研究者詳細 - 永田　智子

論文 - 永田　智子

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外来看護師が患者の在宅療養支援ニーズに気づくための観察・実践の重要度と実施状況

前田明里,　永田智子

日本在宅ケア学会誌 25 （ 2 ） 191 - 199 2022年03月

研究論文（学術雑誌）, 共著, 最終著者, 査読有り

Readiness for Hospital Discharge Scale 日本語版の信頼性・妥当性の検討

関野瑞希, 永田智子

日本健康学会誌 88 （ 1 ） 24 - 35 2022年01月

研究論文（学術雑誌）, 共著, 最終著者, 査読有り

外来での在宅療養支援カンファレンスの実施に向けた体制づくりのプロセス

佐々木美瑠, 田口敦子, 松永篤志, 山内泰子, 山内悦子, 永田智子

日本医療マネジメント学会雑誌 22 （ 2 ） 88 - 94 2021年09月

研究論文（学術雑誌）, 共著, 最終著者, 査読有り

地域保健活動における主要用語の定義：デルファイ法を用いた全国調査

永井智子, 梅田麻希, 麻原きよみ, 三森寧子, 遠藤直子, 江川優子, 小林真朝, 佐伯和子, 大森純子, 嶋津多恵子, 川崎千恵, 永田智子, 佐川きよみ, 小西美香子

日本公衆衛生雑誌 68 （ 8 ） 538 - 549 2021年08月

研究論文（学術雑誌）, 共著, 査読有り

The Use of a Public Space in a Public Housing Complex by Senior Citizens: A Qualitative Study

Matsumoto H., Kageyama M., Yamamoto-Mitani N., Nagata S.

Journal of Aging and Environment （Journal of Aging and Environment） 35 （ 2 ） 107 - 124 2021年

ISSN 26892618

Recently, many community gathering spaces (CGSs) have been built as platforms for senior citizens to socialize. This study constitutes an ethnographic examination of how senior citizens use a CGS in a public housing complex in Japan. The results depicted six characteristic styles in which senior citizens used the CGS: visiting a park, attending a school, using a library, using a meeting room, shopping for commodities, and participating in events. Frequency of CGS use and group cohesion were two properties that distinguished among the six styles. Moreover, environmental features of the CGS enabled senior citizens with various physical and social conditions to use the CGS.

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Age in months and birth order in infant nonfatal injuries: A retrospective cohort study

Honda C., Yamana H., Matsui H., Nagata S., Yasunaga H., Naruse T.

Public Health in Practice （Public Health in Practice） 1 2020年11月

Objective: To examine the age in months at which infants visited outpatient clinics or emergency rooms for the first time for nonfatal injuries and to identify risk factors for the occurrence of these injuries. Study design: Retrospective cohort study. Methods: We used a health insurance claims database in Japan. Infants born between April 2012 and December 2014 were identified and followed until 12 months of age. We identified their first visit to outpatient clinics or emergency rooms because of nonfatal injuries (wounds/fractures, foreign bodies, and burns). Cox regression analysis was used to examine the association of nonfatal injuries with infants’ sex, birth order, and parental age. Results: We identified 46,431 eligible infants. Of these, 7606 (16.4%) were brought to an outpatient clinic or emergency room for nonfatal injuries within 12 months of birth. Of the 7,606, 21.7% were aged ≤4 months and 44.7% ≤ 7 months. First-born infants were more likely to have wounds/fractures and burns. Conclusion: One-fifth of first nonfatal infant injuries occurred within 4 months of age. Healthcare providers should provide early education about injury prevention, especially to caregivers of first-born infants.

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A logic model for evaluation and planning in an adult day care for disabled Japanese old people

Naruse T., Kitano A., Matsumoto H., Nagata S.

