Objective: This study aimed to clarify the possible use of and points to improve a home-visit nursing interventional lymphedema care program (plan) we developed. Methods: The subjects were visiting nurses with at leas...Objective: This study aimed to clarify the possible use of and points to improve a home-visit nursing interventional lymphedema care program (plan) we developed. Methods: The subjects were visiting nurses with at least three years of home-visit nursing experience and experience with lymphedema care for the elderly at home. Semi-structured interviews were conducted, and the collected opinions were aggregated and summarized. Results: Based on interviews with nine subjects, opinions regarding the use of the program, such as “The assessment perspective at the time of introduction helps to grasp the needs for a wide variety of subjects”, and regarding points to improve, such as “It is necessary to set the duration and timing of the section considering the frequency of visits and degree of edema at the time of introduction” and “It is necessary to have a perspective concerning efforts to maintain motivation for care of the elderly and their families”, were aggregated. Discussion: The results of the interviews were generally useful for the structure and development of the program, care methods and content, and interventions for influencing factors. Consideration of setting the timing according to the degree of lymphedema, modification of the program’s development, development of a program that fully considers the degree of edema at the time of introduction and the acceptance of edema among the elderly, and the need to consider the care content that should be given priority were suggested as points for improvement.展开更多
Purpose: This study aims to investigate the implementation conditions of bereavement care for bereaved families and the relationship between demographics of home-visit nurses and rates of provision of bereavement care...Purpose: This study aims to investigate the implementation conditions of bereavement care for bereaved families and the relationship between demographics of home-visit nurses and rates of provision of bereavement care. Methods: A self-rating anonymous questionnaire survey was conducted with 2200 facilities randomly selected from among the members of the Home-visit Nursing Stations of the National Nursing Business Association. Calculating the rates of provision of each pre- and post-bereavement care item of the survey, we performed a multiple logistic regression analysis to investigate the relationship between the demographics of home-visit nurses and rates of provision of care. Statistical processing employed SPSS ver. 21.0 with the significance level set at 5%. Results: A total of 688 responses were collected (collection rate, 31.3%), and 649 were included in the analysis. “Approval of the care that the family has provided” and “Involvement in the care together with the family and listening to their thoughts” were frequently provided in both pre- and post-bereavement care;however, the rate of provision of “Provided continued support/life planning until the family fully recovers social life” was low. More care services were provided by home-visit nurses working in facilities with 24-hour services in pre-bereavement, and by those with longer home-visit nursing experience in post-bereavement. Conclusions: Home-visit nurses provide many post-bereavement care services. However, continued care that helps bereaved families fully recover their social life, including life planning, is less frequently provided. Bereavement care provision rates vary depending on the facility type, whether the facility offers 24-hour services, and the length of home-visit nursing experience.展开更多
Background:In mental health,recovery is emphasized,and qualitative analyses of service users’narratives have accumulated;however,while qualitative approaches excel at capturing rich context and generating new concept...Background:In mental health,recovery is emphasized,and qualitative analyses of service users’narratives have accumulated;however,while qualitative approaches excel at capturing rich context and generating new concepts,they are limited in generalizability and feasible data volume.This study aimed to quantify the subjective life history narratives of users of psychiatric home-visit nursing using natural language processing(NLP)and to clarify the relationships between linguistic features and recovery-related indicators.Methods:We conducted audio-recorded and transcribed semi-structured interviews on daily life verbatim and collected self-report questionnaires(Recovery Assessment Scale[RAS])and clinician ratings(Global Assessment of Functioning[GAF])from Japanese users of psychiatric home-visit nursing.Using the artificial intelligence-based topic-modeling method BERTopic,we extracted topics from the interview texts and calculated each participant’s topic proportions,and then examined associations between topic proportions and recovery-related indicators using Pearson correlation analyses.Results:“School”showed a significant positive correlation with RAS(r=0.39,p=0.05),whereas“Family”showed a significant negative correlation(r=–0.46,p=0.02).GAF was positively correlated with word count(r=0.44,p=0.02)and“Hospital”(r=0.42,p=0.03),and negatively correlated with“Backchannels”(aizuchi)(r=–0.41,p=0.03).Conclusion:The present results suggest that the quantity,quality,and content of narratives can serve as useful indicators of mental health and recovery,and that objective NLP-based analysis of service users’narratives can complement traditional self-report scales and clinician ratings to inform the design of recovery-oriented care in psychiatric home-visit nursing.展开更多
