Misc

In this study, we performed a meta-synthesis by the method process of Noblit & Hare to clarify the experience of family caregivers who care for the older people with dementia at home in Japan. The scope of the literature search was narrowed down to papers published after 2008, and nine Japanese and two English papers were selected.The experiences of the family caregivers were integrated into ten categories based on the results of this study. It was become clear that once family caregivers are able to "establish proactive strategies", they would "find ingenuity to continue caregiving" and "find meaning in the caregiving experience". Furthermore, this paper clarifies that when there is "a disturbance of familial relationships due to caregiving", or there is "difficulty in using the service", the caregivers will take "measures to protect the safety of care receivers" (e.g., by concealing dementia, locking the front door). Thus, examining the support in line with the needs of the whole family is necessary to strike a balance between ensuring the safety and independence of care receivers and protecting the lives of family caregivers themselves.

Objectives: This study aimed to clarify the process of support for nurses provided by Certified Nurse Specialists (CNS) in Psychiatric Mental Health Nursing during the COVID-19 pandemic.Methods: Data from semi-structured interviews with 17 CNSs were analyzed using a grounded theory approach.Results: The process of support for nurses consisted of nine categories, with the core category of “Supporting nurses to provide the best patient and family care under the crisis.” The CNSs grasped the situation related to the mental health of nurses and collaborated with multi-disciplinary professionals and managers to create a supportive environment where nurses could feel secure and sought out nursing care for patients and families with nurses in the adversity caused by the pandemic.Conclusion: The support provided by the CNSs in collaboration with other professionals and managers contributed to the resilience of the nurses. The uniqueness of the support was to assist the nurses by working together to provide patient and family care, which was made more difficult by the pandemic.

This study elucidated mental health changes in 39 nurses in Fukushima Prefecture one to two years after the Great East Japan Earthquake. Posttraumatic stress disorder symptoms improved, but posttraumatic negative cognitions worsened significantly. Factors including stress during the disaster, nursing-related stressors, and lack of disaster nursing experience contributed to negative cognitions. However, higher resilience and social support were associated with fewer negative cognitions. The complexity and uniqueness of radiation disasters may have influenced the nurses' negative thoughts. To address these issues, hospital administrators should reduce occupational stress, provide flexibility in work choices during disasters, and offer organizational support for nurses.

心不全患者にとって，睡眠や精神状態のセルフコントロールは重要であり，外来通院中の患者に対する遠隔看護の有用性も示されているが，遠隔による睡眠とこころの健康に対する支援方法は具体化されていない．睡眠改善には，睡眠日誌を記載して睡眠状態を評価することが有用とされているが，日誌記載の負担と正確性の点で課題がある．生体センサを用いた睡眠データの収集という手法もあるが，睡眠を測定する生体センサは装着時のストレスやデータ蓄積機能の有無が課題であった．そこで本研究では，「心不全患者のこころと眠りの支援プログラム」の開発に向け，ベッドマットレス型の睡眠センサを用いた睡眠データ取得手法を検討し，睡眠データ収集システムの構築を試みた．また，健康な成人 5 名を対象に睡眠データの収集・集約を試行し実施可能性を確認すると共に，睡眠データの可視化をおこなった．睡眠センサの安全性に問題は認められず設置が簡便で，対象者にとっては少ない負担で睡眠データから睡眠日誌を作成できた．この結果から，睡眠の支援に必要な睡眠データを収集し可視化するシステムの有用性を考察した．

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