was performed to examine the potential risk and protective factors.

Results

Data from 420 infants were analyzed, of whom 27 had egg allergies at 12 months. No significant impact of breastfeeding-dependent egg consumption was observed on infants' egg allergy development at 12 months. However, infants with eczema at 6 months showed a greater risk of developing an egg allergy at 12 months (adjusted odds ratio, 3.59; 95% confidence interval, 1.59–8.13).

Conclusion

The results suggest that breastfeeding-dependent egg consumption at 1 month did not contribute to sufficient oral immune tolerance in 12-month-old infants. Eczema at 6 months significantly impacted the development of an egg allergy, emphasizing the importance of preventing cutaneous exposure to egg allergens.

Background

Prejudice related to the coronavirus disease 2019 (COVID-19) reportedly led to violence against healthcare workers by clients and their families. However, the impact of such violence and harassment on the mental health of visiting nurses during the pandemic remains unclear.

Aim

We aimed to examine the association of violence and harassment against visiting nurses with their mental health and intention to resign during the COVID-19 pandemic.

Method

We conducted an anonymous self-administered cross-sectional questionnaire survey to gain insight into the victimization, mental health, and personal resources (i.e., coping profiles and work engagements) among visiting nurses in Osaka. A multiple regression analysis and logistic regression analysis were used to identify associations between COVID-19-related violence and harassment and mental health or the intention to resign. Open-ended question data were assessed using content analysis to describe the details of the violence.

Results

Visiting nurses were victimized by various people, such as clients and their families, residents in communities they visited, their colleagues, and their own neighbors. COVID-19-related violence and harassment was not significantly associated with subjective psychological well-being but was significantly associated with the intention to resign.

Conclusion

Visiting nurses experienced a comprehensive range of COVID-19-related violence and harassment during the pandemic, which may have affected their intention to resign. Coping strategies may be a possible way to mitigate the impact of such violence and harassment. During a novel infectious disease outbreak, adopting a new perspective is crucial, and managing mood swings may be helpful as an emotional coping mechanism.

Objective

This study aimed to clarify the perceptions of rural women about their decisions on where to give birth in Gabon.

Method

This study used a qualitative descriptive design using semi-structured interviews. Study participants were women at least 20 years old and had given birth within the past 2 years. The study area was approximately 25–30 km from the capital of Gabon. Data collection was conducted between May and mid-July 2023. The interview guide was based on the Ottawa Decision Support Framework (ODSF) 2020 model. The data obtained were analyzed using content analysis for “perceptions in deciding the place of birth.”

Results

A total of 18 women participated in the study. Six categories of reasons were identified for women's choice of birth location: (1) childbirth environment with physical safety; (2) childbirth environment with psychological safety; (3) physical accessibility; (4) affordable health facilities; (5) concerns about homebirth risks; and (6) unpleasant aspects of the hospital. Items (1)–(4) were the reasons for actively choosing the hospital as a birth location, whereas items (5) and (6) were the reasons for avoiding a place to give birth.

Conclusions

Women positively perceived and chose facilities that offer physical and mental safety, geographic accessibility, and affordable costs. Conversely, an environment where the safety of the mother and the child is threatened and the lack of respectful maternity care by the medical staff served as deterrents to facility use.

Background

Tuberculosis (TB) remains one of the leading infectious diseases globally, causing high mortality rates. A significant factor contributing to this issue is nonadherence to treatment, which is influenced by family support and impacts the quality of life (QoL) of patients.

Aim

The purpose of this study was to describe the role of family support in enhancing medication adherence and improving QoL in individuals with TB.

Methods

This study utilized a scoping review method to examine literature from the PubMed, Scopus, and EBSCO databases. The keywords used in the search included “social support OR online social support OR perceived social support OR family support” AND “Tuberculosis OR TB OR TBC” AND “medication adherence OR medication compliance OR drug adherence OR drug compliance OR adherence OR compliance OR lost to follow-up” AND “QoL OR HRQoL OR health-related QoL.” The inclusion criteria were full-text articles in English, primary research studies, and publications from the last 10 years (2012–2022).

