Details of a Researcher - YAMAMOTO Takeshi

Papers - YAMAMOTO Takeshi

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Reliability and validity of the questionnaire for measuring the effectiveness of an organizational patient support service in Japanese hospitals

Kojin Hiroyuki, Odagiri Yuko, Yamamoto Takeshi, Hashimoto Michio, Inoue Shigeru

Journal of the Japan Society for Healthcare Administration ( 一般社団法人日本医療・病院管理学会 ) 55 ( 3 ) 123 - 131 2018.07 [Refereed]

<p>This study examined the reliability and validity of the questionnaire for measuring the effectiveness of organizational patient support service in the hospital setting in Japan. A total of 3,434 hospitals were surveyed. All had enrolled in this fee-based service with the regional branch of the Ministry of Health, Labor and Welfare. Survey sheets were mailed to the hospitals from the Japan Council for Quality Health Care. The survey sheets queried basic information on the hospitals and included a seven-item questionnaire related to the effectiveness of providing patient support service in hospitals. Of those surveyed, 1,465 （42.7%） hospitals responded, and 1,450 （42.2%） responses were valid. A covariance structural analysis was applied to the model that consisted of three sub-scales, namely 'Effectiveness of counseling service', 'Effectiveness of liaison service' and 'Effectiveness for patients' under the host factor of 'Effectiveness of provision of the patient support service'. The compatibility of this model was confirmed. The Cronbach's alpha coefficient for the all questionnaire items was 0.85. Its reliability and validity were confirmed.</p>

DOI CiNii J-GLOBAL

Development of a new measurement scale for interprofessional collaborative competency: The Chiba Interprofessional Competency Scale (CICS29).専門職連携能力・コンピテンシーを測定する尺度（CICS29）の開発（https://www.n.chiba-u.jp/iperc/research/index.html）

Ikuko Sakai, Takeshi Yamamoto, Yoshinori Takahashi, Takashi Maeda, Yuuko Kunii, Kana Kurokochi

Journal of interprofessional care 31 ( 1 ) 59 - 65 2017.01 [Refereed] [International journal]

Authorship： Corresponding author

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.

DOI PubMed

Factors influencing attitudes toward end-of-life care by care workers at special nursing homes for the elderly: A longitudinal study in Japan

Michiyo Yamamoto, Asae Oura, Takeshi Yamamoto, Hisako Izumi, Miwa Suzumura, Hirofumi Ohnishi, Mitsuru Mori

Sapporo Medical journal ( Sapporo Medical University ) 85 ( 1-6 ) 39 - 45 2016.12 [Refereed]

Aim: The aim of the present study was to clarify that the effects of accumulated experience in end-of-life care and communication skill on the attitudes of care workers' toward end-of-life care. Methods: A study implemented 2012 to 2014. Two hundred and fifty-three questionnaires were returned (40.2%), and 170 were fully completed by care workers in special nursing homes. We sorted the responses into two groups by experience level: the experienced end-of-life care (EE) group and the inexperience end-of-life care (IE) group. Responses were also sorted by communication skill level: a high score communication (HSC) group and a low score communication (LSC) group. A two-way repeated measure analysis of variance was used for the statistical analysis. Results: The EE group was more likely to be younger (P =.04), to have a longer duration of employment (P < .001), and to have participated in an EOL care seminar in their facility (P =.02) than the IE group. Attitudes toward end-of-life care were significantly different between the EE and IE groups (df = 2, F = 3.35, P < .05). Attitudes toward end-of-life care were not significantly different when comparing the HSC and LSC groups (df = 2, F = 0.17, P =.85). The communication skill between the HSC and LSC groups differed significantly at 2012, 2013, and 2014. Conclusions: The accumulation of end-of-life care experience prompted a positive change in attitudes toward end-of-life care. Meanwhile, communication skill had no significant effect to change attitudes toward end-of-life care.

