ABSTRACT
The purpose of this study is to clarify the current state of nursing for the sexuality of patients with cancer at the end-of-life. In December 2018, we asked 313 nurses from 18 palliative care units in Kanagawa Prefecture about their awareness, feelings, and behavioral intentions and hands-on experience for the environment in which patients with cancer nurture love with their partners at the end-of-life. The collection rate of the questionnaire was 52.7% (165 cases). Eighty-two nurses (49.7%) had experience supporting the environment in which patients with cancer nurture love with their partners at the end-of-life. The contents of the support were “Recommend physical contact”, “Listening”, “Recommend hug”, and “Take sufficient time when entering the room, such as waiting for a reply after knocking or calling out”. Meanwhile, at ward conferences, only 11 (6.7%) had talked about the environment in which patients with cancer nurture love with their partners at the end-of-life. It has been suggested that, at present, support for the environment in which patients with cancer nurture love with their partners at the end-of-life is left to individuals and not systematically.
ABSTRACT
<p>Purpose: To clarify the factors that affect the family caregiver’s quality of life (QOL) of cancer patients. Methods: We conducted an internet survey including 21 items of the Japanese version CQOLC for 400 families of cancer patients in March 2012. Results: Factors that increased psychological burden were that caregivers were women, other family needed long-term care, and the patient had higher need for care. Factors that increased the family caregiver’s difficulty in their daily activities due to long-term care were caregivers are women, other family needed long-term care, caregivers did not think they had a good relationship with the patient, and the patient had higher need for care. Factors that increased financial burden were that the age of caregivers was less than 60 years, decreased of income after the patient’s diagnosis, and patients were men. Factors that increase the positive feeling for caregiving were that caregivers thought they had good relationship with the patient, and the patient’s need for care was higher. Conclusions: To reduce the burden in family caregiver of cancer patients without losing the positive feeling for caregiving would be important for both improving the family caregiver’s QOL, and to continue the care for patient in long term. </p>
ABSTRACT
<p>Purpose and method: The aim of this study was to explore the child-care and housework difficulties experienced by fathers during their wife’s cancer treatment. 7 men who had 0 to 15-year-old children when their wife was diagnosed with cancer were interviewed using a semi-structured interview format. Main results: Subjects’ report of their difficulties was assessed using the following 3 categories: 1) burden of housework 2) stress from life together with the in-laws 3) contact with schools and nurseries. The influence of background factors was considered: a) experience of housework in the family prior to his wife’s illness; b) experience of living with in-laws; c) degree of cooperation with their parents; d) degree of trust in their relationship with their in-laws; e) child’s/children’s age; f) availability of childcare resources; and g) assistance prepared by their wife. Providing information on child care and housework support or opportunities for exchanging information with other husbands in similar situations can be considered valid forms of assistance for fathers whose background factors may predispose them to a greater degree of hardship in child care and housework during their wife’s illness.</p>
ABSTRACT
Video recordings of two styles of consultation were created to assess how a physician's nonverbal communication behavior affects patients. A physician spoke the same lines for both recordings but demonstrated different nonverbal behavior: “immediacy” in one recording and “psychological distance” in the other. The frequency and length of the physician's nonverbal communication behavior were measured. Then two groups of subjects were asked to watch one of the recordings ( “immediacy” recording, n=32, and “psychological distance” recording, n=34) and rate the nonverbal behavior on a scale of 1 to 5. Subjects recognized that the physician was warmer, smiled and nodded more often, and made more eye contact with the patient in the “immediacy” recording than in the “psychological distance” recording. These video recordings could be used in patient-satisfaction surveys and medical education.
ABSTRACT
With an eye to setting up an in-house system of discharge planning, we conducted a nationwide survey of hospitals without discharge planners. Questionnaires were sent out to medical institutions sampled randomly, asking about the necessity of discharge planners, the role they are expected to play, possibilities of staffing with such specialists, and so on.<BR>The results were as follows:<BR>A majority of the hospitals which responded, 68.9%, said that they wanted discharge planners. Social workers or nurses were regarded as the most competent for the job. Asked about special qualities the planners should have, most respondents cited a good knowledge and experience with respect to “health resources, welfare and administration, ” “home care suport, ” and “ medicine and nursing” in addition to “a talentfor coordination.” The main tasks the planners are expected to do were to “maintain close contact with community-based health care and service providers, ” to “coordinate with the hospital staff” and to “arrange discharge.”<BR>Of th responded 39.5% said that the idea of establishing a discharge planning system is feasible if talented people are available.
ABSTRACT
We made a random sampling survey of medical institutions in Japan on progress in systematization of discharge planning. The results indicated that only 20% of the medical institutes surveyed had a discharge planning specialist. For the purpose of promoting the quality of care in the future, Japanese medical institutions had to tackle problems associated with systemization of discharge planning, setting-up of discharge planning specialists and department of discharge planning, planning and correcting discharge plan with patients and their family, disclosure of information on social resources, servicing of effective screening, monitoring and follow-up, reconsideration of the outpatient system, setting-up and amelioration of home nursing care services, and strengthening the collaboration with related facilities.
ABSTRACT
We conducted a nationwide survey in 2000 regarding undergraduate medical education in Evidence-based Medicine (EBM) in Japan. We asked faculty members responsible for medical education at each medical school 1) whether there are any barriers to teaching EBM, 2) what these barriers are, and 3) what educational resources are needed to overcome them. Responses were received from 64 schools (80%). More than half of the respondents reported barriers to teaching EBM. We identified two kinds of barriers: before EBM is introduced, skepticism toward the concept of EBM and the value of teaching EBM is encountered; later, problems of organizing a curriculum and shortages of staff and materials are encountered. To overcome these barriers, we need: 1) to establish organizations for coordinating educational programs among medical schools, 2) to hold seminars for faculty development, 3) to develop EBM curricula and teaching materials, and 4) to provide computer facilities and appropriate networks.