研究者詳細 - 山本　武志

論文 - 山本　武志

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Psychometric properties of the Japanese version of the evidence-based practice beliefs scale among clinical nurses

Ai Tomotaki, Masatoshi Saiki, Hiroki Fukahori, Takeshi Yamamoto, Masakazu Nishigaki, Chiyo Matsuoka, Emi Yasuda, Ikuko Sakai

Journal of International Nursing Research ( Japan Society of Nursing Research ) 2025年

DOI

Reliability and Validity of the Japanese Version of the Implementation Leadership Scale for Nurse Managers and Staff Nurses: A Cross-Sectional Study

Masatoshi Saiki, Ai Tomotaki, Hiroki Fukahori, Takeshi Yamamoto, Masakazu Nishigaki, Chiyo Matsuoka, Emi Yasuda, Ikuko Sakai

Journal of Nursing Management 2023年10月

DOI

特定行為研修を修了した看護師の導入・配置に関わる要因全国300床以上の病院の看護管理者を対象とした横断的研究

山本武志, 佐伯昌俊, 西宮岳, 小松亮, 山本則子, 酒井郁子

日本看護管理学会誌 ( (一社)日本看護管理学会 ) 27 ( 1 ) 61 - 70 2023年

2015年10月に創設された「特定行為に係る看護師の研修制度」は,医師・歯科医師が作成した手順書に基づき,看護師が高度かつ専門的な知識及び技能を必要とする特定行為を実践するための研修制度である.2022年3月時点での研修修了者数は4,832人で,厚生労働省が掲げる目標値への到達には及ばない現状がある.本研究は,全国の病院において特定行為研修の修了者が導入・配置されることに関連する施設側の要因を明らかにすることが目的である.全国300床以上の全病院の看護管理者(看護部長)を対象にオンライン調査を行った.1,436病院中412名の対象者から回答が得られた(回収率28.7%).研修修了者が導入・配置されている病院は252(61.4%)病院であった.二項ロジスティック回帰分析の結果,各病院に研修修了者または研修中の看護師が導入・配置されていることに関連する要因は,施設特性として病床規模が大きい,特定行為研修の指定研修機関であることが挙げられた.看護管理者の特性としては,認定看護管理者資格を有している,特定行為研修に対する期待・認識として協働の推進を期待している,診療・ケアに良い影響を与えうる制度と認識していることが挙げられた.(著者抄録)

DOI

専門職連携実践コンピテンシーに関連する要因の検討：特定機能病院の医療専門職を対象とした調査から

山本武志, 酒井郁子

札幌保健科学雑誌 12 21 - 27 2023年 [査読有り]

担当区分：筆頭著者

DOI

A Longitudinal Study of the Impact of Personal and Professional Resources on Nurses’ Work Engagement: A Comparison of Early-Career and Mid-Later-Career Nurses

Satoko Nagai, Yasuko Ogata, Takeshi Yamamoto, Mark Fedyk, Janice F. Bell

Healthcare 11 ( 1 ) 2022年12月 [査読有り] [国際誌]

To predict and ensure a healthy and high-performing nursing workforce, it is necessary to identify the antecedents that promote work engagement, especially among early-career nurses. To date no study has focused on this. This longitudinal survey, administered to 1204 nurses working in seven general hospitals with 200 or more beds in four prefectures in Japan at two different times in 2019, aims to examine the causal relationship between the personal and professional resources for nurses to work vigorously (PPR-N) and work engagement among nurses in the early stages of their careers, considering time as a key mediating factor. The analysis of structural equation modeling using the cross-lagged effect model supported that PPR-N had significant and positive effects on work engagement after 3 months among early-career nurses with less than 10 years of nursing experience. The PPR-N is a reliable antecedent of work engagement, which is typical of early-career nurses. These results may be provided guidance for managers in overseeing the work environment to ensure a thriving sustainable nursing workforce.

DOI PubMed

Self-assessment scale for the community-based and emergency practice.