DOI CiNii

市町村保健師が健康で意欲的に仕事ができる職場環境に関する研究

齋藤尚子, 山本武志, 北池正

日本公衆衛生雑誌 ( 日本公衆衛生学会 ) 63 ( 8 ) 397 - 408 2016.08 [Refereed]

目的個人の健康と組織の生産性・業績が両立する健康職場の概念を参考に、健康を精神的健康、生産性・業績を仕事意欲とし、職場環境との関連を検討することにより、保健師が健康で意欲的に仕事ができる職場環境を明らかにする。方法千葉県内41市町村保健部門の保健師363人に自記式質問紙調査を行った。精神的健康は精神健康調査票12項目版(GHQ-12)、仕事意欲はモチベータ・モラールの質問項目を用いた。関連要因は、個人属性、職場特性、勤務状況(業務負担)、職場環境とした。職場環境は、労働者全般の状況は「一般的な職場環境」とし快適職場調査(7領域35項目)を、保健師の状況は独自に作成した「保健師に関する職場環境」(25項目)を用いた。一般的な職場環境は領域ごと、保健師に関する職場環境は因子分析を行い因子ごとに集計した。精神的健康、仕事意欲は合計得点を基に2分し、各項目との関連をt検定、χ2検定で確認後、有意な関連がみられた項目はロジスティック回帰分析を行った。結果有効回答215件を分析した(有効回答率59.2%)。職場環境の得点(得点が高いほど良好)は、一般的な職場環境では【社会とのつながり】、【人間関係】が高く、【キャリア形成・人材育成】は低かった。保健師に関する職場環境は、【同僚保健師同士のサポート】が高く、【相談・指導を受けられる環境】、【保健師活動への組織的な取り組み】は低かった。精神的健康には【社会とのつながり】(OR=2.86)、【労働負荷】(OR=3.00)、【保健師活動への組織的な取り組み】(OR=2.08)が関連していた。仕事意欲には【社会とのつながり】(OR=6.73)、【保健師の判断・意見の反映】(OR=1.59)が関連していた。結論精神的健康と仕事意欲の双方に、自分の仕事は社会的に意義があると感じられる職場環境が関連していた。このため、仕事の意義を感じられるよう目標を明確にし、活動成果を発信できる環境整備が必要である。(著者抄録)

DOI

Review of the Concept of Medical Professionalism

山本武志, 河口明人

北海道大学大学院教育学研究院紀要 ( 北海道大学大学院教育学研究院 ) ( 126 ) 1 - 18 2016 [Refereed]

Authorship： Lead author

医師，看護師，理学療法士の３職種の13のプロダクト（文書・声明文・綱領等）の内容を精査し，90のコード，21のカテゴリ，７領域，３分野で構成された「医療プロフェッショナリズム概念」を構築した。次に，1990年以降のプロフェッショナリズム概念の変遷を検討した。「科学的根拠に基づく医療・ケア」，「専門職連携・協働におけるコンフリクト・マネジメント」，「ハンド・オーバー」，「安全文化の普及・推進」，「マス・メディアの利用と情報提供のあり方」などの新しい概念の登場によるプロフェッショナリズム概念の拡大がみられた。また，患者の意思決定への参加から，患者の自律性を尊重するなど，プロフェッショナリズム概念の質の変化が認められた。概念の変化に応じた卒前・卒後の教育・学習の転換が求められるが，専門職連携教育をプロフェッショナリズムを涵養する１つの方略として提示した。We constructed the concept of "multidisciplinary medical professionalism." It comprised 90 codes,21 categories, 7 domains, and 3 areas, and examined 13 products (e.g., document, statement, code, and study) from professional associations of doctors, nurses, and physical therapists. We traced the history of the concepts of professionalism from the 1990s. We identified the extending as well as the new concepts of professionalism: "evidence-based medicine and practice," "conflict management in collaborative practice,""hand over,""dissemination and promotion of safety culture," and "utilizing mass media and providing information to citizens." Qualitative changes to the concept of professionalism,for example, the role of patients having changed from passive to active in the decision-making process, were identified. Hence, a transformation in pre-service and in-service training for professions in health-care coinciding with changes to the concept of professionalism is required. We propose introducing interprofessional education as a strategy to nurture medical professionalism.

DOI CiNii

Factors influencing attitudes toward end-of-life care by care workers at special nursing homes for the elderly: A Cross-sectional study in Japan

山本道代, 大西浩文, 大浦麻絵, 山本武志, 和泉比佐子, 鈴村美和, 森満

札幌医学雑誌 ( 札幌医科大学 ) 84 ( 1-6 ) 27 - 33 2015.12 [Refereed]

