Language：English   Publishing type：Research paper (scientific journal)  

BACKGROUND: For current medical education, community-based primary care for the elderly is an essential topic. This study aimed to establish a scale of community-based assessment for clinical and emergency practice (C-CEP). METHODS: A self-assessment scale for C-CEP was developed according to four steps. Initially, we reviewed publications from the societies of the United States, British, and Japan regarding educational goals. In addition, we searched MEDLINE for educational goals regarding attitude, skills, and knowledge. Getting together, we established 23 items as the educational goals of the C-CEP. Second, we collected responses for these 23 items from 5th-grade medical students (n = 195). Third, we conducted an exploratory factor analysis (EFA) using their responses to determine the fundamental structure of the self-assessment scale. Finally, a confirmatory factor analysis (CFA) was performed to assess the fitness of the self-assessment scale developing the EFA, resulting in modification of the items. RESULTS: In EFA and CFA results, C-CEP Scale consisted of four factors with 15 items: "Attitude and communication in emergency care," Basic clinical skills," "Knowledge of community healthcare," and "Knowledge of evidence-based medicine perseverance." The model fit indices were acceptable (Goodness of Fix Index = 0.928, Adjusted Goodness of Fit Index = 0.900, Comparative Fit Index = 0.979, and Root Mean Square Error of Approximation = 0.045). The values of McDonald's omega as an estimate of scale reliability were more than 0.7 in all four factors. As for test-retest reliability, the intraclass correlation coefficients were ≥ 0.58 for all factors. All four factors of the C-CEP Scale correlated positively with the Medical Professionalism Evaluation Scale subscales. CONCLUSIONS: We developed a valid and reliable self-assessment scale to assess student competence.

DOI： 10.1186/s12909-022-03848-z

PubMed

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Language：Japanese   Publisher：日本健康学会  

Ichushi

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Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：Japan Association for Interprofessional Education  

DOI： 10.32217/jaipe.15.1_2

CiNii Research

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Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：(一社)日本病院総合診療医学会  

Ichushi

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Authorship：Lead author   Language：Japanese   Publisher：日本保健医療福祉連携教育学会  

Ichushi

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Authorship：Lead author   Language：English   Publishing type：Research paper (scientific journal)  

In the 1990s, interprofessional education (IPE) was introduced to health professionals in higher education; it has come to be regarded as a standard learning method. However, major barriers remain regarding its introduction and smooth operation. This study conducted a questionnaire survey at educational facilities for health professionals in Japan; it developed scales to measure the recognition of barriers to and benefits of IPE implementation. We surveyed chairpersons responsible for 2,690 courses in Japanese health education facilities. We used for analysis the responses related to 767 courses (valid response rate, 28.5%). In all, 216 courses (28.7%) implemented IPE. We conducted exploratory factor analysis and developed scales for measuring the recognition of barriers to IPE implementation (15 items) and its benefits (11 items). We observed a significant relationship between the state of IPE implementation and recognition of barriers to and benefits of IPE. Using information and communication technology and faculty development for faculty members would be effective in removing the barriers to IPE implementation.

PubMed

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Language：English   Publishing type：Research paper (scientific journal)  

GANBATTA: ("Well done!") is a term used frequently in Japan to praise children in medical settings when they have worked hard or made a courageous attempt. Therefore, the aim of this study was to clarify the factor structure of behaviors associated with ganbatta in young children (age 3-7 years) undergoing blood sampling or vaccine injection. A cross-sectional questionnaire survey was carried out on 150 selected pediatric nursing educators holding a nursing license (age ≥20 years). An exploratory factor analysis was then conducted using the principal factor method with promax rotation to confirm the construct validity. Cronbach's α coefficients were calculated for each identified factor to verify the internal consistency of the item. The mean (standard deviation) lengths of pediatric nursing and pediatric nursing education experience were 7.8 (4.7) and 9.9 (8.1) years, respectively. The cumulative contribution rate was 70.4%. The KMO measure of sampling adequacy was 0.927. The p value of Bartlett's test of sphericity was <0.001%. Finally, among the children's behaviors, 5 factors were identified and 25 items were selected: Factor 1, Proactive participation, containing 7 items; Factor 2, Sense of relief and joy after needle removal, 6 items; Factor 3, Negative emotional expression, 4 items; Factor 4, Information-seeking, 5 items; and Factor 5, Moving on from the needle procedure, 3 items. These findings indicate that ganbatta is a complex concept that encompasses a variety of aspects in young children in relation to needle procedures. Evaluating a young child's ganbatta behaviors during a needle procedure can serve as an indicator to evaluate the quality of care provided by nurses. Sharing the evaluated results with children and their parents may serve as a foundation to open discussions in regard to higher-quality care. In addition, observing ganbatta behaviors during a needle procedure and providing feedback to the child could help them feel like they have done a good job.

