Biomedical subjects
Mineko Yamashita
Publications and source records attributed to Mineko Yamashita.
Mental health case management in Canada: job description analyses.
The purpose of this study was to examine case managers' (CM) job position descriptions through content analysis. There were 29 case manager job position descriptions examined. The job descriptions could be grouped into four categories: (1) what the individuals should bring to the position, (2) what they did as CM, (3) to whom they were accountable, and (4) what was valued. Themes included focus on client as individual, focus on the external/system, or outer-directed work, and the articulation point between the individual and broader system. The CM works directly and indirectly in the system and community through education, organizing, planning, and networking, as well as through provision of direct care to the individual client. The expectations of the positions are extensive.
The public health nursing role in rural Japan.
The objective of this study was to describe the activities of the public health nurses in the local community. The setting was a small rural town in central Japan. The design was a descriptive study based on informant interviews supplemented by participant observation. The sample consisted of five public health nurses, four health care workers in other fields, and seven clients, all living in the same town. Each participant was interviewed individually. Interviews focused on the participants' understanding of what public health nurses actually do. Semistructured interview guides for each group of participants served as a framework to elicit participants' views on the activities of the public health nurses. Analysis of interview transcripts indicated that commitment was a core concept in the role of the public health nurses. Linked to this central theme were three constructs describing their work: identifying the real needs of clients, responding appropriately and promptly, and establishing trust relationships. The interviews indicated considerable public support for collaborative activities involving public health nurses, other health care workers, and community members. Implications for public health nurses' expanded role in Japan in relation to other health care professionals are addressed.
Nurse case management: negotiating care together within a developing relationship.
UNLABELLED: TOPIC/PROBLEM: The purpose of this study was to explicate the process of nurse case management involving clients afflicted with chronic mental illness. METHOD: Grounded theory was the method of choice. Interviews were conducted with nurses in inpatient, transitional, and community settings in four cities in southern Ontario, Canada. FINDINGS: Negotiating care together within a developing relationship emerged as the basic social process. "Building a trusting relationship" was identified as the foundation of case management. CONCLUSIONS: Salient differences were found between the three settings, yet the basic social process was consistent across settings. This underscores the therapeutic relationship as the basis for nurse psychiatric case management.