Results

Thirteen articles met the inclusion criteria, with sample sizes ranging from 50 to 1342 respondents, predominantly using cross-sectional methods. The study found that family support is crucial in promoting medication adherence and positively influencing the QoL of TB patients. Family members provide emotional and practical support, including supervision of medication intake and encouragement of healthy habits. This support enhances patients' confidence, motivation, and overall treatment outcomes.

Conclusions

The findings underscore the indispensable role of family support in addressing the complex interplay between medication adherence and QoL for individuals with TB.

Objectives

This systematic review aimed to assess the association between psychosocial factors in the workplace and menstrual abnormalities or fertility, focusing on literature implementing a prospective cohort design.

Methods

We searched MEDLINE, EMBASE, PsycINFO, PsycARTICLES, and Japan Medical Abstracts Society electronic databases for studies published from inception to February 26, 2020, and updated the search in PubMed on May 29, 2024. Inclusion criteria were (P) adult female workers (over 18 years old), (E) presence of adverse psychosocial factors at work, (C) absence of adverse psychosocial factors at work, and (O) any menstrual cycle disorders, menstrual-related symptoms, or fertility issues. Prospective cohort studies were included. The included studies were summarized descriptively.

Results

Database searching yielded 14,238 abstracts, with nine studies meeting the inclusion criteria. Outcomes included fertility (n = 5), irregular menstrual cycle (n = 1), early menopause (n = 1), endometriosis (n = 1), and serum hormones (n = 1). Study findings included that women with high job demands and low job control were less likely to conceive, and working over 40 h per week and frequent heavy lifting, and rotating night shift work increased the risk of earlier menopause. Studies on night shift/rotating work and fertility outcomes showed no significant differences.

Conclusion

This review underscores the insufficient high-level evidence regarding the association of psychosocial factors at work with fertility and menstrual disorders, emphasizing the necessity for future well-designed studies.

Aim

The study investigated the outcomes of employing this hybrid method among nursing students engaged in emergency and critical care curricula during the COVID-19 pandemic.

Methods

A retrospective study examined nursing students enrolled in the nursing program in China between January 2019 and January 2021. Students were divided into two groups: a study group that engaged in hybrid learning and a control group that participated in traditional classroom learning. Both groups received identical learning materials and credit hours. The study group assessed online learning via a platform with broadcasting features, while offline sessions occurred in the classroom. Post-course, groups were compared in knowledge, skill, and homework performance. The study group provided feedback through a reflective questionnaire to pinpoint areas for improvement in their online learning experience.

Results

The analysis involved 1774 nursing students, with 906 in the study group and 868 int the control group. The study group outperformed in homework, individual, and comprehensive skills. Despite 73.7% of the study group citing distractions from surrounding environment, the majority appreciated online learning (853, 96.8%). Regarding the appropriateness of the course materials, foreign body airway obstruction courses are highly rated (721, 81.8%), while invasive hemodynamic monitoring had the least favorability (149, 16.9%). Additionally, 33.0% (291) favored live broadcasting and interactive video teaching during online classes.

Conclusions

The hybrid learning model enhances nursing students' performance in emergency and critical care courses. However, optimization is needed for environmental distraction, specific contents, and communication methods in online learning.

Aim

Evidence-based indicators are needed to increase the frequency of practicing care for hiesho, which can be a risk factor during childbirth. Such practice will lead to hiesho prevention. This study aimed to develop a Hiesho Care Practice Scale (HCPS) for pregnant women and examine its reliability and validity.

Methods

To develop a HCPS and examine its reliability and validity, we conducted a questionnaire-based survey among nurses who provide hiesho care for pregnant women in Japan.

Results

The analysis included 100 participants (recovery rate: 96%). Exploratory factor analysis produced four factors and 20 items. The model's fit indices obtained from the confirmatory factor analysis include goodness of fit of .80, adjusted goodness of fit of .75, comparative fit index of .88, and root mean squared error of approximation of .08. The correlation coefficients for the patient coaching skill evaluation scale for criterion-related validity test ranged from .23 to .51 (p < .01).

Cronbach's α was .88, and intraclass correlation coefficient (ICC) was .81.

Conclusions

The HCPS developed in this study consisted of four factors and 20 items, and its reliability and validity were verified. This scale enables the subjective and objective evaluation of hiesho care practice in the nursing profession. It may contribute to standardizing and developing improvement measures for hiesho care among pregnant women by nurses and midwives.