International Journal of Environmental Research and Public Health （International Journal of Environmental Research and Public Health） 17 （ 6 ） 2020年03月

ISSN 16617827

Adult day care (ADC) provides various services for meeting clients’ needs. Based on the mini-Delphi method with 46 ADC staff and the discussions with eight ADC administrators, this study developed and finalized a comprehensive logic model to represent the elements of ADC. For the three basic structures of a logic model—inputs/activities, outputs, and outcomes—the model contained seven core categories and 23 sub-categories. The ADC inputs/activities consisted of two core categories: “Place to stay” and “Intervention from staff”. These inputs/activities caused two kinds of outputs: “Clients’ experiences” and “Families’ experiences”. “Accumulating experiences” with repeated ADC visits was established as the link between the ADC outputs and outcomes, which were “Clients’ change” and “Families’ change”. ADC centers provide various experiences for their clients and their caregivers, ranging from the fulfillment of needs for fundamental care to psychiatric care and self-actualization. Improving various model-related inputs/interventions can produce better experiences and outcomes. The model can guide ADC administrators, policymakers, and researchers in the evaluation of a heterogeneous ADC service program that is community-based, thereby ensuring optimal care for clients with an efficient use of resources.

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訪問看護師によるPatient Safety Incidentsの認識と報告　質的記述的研究

山本なつ紀, 成瀬昂, 藤崎万裕, 松本博成, 永田智子

日本在宅ケア学会誌 23 （ 2 ） 63 - 72 2020年03月

研究論文（学術雑誌）, 共著, 最終著者, 査読有り

Home safety practices to prevent child injury and its association with family and children's daily routines in Japan: A cross-sectional study

Honda C., Naruse T., Tsuchiya-Ito R., Yamamoto N., Nagata S.

Japan Journal of Nursing Science （Japan Journal of Nursing Science） 17 （ 1 ） 2020年01月

ISSN 17427932

Aim: To investigate the association between children and their families' daily life routines and the implementation of safety practices in their homes. Methods: A cross-sectional study was conducted using a self-administered questionnaire among parents of 3-year-old children, who visited a public health center in Tokyo for their health checkups. Associations between the implementation of safety practices and family and children's basic daily routines were assessed using a multivariate logistic regression. Results: Data from 336 parents were analyzed. Three items were found to be significantly related to the non-implementation of safety practices, such as “television-watching behavior: after 8:00 p.m.” (adjusted odds ratio = 1.88, p =.02), “washing hands: not every time after getting home” (adjusted odds ratio = 2.24, p =.02), and “Family Routines Inventory: lower score” (a measurement of the routinization of a family's daily life; adjusted odds ratio =.83, p =.01). Conclusion: The cumulative results suggest that the lack of safety practices implementation signify nonadherence to daily routine practices by parents.

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外来看護師が患者の在宅療養支援のニーズに気づくための情報収集

前田明里,　永田智子

日本地域看護学会誌 22 （ 3 ） 17 - 25 2019年12月

研究論文（学術雑誌）, 共著, 査読有り

外来における在宅療養支援に関する啓発ツールの開発と有用性の検討

倉田里衣子, 田口敦子, 松永篤志, 山内悦子, 浦山美輪, 永田智子

日本医療マネジメント学会雑誌 20 （ 1 ） 27 - 31 2019年06月

研究論文（学術雑誌）, 最終著者, 査読有り

循環器疾患をもつ在宅療養継続者に対する病院内の多職種連携による支援に関する質的研究

劔持麻美, 松永篤志, 田口淳子, 明珍千恵, 山内悦子, 浦山美輪, 永田智子

日本地域看護学会誌 22 （ 1 ） 35 - 42 2019年04月

研究論文（学術雑誌）, 最終著者, 査読有り

救急外来を受診後に帰宅した患者の30日以内の再受診パターン：比較事例研究

寺本千恵, 永田智子, 成瀬昂, 横田慎一郎, 山本則子

日本看護科学会誌 38 336 - 345 2018年12月

研究論文（学術雑誌）, 共著, 査読有り

The structure of the perceived professional identity of Japanese public health nurses

Iwasaki R., Kageyama M., Nagata S.