DOI： 10.1080/24694193.2020.1764147

PubMed

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Language：English   Publishing type：Research paper (scientific journal)  

BACKGROUND AND AIM OF THE WORK: The Chiba Inter-professional Competency Scale (CICS29) validated in several languages, it is a self-report instrument that investigates the degree of interprofessional collaboration in six areas: attitudes and beliefs of the professional; ability to manage a work group; actions to achieve goals; providing assistance that respects the patient; attitudes and behaviours that improve the cohesion of the working group; fulfilling or performing the own professional role. In addition to being recent, the scale investigates collaboration among all health professionals, and is not limited to specific professionals. The aim of the study was to validate the Italian version of CICS29. METHOD: A questionnaire-based study was conducted with an Italian sample consisting of 530 health professionals (419 women¸ mean age = 40 years, SD = 10.7; range 23- 58 years). The internal validity was measured using factor analysis. To verify the convergent validity, the Italian Version of Interprofessional Collaborative Competency Attainment Survey (ICCAS) was correlated with the CICS29; Results: The reliability and the internal validity of the CICS29 revealed 6 factors corresponding to the original subscales. The analysis presents an excellent sample adequacy measure (KMO = .933) with the scores ranging from 0.62 to 0.78 for the interclass correlation coefficients of the 6 domains. A significant level of correlation was found between the subscales of the CICS29 and the ICCAS. CONCLUSIONS: In conclusion, the Italian version of CICS29 has a satisfactory level of reliability and validity and it is recommended for measuring interprofessional collaboration of the health professionals. (www.actabiomedica.it).

DOI： 10.23750/abm.v91i2-S.9172

PubMed

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Language：Japanese  

Other Link： https://search-tp.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2020&ichushi_jid=J05973&link_issn=&doc_id=20200626360004&doc_link_id=%2Ffc8hoken%2F2020%2F000009%2F004%2F0022-0026%26dl%3D0&url=https%3A%2F%2Fwww.medicalonline.jp%2Fjamas.php%3FGoodsID%3D%2Ffc8hoken%2F2020%2F000009%2F004%2F0022-0026%26dl%3D0&type=MedicalOnline&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00004_2.gif

Ichushi

J-GLOBAL

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：Wiley  

DOI： 10.1111/jonm.12822

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Authorship：Lead author   Language：English   Publishing type：Research paper (scientific journal)   Publisher：F1000 Research Ltd  

<ns4:p>This article was migrated. The article was not marked as recommended. Background: There has been an increasing number of articles that have studied the topic of medical professionalism. The aims of this study were to develop a scale of medical professionalism. Methods: The concepts of medical professionalism as defined by associations and groups of physicians, nurses and physiotherapists were investigated. The surveys using self-administered questionnaires were conducted on students and junior residents. An exploratory factor analysis, calculation of the coefficient alpha, and correlation coefficients with other scales were performed. Results:A factor analysis resulted in the extraction of 30 items in 7 factors as items of the Level 1 scale for pre-clinical level students. The correlation coefficients between the scores for the 7 factors and KiSS-18 were in the range of 0.23 - 0.76. The coefficient alpha of all 30 items was 0.90. A factor analysis resulted in the extraction of 31 items in 8 factors from the Level 2 scale for students at the time of graduation. The correlation coefficient between the scores for the 8 factor and "Reflective skills" of the P-MEX was 0.31 - 0.59. The coefficient alpha for all 30 items was 0.93. Conclusion: Construct validity, criterion-related validity and reliability were generally confirmed for the two scales.</ns4:p>

DOI： 10.15694/mep.2019.000091.1

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Authorship：Lead author   Language：Japanese   Publisher：(株)毎日学術フォーラム  

Ichushi

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Language：Japanese   Publisher：北海道生命倫理研究会  