文摘Objective: This study aimed to clarify the possible use of and points to improve a home-visit nursing interventional lymphedema care program (plan) we developed. Methods: The subjects were visiting nurses with at least three years of home-visit nursing experience and experience with lymphedema care for the elderly at home. Semi-structured interviews were conducted, and the collected opinions were aggregated and summarized. Results: Based on interviews with nine subjects, opinions regarding the use of the program, such as “The assessment perspective at the time of introduction helps to grasp the needs for a wide variety of subjects”, and regarding points to improve, such as “It is necessary to set the duration and timing of the section considering the frequency of visits and degree of edema at the time of introduction” and “It is necessary to have a perspective concerning efforts to maintain motivation for care of the elderly and their families”, were aggregated. Discussion: The results of the interviews were generally useful for the structure and development of the program, care methods and content, and interventions for influencing factors. Consideration of setting the timing according to the degree of lymphedema, modification of the program’s development, development of a program that fully considers the degree of edema at the time of introduction and the acceptance of edema among the elderly, and the need to consider the care content that should be given priority were suggested as points for improvement.
文摘Purpose: This study aims to investigate the implementation conditions of bereavement care for bereaved families and the relationship between demographics of home-visit nurses and rates of provision of bereavement care. Methods: A self-rating anonymous questionnaire survey was conducted with 2200 facilities randomly selected from among the members of the Home-visit Nursing Stations of the National Nursing Business Association. Calculating the rates of provision of each pre- and post-bereavement care item of the survey, we performed a multiple logistic regression analysis to investigate the relationship between the demographics of home-visit nurses and rates of provision of care. Statistical processing employed SPSS ver. 21.0 with the significance level set at 5%. Results: A total of 688 responses were collected (collection rate, 31.3%), and 649 were included in the analysis. “Approval of the care that the family has provided” and “Involvement in the care together with the family and listening to their thoughts” were frequently provided in both pre- and post-bereavement care;however, the rate of provision of “Provided continued support/life planning until the family fully recovers social life” was low. More care services were provided by home-visit nurses working in facilities with 24-hour services in pre-bereavement, and by those with longer home-visit nursing experience in post-bereavement. Conclusions: Home-visit nurses provide many post-bereavement care services. However, continued care that helps bereaved families fully recover their social life, including life planning, is less frequently provided. Bereavement care provision rates vary depending on the facility type, whether the facility offers 24-hour services, and the length of home-visit nursing experience.
文摘Background:In mental health,recovery is emphasized,and qualitative analyses of service users’narratives have accumulated;however,while qualitative approaches excel at capturing rich context and generating new concepts,they are limited in generalizability and feasible data volume.This study aimed to quantify the subjective life history narratives of users of psychiatric home-visit nursing using natural language processing(NLP)and to clarify the relationships between linguistic features and recovery-related indicators.Methods:We conducted audio-recorded and transcribed semi-structured interviews on daily life verbatim and collected self-report questionnaires(Recovery Assessment Scale[RAS])and clinician ratings(Global Assessment of Functioning[GAF])from Japanese users of psychiatric home-visit nursing.Using the artificial intelligence-based topic-modeling method BERTopic,we extracted topics from the interview texts and calculated each participant’s topic proportions,and then examined associations between topic proportions and recovery-related indicators using Pearson correlation analyses.Results:“School”showed a significant positive correlation with RAS(r=0.39,p=0.05),whereas“Family”showed a significant negative correlation(r=–0.46,p=0.02).GAF was positively correlated with word count(r=0.44,p=0.02)and“Hospital”(r=0.42,p=0.03),and negatively correlated with“Backchannels”(aizuchi)(r=–0.41,p=0.03).Conclusion:The present results suggest that the quantity,quality,and content of narratives can serve as useful indicators of mental health and recovery,and that objective NLP-based analysis of service users’narratives can complement traditional self-report scales and clinician ratings to inform the design of recovery-oriented care in psychiatric home-visit nursing.