Objectives: The purpose of this study was to clarify factors influencing care workers' attitudes toward end-of-life (EOL) care characteristics at special nursing homes (SNHs). Methods: A questionnaire was initially sent to 630 care workers at 19 SNHs in October 2012. Written informed consent was obtained from 253 of these workers (40.2%), who then completed and returned the questionnaires. Participants were asked to reply to questions covering demographic data, work environment, depression status, experiences/education concerning EOL, communication skills, and attitudes toward EOL care. The Japanese version of the Frommelt Attitude Toward Care of the Dying Scale, Form B (FATCOD-B-J) assessment instrument was used in the analysis of the data received. Using the median value of the FATCOD-B-J score, 130 subjects were allocated to the high score (HS) group (FATCOD-B-J?23) and 123 to the low score (LS) group (FATCOD-B-J<23). In the LS group, the odds ratios (ORs) and their 95% confidence intervals (95% CIs) of participants exhibiting relatively negative attitudes toward EOL care were calculated and adjusted for potential confounding factors using multivariate logistic regression model analysis. Results: Length of employment in the facilities of between 5 and 9 years (OR 0.37, 95% CI 0.16-0.87) as well as over 10 years (OR 0.39, 95% CI 0.16-0.96) was significantly associated with a decreased risk of placement in the LS group. Furthermore, moderate (OR 0.44, 95% CI 0.24-0.80) as well as high (OR 0.35, 95%CI 0.17-0.75) communication skills in accepting other opinions, were significantly associated with decreased risk of placement in the LS group. Conclusions: After adjustments for potential confounding variables, results indicated that extended experience as a care worker and higher communication skills in accepting other opinions were significantly associated with a reduced risk of negative attitudes toward EOL care.

DOI CiNii

Mental and Social Situations that Provide Support to Elderly People Living Alone

船木祝, 山本武志, 旗手俊彦, 粟屋剛

北海道生命倫理研究 ( 北海道生命倫理研究会 ) 3 13 - 26 2015.03 [Refereed]

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's life; (3) attitudes and behavior employed to survive hardship; (4) pride felt in one'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 CiNii

Awareness of Providing and Receiving Information among Nurses, Care Workers, and Rehabilitation Therapists at Health Care Facilities for the Elderly

Yamamoto Michiyo, Okumiya Akiko, Yamamoto Takeshi

journal of Japan Academy of Gerontological Nursing ( 日本老年看護学会 ) 19 ( 2 ) 58 - 65 2015.03 [Refereed]

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 CiNii

ひとり暮らし高齢者の人生・生活を支える「心理学的弾性概念」の検討

山本武志

北海道生命倫理研究 ( 北海道生命倫理研究会 ) 2 20 - 27 2014.03 [Refereed]

Authorship： Lead author

People aged 65 or older comprised 24.1% of Japan's population in 2012, implying that currently one in four people are elderly. Approximately half of these aging households comprise elderly people living alone, and the number of these single-person households is expected to increase. Some studies have dispelled the myth that almost all elderly people living alone experience loneliness. Therefore, we should acknowledge and support their continuing to live alone, rather than insisting on institutionalizing them or sending them to live with their children. To understand and support self-dependent elders we may be required to learn about their life histories and life circumstances. In addition, we should understand that the elderly are mature and capable of handling any situation owing to their experiencing multitudinous stressful life events during the course of their lives, such as bereavement, retirement, or severe sickness I have developed a hypothesis that the lives of the elderly living alone were supported by their psychological elasticity, which includes their resilience, sense of coherence (SOC), and recovery concept. This paper discusses the importance of the studies that clarify the process of nurturing and internalization of psychological elasticity in the elderly.

DOI CiNii J-GLOBAL

介護老人保健施設における医療・福祉専門職間の情報提供と被提供の認識の相違

山本道代, 奥宮暁子, 山本武志, 相馬仁

保健医療福祉連携 ( 日本保健医療福祉連携教育学会 ) 7 ( 1 ) 2 - 10 2014.03 [Refereed]

CiNii J-GLOBAL

Development of a new measurement scale for interprofessional collaborative competency: a pilot study in Japan

Takeshi Yamamoto, Ikuko Sakai, Yoshinori Takahashi, Takashi Maeda, Yuuko Kunii, Kana Kurokochi

Journal of Interprofessional Care ( TAYLOR & FRANCIS INC ) 28 ( 1 ) 45 - 51 2014.01 [Refereed]

Authorship： Lead author

The objective of this study was to develop and test a competency scale, which measures the competency of interprofessional collaborative practice of health professionals. A total of 32 health professionals were interviewed, and then an item pool of 255 items was created to measure the competency of interprofessional collaboration. A questionnaire study was conducted with 1552 health professionals from four different hospitals located in the Kanto region of Japan. The questionnaires were distributed and collected by gatekeepers in each section. The valid response rate was 62.6%. There were a total of 65 questionnaire items measuring the competency of interprofessional collaboration. Each item was assessed by the number of valid responses, distribution of scores, item-total correlation analysis and good-poor analysis. Construct validity was assessed using factor analysis and the relationships among the total scores of each factor with interprofessional education experience during education before and after graduating. Moreover, Cronbach's alpha coefficient was calculated to assess reliability. Finally, 30 items were excluded, and a scale for interprofessional collaborative competency comprising 35 items and 6 factors was developed. From the perspective of construct validity and internal consistency, the scale in its pilot form shows some promising aspects.