Other Link： https://search-tp.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2019&ichushi_jid=J06278&link_issn=&doc_id=20190422240002&doc_link_id=http%3A%2F%2Fid.nii.ac.jp%2F1599%2F00013998%2F&url=http%3A%2F%2Fid.nii.ac.jp%2F1599%2F00013998%2F&type=%8ED%96y%88%E3%89%C8%91%E5%8Aw%81F%8ED%96y%88%E3%89%C8%91%E5%8Aw%8Aw%8Fp%8B%40%8A%D6%83%8A%83%7C%83W%83g%83%8A_ikor&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F80183_3.gif

Ichushi

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Language：English   Publishing type：Research paper (scientific journal)  

PURPOSE:The undergraduate version of the Interprofessional Learning Scale (UIPLS) was developed to evaluate students' competency in interprofessional education because the existing scales were too professional for entry-level students to understand and respond to effectively. In addition, existing scales have some noted problems with validity and reliability. METHODS:An early 49-item version of the UIPLS was completed by 837 first-year students from two universities and one technical college, including departments for various professionals, in Hokkaido prefecture, Japan. The most common age group was 18-19 years (89.4%) and 61.2% were women. Ten items from the Minnesota Multiphasic Personality Inventory were used to exclude respondents who tended to create a socially favorable impression and/or a possible random and incorrectly scored profile. Kikuchi's Social Skills Scale (18 items) was also used as an external standard to demonstrate the convergent validity of the UIPLS. RESULTS:Eighteen items across four factors were extracted by factor analysis: "reflection on group work," "attitude towards group work," "knowledge of interprofessional working," and "skill in group work." Internal consistency was confirmed by Cronbach's alpha coefficient (>0.75). CONCLUSIONS:With good indicators of its validity and reliability, the UIPLS shows some promising aspects to evaluate students' competency for interprofessional working.

Other Link： http://orcid.org/0000-0003-4765-459X

PubMed

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Authorship：Lead author   Language：Japanese   Publisher：日本保健医療福祉連携教育学会  

Ichushi

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Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：一般社団法人 日本医療・病院管理学会  

DOI： 10.11303/jsha.55.123

Ichushi

J-GLOBAL

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Authorship：Corresponding author   Language：English   Publishing type：Research paper (scientific journal)  

The purpose of this study was to refine the items on a scale measuring interprofessional collaborative competency that was developed by the authors in an earlier pilot study. A questionnaire-based study was conducted with a sample of 2133 health professionals using the reformulated questionnaire. Construct validity was tested by comparing the survey results with a covariance structure analysis and the domains of interprofessional collaboration competencies presented in previous studies. A second survey was conducted 2 weeks later with a sample of 571 nursing professionals, using the same survey form to test its reliability. We constructed a model comprising 29 observed variables and six latent variables (the Chiba Interprofessional Competency Scale: CICS29), and obtained the following values for the model's goodness of fit: GFI = 0.925, AGFI = 0.908, CFI = 0.950, RMSEA = 0.049. With regard to reliability, we obtained scores ranging from 0.65 to 0.77 for the intraclass correlation coefficients of the six domains. Compared with the interprofessional collaboration scales indicated in previous studies, the CICS29 was found to have subsumed the key concepts that should be configured as interprofessional collaboration competencies. The CICS29 appeared to have satisfactory levels of reliability and validity and is recommended as a scale for measuring competencies of interprofessional practice.

Other Link： http://orcid.org/0000-0003-4765-459X

DOI： 10.1080/13561820.2016.1233943

PubMed

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：Sapporo Medical University  

DOI： 10.15114/smj.85.39

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Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：日本公衆衛生学会  

DOI： 10.11236/jph.63.8_397

Ichushi

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Authorship：Lead author   Language：Japanese   Publishing type：Research paper (bulletin of university, research institution)   Publisher：北海道大学大学院教育学研究院  

DOI： 10.14943/b.edu.126.1

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Language：English   Publishing type：Research paper (bulletin of university, research institution)   Publisher：札幌医科大学  

DOI： 10.15114/smj.84.27

Ichushi

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Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：日本老年看護学会  