Aim

This study aimed to validate a Japanese version of the Algoplus® tool by assessing postoperative pain in older Japanese patients with cancer and examining the scale's psychometric properties.

Methods

After translating Algoplus® into Japanese, we conducted a cross-sectional study of patients aged 65 years or older who underwent surgery to remove malignant tumors. Two registered nurse-certified investigators used the Numerical Rating Scale, the Japanese version of Algoplus®, and the Japanese version of the Abbey Pain Scale before and after analgesic use on postoperative days 3 and 5 to evaluate response to pharmacologic therapy. Validity was tested by a correlation analysis between the Japanese version of Algoplus®, two pain scales, and nine hypotheses related to demographic variables and surgical invasions. The Kuder–Richardson-20 test and Cohen's Kappa coefficient were used for internal consistency and inter-rater reliability, respectively.

Results

The total score of the Japanese version of Algoplus® showed strong to moderate correlations with the two pain scales. Demographic characteristics were not associated with the total score of the Japanese version, but significant correlations with operative time and postoperative analgesia administration existed. The scale demonstrated good internal consistency (Kuder–Richardson-20 α: .70) and inter-rater reliability (Kappa coefficient .72). The total score of the Japanese version decreased significantly after analgesic use in both postoperative assessments.

Conclusions

The Japanese version of Algoplus® is a reliable and valid instrument for nurses to easily assess acute postoperative pain in older Japanese patients with cancer and shows good responsiveness for detecting the change in pain status.

Aim

Although relationships among positive psychological capital (PsyCap), compassion fatigue, compassion satisfaction, and burnout have been reported, causal relationships among these variables have not been identified. This study examined the influence of positive PsyCap on burnout and confirmed the mediating effects of compassion fatigue and satisfaction among public hospital nurses.

Methods

This study adopted a correlational cross-sectional design. We recruited 237 nurses working at a public hospital, using convenience sampling.

Results

The fit of the hypothetical model was adequate. Positive PsyCap directly affected compassion fatigue and satisfaction, and burnout. It had an indirect effect on burnout. Compassion fatigue and satisfaction directly affect burnout. This finding indicates that compassion fatigue and satisfaction partially mediate between positive PsyCap and burnout. In addition, the mediating effect of compassion fatigue was greater than that of compassion satisfaction on the relationship between positive PsyCap and burnout. Finally, positive PsyCap, compassion fatigue, and compassion satisfaction explained 70.4% of the total variance in burnout scores. The effect size (f²) was 2.38 (large effect size).

Conclusions

Burnout should be assessed with positive PsyCap, compassion fatigue, and compassion satisfaction among public hospital nurses. Given that the mediating effect of compassion fatigue was greater than that of compassion satisfaction, interventions for compassion fatigue may be a strategy to reduce burnout, especially among public hospital nurses with low levels of positive PsyCap.

Objective

Dementia affects more than 55 million people worldwide. Use of restraints for hospitalized older adults with dementia is a social issue that should be addressed systematically and should not depend on the characteristics of nurses. This study reviewed the literature on organizational factors associated with reducing use of restraints in older adults with dementia admitted to acute care hospitals.

Methods

A scoping review was performed. Three databases were searched for papers that met our eligibility criteria. Factors related to restraint reduction were extracted, and results were deduced. Through inductive analysis, subthemes were categorized according to similarities and differences, which were then integrated into broader themes.

Results

Sixteen studies were eligible for inclusion. The prevalence of restraints ranged from 5.1% to 80.0% depending on how the meaning of restraint was interpreted. The most common indications for restraints were history of falls and fall risk. Interdisciplinary screening for restraints was associated with reduced prevalence of restraints, with a 0.18-fold (confidence interval [CI]: 0.12–0.24) reduction through use of a restraint decision flowchart and a 0.76-fold (CI: 0.63–0.92) reduction through consultation with a psychiatrist. Interdisciplinary members included nurses, physicians, clinical psychologists, pharmacists, respiratory therapists, and therapists.

Conclusions

Research is needed to introduce and develop an interdisciplinary restraint decision-making system and to test its effectiveness. Important factors in implementing alternatives to restraints are the harmful effects of restraints, expertise in dementia, regular education on alternative methods, an inpatient environment that ensures patient safety, and the development of human resources.