Takao Wakabayashi, Yoshihisa Tsuji, Takeshi Yamamoto, Hitoshi Sohma, Wari Yamamoto

BMC medical education 22 2022年11月 [査読有り] [国際誌]

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 PubMed

介護老人保健施設における看護職、介護職、リハ職の認知症高齢者に対する疼痛評価の実態

山本道代, 宮本真由香, 尾崎香麟, 酒井萌花, 神山晴成, 山本武志

日本健康学会誌 ( 日本健康学会 ) 88 ( 3 ) 109 - 116 2022年05月 [査読有り]

看護師等学校養成所における専門職連携教育の実装状況と課題

伊藤裕佳, 山本武志, 井出成美, 酒井郁子

保健医療福祉連携 ( 日本保健医療福祉連携教育学会 ) 15 ( 1 ) 2 - 10 2022年 [査読有り]

DOI

一般内科における入院患者の入院日数の延長に関するリスクの検討

若林崇雄, 山本武志, 相馬仁, 辻喜久, 山本和利

日本病院総合診療医学会雑誌 ( (一社)日本病院総合診療医学会 ) 17 ( 3 ) 274 - 281 2021年05月 [査読有り]

【目的】一般内科における患者の入院日数の延長に関連する因子を検討する。【方法】2016年4月1日から2017年3月31日まで200床規模のA病院総合診療科に即日入院した患者289名を対象とした。入院期間に影響を及ぼす要因として12項目の説明変数を選定し,比例Coxハザード分析を用いて入院日数の延長と関連する因子を検討した。【結果】在院日数の中央値は10日だった。入院前の住居と退院先の相違(ハザード比(HR)2.25,95%信頼区間(95% CI);1.35-3.75)であり,次いでBMI低値(HR 1.70,95% CI;1.18-2.45),要介護(HR 1.56,95% CI;1.07-2.27),ポリファーマシー(HR 1.48,95% CI;1.08-2.04)が入院日数の延長と正の相関を示した。【結論】入院日数の延長と関連する因子が示唆された。今後は本検討を基に多施設前向き研究で妥当性を確保する必要がある。(著者抄録)

IPEの到達点と課題：卒前教育におけるIPEの学術的論点

山本武志

保健医療福祉連携 ( 日本保健医療福祉連携教育学会 ) 14 ( 1 ) 35 - 35 2021年03月 [招待有り]

担当区分：筆頭著者

Exploring Barriers and Benefits of Implementing Interprofessional Education at Higher Health Professions Education Institutions in Japan.

Yamamoto T, Yamamoto M, Abe H, Sakai I

Journal of allied health 50 ( 2 ) 97 - 103 2021年01月 [査読有り]

担当区分：筆頭著者

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

Factor Structure of Behaviors Demonstrating "Ganbatta" in Young Children Undergoing Blood Sampling/Vaccine Injection Perceived by Nurses: Exploratory Factor Analysis by a Cross-Sectional Survey in Japan.

Tsuyoshi Asari, Hisae Tabata, Takeshi Yamamoto, Miki Konno

Comprehensive child and adolescent nursing 1 - 11 2020年05月 [査読有り] [国際誌]

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 PubMed

Italian Validation of the Chiba Interprofessional Competency Scale (CICS29).

Annalisa Tonarelli, Takeshi Takeshi Yamamoto, Chiara Foà, Alessandra Miraglia Raineri, Giovanna Artioli, Elena Baccarini, Paola Giampellegrini, Itria Masciangelo, Elisa Moggi, Doriana Toni, Luca Valcavi, Leopoldo Sarli

Acta bio-medica 91 ( 2-S ) 58 - 66 2020年03月 [査読有り] [国際誌]

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 PubMed

採血を受けた幼児の「がんばった」概念の探索的研究-幼児の自己評価と大人による他者評価の関連-

浅利剛史, 田畑久江, 山本武志, 今野美紀

札幌保健科学雑誌 ( 札幌医科大学保健医療学部 ) ( 9 ) 22 - 26 2020年 [査読有り]