This purpose of this study was to clarify awareness of information transfer with other professional occupations among staff at health care facilities for the elderly. Self-administered questionnaires were conducted with 160 nurses, 275 care workers, and 99 rehabilitation therapists. The study focused on information such as residents' illnesses, everyday living conditions, and functional training and required participants to state their awareness of "providing (receiving) information" for each item on four levels. The Wilcoxon signed-rank test was used to analyze the participants' awareness of information transfer. Nurses' awareness of information transfer differed from that of care workers with regard to seven items, such as residents' illnesses and professional knowledge and skills, and from that of rehabilitation therapists with regard to six items, such as residents' illnesses, everyday living conditions, and family intentions. Care workers' awareness of information transfer differed from that of nurses with regard to seven items, such as residents' illnesses and everyday living conditions, and from that of rehabilitation therapists with regard to seven items, such as residents' illnesses and family intentions. Rehabilitation therapists' awareness of information transfer differed from that of nurses with regard to seven items, such as the content of residents' training and professional knowledge and skills, and from that of care workers with regard to six items, such as everyday living conditions.

DOI： 10.20696/jagn.19.2_58

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Language：Japanese   Publisher：北海道生命倫理研究会  

In the present study, we focus on the extent to which elderly living in solitude are satisfied with their lifestyles. To examine this issue, semi-structured interviews were conducted with twelve elderly persons (ages 69-90). The transcripts from these interviews were analyzed through a qualitative-inductive approach. Overall, the obtained information could be classified into seven categories. Concerning their self-relationships, five categories could be noted: (1) Manners of interpretation regarding what it means to live alone; (2) attitudes and behavior exhibited in order to find pleasure and meaning in one&#039;s life; (3) attitudes and behavior employed to survive hardship; (4) pride felt in one&#039;s endeavors and past achievements; and (5) intentions behind self-confrontation. Concerning relationships with others, two categories could be seen: (6) An existence that provides encouragement to the elderly and (7) feelings of being useful to others. The information provided during the interviews suggests that in order for the elderly to better accept their present situation, it is necessary that they are able to find ways of deepening and improving both their self-relationships and relationships with others.

DOI： 10.15114/hjbe.3.13

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Authorship：Lead author   Language：Japanese   Publishing type：Research paper (scientific journal)  

DOI： 10.15114/hjbe.2.20

J-GLOBAL

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Language：Japanese   Publishing type：Research paper (scientific journal)  

J-GLOBAL

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Authorship：Lead author   Language：English   Publishing type：Research paper (scientific journal)  

Other Link： http://orcid.org/0000-0003-4765-459X

DOI： 10.3109/13561820.2013.851070

PubMed

Web of Science

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Authorship：Lead author   Language：Japanese   Publisher：Kyoto University  

The aim of this study was to evaluate the effectiveness of Interprofessional Education (IPE), which is implementedsoon after students enter university. Sapporo Medical University began implementing IPE in the Medicine, Nursing,Physical Therapy and Occupational Therapy departments in 2004. The program currently runs from the first to the fourthyear of university and comprises lectures, exercises and practicum training. The optional course for-first year students wasupdated in 2012. We examined changes in social skills (KiSS-18) and Readiness for Interprofessional Learning Scale (RIPLS)scores before and after practicum training. The subjects included 39 students who completed both surveys (valid responserate: 67.2%). Dependent variable scores on the three RIPLS subscales improved after practical training. A significantdifference was observed in KiSS-18 scores between male and female students before the practicum. Female students hadalready received a high KiSS-18 score before the practicum. Scores on KiSS-18 and two RIPLS subscales (Teamwork andCollaboration, and IPE Opportunities) increased significantly for male students, whereas scores on the third RIPLS subscale(Uniqueness of Profession) increased significantly for female students. We found that early implementation of practicaltraining in IPE had at least a short-term effect, and that these effects varied depending on gender.

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Language：Japanese   Publishing type：Research paper (scientific journal)  

J-GLOBAL

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Authorship：Lead author   Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：The Japanese Society of Health and Medical Sociology  

We conducted a questionnaire survey to explore respondents' and their families' experience of medical accidents. The survey involved 2000 people living in Fukuoka Prefecture, who were sent a questionnaire by mail. The valid response rate was 27.9%. One hundred and seventy-five medical accident cases were reported. We categorized all cases using ICD-10 codes and clinical categories regarding the nature of the problem. As a result, 14.3% were classified as "neoplasms" by ICD-10 codes, and 32.0% as "diagnosis" by the clinical categories. We identified three conditions of medical accidents recognized and judged by patients and their families. In the first, there was an unanticipated family member's death, or a condition suddenly worsened under treatment. Secondly, a result contrary to their expectation based on the prognosis was given. Thirdly, there were differences in the diagnosis, treatments, and outcome of medical care by medical professionals.