DOI PubMed

https://repository.kulib.kyoto-u.ac.jp/dspace/bitstream/2433/185763/1/R.H.E_019_037.pdf

Takeshi Yamamoto, Yasuyoshi Naishiro, Masanori Shiratori, Hitoshi Sohma

Kyoto University researches in higher education ( Kyoto University ) ( 19 ) 37 - 45 2013.12 [Refereed]

Authorship： Lead author

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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地域住民のかかりつけ医の有無に関連する要因の検討~基本属性・医療機関の利用・地域医療への期待との関連~

宇田川ゆかり, 山本武志, 森満, 秋野惠美子

北海道公衆衛生学雑誌 26 ( 2 ) 97 - 105 2013.03 [Refereed]

J-GLOBAL

患者・家族によって認知・判断される「医療事故」の特徴

山本武志, 田渕康子, 橋本迪生

保健医療社会学論集 ( The Japanese Society of Health and Medical Sociology ) 23 ( 2 ) 39 - 48 2013.01 [Refereed]

Authorship： Lead author

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 CiNii J-GLOBAL

日本語版Attitudes toward Health Care Teams Scaleの信頼性・妥当性の検証

山本武志, 酒井郁子, 高橋平徳, 前田崇, 国井由生子, 黒河内仙奈, 相馬仁

保健医療福祉連携 ( 日本保健医療福祉連携教育学会 ) 5 ( 1 ) 21 - 27 2012.09 [Refereed]

Authorship： Lead author

【目的】Attitudes toward Health Care Teams Scaleの日本語版の信頼性と妥当性を検証する。【方法】北海道内の1病院に勤務する看護職194名を対象とした。2012年2月に2週間の間隔を空けて、同一対象者に2度の質問紙調査を行った。各項目の評価は回答の偏り、IT相関分析、GP分析等により行った。構成概念妥当性は探索的因子分析、信頼性はα係数と級内相関係数により検討した。【結果】94名を分析対象者とした。各項目の評価および探索的因子分析等の結果から、5項目を除外した9項目1因子が抽出された。α係数は0.90、各回調査の合計得点の級内相関係数は0.65であった。【結論】日本語版AHCTSは、構成概念妥当性と信頼性を概ね確保できた。今後、複数の医療機関及び多様な職種を含む対象において妥当性、信頼性を再検証する必要がある。(著者抄録)

J-GLOBAL

【看護における社会学的アプローチと実践】 (第1章)看護と社会学双方からのアプローチ社会学研究者の「ケア」へのアプローチ看護の質を評価する看護学は何を社会に伝えるべきか?

山本武志

インターナショナルナーシングレビュー ( (株)日本看護協会出版会 ) 35 ( 3 ) 109 - 114 2012.05 [Invited]

Authorship： Lead author

患者が歯科の「医療事故」を認知するプロセスに関する質的研究

山本武志, 橋本廸生

日本医療・病院管理学会誌 ( Japan Society for Healthcare Administration ) 49 ( 2 ) 73 - 83 2012.04 [Refereed]

Authorship： Lead author

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 CiNii J-GLOBAL

中学校・高校時代の友人関係が大学生のストレス対処能力SOCに与える影響

山本武志, 阿部愛美, 福代亜矢子, 北池正

Campus Health 47 ( 2 ) 174 - 180 2010.03 [Refereed]

Authorship： Lead author

J-GLOBAL

大学生の就職内定後の就職不安に関連する要因の検討

山本武志, 田口祐奈, 北池正

Campus Health 46 ( 2 ) 173 - 178 2009.03 [Refereed]

Authorship： Lead author

J-GLOBAL

日本語版Trust in Physician Scaleの作成および信頼性・妥当性の検証

山本武志, 橋本廸生

日本医療・病院管理学会誌 ( 日本医療・病院管理学会 ) 45 ( 3 ) 227 - 235 2008.07 [Refereed]

Authorship： Lead author

CiNii J-GLOBAL

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Papers - YAMAMOTO Takeshi