Public Health Nursing （Public Health Nursing） 35 （ 3 ） 220 - 227 2018年05月

研究論文（学術雑誌）, 共著, 査読有り, ISSN 0737-1209

Objective: As health problems become more diverse and complicated, the way public health nurses (PHNs) work is changing. Research at the conceptual level of professional identity of PHNs is lacking. This study aimed to explore the structure of the perceived professional identity of Japanese PHNs. Design and Sample: Grounded theory method was used. Twenty-five PHNs in Japanese municipalities were participated in the study. Measurements: Data were collected through semistructured interviews and analyzed using open, axial, and selective coding. Results: Three categories emerged: (1) providing support to the consulter directly, (2) working as a member of the administrative organization, and (3) working for all residents to improve community development. The modality of perceived professional identity showed interindividual and intraindividual differences and was either stable or unstable. The perceived professional identities coexisted, but there was a conflict between (1) and (2). Conclusion: PHNs should be made aware of the three identities revealed in our study and the possibility of a conflict between identities. Moreover, to ensure working for all residents to improve community development, a population-based approach to education is needed with cooperation of universities and clinical practice.

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緩和ケア病棟の看護師にとっての退院支援の意味

水井翠, 蔭山正子, 御子柴直子, 横山惠子, 永田智子

日本看護科学会誌 37 （ 1 ） 170 - 178 2017年12月

研究論文（学術雑誌）, 共著, 査読有り

日本の病院における退院支援看護師の実践状況—2010年と2014年の全国調査の結果を比較して

戸村ひかり, 永田智子, 竹内文乃, 清水準一

日本看護科学会誌 37 （ 1 ） 150 - 160 2017年12月

研究論文（学術雑誌）, 共著, 査読有り, ISSN 2185-8888

Improved parental attitudes and beliefs through stepwise perinatal vaccination education

Saitoh Aya, Saitoh Akihiko, Sato Isamu, Shinozaki Tomohiro, Kamiya Hajime, Nagata Satoko

Human Vaccines and Immunotherapeutics 1 - 7 2017年10月

研究論文（学術雑誌）, 共著, 査読有り, ISSN 2164-5515

This study examined the effects of providing vaccination education during the perinatal period on Japanese parents' knowledge, attitudes, and beliefs about childhood vaccination. A cluster-randomized controlled-trial method was used on a sample of 160 pregnant women recruited from 9 obstetrical sites in Niigata, Japan. The treatment group received a stepwise interactive education intervention, while the control group received a general vaccination leaflet. Changes in parental attitudes toward and beliefs about infant vaccination were assessed on the child's one-month and 6-month birthdays using paper questionnaires. Of the initial 188 participants, 160 (90.4%) completed the final post-survey questionnaire. Scores on injunctive social norms (a morally neutral perception of the behavior of the majority) and descriptive social norms (a moral perception of what individuals should do) significantly increased in the treatment group (p = .02 and p = .01, respectively). There was a significant difference between the 2 groups over time in terms of perceived benefit (efficacy of available preventive actions) (p = .03), but no significant differences in perceived severity (seriousness of a disease outcome), perceived susceptibility (likelihood of getting a disease), perceived benefits, perceived behavioral control, or descriptive social norms between the groups at any time point or in the patterns of change over time (p > .31). Thus, stepwise perinatal vaccination education was found to positively influence maternal attitudes and beliefs about infant vaccination. This study suggests the importance of vaccination education during the perinatal period.

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Measurement of special access to home visit nursing services among Japanese disabled elderly people