DOI： 10.18918/jshms.23.2_39

J-GLOBAL

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Authorship：Lead author   Language：Japanese   Publishing type：Research paper (scientific journal)  

Ichushi

J-GLOBAL

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Authorship：Lead author   Language：Japanese   Publisher：(株)日本看護協会出版会  

Ichushi

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Authorship：Lead author   Language：Japanese   Publisher：Japan Society for Healthcare Administration  

The present study was conducted to investigate the recognition and experience of adverse events by patients and/or their families at dental clinics. A self-administered questionnaire mail survey was conducted in 2,000 subjects (response rate, 29.0%). The responses included descriptions of 19 experiences of adverse events at dentists, and one of these subjects was interviewed. In regard to the recognition of adverse events at dental clinics, the patient and his/her family first recognized unusual pain, a decline in oral function, or other unusual changes, and then recognized and judged adverse events according to the information provided by medical professionals, such as discrepancy between the diagnosis/treatment and treatment outcomes. In addition, inappropriate communication by medical professionals had some influence on the recognition of adverse events. Medical professionals are required to interview patients regarding their past treatments and outcomes, and the treatments and outcomes they want, and then are required to provide patients with sufficient explanation about potentially negative treatment outcomes and symptoms.

DOI： 10.11303/jsha.49.73

J-GLOBAL

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Authorship：Lead author   Language：Japanese  

J-GLOBAL

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Authorship：Lead author   Language：Japanese   Publishing type：Research paper (scientific journal)  

J-GLOBAL

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Authorship：Lead author   Language：Japanese   Publishing type：Research paper (scientific journal)  

J-GLOBAL

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Language：English   Publisher：日本健康学会  

Other Link： https://search-tp.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2007&ichushi_jid=J01424&link_issn=&doc_id=20071213080002&doc_link_id=%2Fdf9hueco%2F2007%2F007306%2F003%2F0225-0242%26dl%3D0&url=https%3A%2F%2Fwww.medicalonline.jp%2Fjamas.php%3FGoodsID%3D%2Fdf9hueco%2F2007%2F007306%2F003%2F0225-0242%26dl%3D0&type=MedicalOnline&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00004_2.gif

Ichushi

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Authorship：Lead author   Language：Japanese  

DOI： 10.11477/mf.1663100643

J-GLOBAL

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Authorship：Lead author   Language：Japanese   Publishing type：Research paper (scientific journal)  

J-GLOBAL

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Authorship：Lead author   Language：Japanese   Publisher：厚生統計協会  

Other Link： http://search.jamas.or.jp/link/ui/2006177243

J-GLOBAL

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Authorship：Lead author   Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：Japan Association for Medical Informatics  

There are many researches on patient satisfaction in Japan in the last decade and we have to utilize the information from the researches effectively. Very few attempts have been made at collecting data from more than one institution. The purpose of this study is to fill in this gap and to examine the differences in the degree of outpatient satisfaction and the factors which affect outpatient satisfaction depending on hospital types classified by bed size and function. The results indicated that factors such as the evaluation of the doctor, the evaluation of the amenity services, perceived change in health had a statistical y significant effect on patient satisfaction among all the types of the hospitals. The standardized regression coefficient of the evaluation of the doctor was the highest in all the types of hospitals. Moreover, in an analysis of the university hospitals, patient satisfaction was affected by further factors in addition to the three factors mentioned above. Lower patient satisfaction was associated with younger age, longer waiting time, and a longer span of continuous hospital visits. University hospitals and large-scale hospitals need to take various measures such as decreasing the waiting time and creating a comfortable environment to spend the waiting time in order to improve medical service quality for patients.

DOI： 10.14948/jami.24.297

J-GLOBAL

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Language：Japanese  

DOI： 10.11477/mf.1541100824

J-GLOBAL

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Authorship：Lead author   Language：Japanese   Publishing type：Research paper (scientific journal)  

J-GLOBAL

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Authorship：Lead author   Language：Japanese  

J-GLOBAL

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Language：Japanese   Publishing type：Research paper (scientific journal)  

J-GLOBAL

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Authorship：Lead author   Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：医療経済研究機構  

Ichushi

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Authorship：Lead author   Language：Japanese   Publishing type：Research paper (bulletin of university, research institution)   Publisher：Tokyo Gakugei University  

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Event date： 2013.9

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Event date： 2007.9

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