【目的】採血を受けた幼児の「がんばった」の自己評価と他者評価との関連を明らかにし,最善な看護ケアを検討するための視座を得ることである。【方法】採血を受けた幼児と保護者29組,看護師12名を対象に,採血を「がんばった」か幼児にはフェイススケール,保護者と看護師には質問紙による回答を得た。得られたデータから幼児-保護者・看護師間で相関分析を行った。【結果】幼児の80%以上が肯定的に評価していた。保護者と看護師の回答の平均値±標準偏差は70.6±10.3,65.1±13.4だった。また,幼児-保護者間(r=-.051),幼児-看護師間(r=-.037)で相関関係が認められなかった。【結論】幼児の自己評価と他者評価が一致しない理由として採血中や採血後の大人からの称賛により自己評価を高めたためと考えられる。幼児が「がんばった」と実感するためには幼児へ採血に関するポジティブフィードバックを行うこと,看護ケアを評価する際には幼児から直接自己評価を得ることの重要性が示唆された。(著者抄録)

J-GLOBAL

Job satisfaction and related factors of nurses in university hospitals: Focusing on collaborative competency factors

Tomoko Majima, Takeshi Yamamoto, Ikuko Sakai, Sumie Ikezaki, Ikuyo Nagasaka

Journal of Nursing Management ( Wiley ) 27 ( 7 ) 1409 - 1415 2019年10月 [査読有り]

DOI

Developing the Comprehensive Medical Professionalism Assessment Scale

Takeshi Yamamoto, Akito Kawaguchi, Yoshinori Otsuka

MedEdPublish ( F1000 Research Ltd ) 8 91 - 91 2019年04月 [査読有り]

担当区分：筆頭著者

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.

DOI

個人と共同体の混合形態一人暮らし高齢者の生活

船木祝, 宮嶋俊一, 山本武志, 粟屋剛

北海道生命倫理研究 ( 北海道生命倫理研究会 ) 7 19 - 35 2019年03月 [査読有り]

本研究では、配偶者の死別後等の一人暮らし生活への高齢者の個人の馴化のプロセスを明らかにし、さらに、周囲の人とのコミュニケーションや交流のあり方を描写することを目指す。この問題に取り組むために、北海道在住の65歳以上90歳未満の一人暮らし高齢者24名を対象とするインタビューガイドを用いた半構成的面接調査を実施した。このインタビュー調査に基づく逐語録は質的帰納的方法によって分析された。分析の結果、最終的に、高齢者の一人暮らし生活を支えている精神的・社会的状況に関して、10のカテゴリーと25のサブカテゴリーとに集約できた。自己との関係に関しては、【死別後の変化】、【時間にともなう変化】、【人生を変えた大きな出来事】、【自分で作る・夢中になれる趣味がある・仕事がある】の4つのカテゴリーが得られた。他者との関係に関しては、【気持ちを支えてくれる関係】、【喜びとなる人との交流】、【人から離れる】、【つながりを見つける】、【人とのつきあい方】、【重要な他者の存在】の6つのカテゴリーが得られた。これらの結果から、一人暮らし高齢者は自己との関係において他者の存在を思い浮かべ、他者との関係において自己の自発的意思を表明していたことが示された。すなわち、個人の問題と共同体の問題は単に二分化できるものではなく、相互的影響を顧慮して考察されなくてはならないことが明らかになった。(著者抄録)

医療専門職に求められるコンピテンスと専門職連携教育：専門職的自律性，相互依存性，ノットワークの観点からの考察

山本武志

社会保障研究 ( (株)毎日学術フォーラム ) 3 ( 4 ) 536 - 545 2019年03月 [招待有り]

担当区分：筆頭著者

Development of the Undergraduate Version of the Interprofessional Learning Scale.

Abe H, Yada H, Yamamoto T, Sohma H

Journal of allied health 48 ( 1 ) 3 - 10 2019年01月 [査読有り]

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.

PubMed

Practice-based IPEの実践と課題 (特集実習とIPE)

山本武志

保健医療福祉連携 ( 日本保健医療福祉連携教育学会 ) 11 ( 2 ) 85 - 88 2018年10月 [招待有り]

担当区分：筆頭著者

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