Naruse Takashi, Matsumoto Hiroshige, Fujisaki-Sakai Mahiro, Nagata Satoko

BMC Health Services Research 17 （ 1 ） 2017年05月

研究論文（学術雑誌）, 共著, 査読有り, ISSN 1472-6963

Background: Home care service demands are increasing in Japan; this necessitates improved service allocation. This study examined the relationship between home visit nursing (HVN) service use and the proportion of elderly people living within 10 min' travel of HVN agencies. Methods: The population of elderly people living within reach of HVN agencies for each of 17 municipalities in one low-density prefecture was calculated using public data and geographic information systems. Multilevel logistic analysis for 2641 elderly people was conducted using medical and long-term care insurance claims data from October 2010 to examine the association between the proportion of elderly people reachable by HVNs and service usage in 13 municipalities. Municipality variables included HVN agency allocation appropriateness. Individual variables included HVN usage and demographic variables. Results: The reachable proportion of the elderly population ranged from 0.0 to 90.2% in the examined municipalities. The reachable proportion of the elderly population was significantly positively correlated with HVN use (odds ratio: 1.938; confidence interval: 1.265-2.967). Conclusions: Residents living in municipalities with a lower reachable proportion of the elderly population are less likely to use HVN services. Public health interventions should increase the reachable proportion of the elderly population in order to improve HVN service use.

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Effect of stepwise perinatal immunization education

Saitoh Aya, Saitoh Akihiko, Sato Isamu, Shinozaki Tomohiro, Kamiya Hajime, Nagata Satoko

Vaccine 35 （ 12 ） 1645 - 1651 2017年03月

研究論文（学術雑誌）, 共著, 査読有り, ISSN 0264-410X

Background Perinatal immunization education is important for improving the immunization outcomes of infants; however, the content of educational materials used at each perinatal period has not been carefully evaluated. We hypothesized that stepwise education offered at different perinatal periods would improve infant immunization status and enhance maternal immunization knowledge. Methods In this cluster-randomized controlled trial, pregnant women were recruited from nine obstetric sites in Niigata, Japan. The intervention group received a stepwise, interactive education intervention (prenatally, postnatally, and 1 month after birth). The control group received a leaflet containing general information on immunization. Infant immunization status was evaluated at 6 months of age, and maternal immunization knowledge was evaluated by a written survey after each intervention. Results Among 188 study participants, 151 (80.3%) replied to the final post-intervention survey. At 6 months of age, the percentage of children who completed three doses of inactivated polio, diphtheria, tetanus toxoid, and acellular pertussis (DTaP-IPV) vaccine was higher in the intervention group than in the control (p = 0.04); however, no differences between groups were observed for the Haemophilus influenzae type b (Hib) (p = 0.67) or 13-valent pneumococcal conjugate (PCV13) vaccines (p = 0.20). The duration to the completion of the third dose of the DTaP-IPV, Hib, and PCV13 vaccines was shorter in the intervention group than in the control (p = 0.03, p < 0.01, and p < 0.01, respectively). Furthermore, maternal knowledge scores exhibited significantly greater improvement in the intervention group over time compared with those of the control group (p = 0.02). Conclusions Stepwise perinatal immunization education improved immunization schedule adherence for required vaccines and improved maternal immunization knowledge.

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The association between nurses' coordination with physicians and clients' place of death

Naruse Takashi, Yamamoto Natsuki, Sugimoto Takashi, Fujisaki-Sakai Mahiro, Nagata Satoko

International Journal of Palliative Nursing 23 （ 3 ） 136 - 142 2017年03月

研究論文（学術雑誌）, 共著, 査読有り, ISSN 1357-6321

Aim: Over 60% of Japanese people hope to die at home; hence, assisting clients in achieving this outcome is an important responsibility of home care providers. This study investigated the effects of nurses' relational coordination with physicians on clients' place of death in home visiting nursing (HVN) agencies. Method: Secondary analysis of a public survey conducted in 2015 by local governments in Kurume city, Fukuoka prefecture, Western Japan. Manager nurses from 17 HVN agencies provided data about themselves and their relational coordination with community physicians and 85 deceased clients Results: Among 85 deceased clients, 52 (61.2%) had died at home. Four regression models showed significant positive effects of HVN nurse managers' relational coordination on clients' home death (the odds ratios (95% CI) were 2.488 (1.442-4.293) 2.111 (1.014-4.396), 2.562 (1.409-4.658) and 2.275 (1.079-4.796) in models 1-4, respectively. Conclusion: Measuring relational coordination among HVN nursing managers and physicians indicated readiness for home death among HVN clients in an agency or community.

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永田 智子

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永田　智子

論文 - 永田　智子