Details of a Researcher - YAMAMOTO Takeshi

Papers - YAMAMOTO Takeshi

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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

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 2023.10

DOI

Factors related to the competency of interprofessional collaborative practice: From a survey of healthcare professionals in advanced treatment hospitals

Takeshi YAMAMOTO, Ikuko SAKAI

札幌保健科学雑誌 12 21 - 27 2023 [Refereed]

Authorship： Lead author

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

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

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 ) 2022.12 [Refereed] [International journal]

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 2022.11 [Refereed] [International 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 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 2022.05 [Refereed]

Implementing interprofessional education （IPE） in nursing schools: Survey on status and issues prior to rule revision

ITO Yuka, YAMAMOTO Takeshi, IDE Narumi, SAKAI Ikuko

The Journal of Interprofessional Collaboration in Health and Social Care ( Japan Association for Interprofessional Education ) 15 ( 1 ) 2 - 10 2022 [Refereed]

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 2021.05 [Refereed]

【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 2021.03 [Invited]

Authorship： Lead author

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 2021.01 [Refereed]

Authorship： Lead author

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 2020.05 [Refereed] [International 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 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 2020.03 [Refereed] [International 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 PubMed

Exploring the concept of children’s “Ganbatta” during blood sampling: Correlation between children’s self-assessments and adults’ assessments

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 [Refereed]

【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 2019.10 [Refereed]

DOI

Developing the Comprehensive Medical Professionalism Assessment Scale

Takeshi Yamamoto, Akito Kawaguchi, Yoshinori Otsuka

MedEdPublish ( F1000 Research Ltd ) 8 91 - 91 2019.04 [Refereed]

Authorship： Lead author

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 2019.03 [Refereed]

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 2019.03 [Invited]

Authorship： Lead author

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 2019.01 [Refereed]

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 2018.10 [Invited]

Authorship： Lead author

CiNii

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.

CiNii

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

Prevalence of domestic violence against women and its risk factors in Gunma, Japan

Fujimura Kazumi, Yoshida Tohru, Yamamoto Takeshi, Yamazaki Yoshihiko

Japanese Journal of Health and Human Ecology ( 日本健康学会 ) 73 ( 6 ) 225 - 242 2007.11 [Refereed]

群馬県在住の888名(男性397名、女性491名、18〜74歳)を対象に、親密な関係にある男性からの女性への暴力について調査・分析を行った。その結果、最近1年間に女性が暴力的行為を受けた経験は30.1%で、行為の種類別にみると、精神的暴力行為29.6%、身体的暴力行為5.4%、性的暴力行為6.2%であった。男性においても、暴力を振るった経験はほぼ同じ結果であった。暴力の重複パターンを検討した結果、男女とも多くの場合、身体的或いは性的暴力行為には精神的暴力行為が伴うことが示された。女性への暴力の関連要因として、暴力を容認している男性ほど暴力を振るい易いという傾向が認められた。また、男女とも生育家族評価が低い人ほど暴力的行為を経験している傾向があった。暴力的行為を受けた女性のうち、公的機関へ相談をしたという人は僅かで、半数は、近親者、友人・職場関係者といったインフォーマルな関係にある人に相談していた。

大学生のグループワークの負担感に関する調査研究看護学科と他学科の比較から

山本武志, 井川梨恵, 仮屋崎真由美, 黒澤奈都子, 橘則子, 初村暢子, 原田香菜, 松尾由記, 赤木京子

看護教育 ( 医学書院 ) 48 ( 3 ) 250 - 256 2007.03 [Refereed]

Authorship： Lead author

DOI CiNii J-GLOBAL

PROCESS OF PATIENT RECOGNITION AND EXPERIENCE OF ADVERSE EVENTS-Results of a questionnaire survey in Fukuoka prefecture, Japan-

YAMAMOTO TAKESHI, HASHIMOTO MICHIO

病院管理 44 ( 1 ) 39 - 48 2007.01 [Refereed]

Authorship： Lead author

CiNii J-GLOBAL

福岡県の一般診療所・歯科診療所の地理的分布の地域格差とその推移

山本武志

厚生の指標 ( 厚生統計協会 ) 53 ( 5 ) 23 - 27 2006 [Refereed]

Authorship： Lead author

CiNii J-GLOBAL

A Study of Patient Satisfaction in Ambulatory Care

YAMAMOTO TAKESHI, ITO HIROTO, NAKANO YUKARI, OZAWA MEGUMI

医療情報学 ( Japan Association for Medical Informatics ) 24 ( 2 ) 297 - 304 2004.11 [Refereed]

Authorship： Lead author

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 CiNii J-GLOBAL

苦情対応システムの実際とその評価―臨床現場の事例から第2回「意見活用システム」の聴取機能の評価

佐伯みか, 八巻知香子, 山本武志

病院 ( 医学書院 ) 63 ( 5 ) 420 - 425 2004.05

DOI CiNii J-GLOBAL

DEVELOPING AN INSTRUMENT FOR PATIENT EVALUATION OF THE QUALITY OF HOSPITAL CARE

YAMAMOTO TAKESHI, YAMAKI(KIMURA) CHIKAKO, SAEKI MIKA, TAMURA MAKOTO

病院管理 41 ( 1 ) 15 - 25 2004.01 [Refereed]

Authorship： Lead author

CiNii J-GLOBAL

事故と安全病院における医療事故と安全管理

山本武志, 橋本廸生