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Biomedical subjects

Yukie Majima

Publications and source records attributed to Yukie Majima.

8 recordsLinked to original sources

Value and problems with e-learning materials in relation to patient-nurse communication and assessment in a lecture.

The purpose of this study is to clarify problems with e-learning teaching materials and methods in relation to patient-nurse communication and patient assessment. Students showed high interest in the e-learning materials but evaluated the content of the materials as low. Before using the e-materials only 25 students (26%) were able to have an understanding attitude and communicate effectively and act appropriately in regards to patients' needs; after using e-learning 89 students (92.7%) were able to have an understanding attitude towards patients.

Communication↗

Development of e-learning materials for psychiatric nursing education.

We created e-learning materials for psychiatric nursing as part of a project aimed at developing problem-solving ability in student nurses. The system consists of applying three functional study modules, namely, "understanding a case", "analysis", and "evaluation", to simulated patient cases. Many students find it difficult to visualize nursing situations in the field of psychiatric nursing. These materials make maximum use of the imaging features of computers to help students visualize the actual situation.

Education, Distance↗

Development of e-Learning for problem solving approach of nursing students.

The problem-solving approach to nursing is labeled the "nursing process". It is common to use cases of simulated patients described on paper as teaching materials in order to learn nursing processes. In the present study, we developed a prototype e-learning system for improving the problem solving abilities of nursing students. The teaching materials included the following 8 nursing education categories: basic nursing; adult nursing (chronic and acute); pediatric nursing; mental health and psychiatric nursing; community health nursing (maternal and child, and geriatric); and occupational health nursing.

Education, Distance↗

Issues to be improved after introduction of a non-customized Electronic Medical Record system (EMR) in a Private General Hospital and efforts toward improvement.

A non-customized system of EMR is usually chosen to avoid the risks and/or cost associated with customization in a private hospital. Then hospitals must change their procedures from those which meet their individual requirements to those which suit the functions of the EMR. In order to elucidate the disadvantages, a questionnaire survey about any effect on work responsibilities after introduction of the system was performed. The results indicated that more than 50% of the subjects reported positive changes in "efficiency", "speed", "accuracy" and "development of nursing plans" while relatively more subjects reported negative effects in "communication", "missing records" and "overtime".

Adult↗

A very low level of magnetic field exposure does not affect a participant's mental fatigue and stress as much as VDT work.

Exposure to Magnetic Fields (MF) may affect the health of workers in an occupational environment. However, there is no clear evidence that the emission of MF from the visual display terminals (VDT) affects workers'mental status or induces stress in office environments. The purpose of our study was to investigate whether exposure to the MF during VDT work affects mental fatigue or induces stress related to psycho-physiological changes in workers. Thirty-seven students were voluntarily recruited to participate in this study. We created experimental conditions that a pair of the liquid crystal display (LCD) terminals separated by screens was closely placed in front of the visual suface of the cathode ray tube (CRT) units. All participants were not able to recognize whether the power of the CRT Units was ON or OFF while they worked with the LCD terminals. When the CRT unit was ON, participants who worked with the LCD terminal were called CRT-ON group. On the other hand, when the CRT unit was OFF, participants who worked with the CLD terminal were called CRT-OFF group. Incredibly short profiles of mood states (ISP)and subjective symptom questionnaires were used as indices of the mental fatigue as well as psychological stress before and after VDT work. Furthermore, salivary chromogranin A and urinary 8-hydroxydeoxyguanosine (8-OH-dG) were collected to measure physiological changes before and after VDT work. The results of the questionnaires and salivary and urinary stress markers showed that the exposure to the MF during VDT work did not significantly induce mental fatigue or psychological stress in comparison with the CRT-OFF group. Contrary to the results from the exposure, mood states of vigor decreased greatly (P < 0.05) whereas the states of fatigue and confusion increased significantly (P < 0.001) after VDT work. In the questionnaires for subjective symptoms, participants complained remarkably regarding 14 out of 25 conditions after VDT work. Moreover, urinary 8-OH-dG excretion increased significantly after VDT work. Taken together, the results of this study did not detect any bad health effects of MF exposure on the VDT participants but suggested that VDT work itself affects their mental fatigue and psycho-physiological status.

8-Hydroxy-2'-Deoxyguanosine↗

[Study on lower back pain in home helpers and development of materials for occupational health education].

People who are engaged in home health care services often have to transfer clients while in a half standing posture using repetitious movement including gravitational changes. Transferring heavy patients at homes for the severely mental and physical handicapped is equivalent to the care giving work, listed in the "guideline for prevention of lower back pain in work places" (1994/9/6). The purpose of this study was to investigate incidences of lower back pain and injuries among home helpers as well as to determine the relationship between their level of protective knowledge and prevalence of lower back pain. The results of the study revealed that home helpers complained of a mild type of lower back pain. Although almost all of them had the protective knowledge for lower back injuries that was taught in their training courses, they still felt the need for more knowledge through continuous education regarding protective measures for lower back injuries and pain. Regarding the method of teaching, they want to learn by TV programs, books, texts and self-learning materials. Few of them wanted to learn by computer assisted instructions or the internet. Based upon the results of this study, we have developed new teaching materials for home helpers which explain adequate postures in home care through utilizing their protective knowledge to avoid lower back pain.

Adult↗

Defining the roles and functions of occupational health nurses in Japan: results of job analysis.

The purposes of this study were to obtain descriptive information about the job duties and tasks of Japanese occupational health nurses and to compare the roles and functions of occupational health nurses in the United States and Japan. A modified version of a job analysis survey developed by the American Board for Occupational Health Nurses was used to collect data. The findings indicated 62% of Japanese occupational health nurses perform direct care roles, approximately half perform educating or advising and consulting roles, and approximately 40% perform management roles. Details related to specific tasks and differences in nurses with varying preparation also are presented. Although there were many similarities in the types of tasks performed by nurses in Japan and the United States, the proportion of time devoted to specific tasks in the two countries varied. These results support the need for developing an educational system to enhance occupational health nursing practice in Japan. The information derived from the study provides a knowledge base that can be used to provide guidance and direction to the content of occupational health nursing programs.

Adult↗

[Students awareness of health teaching: evaluation of "health education" course and the occupational health nursing practice].

The "health education" course is an important part of the baccalaureate curriculum in nursing. It is essential to teach students effective health education in a client oriented way. In order to improve the quality and content of this course, we extracted students descriptions from records of 44 students who had carried out group health education during nursing practice for the occupational health nursing course. We then analyzed students written sentences on their views concerning health teaching. After sentence analysis, we categorized these concepts into groups and titled them. The results of clarification of categories showed that the most common student awareness was in regard to technical and instructional skills, such as precise and suitable language selection for laymen, and utilization of teaching devices or mediums, during implementation of health teaching(43.6%). Secondly, assessment of health needs for a certain working population(10.3%), and effective teaching types such as instructional participant volunteers and full participation(9.2%) were deemed important. Thirdly, identification of the role of the occupational nurse(7.7%), and lastly the necessity of evaluation(2.3%) were considered necessary. Over all, in this study we found that students were most concerned about the instructional skills during the presentation of health education. Also, these results suggest that development of contents in the "health education" course to reinforce students assessment and evaluative abilities should be incorporated into the course. Furthermore, faculties who teach a "health education" course should provide a large variety of teaching materials and creative instructional methods for the students.

Awareness↗